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After patients have taken VIAGRA, it is unknown when nitrates, if necessary, can be safely administered. Physicians should warn patientsthat prolonged erections greater than 4 hours and priapism (painful erectionsgreater than 6 hours in duration) have been reported infrequently since marketapproval of VIAGRA. In the event of an erection that persists longer than 4hours, the patient should seek immediate medical assistance.
The FDA has a BeSafeRx website with tips to help you make safer decisions if you are buying prescription medications online. Though many are, not all online medication retailers are legitimate and safe to use. Safe medication retailers will always require a provider's prescription, will have a U.S. address and phone number, and will be licensed with a state board of pharmacy. Make sure any online medication retailer you're considering meets all of these criteria. Viagra can be used by most men over the age of 18 who are experiencing erectile dysfunction. It is important to seek help from a healthcare professional rather than trying to treat the condition alone.
Alcohol interaction warning
In addition, patients were asked a global efficacy question and an optional partner questionnaire was administered. Most, but not all, of these patients had preexisting cardiovascular risk factors. Many of these events were reported to occur during or shortly after sexual activity, and a few were reported to occur shortly after the use of VIAGRA without sexual activity.
If you experiencechest pain, dizziness, or nausea during sex, seek immediate medical help. If you are taking medicines known as protease inhibitors, such as for the treatment of HIV, your doctor may start you on the lowest dose (25 mg film-coated tablets) of VIAGRA. VIAGRA tablets may interfere with some medicines, especially those used to treat chest pain. In the event of a medical emergency, you should tell your doctor, pharmacist or BUY XANAX WITHOUT PRESCRITION nurse that you have taken VIAGRA and when you did. Do not take VIAGRA with other medicines unless your doctor tells you that you can.
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It usually takes minutes for Viagra to take effect so it should be taken at least one hour before you intend to have sex. It stays in your bloodstream for four-six hours,  so you  should be able to get an erection anytime during that time as long as you are aroused. There are several other PDE 5 inhibitors that are also helpful for treating erectile dysfunction, such as Stendra.
Viagra is a useful form of treatment for erectile dysfunction. In some cases, erectile dysfunction does not have a physical cause. For example, it may occur as a result of stress or an underlying mental health condition, such as depression. If the cause is psychological, psychotherapy or counseling can help treat it. If a person is not in a state of arousal, Viagra will not be able to cause an erection.

Single doses of antacid (magnesium hydroxide/aluminum hydroxide) did not affect the bioavailability of VIAGRA. VIAGRA is not indicated for use in pediatric patients.Safety and effectiveness have not been established in pediatric patients. There are noadequate and well-controlled studies of sildenafil in pregnant women. Physicians should discuss withpatients the contraindication of VIAGRA with use of guanylate cyclasestimulators such as riociguat [see CONTRAINDICATIONS].
You are encouraged to report negative side effects of prescription drugs to the FDA. For more information, ask your healthcare provider or pharmacist. Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease. Ask your doctor if your heart is healthy enough to handle the extra strain of having sex. If you need emergency medical care for a heart problem, it will be important for your healthcare provider to know when you last took VIAGRA.
Finally, the use of vacuum erection or implant devices can be an option for some men. Please speak to your GP for more information on these alternative treatment options. It can also be used in the management of finger or toe ulcers and lung conditions.
You only need to take Tadalafil around 30 minutes before you anticipate having sex and its effects can last up to 36 hours. This means you should be more likely to get an erection when sexually stimulated during that period of time. If you're also on a nitrate drug for heart problems or if you've had a heart attack in the last six months, Sildenafil may not be suitable for you.