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Commonly known as “the little blue pill,” Viagra has raked in billions for pharmaceutical giant Pfizer since its 1998 release. But the erectile dysfunction drug has been linked to serious side effects, including vision and hearing loss, heart complications and melanoma. By Kristin Compton Edited By Kevin Connolly Medically Reviewed by Laura Koppen, PharmD, BCPS This page features 20 Cited Research Articles Fact Checked

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This is why a healthy circulatory system is key to maintaining penile health. In addition, stress causes nerve endings to be less receptive to incoming signals, making erection difficult.
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Sildenafil is available under the following different brand names: Revatio, and Viagra. 50 mg orally 1 hour before sexual activity may be increased to 100 mg or reduced to 25 mg, depending on effectiveness and tolerance not to exceed 100 mg/day Oral: 5 mg or 20 mg 3 times daily, administered 4-6 hours apart Intravenous (IV): 2.5-mg or 10-mg bolus 3 times daily if patient is temporarily unable to take orally Recommended oral/IV dose not to be exceeded Adding Revatio to bosentan does not have any beneficial effect on exercise capacity Viagra Older than 65 years: 25 mg orally initially 1 hour before sexual activity Not to be prescribed to children (1-17 years) for pulmonary arterial hypertension (PAH); this recommendation against use is based on long-term clinical pediatric trial showing that children taking high doses had higher risk of death than children taking low doses and that low doses were not effective in improving exercise ability SLIDESHOW Erectile Dysfunction (ED) Causes and Treatment See Slideshow Headache Flushing Nosebleed Indigestion Insomnia Skin redness Diarrhea Dizziness Skin rash
• The inability to achieve or maintain an erection sufficient for sexual intercourse •Symptoms include erection problems, decreased desire, and psychological distress •Treatments include medications, injection therapy, a vacuum erection device, and penile implant•Involves urology

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Sildenafil use has also been associated with various adverse effects especially owing to its vasodilator properties. Caution should be exercised in patients with one or more risk factors for cardiovascular or cerebrovascular disease, which include myocardial infarction, cardiac arrest, angina, ventricular tachycardia, hypertension, and other cardiac symptoms. Concomitant use with organic nitrates (e.g., glyceryl trinitrate, isosorbide dinitrate) has also resulted in cardiac deaths, possibly due to sildenafil potentiating the nitrates hypotensive effects (4, 5, 13).
Have you ever woken up in the morning and been unsure whether you’ll be having sex that day? Chances are, you have. This is one reason why some men and their partners prefer sildenafil and other ED medications instead of tadalafil. With just a little bit of preparation (making sure you have sildenafil at the ready), you can use a dose of sildenafil once it’s clear that the fun is indeed about to start.

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Use with caution in patients with the following underlying conditions which can be particularly sensitive to the actions of vasodilators including VIAGRA – those with left ventricular outflow obstruction (e.g., aortic stenosis, idiopathic hypertrophic subaortic stenosis) and those with severely impaired autonomic control of blood pressure.

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Complications of the condition can result in an unfulfilled sex life, emotional problems, such as depression and anxiety, a loss of intimacy with a partner and/or a strained relationship, and the inability to get a partner pregnant. Administration and Dosages of Viagra

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    Impotence, also called erectile dysfunction (ED), can be a very frustrating problem. Some men are able to achieve an erection but are not able to maintain one. Others are not able to achieve one at all. Causes of impotence can be both physiological (affecting mostly the body and organs) or psychological (affecting the mind). Luckily, there are natural remedies for impotence you can try.
    A psychological component, often called "performance anxiety", is common in men with impotence. However, a purely psychological problem is seen in only 10%.

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    Studies connecting pornography viewing and masturbation to erectile dysfunction are limited. “Most men are not adversely affected by viewing pornography or masturbation,” Jameson says. “However, there may be a small percentage of men who are affected if their body becomes conditioned to certain stimuli not present when having intercourse with a partner.” They can also become desensitized or no longer aroused without an added layer of visual stimulation. Jameson has seen some patients benefit from either limiting the use of visual stimulation and masturbation or seeing a psychological counselor.

    Ira Sharlip, MD, clinical professor of urology, University of California San Francisco School of Medicine. Advisory board member and/or speakers bureau: Pfizer, Lilly, Johnson & Johnson, Shionogi, Boehringer Ingelheim, Plethora Solutions.
    Benign Prostatic Hyperplasia/BPH, Erectile Dysfunction, General Urology, Kidney Stones, Minimally Invasive Surgery, Robotic surgery, UroLift, Vasectomy

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    Recently, the US Food and Drug Administration (FDA) has issued a safety announcement regarding TRT. In part it reads ‘The benefit and safety of these medications have not been established. We are also requiring these manufacturers to add information to the labeling about a possible increased risk of heart attacks and strokes in patients taking testosterone.’37

    The information provided in VIAGRAHCP.com is intended only for healthcare professionals in the United States. take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas (riociguat) for pulmonary hypertension. Your blood pressure could drop to an unsafe level are allergic to sildenafil, as contained in VIAGRA and REVATIO, or any of the ingredients in VIAGRA an erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, get medical help right away. If it is not treated right away, priapism can permanently damage your penis sudden vision loss in one or both eyes. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). Stop taking VIAGRA and call your healthcare provider right away if you have any sudden vision loss sudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have these symptoms, stop taking VIAGRA and contact a doctor right away
    Abortion restrictions can have harmful economic effects for individual women, state economies and businesses. Research released last year by the Institute for Women’s Policy Research (IWPR) estimated that abortion restrictions may cost the U.S. economy $105 billion per year. Now that Roe v. Wade has been overturned, the cost could be twice has high, the president and CEO of IWPR says.

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    Most men who use sildenafil citrate do so for recreational purposes, and use of sildenafil citrate for 2 years or less was associated with recreational use. The availability of sildenafil without a prescription paper and lack of concomitant monitoring of its utilization were some of the main contributing factors for its misuse. Consumption of sildenafil with illicit drugs was also reported. There should be a collaborative effort among pharmacists, health professionals, and policymakers to improve the rational use of sildenafil citrate.

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    In fact, one common reason many younger men visit their doctor is to get erectile dysfunction medication. Often, men with erectile dysfunction suffer with diabetes or heart disease, or may be sedentary or obese, but they don’t realize the impact of these health conditions on sexual function. Along with erectile dysfunction treatment, the doctor may recommend managing the illness, being more physically active, or losing weight.

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While ED is not life threatening, the condition may result in withdrawal from sexual intimacy, reduced quality of life, decreased working productivity, and increased healthcare utilization. Patterns of care may shift away from surgical and device therapies provided by urologists and toward pharmacologic treatments and/or multidisciplinary approaches. With men increasingly seeking to preserve sexual function and quality of life as they age, the treatment of ED will take on even greater importance in the years to come.

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Health Topics Symptoms and Signs Supplements Medications Slideshows Images Quizzes What Is the Fastest Way to Cure Erectile Dysfunction? Medical Author: Shaziya Allarakha, MD Medical Reviewer: Pallavi Suyog Uttekar, MD Causes What Causes Erectile Dysfunction? Is it Normal? Is ED a Normal Part of Aging? 6 Treatment Methods 6 Ways to Treat Erectile Dysfunction Guide What Is the Fastest Way to Cure Erectile Dysfunction? Topic Guide Treatment of erectile dysfunction depends on the underlying cause of the condition. Learn about 6 treatment methods

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