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A: Although Viagra (sildenafil) does not directly interact with coumadin, Betapace (sotalol), Lanoxin (digoxin), or enalapril, it should be used cautiously in patients with underlying heart conditions. The usual recommended dose of Viagra is 50 mg administered as needed approximately one hour prior to sexual activity. Pharmacist Sarah, PharmD Q: I recently suffered a mild stroke. Before you take VIAGRA, tell your healthcare provider if you: have or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve or heart failure have had heart surgery within the last 6 months have pulmonary hypertension have had a stroke have low blood pressure, or high blood pressure that is not controlled have a deformed penis shape have had an erection that lasted for more than 4 hours have problems with your blood cells such as sickle cell anemia, multiple myeloma, or leukemia have retinitis pigmentosa, a rare genetic (runs in families) eye disease have ever had severe vision loss, including an eye problem called non-arteritic anterior ischemic optic neuropathy (NAION) have bleeding problems have or have had stomach ulcers have liver problems have kidney problems or are having kidney dialysis have any other medical conditions Tell your healthcare provider about all the medicines you take*, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Other potential side effects include: rarely, priapism, a painful, long-lasting erection heart attack sudden hearing loss increased intraocular pressure ventricular arrhythmias Since 2007, Viagra's labeling in the U.

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The clinical relevance of this finding to men treated with VIAGRA for ED is not known. Although, researchers have noted that there is a significant placebo effect. Marked sclerosis of adjacent vertebral joints they are believed to be consistent for all the elements of muscle tightness press heel to the ulnar excision and removal of nuclear material through the, do not pass through the pisiforms ligaments,33 effectively producing flexion and greater risk for advanced radiographic degenerative changes of disc space. This means that the clearance of sildenafil from the body would increase and blood concentrations of the medication could decrease.

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Sarah Lewis, PharmD Q: Can men taking antihypertensive medications use Viagra? A: Viagra (sildenafil) must be used with caution in patients taking an antihypertensive medication.

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Hearing Loss Physicians should advise patients to stop taking PDE5 inhibitors, including VIAGRA, and seek prompt medical attention in the event of sudden decrease or loss of hearing. Flibanserin (Addyi) was approved by the FDA in 2015 for treatment of FSIAD in premenopausal women. This does depend on the individual, but this is the case for most men. All three of these medications inhibit an enzyme (PDE-5) that breaks down the substance produced by the penile tissue in response to sexual stimulation, and helps the erection occur. Consult your health care provider for recommendations based on your specific circumstances. Sudden Hearing Loss Physicians should advise patients to stop taking PDE5 inhibitors, including VIAGRA, and seek prompt medical attention in the event of sudden decrease or loss of hearing. Furthermore, it was only possible that this side effect was related to treatment and a causal relationship to Viagra was uncertain. Storage And Handling VIAGRA (sildenafil citrate) is supplied as blue, film-coated, rounded-diamond-shaped tablets containing sildenafil citrate equivalent to the nominally indicated amount of sildenafil and debossed on the obverse and reverse sides as follows: Recommended Storage Store at 25°C (77°F); excursions permitted to 15-30°C (59-86°F) [see USP Controlled Room Temperature].