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What can I do to get more effective help from Viagra? VIAGRA can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines.

If possible, use one pharmacy for all your prescriptions and over-the-counter products. PadmaNathan H, Steers WD, Wicker PA "Efficacy and safety of oral sildenafil in the treatment of erectile dysfunction: A double-blind, placebo-controlled study of 329 patients." Int J Clin Pract 52 (1998): 375-9 35. Though the increased blood flow down below has caused some women who've tried the drug to experience physical arousal, it's had little effect on desire.

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PDE5 inhibitors, including VIAGRA, and alpha-adrenergic blocking agents are both vasodilators with blood pressure lowering effects. The maximum recommended dose is 100 mg with a maximum recommended frequency of administration of once daily. If you have these symptoms, stop taking VIAGRA and contact a doctor right away Before you take VIAGRA, tell your healthcare provider if you: Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. It should be taken 30 minutes to an hour before it is needed, but can be taken up to 4 hours before it is needed.

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However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions. Jen Marsico, RPh Q: Can a man who is taking Betapace, Lanoxin, enalapril, and Coumadin take Viagra? It works by allowing increased blood flow to the penis, which causes an erection. Serious side effects and their symptoms can include the following: Low blood pressure. For more information, please read the Patient Information Leaflet, available from the electronic Medicines Compendium (eMC). The word Viagra is the brand name for sildenafil citrate and is used to treat erectile dysfunction and pulmonary arterial hypertension.

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Boshier A, Pambakian N, Shakir SA "A case of nonarteritic ischemic optic neuropathy (NAION) in a male patient taking sildenafil." Int J Clin Pharmacol Ther 40 (2002): 422-3 41. Most medications can be cut in two if they are not extended release, but you should always check with your doctor or pharmacist, as the guideline is not always true. It is always good to ask your doctor or pharmacist about the most common side effects that you can expect. Its effect is more potent on PDE5 than on other known phosphodiesterases (10-fold for PDE6, > 80-fold for PDE1, > 700-fold for PDE2, PDE3, PDE4, PDE7, PDE8, PDE9, PDE10, and PDE11). The majority of Viagra side effects are rarely serious and have little or no negative impact on your experience of taking Viagra.