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Hitting the market in 1998, Viagra was the first oral treatment approved to treat erectile dysfunction in the U. Child dosage (ages 0–17 years) This drug has not been confirmed to be safe or effective in children younger than 18 years. Your blood pressure could drop to an unsafe level are allergic to sildenafil, as contained in VIAGRA and REVATIO, or any of the ingredients in VIAGRA Discuss your health with your doctor to ensure that you are healthy enough for sex. For more specific information, consult with your doctor or pharmacist for guidance based on your specific condition and current medications. Metabolism and Excretion Sildenafil is cleared predominantly by the CYP3A4 (major route) and CYP2C9 (minor route) hepatic microsomal isoenzymes.

Nitric oxide also opens the blood vessels throughout the body, which can cause decreased blood pressure. Having a large, high-in-fat meal just before you take your Viagra can make it take longer to start working. A: Viagra (sildenafil) works by inhibiting the chemical phosphodiesterase, which leads to an increase in the effect of nitric oxide. 5 percent of people taking Viagra stopped their medicine because of side effects.   (This article covers many, but not all, of the possible side effects with Viagra.

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So what do we do about Viagra and the other ED (erectile dysfunction) drugs that are now commonplace and marketed directly to men in TV commercials and magazine ads? 5 mg taken at the same time each day and without regard to sexual activity.

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Marmor MF "Sildenafil (Viagra) and ophthalmology." Arch Ophthalmol 117 (1999): 518-9 39. For these men it wouldn’t even matter if the side effects were bothersome. Stop taking VIAGRA and call your healthcare provider right away if you have any sudden vision loss sudden hearing decrease or hearing loss. You should not need a new prescription for this medication to be refilled.

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Clinical monitoring If you’re taking this drug for PAH, your doctor may monitor your blood pressure and pulse regularly. D.  Other researchers involved in this study were Vojtech Melenovsky M. Before Taking Viagra – What You Should Know Before taking Viagra, it is important to make yourself aware of a number of facts. Bocchi EA, Guimaraes G, Mocelin A, Bacal F, Bellotti G, Ramires JF "Sildenafil effects on exercise, neurohormonal activation, and erectile dysfunction in congestive heart failure: a double-blind, placebo-controlled, randomized study followed by a prospective treatment for erectile dysfunction." Circulation 106 (2002): 1097-103 24. The study, conducted solely at Hopkins, was led by cardiologist Barry Borlaug, M. A: Taking Viagra twice a day is not necessarily a problem for some people. Consult your health care provider for recommendations based on your specific circumstances. Nitric oxide allows the smooth muscles inside the penis to relax, promoting more blood flow to the area during sexual arousal or stimulation. Efficacy Results in Subpopulations in Controlled Clinical Studies A review of population subgroups demonstrated efficacy regardless of baseline severity, etiology, race and age. Jen Marsico, RPh Q: I am 66 years old with chronic hypertension controlled with medications. We are such a perfect match and so very happy together but are starting to get frustrated in one aspect...sex and trying to get pregnant. For more information, please consult with your healthcare provider.