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You may have a good reason to think twice about using Viagra. Patti Brown, PharmD Q: Is it safe to take Viagra?

Be very cautious about purchasing a drug claiming to be the generic. Population pharmacokinetic data from patients in clinical trials also indicated a reduction in sildenafil clearance when it was co-administered with CYP3A4 inhibitors (such as ketoconazole, erythromycin, or cimetidine) [see DOSAGE AND ADMINISTRATION and DRUG INTERACTIONS]. Postmarketing Experience The following adverse reactions have been identified during post approval use of VIAGRA. Consistent with its known effects on the nitric oxide/cGMP pathway, VIAGRA was shown to potentiate the hypotensive effects of nitrates [see DOSAGE AND ADMINISTRATION, CONTRAINDICATIONS, CLINICAL PHARMACOLOGY].

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However, because drugs affect each person differently, we cannot guarantee that this information includes all possible side effects. Sarah Lewis, PharmD Q: Can men taking antihypertensive medications use Viagra? McMahon CG, Smali R, Johnson H "Efficacy, safety and patient acceptance of sildenafil citrate as treatment for erectile dysfunction." J Urol 164 (2000): 1192-6 29. Should I ask him about increasing the dose to 200 mg? VIAGRA was effective in a broad range of ED patients, including those with a history of coronary artery disease, hypertension, other cardiac disease, peripheral vascular disease, diabetes mellitus, depression, coronary artery bypass graft (CABG), radical prostatectomy, transurethral resection of the prostate (TURP) and spinal cord injury, and in patients taking antidepressants/antipsychotics and anti-hypertensives/diuretics.

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Remember to take these drugs on an empty stomach with water, so they may work better. Viagra (sildenafil) is a medication specifically used to treat erectile dysfunction. The second concern is that Viagra opens up arteries in the brain lining and can cause excess pressure causing a headache or even a heart attack. Gharbia, PharmD Q: What's the problem with taking Viagra occasionally two times in the same day, maybe 12 or so hours apart?

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Your physician is best able to determine if Viagra is appropriate for you or not. Many users experience little or no side effects whatsoever, and make Viagra a recurring part of their lifestyle. Men are about what they DO, women are about how they LOOK. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. Doses may range from 5 mg to 20 mg depending on efficacy and patient tolerability. Whichever the case, female Viagra is a scientifically formulated drug that has active ingredients which can successfully combat female arousal disorders. Because of these possible events, the patients should be monitored closely. The results from this pilot study are shown in Table 3; the mean resting systolic and diastolic blood pressures decreased by 7% and 10% compared to baseline in these patients. Meika Loe, author of "The Rise of Viagra: How the Little Blue Pill Changed Sex in America," acknowledges that Viagra and other ED (erectile dysfunction) drugs create additional pressure in the already complex sex lives of men and women. At the end of the long-term study, 88% of patients reported that VIAGRA improved their erections. Cialis is also available in a needs-be basis options. Oh, I haven't ever taken it, but I think the drug that tonyad mentioned is Cisapride, which got pulled for causing (I think) strokes?