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This does depend on the individual, but this is the case for most men. Taking Viagra with a nitrate medicine can cause a sudden and serious decrease in blood pressure.

Patient Counseling Information See FDA-approved patient labeling (PATIENT INFORMATION) Nitrates Physicians should discuss with patients the contraindication of VIAGRA with regular and/or intermittent use of nitric oxide donors, such as organic nitrates or organic nitrites in any form [see CONTRAINDICATIONS]. Heart attacks, stroke, irregular heartbeats, and death have been reported rarely in men taking Viagra. Another thing to consider is that sexual activity is associated with a degree of cardiac risk. Viagra is usually taken only when needed, 30 minutes to 1 hour before sexual activity. If you are over 65 years old, you may find that the medication stays in your body for longer.

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These problems include a heart attack, stroke, or life-threatening heart rhythm problem. Sarah Lewis, PharmD Q: Can men taking antihypertensive medications use Viagra? The safety and efficacy of VIAGRA with other PDE5 inhibitors, including REVATIO, have not been studied [see WARNINGS AND PRECAUTIONS]. The role of the articular surface for blood supply of tendons in 115 patients. 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. Rarely reported side effects include: an erection that will not go away (priapism).

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Dilantin could increase the metabolism of sildenafil. VIAGRA demonstrated statistically significant improvement compared to placebo in all 21 studies. All three of these medications inhibit an enzyme (PDE-5) that breaks down the substance produced by the penile tissue in response to sexual stimulation, and helps the erection occur. 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.

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Plus, you shouldn't be thinking about taking any prescription medicine unless it's been prescribed for you by your physician! 5 percent of people taking Viagra stopped their medicine because of side effects.   (This article covers many, but not all, of the possible side effects with Viagra. VIAGRA has systemic vasodilatory properties that resulted in transient decreases in supine blood pressure in healthy volunteers (mean maximum decrease of 8. I’d like to read this book on Kindle Don't have a Kindle? Do you have any other physical conditions that may be causing it, such as other vascular problems, issues with nerves that send the arousal signal from the brain and spinal cord to the penis (common in diabetes), problems with the structure of the penis or the surrounding tissue, low testosterone, or use of tobacco, alcohol, or illegal drugs? Nonetheless, phosphodiesterase-5 is produced naturally in the body to prevent damage to the genitalia after sexual intercourse. When your doctor prescribes a new medication, be sure to discuss all your prescription and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals, and herbals, as well as the foods you eat. Levitra acts similarly to Viagra regarding possible side effects and onset and duration of pharmacologic action. Read More we are tring on our own but after 3 years getting harder and harder when everyone around us family and work women are getting pregnant ..my wife having a hard time with this so am i . The FDA has established a reporting service known as MedWatch where healthcare professionals and consumers can report serious problems they suspect may be associated with the drugs and medical devices they prescribe, dispense, or use. If the medication is losing its effectiveness for you, you may want to consult your doctor for an alternative.