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5, 3, 4, 6 and 8 hours after VIAGRA or matching placebo. In most cases, Viagra works well and has changed people's lives for the better.

Megan Uehara, PharmD Q: Can you take Viagra and take blood pressure medicine at the same time? Patti Brown, PharmD Q: Is it safe to take Viagra?

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It is eliminated predominantly by hepatic metabolism (mainly CYP3A4) and is converted to an active metabolite with properties similar to the parent, sildenafil. Arruda-Olson AM, Mahoney DW, Nehra A, Leckel M, Pellikka PA "Cardiovascular effects of sildenafil during exercise in men with known or probable coronary artery disease: a randomized crossover trial." JAMA 287 (2002): 719-25 18.

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Viagra was originally developed by Pfizer but is now off patent and available as a generic. Viagra should not be used in any patient who takes nitrates for chest pain. Always keep a current list of the drugs and supplements you take and review it with your healthcare providers and your pharmacist. Therefore, when VIAGRA is co-administered with alpha-blockers, patients should be stable on alpha-blocker therapy prior to initiating VIAGRA treatment and VIAGRA should be initiated at the lowest dose [see WARNINGS AND PRECAUTIONS]. Priapism may lead to permanent damage if left untreated, including the permanent loss of ability to have an erection. Call your doctor at once if you have: ringing in your ears, or sudden hearing loss; irregular heartbeat; swelling in your hands, ankles, or feet; shortness of breath; seizure (convulsions); or a light-headed feeling, like you might pass out.

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If the Viagra is not working it could be due to a few reasons. Both sildenafil and the metabolite have terminal half lives of about 4 hours. Whether your particular situation would benefit or be harmed by the use of this medication can only be determined by your physician. There was a significant difference, Croft says, in the partner's satisfaction. Because sexual problems are a prime reason patients give for stopping the antidepressants, experts think it is important to find a way to relieve the sexual problems. It works by allowing increased blood flow to the penis, which causes an erection.