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A: There is no generic on the market for Viagra (sildenafil). S. has included a warning of the potential risk of sudden hearing loss. There were no reports of postural dizziness or orthostatic hypotension. The tested organs, with the exception of pancreas, did not show any enzymatic activity of neutral proteinases.

A: The maximum recommended dose for Viagra (sildenafil), used to treat ED (erectile dysfunction), is 100 mg per day. CONTRAINDICATIONS Nitrates Consistent with its known effects on the nitric oxide/cGMP pathway [see CLINICAL PHARMACOLOGY], VIAGRA was shown to potentiate the hypotensive effects of nitrates, and its administration to patients who are using nitric oxide donors such as organic nitrates or organic nitrites in any form either regularly and/or intermittently is therefore contraindicated. Allergy warning Sildenafil can cause a severe allergic reaction. Effects of VIAGRA on Cardiac Parameters Single oral doses of sildenafil up to 100 mg produced no clinically relevant changes in the ECGs of normal male volunteers. This does depend on the individual, but this is the case for most men. 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.

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This allows a wider range of men to access the medication; a move that has been in the pipeline since late March 2017 when the initial formal proposal was sent over. It is important to avoid nitroglycerin while taking these medications, but work is being done to develop a similar medication that can be taken with nitroglycerin.

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Viagra, like any medication, has possible side effects and warnings associated with its use. Do not take Viagra (sildenafil) if you are also using a nitrate drug for chest pain or heart problems. Metabolism and Excretion Sildenafil is cleared predominantly by the CYP3A4 (major route) and CYP2C9 (minor route) hepatic microsomal isoenzymes. Take VIAGRA exactly as your healthcare provider tells you to take it. Taking these drugs with sildenafil can cause your blood pressure to drop suddenly to an unsafe level.

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Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice. Call your doctor for medical advice about side effects. Your doctor will write the number of refills authorized on your prescription. It's important to note that a medical professional will still need to review certain medical details before purchase to ensure it isn't dangerous to your health. This is essentially a different type of Viagra which is used for a different FDA approved indication.