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This drug is meant to combat sexual problems in women particularly Female Sexual Arousal Disorder and Female Sexual Dysfunction. An observational study evaluated whether recent use of PDE5 inhibitors, as a class, was associated with acute onset of NAION. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action.

Metabolism and Excretion Sildenafil is cleared predominantly by the CYP3A4 (major route) and CYP2C9 (minor route) hepatic microsomal isoenzymes. Do not take this medicine in larger or smaller amounts or for longer than recommended. Egan RA, Pomeranz H "Transient ischemic attack an stroke associated with sildenafil (Viagra) use." Neurology 59 (2002): 293-4 20.

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Metabolic and Nutritional: thirst, edema, gout, unstable diabetes, hyperglycemia, peripheral edema, hyperuricemia, hypoglycemic reaction, hypernatremia. However, VIAGRA may be taken anywhere from 30 minutes to 4 hours before sexual activity.

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Matt Curley, PharmD Q: Is there a generic for Viagra? There are two other alternatives, Levitra (vardenafil) and Cialis (tadalafil), but they are newer and cost even more. You also may want to try Cialis (tadalafil) or Levitra (vardenafil) if your physician feels it may help better. Doesn't this turn the bedroom into a battlefield at a time when women are already vulnerable (e.g., empty nest syndrome, feeling less attractive as we age, physical changes due to menopause including hair loss and weight gain, etc.) I recently visited my OB/GYN, and upon hearing about this research, she volunteered that many of her women patients have complained that Viagra has not helped their sex lives. Do not take Viagra if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". If you experience chest pain, dizziness, or nausea during sex, seek immediate medical help.

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Viagra overdose A Viagra overdose can be serious. Gandhi JS "Sildenafil-associated NAION." Ophthalmology 110 (2003): 1860-1; author reply 1861 43. "Viagra and loss of vision." Med Lett Drugs Ther 47 (2005): 49 44. Therefore your overall cardiovascular status needs to be considered when you contemplate taking Viagra. It was originally used for ph but they found that one of the side effects helped with ed. Viagra was even posted over home base when Pfizer was the primary sponsor of pro baseball. Once you've swallowed one pill, it may take up to 60 minutes to take full effect and this may last for up to 4 hours. If you usually take another ED brand, or a different dosage, you may wish to discuss switching to Viagra Connect with your doctor first. Grapefruit and grapefruit juice should be avoided, as enzymes in the fruit can stop Viagra from working altogether. Those suffering from liver disease or kidney disease which requires dialysis treatment are also advised to avoid taking Viagra. All 12 patients experienced relief of pain after trial stimulation and had their systems permanently implanted.