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The primary indication of sildenafil is treatment of erectile dysfunction . VIAGRA helps a man with erectile dysfunction get and keep an erection only when he is sexually excited . This finding is consistent with the inhibition of PDE6, which is involved in phototransduction in the retina. Subjects in the study reported this finding as difficulties in discriminating blue/green. In the third study, a single oral dose of VIAGRA 100 mg or matching placebo was administered in a 3-period crossover design to 20 generally healthy males with BPH.

  • In these cases, your doctor may want to change the dose, or other precautions may be necessary.
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Sildenafil is effective for all sorts of erectile dysfunction in 69% of people. The researchers’ findings, which appear in the journal Circulation online Oct. 24, are believed to be the first confirmation in humans that sildenafil has a direct effect on the heart. Related studies by the group also showed that sildenafil prevents and reverses the long-term effects in the heart from chronic high blood pressure. 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.


Always talk to your doctor about the risks and benefits of any treatment. In the entire year of 2007, there were only 93 reported cases of this side effect from Viagra and other ED medication.

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One-third to one-half of the subjects in these studies reported successful intercourse at least once during a 4-week, treatment-free run-in period. Results with all doses have been pooled, but scores showed greater improvement at the 50 and 100 mg doses than at 25 mg. The pattern of responses was similar for the other principal question, the ability to achieve an erection sufficient for intercourse. The titration studies, in which most patients received 100 mg, showed similar results. Figure 6 shows that regardless of the baseline levels of function, subsequent function in patients treated with VIAGRA was better than that seen in patients treated with placebo.

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Assessment of the efficacy and safety of Viagra in men with erectile dysfunction during long-term treatment. Patient and partner satisfaction with VIAGRA treatment as determined by the erectile dysfunction inventory of treatment satisfaction questionnaire. James McMurray, Robert Feldman, and Stephen Auerbach are study investigators for Pfizer Inc. Robert Feldman has consulted on drug development for Pfizer Inc in the past, received honoraria for lectures, and owns Pfizer Inc stock. Herb deRiesthal is an employee of Pfizer Inc, and Neal Wilson is a former employee of Pfizer Inc. The research reported was sponsored and supported by Pfizer Inc. The authors actively participated in the collection of data and interpretation of the results.

angina pectoris, AV block, migraine, syncope, tachycardia, palpitation, hypotension, postural hypotension, myocardial ischemia, cerebral thrombosis, cardiac arrest, heart failure, abnormal electrocardiogram, cardiomyopathy. VIAGRA was administered to over 3700 patients (aged 19–87 years) during pre-marketing clinical trials worldwide.

A total of 1,545 men were originally enrolled in the double-blind trials, with 1,358 of these men continuing in the initial open-label extension studies. The current study includes 979 of the original patients, who agreed to participate in the long-term extension . Professional side effects and drug interactions sections courtesy of the U.S. Co-administration of ritonavir, a strong CYP3A4 inhibitor, greatly increased the systemic exposure of sildenafil (11-fold increase in AUC).

In addition, heart attack, stroke, irregular heartbeat, and death have happened rarely in men taking VIAGRA. You may take VIAGRA between 30 minutes to 4 hours before sexual activity if needed.

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Due to the action of Viagra, there is a large underground market, reports Clare. She began to develop her interest in client education and medical writing in 1997. Recent publications include portions of The Pill Book Guide to Medication for Your Dog and Cat, and most recently Understanding Equine Medications published by the Bloodhorse. Different strengths or dosage forms of sildenafil may have different storage requirements. Read the label or ask your pharmacist for the storage requirements of the prescription you receive. If you or someone else has accidentally ingested this medication call the National Capital Poison Center at 800.222.1222.