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Causes range from everyday stressors to female sexual interest/arousal disorder (FSIAD). Always keep a current list of the drugs and supplements you take and review it with your health care providers and your pharmacist.

Serious side effects Call your doctor right away if you have serious side effects. Medical professionals recommend that you contact your doctor if you experience mild to moderate side effects. Because sexual problems are a prime reason patients give for stopping the antidepressants, experts think it is important to find a way to relieve the sexual problems. If the medication is losing its effectiveness for you, you may want to consult your doctor for an alternative. Drugs you should not use with sildenafil Do not take these drugs with sildenafil. I see products like Kamagra, "generic" Viagra, and I have no idea how to evaluate these products.

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In volunteers with severe renal impairment (Clcr < 30 mL/min), sildenafil clearance was reduced, resulting in higher plasma exposure of sildenafil (~2 fold), approximately doubling of Cmax and AUC. Take as directed Sildenafil oral tablet is used for short-term treatment of ED, and long-term treatment of PAH.

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The major circulating metabolite results from N-desmethylation of sildenafil, and is itself further metabolized. Viagra (sildenafil) is an oral drug that is used for treating impotence (or erectile disfunction, ED, the inability to attain or maintain a penile erection).

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A starting dose of 25 mg should be considered in patients with severe renal impairment [see DOSAGE AND ADMINISTRATION and CLINICAL PHARMACOLOGY]. Diary data in two of the studies (n=178) showed rates of successful intercourse per attempt of 70% for VIAGRA and 29% for placebo. Therefore the medication should be used with caution by patients who have left ventricular outflow obstruction and should only be used by patients who are hemodynamically stable prior to starting therapy. This is consistent with ritonavir's marked effects on a broad range of P450 substrates. You only get an erection when sexually aroused over this time – you will not have an erection continually for 4 hours. Whereas 11 percent (6/52) of fetuses were lost in the hypertensive group, none were lost in the group that received Viagra, even though they were still hypertensive," Osol says. Viagra, for example, doesn’t increase sexual arousal in men. Taking these drugs with sildenafil can cause your blood pressure to drop suddenly to an unsafe level.