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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. Read More I have had a headache ever since and the shoulder and neck is getting tighter and tighter. By inhibiting phosphodiesterase, Viagra enhances the effect of nitric oxide allowing for smooth muscle relaxation and increasing blood flow to specific areas of the body in the presence of sexual arousal or stimulation. Hepatic Impairment In volunteers with hepatic impairment (Child-Pugh Class A and B), sildenafil clearance was reduced, resulting in higher plasma exposure of sildenafil (47% for C max and 85% for AUC).

Smart people, he also a soldier's life, she said mazzocco. Physicians should also discuss with patients the increased risk of NAION among the general population in patients with a “crowded” optic disc, although evidence is insufficient to support screening of prospective users of PDE5 inhibitor, including VIAGRA, for this uncommon condition [see WARNINGS AND PRECAUTIONS and ADVERSE REACTIONS]. Indications & Dosage INDICATIONS VIAGRA is indicated for the treatment of erectile dysfunction. Michelle McDermott, PharmD Q: I have diabetes and a replaced valve. This information is not a substitute for medical advice. While this normally would be expected to be of little consequence in most patients, prior to prescribing VIAGRA, physicians should carefully consider whether their patients with underlying cardiovascular disease could be affected adversely by such vasodilatory effects, especially in combination with sexual activity.

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For more information, go to www.viagra.com, or call 1-888-4VIAGRA What are the ingredients in VIAGRA? Jen Marsico, RPh Q: Can a man who is taking Betapace, Lanoxin, enalapril, and Coumadin take Viagra?

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Warnings for people with certain health conditions For people with heart problems: This drug can lower your blood pressure. Now we see Levitra and Cialis advertised just as often. The patent for Viagra (sildenafil) will not expire until 2012; therefore, no generic, less expensive form is currently available. A starting oral dose of 25 mg should be considered in those patients [see DOSAGE AND ADMINISTRATION].

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Viagra, commonly referred to as the "little blue pill" was the first erectile dysfunction medication to be approved by the U. A: Taking Viagra twice a day is not necessarily a problem for some people. Always keep a current list of the drugs and supplements you take and review it with your health care providers and your pharmacist. Stephen Evans, a professor of pharmacoepidemiology at the London School of Hygiene and Tropical Medicine, said the small number of trials with pregnant women had limited the knowledge of medicines in pregnant women. "There have been other studies in this area, both involving preliminary work using animals and using pregnant women, and there was no indication that the treatment was dangerous based on previous research," Professor Evans said. If the Viagra is not working it could be due to a few reasons. The recommendation is to talk to your physician regarding your concerns about using Viagra especially with your history of a stroke. This could lead to decreased effects of the sildenafil. The pharmacist will not give you a physical examination ­or ask you personal questions about your sex life – they will just ask you a few questions about: Your general physical health Any medicine you might be taking This is to confirm that you have ED symptoms and to confirm treatments suitable for you. For more information on Viagra, visit www.everydayhealth.com/drugs.