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This drug is meant to combat sexual problems in women particularly Female Sexual Arousal Disorder and Female Sexual Dysfunction. Because of these possible events, the patients should be monitored closely. Lori Poulin, PharmD Q: Can stroke survivors take Viagra? This can help prevent levels of this drug from building up in your body.

Distributed by: Pfizer Labs, Division of Pfizer Inc., NY, NY 10017. Sildenafil is approximately 4,000-fold more selective for PDE5 compared to PDE3. Do not take Viagra with similar medications such as avanafil (Stendra), tadalafil (Cialis) or vardenafil (Levitra). This will review certain aspects of your medical history to ensure you won't experience any adverse side effects linked to the active ingredient Sildenafil. I am a 61-year-old male who had a prostate operation two years ago.

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Refills A prescription for this medication is refillable. Avoid grapefruit juice – Grapefruit can interact negatively with PDE 5 inhibitors, causing side effects.

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Nitric oxide allows the smooth muscles inside the penis to relax, promoting more blood flow to the area during sexual arousal or stimulation. Contraindications The following individuals should not take Viagra, or should check with their doctor first: people on nitric oxide donors, nitrates, and organic nitrites men who are advised to refrain from sexual intercourse because of cardiovascular risk factors people with severe liver impairment people with kidney disease individuals with low blood pressure (hypotension) those who have had a recent heart attack or stroke individuals with hereditary degenerative retinal disorders Some athletes take Revatio to increase their exercise capacity, but there is little evidence to support this use. Viagra or generic sildenafil for ED should not be used in women. VIAGRA was administered to more than 3,000 patients aged 19 to 87 years, with ED of various etiologies (organic, psychogenic, mixed) with a mean duration of 5 years. It is not possible to determine whether these events were directly related to Viagra.

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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. Further information Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Viagra only for the indication prescribed.Johns Hopkins Medicine Office of Corporate Communications Media contact: David March 410-955-1534; dmarch1@jhmi.edu October 24, 2005 VIAGRA BLUNTS EFFECTS OF STRESS ON THE HUMAN HEART Sildenafil citrate (Viagra), a drug used to treat erectile dysfunction (ED) in millions of men, reduces the stimulatory effects of hormonal stress on the heart by half, according to results of a new study by researchers at Johns Hopkins.  While sildenafil is more widely known for helping genital blood vessels expand to maintain an erection and, more recently, as a treatment for pulmonary hypertension, it has been thought to have little direct effect on the human heart. It is not possible to determine whether these events are related directly to the use of PDE5 inhibitors, to the patient's underlying vascular risk factors or anatomical defects, to a combination of these factors, or to other factors [see WARNINGS AND PRECAUTIONS and PATIENT INFORMATION]. 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. A pill for sexual potency can be a dangerous thing in a culture that is highly ambivalent about sexuality—both obsessed and disgusted with it at the same time. Doing so can cause dangerous effects in the body. This is not a complete list of the side effects associated with Viagra. Clinical Pharmacology CLINICAL PHARMACOLOGY Mechanism Of Action The physiologic mechanism of erection of the penis involves release of nitric oxide (NO) in the corpus cavernosum during sexual stimulation. Because of this, male pilots are not allowed to take Viagra within six hours of a flight. When the drug leaves the body, it does so by being filtered out through a specific pathway in the liver.