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Always keep a current list of the drugs and supplements you take and review the list with your healthcare providers and your pharmacist. Drinking alcohol lowers blood pressure – and so does taking Viagra. It should be taken 30 minutes to an hour before it is needed, but can be taken up to 4 hours before it is needed. This lower selectivity is thought to be the basis for abnormalities related to color vision [see Pharmacodynamics].

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I see products like Kamagra, "generic" Viagra, and I have no idea how to evaluate these products. Other drugs may interact with sildenafil, including prescription and over-the-counter medicines, vitamins, and herbal products. Read More I have had a headache ever since and the shoulder and neck is getting tighter and tighter. I am a 44 year old woman who is physically fit (gym 5 days a week) and eats pretty well.

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