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Viagra comes in dosages of 25mg, 50mg, and 100mg. Higher dosages may last longer, but also come with a bigger risk of side effects. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). A: When taking more than one medication, it is important to make sure there are no drug interactions. Figure 1: Mean Change from Baseline in Sitting Systolic Blood Pressure, Healthy Volunteers Effects of VIAGRA on Blood Pressure When Nitroglycerin is Subsequently Administered Based on the pharmacokinetic profile of a single 100 mg oral dose given to healthy normal volunteers, the plasma levels of sildenafil at 24 hours post dose are approximately 2 ng/mL (compared to peak plasma levels of approximately 440 ng/mL).

For more information, please read the Patient Information Leaflet, available from the electronic Medicines Compendium (eMC). For PAH: Your condition won’t improve, and may get worse. Studies were carried out from 2000 to 2008 to find out whether sildenafil citrate has the same effect on women as it had on women. Before starting the study, the women reported a variety of sexual problems, including lack of libido, difficulty becoming aroused or becoming lubricated, lack of orgasm, or delay in achieving orgasm.

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Evidence of the efficacy of Viagra for low sex drive in women is mixed. What should I tell my healthcare provider before taking VIAGRA? Table 3: Hemodynamic Data in Patients with Stable Ischemic Heart Disease after Intravenous Administration of 40 mg of Sildenafil In a double-blind study, 144 patients with erectile dysfunction and chronic stable angina limited by exercise, not receiving chronic oral nitrates, were randomized to a single dose of placebo or VIAGRA 100 mg 1 hour prior to exercise testing. 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. Cardiovascular Considerations Physicians should discuss with patients the potential cardiac risk of sexual activity in patients with preexisting cardiovascular risk factors.

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Viagra's meteoric rise to fame has seen it enter usage as an illicit drug. This means that the clearance of sildenafil from the body would increase and blood concentrations of the medication could decrease. Safety and effectiveness have not been established in pediatric patients. If the medication is losing its effectiveness for you, you may want to consult your doctor for an alternative. A: Viagra (sildenafil) is used for the treatment of erectile dysfunction.

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These medications are not necessarily different types of Viagra, but treatment alternatives. If you are over 65 years old, you may find that the medication stays in your body for longer. You should be aware never to take more than the recommended Viagra dose without consulting a doctor, and to avoid mixing it with similar PDE5 inhibitors as this can increase the risk of unwanted Viagra side effects. Postmarketing Experience The following adverse reactions have been identified during post approval use of VIAGRA. You also may want to try Cialis (tadalafil) or Levitra (vardenafil) if your physician feels it may help better. Jen Marsico, RPh Q: I am 66 years old with chronic hypertension controlled with medications. Norepinephrine has a role in promoting sexual arousal. Michelle McDermott, PharmD Q: My urologist has prescribed 100 mg of Viagra for my erectile dysfunction. Your physician is best able to determine if Viagra is appropriate for you or not. Whether your particular situation would benefit or be harmed by the use of this medication can only be determined by your physician. In a study of healthy male volunteers, co-administration of sildenafil at steady state (80 mg t.i.d.) with endothelin receptor antagonist bosentan (a moderate inducer of CYP3A4, CYP2C9 and possibly of CYP2C19) at steady state (125 mg b.i.d.) resulted in a 63% decrease of sildenafil AUC and a 55% decrease in sildenafil Cmax . Women writing to Dear Abby, for example, were either no longer interested in sex (and thus Viagra created new unwelcome pressure to be sexually active again), or fearing their husbands were having affairs in the context of their newfound sexual potency, and/or experiencing sometimes painful physiological effects of reigniting their sex lives later in life. Consult your health care provider for recommendations based on your specific circumstances.