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Uncommon but serious side effects include:For Erectile Dysfunction "My husbands Dr prescribed 100 mg of Viagra and we paid $230 for 5 pills. Last night was the second time my husband took it and for the second time it did not work !! He is diabetic and uses an insulin pump we don't know if that has any bearing on the Viagra. Is this common?" Mild, moderate, severe impairment: Dosage adjustment not necessary

Table 11: Mean Endpoint and Change from Baseline for the Primary Efficacy Variables in the Two Primary US Trials Study A Study B? cialis online cheap 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.Table 14: Mean Post-Baseline Success Rate and Change from Baseline for SEP Question 3 (“Did your erection last long enough for you to have successful intercourse?”) in the General ED Population in Five Pivotal Trials Outside the USPain in extremity 0.0% 1.4%Through selective regulation of cGMP, PDE5A plays an essential role in vascular smooth muscle contraction in the corpus cavernosum.31 The PDE5A inhibitors competitively inhibit the hydrolysis of cGMP, thereby leading to smooth muscle relaxation and penile erection.12,30 Since the approved use of sildenafil in 1998 and vardenafil hydrochloride (Levitra) and tadalafil (Cialis) in 2003, PDE5A inhibitors have remained the first-line therapy for ED.12,28 Adverse effects are generally mild,12 although vision-threatening ocular complications and hearing loss have been reported.28,32

In those patients who are stable on alpha-blocker therapy, PDE5 inhibitors should be initiated at the lowest recommended dose. viagra professional Overdose

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Sildenafil Citrate may also be used for other purposes not listed above.Can Other Medicines Affect Cialis? Duration of action: 36 hours

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