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There are no controlled clinical data on the safety and efficacy of Viagra patients who suffered a myocardial infarction (heart attack), stroke, or life-threatening arrhythmia within the last 6 months. A: Viagra (sildenafil) is classified as a phosphodiesterase 5 enzyme inhibitor. Do not take VIAGRA if you take any other medicines called “nitrates.” Nitrates are used to treat chest pain (angina).
From this information, it is not possible to determine whether these events are related directly to the use of PDE5 inhibitors or to other factors [see ADVERSE REACTIONS]. Because Viagra dilates the blood vessels and can reduce the blood pressure, it may increase the blood pressure-lowering effect (hypotension) caused by enalapril and Betapace. Always keep a current list of the drugs and supplements you take and review it with your health care providers and your pharmacist. 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.What is sildenafil, and how does it work (mechanism of action)?
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Milman HA, Arnold SB "Neurologic, psychological, and aggressive disturbances with sildenafil." Ann Pharmacother 36 (2002): 1129-34 48. I will say that it is important to use the lowest effective dose possible when using this medication, and it is important to use it "sparingly" (only when you need it). The maximum recommended dose is 100 mg with a maximum recommended frequency of administration of once daily. Sometimes, nitrates are also given on a daily basis, once or twice a day. The only limitations are the side effects experienced and the fact that the drug is ineffective in treating sexual problems associated with psychological distress; something that is especially common in women.
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All you have to pay is shipping costs and you will receive a free Viagra ED trial pack. Because of these possible events, the patients should be monitored closely.
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I tried 150 mg two different times and that produced the desired effect. These events have been chosen for inclusion either due to their seriousness, reporting frequency, lack of clear alternative causation, or a combination of these factors. It is not possible to determine whether these events are related directly to VIAGRA, to sexual activity, to the patient's underlying cardiovascular disease, to a combination of these factors, or to other factors [see WARNINGS AND PRECAUTIONS and PATIENT INFORMATION]. When the drug leaves the body, it does so by being filtered out through a specific pathway in the liver. Those suffering from liver disease or kidney disease which requires dialysis treatment are also advised to avoid taking Viagra.
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