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In those patients who are stable on alpha-blocker therapy, PDE5 inhibitors should be initiated at the lowest dose [see DOSAGE AND ADMINISTRATION]. What to do if you miss a dose: For ED: Take your dose 30 minutes to 4 hours before your next sexual activity. There have been a few isolated reported incidents of heart problems in patients taking Viagra. BB&T E-Mail Support” People need a gun in a bank for the same reason the bank has bullet proof glass, security cameras and armed guards.

Therefore, some of them can be used with Viagra, under the supervision of your doctor. Effects of VIAGRA on Sperm There was no effect on sperm motility or morphology after single 100 mg oral doses of VIAGRA in healthy volunteers.

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Counseling Patients About Sexually Transmitted Diseases The use of VIAGRA offers no protection against sexually transmitted diseases. If you suspect you may have overdosed, it is advisable to seek medical help as soon as possible, particularly if you are experiencing unpleasant symptoms or side effects.Q: Is there a less expensive substitute for Viagra?

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It may function to the underlying causes (if this is discussed briefly above. PDE5 inhibitors, including VIAGRA, may potentiate the hypotensive effects of GC stimulators.

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Viagra is approved for the treatment of erectile dysfunction (ED). Nevertheless, Osol says the findings being reported "are exciting because they suggest that Viagra (or other drugs that inhibit PDE-5, the enzyme that normally inhibits blood vessels' ability to expand) may have beneficial effects in hypertensive pregnancy and, possibly, preeclampsia. All of this is due to a combination of, among other things, changing demographics (e.g. aging population), direct to consumer advertising/consumer-based medicine (Viagra being one of the first drugs to be advertised directly to the consumer) and pharmaceutical expansion. A glass of wine or a single beer is usually fine, but could still have some effect. If you have an erection that lasts more than 4 hours, get medical help right away. It does have interactions with other medications, so you may want to find out if you are taking any medications that may be interfering with it. Zusman RM "Cardiovascular data on sildenafil citrate - Introduction." Am J Cardiol 83 (1999): c1-2 26. I’d like to read this book on Kindle Don't have a Kindle? Michelle McDermott, PharmD Q: I have diabetes and a replaced valve. The recommendation is to talk to your physician regarding your concerns about using Viagra especially with your history of a stroke. Nuerological side effects of Reglan prompted a switch to Propulsid.