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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. Also we know that one of the main sx.of liver disease left untreated can be a devastating one all on its own. Of the total number of subjects in clinical studies of Viagra, 18% were 65 years and older, while 2% were 75 years and older. Read More JSGeare, you make an interesting point about weighing how I felt on the Lexapro vs. the side effects. Both sildenafil and the metabolite have terminal half lives of about 4 hours.

If your husband has been experiencing difficulty sleeping, you may want to consult with the physician to determine the underlying cause and possible treatment options, if necessary. Most, but not all, of these patients had underlying anatomic or vascular risk factors for developing NAION, including but not necessarily limited to: low cup to disc ratio (“crowded disc”), age over 50, diabetes, hypertension, coronary artery disease, hyperlipidemia and smoking. Another thing to consider is that sexual activity is associated with a degree of cardiac risk.

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S. if this question does not belong here? please move to appropriate section. A: Viagra (sildenafil) is classified as a phosphodiesterase 5 enzyme inhibitor. It is not recommended to mix one or more PDE5 inhibitors at the same time, as this can result in overdose. Maximum dosage: 20 mg, taken three times per day about 4 to 6 hours apart. Maximum dosage: 20 mg, taken three times per day about 4 to 6 hours apart. However, Viagra can cause significant decreases in blood pressure in people taking nitrates and should not be taken by this group.

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The current patent on Viagra is set to expire in 2011, so as long as they don't get any extensions on their patent, a generic version should be coming out at that time. Summary There are several key takeaways to consider: There are many causes of low sex drive.

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Obviously, if someone were to take a 25 mg tablet once in the morning and once at night, they would not be exceeding maximum daily dosage. Liver enzyme levels, measured serially in the dogs, did not give evidence of chronic inflammation. Whether your particular situation would benefit or be harmed by the use of this medication can only be determined by your physician. In those women who continued their dose of antidepressants, their depression didn't worsen during the study, regardless of their group assignment. 99 Feedback Sous Vide Cookbook: Best Recipes for Restaurant-Quality Meals at Home £2. This can cause your body to process drugs more slowly. Due to age-differences in plasma protein binding, the corresponding increase in the AUC of free (unbound) sildenafil and its active N-desmethyl metabolite were 45% and 57%, respectively [see DOSAGE AND ADMINISTRATION, and Use In Specific Populations] Renal Impairment: In volunteers with mild (CLcr=50-80 mL/min) and moderate (CLcr=30-49 mL/min) renal impairment, the pharmacokinetics of a single oral dose of VIAGRA (50 mg) were not altered. One of the possible effects Viagra can have is to lower blood pressure. Then again, there were other letters that reflected excitement about husbands feeling healthy and confident after a period of impotence, so the response to Viagra in the population is quite complex. Even though this total dosage produced plasma sildenafil concentrations which were approximately 2 to 5 times higher than the mean maximum plasma concentrations following a single oral dose of 100 mg in healthy male volunteers, the hemodynamic response to exercise was preserved in these patients. You may take it up to 4 hours before sexual activity.