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Viagra (sildenafil) must be used with caution in patients taking an antihypertensive medication. You would want to discuss with your doctor what class of antihypertensive medication you are taking, what dose, and what the possible risks might be. Do not take Viagra (sildenafil) if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Taking sildenafil with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack. levitra cost In 2000, participants were asked to rate their ability before 1986, in 1986 to 1989, 1990 to 1994, and 1995 to 2000, and during the past 3 months to have and maintain an erection adequate for intercourse without treatment (very poor, poor, fair, good, or very good). Men with poor or very poor ability at or before 2000 were considered to have ED in 2000 (baseline).18,19 The high validity of a single assessment of ED has been indicated elsewhere (eMethod 1 in the Supplement).18CIALIS for Use as Needed

After taking a single tablet, some of the active ingredient of Cialis remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications (see “Can Other Medicines Affect Cialis?”).For Erectile Dysfunction "Amazing drug! I'm 30 and suffering from little ED stress related, I met an amazing woman but I was to stressed to keep a hard one. Decided to try Viagra, took a 50 mg and after 30 minutes we had the most amazing sex ever! I swear that we had sex for two hours, she climaxed multiple times and I only climaxed when I decided to, At no time did I have any problems during sex and never experienced any side effects."

Results in ED Population in US Trials — The 2 primary US efficacy and safety trials included a total of 402 men with erectile dysfunction, with a mean age of 59 years (range 27 to 87 years). The population was 78% White, 14% Black, 7% Hispanic, and 1% of other ethnicities, and included patients with ED of various severities, etiologies (organic, psychogenic, mixed), and with multiple co-morbid conditions, including diabetes mellitus, hypertension, and other cardiovascular disease. Most (>90%) patients reported ED of at least 1-year duration. Study A was conducted primarily in academic centers. Study B was conducted primarily in community-based urology practices. In each of these 2 trials, Cialis 20 mg showed clinically meaningful and statistically significant improvements in all 3 primary efficacy variables (see Table 11). The treatment effect of Cialis did not diminish over time. levitra 20 mg tablet joint painContact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.Supine 7.9 (4.6, 11.1) Increase a man’s sexual desireEffects of Vardenafil on Other Drugs

Recuerde, mantenga ésta y todas las otras medicinas fuera del alcance de los ni?os, no comparta nunca sus medicinas con otros, y use este medicamento sólo para la condición por la que fue recetada. viagra blue pill

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pharmacies Patients with left ventricular outflow obstruction, (e.g., aortic stenosis and idiopathic hypertrophic subaortic stenosis) can be sensitive to the action of vasodilators, including PDE5 inhibitors.

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