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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. Do not take Viagra if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking these drugs with sildenafil can cause your blood pressure to drop suddenly to an unsafe level. Therefore, PDE5 inhibitors, including VIAGRA, should be used with caution in these patients and only when the anticipated benefits outweigh the risks. 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.

In one study, children with PAH who took this drug had an increased chance of death. The maximum recommended dose of 100 mg sildenafil was not evaluated in this study [see DRUG INTERACTIONS]. The next day, he slept most of the day in a reclining chair.

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One of the less common side effects associated with Viagra is a medical emergency known as priapism. A: Brand-name prescription drugs are protected under patent. Many men found that while Viagra may have helped them physiologically (although for many it didn’t work or came with a host of scary side-effects), it was no solution to general sexual or life satisfaction. There is also a possibility of a drug interaction between the Dilantin and the Depakote. Such an event may be a sign of non-arteritic anterior ischemic optic neuropathy (NAION), a cause of decreased vision including possible permanent loss of vision, that has been reported rarely post-marketing in temporal association with the use of all PDE5 inhibitors.

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It is therefore recommended that alcohol consumption is kept to a minimum when using PDE5 inhibitors. Ocular: diplopia, temporary vision loss/decreased vision, ocular redness or bloodshot appearance, ocular burning, ocular swelling/pressure, increased intraocular pressure, retinal edema, retinal vascular disease or bleeding, and vitreous traction/detachment.

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There was a significant difference, Croft says, in the partner's satisfaction. Clinical data have shown that co-administration with saquinavir or erythromycin increased plasma levels of sildenafil by about 3 fold [see DRUG INTERACTIONS and CLINICAL PHARMACOLOGY]. The patent for Viagra (sildenafil) will not expire until 2012; therefore, no generic, less expensive form is currently available. In addition, in most cases the problem for women is not with physical arousal but rather a lack of sexual desire.