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NO then activates the enzyme guanylate cyclase, which results in increased levels of cyclic guanosine monophosphate (cGMP), producing smooth muscle relaxation in the corpus cavernosum and allowing inflow of blood. Whether or not Viagra is safe for you will depend on the reason for your heart valve replacement. Nitric oxide also opens the blood vessels throughout the body, which can cause decreased blood pressure.

The cause is usually related to a decrease in the blood supply to the penis as well as to injury to the nerves that are responsible for the erection mechanism. More serious, but less frequent side effects include prolonged erection lasting more than four hours, vision changes, and loss of hearing. S. if this question does not belong here? please move to appropriate section.

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A decrease in testosterone production has also been identified as the cause in some men with diabetes. There have been positive results regarding physical arousal, but in women with FSIAD, there was no increase in desire. Viagra (sildenafil)." Pfizer US Pharmaceuticals, New York, NY. A: Viagra (sildenafil) works by inhibiting the chemical phosphodiesterase, which leads to an increase in the effect of nitric oxide. This includes any possible side effects not listed in the Patient Information Leaflet.

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Senior dosage (ages 65 years and older) The kidneys, liver, or heart of older adults may not work as well as they used to. If possible, use one pharmacy for all your prescriptions and over-the-counter products. By inhibiting phosphodiesterase, Viagra enhances the effect of nitric oxide allowing for smooth muscle relaxation and increasing blood flow to specific areas of the body in the presence of sexual arousal or stimulation. Viagra is useful not just in treating impotence but in treating premature ejaculation, and it is estimated that over 40% of men worldwide could benefit from taking the drug. However, since higher plasma levels may increase the incidence of adverse reactions, a starting dose of 25 mg should be considered in older subjects due to the higher systemic exposure [see DOSAGE AND ADMINISTRATION].

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For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Do not believe what you read on the Internet or the great prices you see. This decrease in blood pressure may increase the effects of blood-pressure lowering drugs, especially alpha blockers, such as Hytrin (terazosin), Cardura (doxazosin), and Minipress (prazosin). Thereafter, VIAGRA 100 mg or matching placebo was administered simultaneously with doxazosin 4 mg (14 subjects) or doxazosin 8 mg (6 subjects) in standard crossover fashion. What would you like to stress to women of every age about Viagra and women's sexuality? Nitric oxide allows the smooth muscles inside the penis to relax, promoting more blood flow to the area during sexual arousal or stimulation. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). For example, the review detailed a study that gave Viagra to 202 postmenopausal women with primary FSIAD.