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VIAGRA may affect the way other medicines work, and other medicines may affect the way VIAGRA works causing side effects. Viagra works by inhibiting the chemical phosphodiesterase, which leads to an increase in the effect of nitric oxide.

Symptoms can include: an erection that lasts more than 4 hours Vision problems. If you miss doses or don’t take the drug on schedule: For ED: Your ED symptoms won’t improve. Symptoms can include: sudden hearing loss tinnitus (ringing in your ears) dizziness Heart problems, such as heart attack, stroke, or irregular heart rate.

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At least 24 hours should have passed before changing to a different impotence treatment. It also comes in an intravenous (IV) form, which is only given by a doctor. Both of these subjects were protocol violators, one due to a low baseline standing SBP, and the other due to baseline orthostatic hypotension.

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VIAGRA connect takes about 30 to 60 minutes to work. You must be sexually stimulated for it to help you achieve an erection, but you can wait up to 4 hours after you take VIAGRA connect before having sex – it will still work within this time. However, for some men with ED, they heard only that this pill could be taken to reverse their barrier to having a great sex life.

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They have stated that not only will this widen the access for men requiring treatment, but also this may reduce the amount of illegal ED medication is sold to the unsuspecting public. Furthermore, it was only possible that this side effect was related to treatment and a causal relationship to Viagra was uncertain. When a single 100 mg dose of VIAGRA was administered with erythromycin, a moderate CYP3A4 inhibitor, at steady state (500 mg bid for 5 days), there was a 160% increase in sildenafil Cmax and a 182% increase in sildenafil AUC. Cerner Multum, Inc. "Australian Product Information." O 0 Pharmaceutical Society of Australia "APPGuide online. The longer cGMP persists, the more prolonged the engorgement of the penis.Take the Impotence (ED) Quiz Impotence (ED) Slideshow Pictures Unzip Your Sex Life Drug Description Find Lowest Prices on VIAGRA® (sildenafil citrate) Tablets DESCRIPTION VIAGRA (sildenafil citrate), an oral therapy for erectile dysfunction, is the citrate salt of sildenafil, a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). Keep VIAGRA and all medicines out of the reach of children. A starting dose of 25 mg of VIAGRA should be considered in patients taking erythromycin or strong CYP3A4 inhibitors (such as saquinavir, ketoconazole, itraconazole) [see DOSAGE AND ADMINISTRATION, CLINICAL PHARMACOLOGY]. Also the medication is recommended to be used with caution by patients who have had life-threatening arrhythmias, heart attack, or stroke within the last six months, cardiac failure, coronary artery disease resulting in unstable angina, or by patients with left ventricular outflow obstruction. Active ingredient: sildenafil citrate Inactive ingredients: microcrystalline cellulose, anhydrous dibasic calcium phosphate, croscarmellose sodium, magnesium stearate, hypromellose, titanium dioxide, lactose, triacetin, and FD & C Blue #2 aluminum lake This Patient Information has been approved by the U. Tran D, Howes LG "Cardiovascular safety of sildenafil." Drug Saf 26 (2003): 453-60 14. Effects Viagra can help men who cannot achieve or sustain an erection due to erectile dysfunction.