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Medicines called nitrates (see “What important information should you know about LEVITRA?”).More common Aches or pains in the muscles cost of viagra per pill Male impotence can be caused by a variety of factors. A common reason, particularly among older men, is male impotence caused by reduced blood flow to the penis. As a PDE5 inhibitor, Viagra relaxes the muscles in the penis, allowing the vessels to dilate and fill with blood. The result is improved blood flow that facilitates an erection once you become sexually aroused. Viagra has been shown to work well for most men, regardless of age, even if you have had male impotence for several years.Tell your doctor if you have or have had any of the following medical conditions:

Endpoint [Change from baseline] 20% [2%] 48% [28%] 42% [29%] <.001

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Table 11: Mean Endpoint and Change from Baseline for the Primary Efficacy Variables in the Two Primary US Trials Study A Study BThese are not all the side effects of LEVITRA. For more information, ask your doctor or pharmacist.

Viagra (sildenafil) belongs to a class of medications, known as phosphodiesterase inhibitors, which are indicated for the treatment of erectile dysfunction in men. Other phosphodiesterase inhibitors include Levitra (vardenafil) and Cialis (tadalafil). These medications are not necessarily different types of Viagra, but treatment alternatives. Viagra, commonly referred to as the "little blue pill" was the first erectile dysfunction medication to be approved by the U.S. Food and Drug Administration (FDA). By inhibiting phosphodiesterase, Viagra enhances the effect of nitric oxide allowing for smooth muscle relaxation and increasing blood flow to specific areas of the body in the presence of sexual arousal or stimulation. Viagra exhibits no therapeutic responses in the absence of sexual stimulation. Possible side effects associated with treatment with Viagra include flushed skin, nausea or abdominal pain, congestion in the nose, diarrhea, vision clouded with a blue tint, headache and digestive problems. viagra discounts Table 3: Mean (95% C.I.) maximal change from baseline in systolic blood pressure (mmHg) following vardenafil 10 and 20 mg in BPH patients on stable alpha-blocker therapy with tamsulosin 0.4 or 0.8 mg daily (Study 2) Vardenafil 10 mgPain in extremity 0.0% 1.4%

Patients should be stable on alpha-blocker therapy prior to initiating a PDE5 inhibitor. Patients who demonstrate hemodynamic instability on alpha-blocker therapy alone are at increased risk of symptomatic hypotension with concomitant use of PDE5 inhibitors.Cardiovascular: angina pectoris, AV block, migraine, syncope, tachycardia, palpitation, hypotension, postural hypotension, myocardial ischemia, cerebral thrombosis, cardiac arrest, heart failure, abnormal electrocardiogram, cardiomyopathy.

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