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Counseling of patients about the protective measures necessary to guard against sexually transmitted diseases, including the Human Immunodeficiency Virus (HIV), may be considered. Erections do not last for four hours, however, a man has the ability to have an erection for up to four hours.

Nitrate drugs such as nitroglycerin and isosorbide dinitrate (which are commonly used to treat chest pain) do not mix well with Viagra, and the complications can be dangerous. Meika Loe, author of "The Rise of Viagra: How the Little Blue Pill Changed Sex in America," acknowledges that Viagra and other ED (erectile dysfunction) drugs create additional pressure in the already complex sex lives of men and women. Figure 6: Effect of VIAGRA and Placebo on Maintenance of Erection by Baseline Score The frequency of patients reporting improvement of erections in response to a global question in four of the randomized, double-blind, parallel, placebo-controlled fixed dose studies (1797 patients) of 12 to 24 weeks duration is shown in Figure 7. Ask your health care provider for samples or coupons to help with the cost of this medication. AU TGA pregnancy category B1: Drugs which have been taken by only a limited number of pregnant women and women of childbearing age, without an increase in the frequency of malformation or other direct or indirect harmful effects on the human fetus having been observed. Thus, Viagra prevents the destruction of cGMP and allows cGMP to accumulate and persist longer.

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Viagra should be used with caution in patients with heart disease, including arrhythmias (abnormal heart rhythms); a recent history (in the past 6 months) of a heart attack, stroke, or heart rhythm disorder; congestive heart failure; high or low blood pressure; and coronary artery disease. Your doctor may start you on a lowered dosage of sildenafil. What are the long-term implications for a society that has Viagra in its drug arsenal? To help avoid interactions, your doctor should manage all of your medications carefully.

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The maximum recommended dose is 100 mg with a maximum recommended frequency of administration of once daily. Goldenberg MM "Safety and efficacy of sildenafil citrate in the treatment of male erectile dysfunction." Clin Ther 20 (1998): 1033-48 8. Remember to take these drugs on an empty stomach with water, so they may work better.

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No evidence of teratogenicity, embryotoxicity, or fetotoxicity was observed in pregnant rats or rabbits during organogenesis at doses 32- and 68-times the recommended human dose (RHD) of this drug. Sudden Hearing Loss Physicians should advise patients to stop taking PDE5 inhibitors, including VIAGRA, and seek prompt medical attention in the event of sudden decrease or loss of hearing. However, this is not the case for the more complex nature of FSIAD. Measurements of heart function were made before and after each injection.  This included blood pressure readings, electrocardiograms and echocardiograms, as well as blood samples to confirm relatively equal levels of sildenafil and other enzymes.  Results showed that each dobutamine injection stimulated heart function, increasing heart rate and the force of each heartbeat used to pump blood throughout the body.  “This stimulation is similar to the way the nervous system normally increases heart function when triggered by emotional or exercise stress, or in diseases such as heart failure,” adds Kass. Conti CR, Pepine CJ, Sweeney M "Efficacy and safety of sildenafil citrate in the treatment of erectile dysfunction in patients with ischemic heart disease." Am J Cardiol 83 (1999): c29-34 7. Tell your doctor about all other medications you use for erectile dysfunction. Safety of combined use of PDE5 inhibitors and alpha-blockers may be affected by other variables, including intravascular volume depletion and other anti-hypertensive drugs. This engorgement occurs when the blood vessels delivering blood to the penis increase the delivery of blood and the blood vessels carrying blood away from the penis decrease the removal of blood. We are such a perfect match and so very happy together but are starting to get frustrated in one aspect...sex and trying to get pregnant. All you have to pay is shipping costs and you will receive a free Viagra ED trial pack. Viagra is currently only available in brand name version and there has not been a date set for the release of its generic. These events have been chosen for inclusion either due to their seriousness, reporting frequency, lack of clear alternative causation, or a combination of these factors. Sildenafil oral tablet is used to treat erectile dysfunction (ED).