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Doses may range from 5 mg to 20 mg depending on efficacy and patient tolerability. VIAGRA may affect the way other medicines work, and other medicines may affect the way VIAGRA works, causing side effects. One of the possible effects Viagra can have is to lower blood pressure.

Kassim AA, Fabry ME, Nagel RL "Acute priapism associated with the use of sildenafil in a patient with sickle cell trait.IMPORTANT SAFETY INFORMATION Do not take VIAGRA (sildenafil citrate) if you: take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas (riociguat) for pulmonary hypertension. After patients have taken VIAGRA, it is unknown when nitrates, if necessary, can be safely administered. There is also a possibility of a drug interaction between the Dilantin and the Depakote. The primary measure in the principal studies was a sexual function questionnaire (the International Index of Erectile Function -IIEF) administered during a 4-week treatment-free run-in period, at baseline, at follow-up visits, and at the end of double-blind, placebo-controlled, at-home treatment.

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For the 20 subjects who received VIAGRA 100 mg and matching placebo, the placebo-subtracted mean maximum decreases from baseline (95% CI) in systolic blood pressure were as follows: The mean profiles of the change from baseline in standing systolic blood pressure in subjects treated with doxazosin in combination with 100 mg VIAGRA or matching placebo are shown in Figure 4. VIAGRA may affect the way other medicines work, and other medicines may affect the way VIAGRA works causing side effects. Side effects from other drugs: Taking sildenafil with certain medications raises your risk of side effects from these drugs.

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The maximum observed decrease in diastolic blood pressure was -17. There are a number of online pharmacies offering free trial packs so that customers can decide whether Viagra is the right choice for them when it comes to treating erectile dysfunction. The Dutch study is part of broader research conducted in Australia, New Zealand and the UK looking at the use of Sildenafil early in pregnancy to promote growth in severely underdeveloped unborn children.

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This is essentially a different type of Viagra which is used for a different FDA approved indication. Cardiovascular Considerations Physicians should discuss with patients the potential cardiac risk of sexual activity in patients with preexisting cardiovascular risk factors. Viagra relaxes muscles and increases the blood flow to particular areas of the body. Viagra begins to exert its therapeutic effect within one hour with the duration of effects lasting for up to four hours. Dilantin could increase the metabolism of the Depakote. Dosage Adjustments In Specific Situations VIAGRA was shown to potentiate the hypotensive effects of nitrates and its administration in patients who use nitric oxide donors such as organic nitrates or organic nitrites in any form is therefore contraindicated [see CONTRAINDICATIONS, DRUG INTERACTIONS, and CLINICAL PHARMACOLOGY]. Taking VIAGRA connect as directed can help you get the best results When taking VIAGRA connect, always follow the directions on the Patient Information Leaflet included in the packaging: Take one tablet about 1 hour before sex Swallow the tablet whole with water Do not take more than one tablet a day       What are the side effects of VIAGRA connect? Study 1: VIAGRA with Doxazosin In the first study, a single oral dose of VIAGRA 100 mg or matching placebo was administered in a 2-period crossover design to 4 generally healthy males with benign prostatic hyperplasia (BPH).