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Through this action, the drugs work to fix a functional problem. For people with pulmonary veno-occlusive disease (PVOD): Taking this drug may worsen your heart function. A: Taking Viagra twice a day is not necessarily a problem for some people. Hitting the market in 1998, Viagra was the first oral treatment approved to treat erectile dysfunction in the U. Some of these conditions have not been studied with the use of Viagra. Doses may range from 5 mg to 20 mg depending on efficacy and patient tolerability.

Nitric oxide allows the smooth muscles inside the penis to relax, promoting more blood flow to the area during sexual arousal or stimulation. If you get any side effects, talk to your doctor or pharmacist. Patients who have suffered a myocardial infarction, stroke, or life-threatening arrhythmia within the last 6 months; Patients with resting hypotension (BP < 90/50 mmHg) or hypertension (BP > 170/110 mmHg); Patients with cardiac failure or coronary artery disease causing unstable angina.

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The most common side effects of VIAGRA are: headache flushing upset stomach abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision stuffy or runny nose back pain muscle pain nausea dizziness rash In addition, heart attack, stroke, irregular heartbeats and death have happened rarely in men taking VIAGRA. Webster LJ, Michelakis ED, Davis T, Archer SL "Use of sildenafil for safe improvement of erectile function and quality of life in men with New York Heart Association classes II and III congestive heart failure: a prospective, placebo-controlled, double-blind crossover trial." Arch Intern Med 164 (2004): 514-20 15. Dosage Adjustments In Special Populations Consider a starting dose of 25 mg in patients > 65 years, patients with hepatic impairment (e.g., cirrhosis), and patients with severe renal impairment (creatinine clearance < 30 mL/minute) because administration of VIAGRA in these patients resulted in higher plasma levels of sildenafil [see Use in Specific Populations and CLINICAL PHARMACOLOGY]. As always, talk to your health care provider regarding these interactions and for management of the interactions. What can I do to get more effective help from Viagra?

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It is also a good idea to talk about ED with your partner – like most issues couples face in life, it is better to face them together as a team.   Treatments for ED? The use of the two together can cause work against each other and could lead to problems. VIAGRA should be used with caution in patients with anatomical deformation of the penis (such as angulation, cavernosal fibrosis or Peyronie's disease), or in patients who have conditions which may predispose them to priapism (such as sickle cell anemia, multiple myeloma, or leukemia).

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Child dosage (ages 0–17 years) This drug shouldn’t be used in children younger than 18 years of age. A: Most insurance companies will not cover the cost of erectile dysfunction drugs, and Medicare will not either. Viagra (also known as sildenafil citrate) belongs to a group of medicines known as PDE5 inhibitors, and like all of these medicines, there are side effects. PRECAUTIONS Cardiovascular There is a potential for cardiac risk of sexual activity in patients with preexisting cardiovascular disease. A: Viagra (sildenafil) works by inhibiting the chemical phosphodiesterase, which leads to an increase in the effect of nitric oxide. The Viagra brand has been registered and regulated through all UK governing bodies and pharmaceutical licenses, Viagra Connect included. Other common side effects of Viagra include warmth or redness in your face, neck, or chest; stuffy nose; headache; upset stomach; and back pain. One is that you bought the medication from the internet or some source that sold you a medication that is not the real medication or you could have a condition that is not helped by Viagra.