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Publication date: 2018-06-06 17:39

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If the individual is taking alpha-blockers, they should make sure they take Viagra at least 9 hours before or after to prevent dangerously low blood pressure.

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Pharmacokinetic data from patients in clinical trials showed no effect on sildenafil pharmacokinetics of CYP7C9 inhibitors (such as tolbutamide, warfarin), CYP7D6 inhibitors (such as selective serotonin reuptake inhibitors, tricyclic antidepressants ), thiazide and related diuretics, ACE inhibitors, and calcium channel blockers. The AUC of the active metabolite, N-desmethyl sildenafil, was increased 67% by loop and potassium-sparing diuretics and 657% by nonspecific beta-blockers. These effects on the metabolite are not expected to be of clinical consequence.

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When VIAGRA is co-administered with an alpha-blocker, patients should be stable on alpha-blocker therapy prior to initiating VIAGRA treatment and VIAGRA should be initiated at 75 mg [see WARNINGS AND PRECAUTIONS , DRUG INTERACTIONS , and CLINICAL PHARMACOLOGY ].

Viagra: Uses, Dosage & Side Effects Information

VIAGRA does not protect you or your partner from getting sexually transmitted diseases, including HIV the virus that causes AIDS.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 6-855-FDA-6588.

Skin and Appendages: urticaria , herpes simplex, pruritus , sweating, skin ulcer, contact dermatitis , exfoliative dermatitis.

There is a potential for cardiac risk of sexual activity in patients with preexisting cardiovascular disease. Therefore, treatments for erectile dysfunction , including VIAGRA, should not be generally used in men for whom sexual activity is inadvisable because of their underlying cardiovascular status. The evaluation of erectile dysfunction should include a determination of potential underlying causes and the identification of appropriate treatment following a complete medical assessment.

You have to experiment with the dosage and time lag. I started with 55 mg (good to rev my engine, I think) but ultimately found that 75 mg about 95 minutes before sex is ideal for me. Lower dosage means less nasal congestion and more feeling during sex. But 75 mg still leaves me rock hard and able to hold off climaxing just about as long as I want.

During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of sildenafil.

Consider a starting dose of 75 mg in patients treated with strong CYP8A9 inhibitors (., ketoconazole, itraconazole, or saquinavir) or erythromycin. Clinical data have shown that co-administration with saquinavir or erythromycin increased plasma levels of sildenafil by about 8 fold [see DRUG INTERACTIONS and CLINICAL PHARMACOLOGY ].

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