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Taking these drugs with sildenafil can cause your blood pressure to drop suddenly to an unsafe level. Once you've swallowed one pill, it may take up to 60 minutes to take full effect and this may last for up to 4 hours.

VIAGRA should be used with caution in patients with anatomical deformation of the penis (such as angulation, cavernosal fibrosis or Peyronie's disease), or in patients who have conditions which may predispose them to priapism (such as sickle cell anemia, multiple myeloma, or leukemia). Especially tell your healthcare provider if you take any of the following: medicines called nitrates (see “What is the most important information I should know about VIAGRA?”) medicines called guanylate cyclase stimulators, such as riociguat (Adempas) medicines called alpha blockers such as Hytrin (terazosin HCl), Flomax (tamsulosin HCl), Cardura (doxazosin mesylate), Minipress (prazosin HCl), Uroxatral (alfuzosin HCl), Jalyn (dutasteride and tamsulosin HCl), or Rapaflo (silodosin). I would like to know if Viagra would be all right to take with them. The current patent on Viagra is set to expire in 2011, so as long as they don't get any extensions on their patent, a generic version should be coming out at that time. A: Most insurance companies will not cover the cost of erectile dysfunction drugs, and Medicare will not either.

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Warnings for people with certain health conditions For people with heart problems: This drug can lower your blood pressure. This information is not a substitute for medical advice. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. For starters, the Food and Drug Administration has approved it only for men (even though some doctors still prescribe it to their female patients, but that's a whole other issue). Viagra should be used with caution in patients with heart disease, including arrhythmias (abnormal heart rhythms); a recent history (in the past 6 months) of a heart attack, stroke, or heart rhythm disorder; congestive heart failure; high or low blood pressure; and coronary artery disease. If the split is not directly down the middle, it will still work, as long as the cut is reasonable.

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Many people experience none or sometimes just minor side effects. They can happen at any time, with or without symptoms. If you experience a continual and prolonged erection (exceeding 4 hours) otherwise known as 'priapism', you must seek medical attention. If you have sickle cell anemia, ask your doctor whether this drug is safe for you.

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There's alot of things you don't need prescriptions for here. You may report an adverse event related to Pfizer products by calling 1-800-438-1985 (U. Have any of your heart medications been increased, especially ones that are known to cause erectile dysfunction, such as the beta blocker family, Tenormin (atenolol), Lopressor (metoprolol) and others? Michelle McDermott, PharmD Q: Where can one buy generic Viagra? At least 24 hours should have passed before changing to a different impotence treatment. Taking sildenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure. Metabolism and Excretion Sildenafil is cleared predominantly by the CYP3A4 (major route) and CYP2C9 (minor route) hepatic microsomal isoenzymes. The remainder are believed to have psychogenic causes of impotence. You must be sexually stimulated for it to work.  You and your partner should engage in foreplay just as you would if you were not taking a medicine for erectile dysfunction (ED) Take your time.