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Matt Curley, PharmD Q: Is there a generic for Viagra? Individuals taking alpha-blockers should make sure they take Viagra at least 4 hours before or after taking alpha-blockers. However, I am wondering if anyone has experienced a decrease in thier sex drive becasue of it.

A: I do not know what strength Viagra (sildenafil) you take, but your physician may want to increase the strength you take. 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. Your doctor may start you on a lowered dosage of sildenafil. Pediatric Use VIAGRA is not indicated for use in pediatric patients. Please see full prescribing information for VIAGRA (25 mg, 50 mg, 100 mg) tablets. An interim analysis found the chance of blood vessel disease in the lungs "appears to be greater and the chance of death after birth seems to have increased". "The researchers found no positive effect for the children on other outcomes," the AMC said.

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Nitric oxide allows the smooth muscles inside the penis to relax, promoting more blood flow to the area during sexual arousal or stimulation. A: I do not know what strength Viagra (sildenafil) you take, but your physician may want to increase the strength you take. It will be recommended that you visit your doctor, who can then give you a health check-up and suggest the best treatment for you.

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Further information Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Viagra only for the indication prescribed.Johns Hopkins Medicine Office of Corporate Communications Media contact: David March 410-955-1534; dmarch1@jhmi.edu October 24, 2005 VIAGRA BLUNTS EFFECTS OF STRESS ON THE HUMAN HEART Sildenafil citrate (Viagra), a drug used to treat erectile dysfunction (ED) in millions of men, reduces the stimulatory effects of hormonal stress on the heart by half, according to results of a new study by researchers at Johns Hopkins.  While sildenafil is more widely known for helping genital blood vessels expand to maintain an erection and, more recently, as a treatment for pulmonary hypertension, it has been thought to have little direct effect on the human heart. Respiratory: epistaxis Special senses Hearing: Cases of sudden decrease or loss of hearing have been reported postmarketing in temporal association with the use of PDE5 inhibitors, including VIAGRA. You should swallow the tablet whole with a glass of water. Again to cite viagra and alcohol side effects this process. It can also have side effects including heart attack from low blood pressure.

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What to do if you miss a dose: For ED: Take your dose 30 minutes to 4 hours before your next sexual activity. If a product is advertised as “Herbal VIAGRA connect”, it is not VIAGRA connect. You would want to discuss with your doctor what class of antihypertensive medication you are taking, what dose, and what the possible risks might be. Pharmaceutical companies must pay for years of clinical trials before a drug can be deemed safe by the FDA to be on the market. Dosage Adjustments In Specific Situations VIAGRA was shown to potentiate the hypotensive effects of nitrates and its administration in patients who use nitric oxide donors such as organic nitrates or organic nitrites in any form is therefore contraindicated [see CONTRAINDICATIONS, DRUG INTERACTIONS, and CLINICAL PHARMACOLOGY]. All three were taking VIAGRA 100 mg, and all three reported mild adverse events at the time of reductions in standing SBP, including vasodilation and lightheadedness. If you are over 65 years old, you may find that the medication stays in your body for longer. One patient discontinued the study prematurely due to an adverse event of hypotension following dosing with VIAGRA 50 mg. It is in a class of drugs called phosphodiesterase inhibitors (PDE-5 inhibitors) that also includes It has been estimated that impotence affects 140 million men worldwide. It is therefore recommended not to exceed a maximum single dose of 25 mg of VIAGRA in a 48 hour period [see DOSAGE AND ADMINISTRATION, WARNINGS AND PRECAUTIONS, CLINICAL PHARMACOLOGY]. The concomitant use of erythromycin or strong CYP3A4 inhibitors (e.g., saquinavir, ketoconazole, itraconazole) as well as the nonspecific CYP inhibitor, cimetidine, is associated with increased plasma levels of sildenafil [see DOSAGE AND ADMINISTRATION].