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N.  Kass is also the Abraham and Virginia Weiss Professor of Cardiology at Hopkins.L'efficacité du médicament n'altère pas lors de la ménopause, ou selon la catégorie d'âge des patients. Michelle McDermott, RPh, PharmD Q: I take two drugs to control my seizure disorder caused by a car accident (Depakote and Dilantin).

Do not take Viagra (sildenafil) if you are also using a nitrate drug for chest pain or heart problems. A: Viagra (sildenafil) must be used with caution in patients taking an antihypertensive medication. 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. In clinical studies, Viagra was given to more than 3,000 patients aged 19 to 87 years with erectile dysfunction of different causes.

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In some patients, concomitant use of these two drug classes can lower blood pressure significantly [see DRUG INTERACTIONS and CLINICAL PHARMACOLOGY] leading to symptomatic hypotension (e.g., dizziness, lightheadedness, fainting). After the patent expires, generic companies are allowed to request permission to have the "recipe." Currently, there is no generic for Viagra in the U.

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A starting oral dose of 25 mg should be considered in those patients [see DOSAGE AND ADMINISTRATION]. Also of note is that currently sildenafil has only two Food and Drug-labeled indications and that is for erectile dysfunction or treatment of pulmonary arterial hypertension. 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.To bring you the best content on our sites and applications, Meredith partners with third party advertisers to serve digital ads, including personalized digital ads. Dilantin could increase the metabolism of the Depakote. After the first injection of dobutamine, the force of heart contraction increased by 150 percent in both groups.  And in the placebo group, this increase repeated itself after the second injection.  However, in the group treated with sildenafil, the increased heartbeat was slowed by 50 percent, resulting in a smaller increase in blood flow and blood pressure generated by the heart in response to chemical stimulation. Kimberly Hotz, PharmD Q: Please tell me about the coffee that has the same drug in it that makes Viagra.

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Most, but not all of these men, had heart problems before taking this medication. Pharmaceutical companies must pay for years of clinical trials before a drug can be deemed safe by the FDA to be on the market. Megan Uehara, PharmD Q: Can you take Viagra and take blood pressure medicine at the same time? This means that the clearance of sildenafil from the body would increase and blood concentrations of the medication could decrease. A: It costs pharmacies a lot of money to purchase brand-name drugs from wholesalers. This allows your pharmacist to keep a complete record of all your prescription drugs and advise you about drug interactions and side effects.