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This neurotransmitter leads to widening of blood vessels that supply blood to the penis and vagina. 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. Sildenafil citrate's chemical formula is C22H30N6O4S. Viagra is usually taken only when needed, 30 minutes to 1 hour before sexual activity. Viagra and Alcohol It’s understandable that you may wish to have a drink or two at the same time as taking Viagra, however, it’s important to understand that a combination of the two may impair your ability to perform sexually.

Through this action, the drugs work to fix a functional problem. As always, talk to your health care provider regarding these interactions and for management of the interactions. It’s also used to treat pulmonary arterial hypertension (PAH). A: Erectile dysfunction is a common problem in diabetic men.

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By inhibiting this enzyme, blood flows freely to the female genitalia leading to increased sensitivity and increased vaginal lubrication. The most common side effects of flibanserin include: dizziness difficulty falling asleep or remaining asleep nausea dry mouth tiredness hypotension, or low blood pressure fainting or loss of consciousness You shouldn’t take flibanserin if you drink alcohol or have liver problems. The maximum dosage is 100 mg, therefore, you would not want to increase beyond this dosage. The changes from baseline in scoring on the two end point questions (frequency of successful penetration during sexual activity and maintenance of erections after penetration) were highly statistically significantly in favor of VIAGRA. When your doctor prescribes a new medication, be sure to discuss all your prescription and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals, and herbals, as well as the foods you eat.

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You and your healthcare provider understand your situation best. In very rare cases, Viagra use can lead to nonarteritic anterior ischemic optic neuropathy, or damage to the optic nerve. The Viagra brand has been registered and regulated through all UK governing bodies and pharmaceutical licenses, Viagra Connect included. A: It costs pharmacies a lot of money to purchase brand-name drugs from wholesalers. You do not need to say why you want to talk to the pharmacist, just that you would like to have a quick word.

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Most, but not all of these men, had heart problems before taking this medication. Patti Brown, PharmD Q: My husband is recovering from prostate cancer surgery and was told to take one-half of a Viagra pill every other day to increase blood flow. Read More Also, it can make you lactate (yikes!). There have been a few isolated reported incidents of heart problems in patients taking Viagra. Researchers found selected men with heart failure were able to use the drug without dangerous side effects if they were not taking nitrates (drugs commonly used to treat heart failure) and had no evidence of a lack of blood flow and oxygen to the heart muscle -- commonly caused by narrowed heart arteries. Viagra or generic sildenafil for ED should not be used in women. When getting a prescription from a doctor, you may want to ask that they write the prescription for a higher dose and have you cut it, to avoid confusion. The following website has additional information on Viagra: www.everydayhealth.com/drugs/viagra Q: With Viagra costing so much, what is a good, safe, effective alternative? When the patent expires, other drug companies can start manufacturing and selling a generic form of the drug that is usually less expensive.