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In 1998, the Food and Drug Administration (FDA) approved it as the first pill to treat impotence (now known as erectile dysfunction), and in 2005 it approved sildenafil for the treatment of PAH. generic viagra without prescription Another thing to consider is that sexual activity is associated with a degree of cardiac risk. Therefore your overall cardiovascular status need to be considered when contemplating taking Viagra. The recommendation is to talk to your physician regarding your concerns about using Viagra especially with your history of a stroke. Your physician is best able to determine if Viagra is appropriate for you or not.

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are allergic to sildenafil, as contained in Viagra and REVATIO, or any of the ingredients in Viagra. See the end of this leaflet for a complete list of ingredients in Viagra.The US Food and Drug Administration has approved a libido-enhancing drug for women dubbed the "female Viagra". cheapest viagra A study was conducted in which the blood pressure and heart rate response to 0.4 mg nitroglycerin (NTG) sublingually was evaluated in 18 healthy subjects following pretreatment with Levitra 20 mg at various times before NTG administration. Levitra 20 mg caused an additional time-related reduction in blood pressure and increase in heart rate in association with NTG administration. The blood pressure effects were observed when Levitra 20 mg was dosed 1 or 4 hours before NTG and the heart rate effects were observed when 20 mg was dosed 1, 4, or 8 hours before NTG. Additional blood pressure and heart rate changes were not detected when Levitra 20 mg was dosed 24 hours before NTG. (See Figure 1.)Analysis of the safety database from controlled clinical trials showed no apparent difference in adverse reactions in patients taking VIAGRA with and without anti-hypertensive medication. This analysis was performed retrospectively, and was not powered to detect any pre-specified difference in adverse reactions.

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Healthy elderly volunteers (65 years or over) had a reduced clearance of sildenafil resulting in approximately 84% and 107% higher plasma AUC values of sildenafil and its active N-desmethyl metabolite, respectively, compared to those seen in healthy young volunteers (18–45 years) [see Clinical Pharmacology (12.3)]. Due to age-differences in plasma protein binding, the corresponding increase in the AUC of free (unbound) sildenafil and its active N-desmethyl metabolite were 45% and 57%, respectively [see Clinical Pharmacology (12.3)].A referral to a specialist is sometimes needed for assessment and treatment. However, GPs are now treating more cases of ED than previously, as the treatment options have improved in recent years. Your GP is more likely to suggest referral if you have been found to have an hormonal problem, if the cause is related to another condition like circulatory problems, or if you are young and the condition started after an injury.

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11Food Interactions less effective if you eat a high-fat meal less effective if you eat a high-fat mealCialis can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines. You could get dizzy, faint, or have a heart attack or stroke. Never take Cialis with any nitrate or guanylate cyclase stimulator medicines.