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S. if this question does not belong here? please move to appropriate section. eat healthy, excersise and you wont need it.. general_A Dubai forums Addict Posts: 317 Reply Jul 15, 2009 you can definitley get Viagra and Cialis over the counter here. The AUC of the active metabolite, N-desmethyl sildenafil, was increased 62% by loop and potassium-sparing diuretics and 102% by nonspecific beta-blockers. Viagra inhibits an enzyme called phosphodiesterase-5 (PDE5) which destroys the cGMP.

The usual recommended dose of Viagra is 50 mg administered as needed approximately one hour prior to sexual activity. It is not possible to determine whether these events are related directly to the use of PDE5 inhibitors or to other factors [see ADVERSE REACTIONS]. Special Senses: sudden decrease or loss of hearing, mydriasis, conjunctivitis, photophobia, tinnitus, eye pain, ear pain, eye hemorrhage, cataract, dry eyes.

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Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0 "Product Information.Highlights for sildenafil Sildenafil oral tablet is available as brand-name drugs and as generic drugs. There have been some patients that have built a tolerance to this medication and have found that even though they were able to get an erection before utilizing it, they no longer are able to do so without the assistance of the ED medication.

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Furthermore, it was only possible that this side effect was related to treatment and a causal relationship to Viagra was uncertain. Avoid the use of grapefruit products while taking Viagra. Megan Uehara, PharmD Q: Is there a generic viagra available? If you have any information on how Viagra effects the heart, can you include it in your reply. These medications are not necessarily different types of Viagra, but treatment alternatives.

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A: I do not know what strength Viagra (sildenafil) you take, but your physician may want to increase the strength you take. A: Viagra (sildenafil) and the other drugs for erectile dysfunction, such as Levitra (vardenafil) and Cialis (tadalafil), work by inhibiting the chemical phosphodiesterase, which leads to an increase in the effect of nitric oxide. Nitric oxide allows the smooth muscles inside the penis to relax, promoting more blood flow to the area during sexual arousal or stimulation. Sildenafil is only about 10-fold as potent for PDE5 compared to PDE6, an enzyme found in the retina which is involved in the phototransduction pathway of the retina. There is also a possibility of a drug interaction between the Dilantin and the Depakote.