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However, if you have high blood pressure that’s controlled with medication and you also don’t have a heart condition, it’s usually fine to take Viagra. Just be aware that taking the drug could cause your blood pressure to be lowered. Low blood pressure from Viagra usually isn’t a problem for most people. But if you’re taking a type of blood pressure drug called an alpha-blocker, taking Viagra might cause certain side effects. These side effects can include dizziness, lightheadedness, or even fainting. For more information about using Viagra with alpha-blockers, see the “Viagra interactions” section below. If you have high blood pressure that’s controlled with medication, your doctor may prescribe a dose of Viagra for you that’s lower than the typical dose. Before starting Viagra, talk with your doctor about any blood pressure problems you have. Yes, for most people, Viagra works the first time it’s used. But for other people, it may take a few times of trying the drug to get the desired effect. Keep in mind that you shouldn’t take Viagra more than once every 24 hours. If Viagra doesn’t seem to work for you, talk with your doctor. They may increase your dose of the drug or recommend that you try a different medication. Does Viagra help me keep an erection after ejaculation? But even if your erection goes away after you’ve ejaculated, Viagra can help you to get another erection for up to 4 hours after you’ve taken a dose. The safety and effectiveness of taking Viagra through your nose hasn’t been tested. Can I take Viagra after I’ve had my prostate removed? However, Viagra may be less effective in treating erectile dysfunction (ED) in men who’ve had their prostate removed than it is in men who haven’t. Across several clinical studies, Viagra was effective in 43% of men who’d had this surgery. And a placebo (treatment with no active drug) was effective in 15% of men who’d had the surgery. In comparison, in studies of men with ED due to: complications from diabetes, 57% had improved erections with Viagra. This is compared with 10% of men who took a placebo. spinal cord injury, 83% had improved erections with Viagra. This is compared with 12% of men who took a placebo. If you have questions about using Viagra after you’ve had your prostate removed, talk with your doctor. In fact, one study found that Viagra was effective in 57% of men with erectile dysfunction (ED) that was thought to be related to diabetes. In several studies, Viagra has been looked at as a possible treatment for premature ejaculation (PE). And typically, you’ll ejaculate within 1 minute of penetration when you’re having sex.) Some studies found that Viagra can help men with PE to delay ejaculation longer than they could without treatment. However, other studies didn’t show that Viagra had a significant effect in treating PE. More research is needed to know for sure whether or not Viagra is effective for treating PE. Keep in mind that Viagra isn’t approved in the United States to treat PE. And it’s not recommended in current PE treatment guidelines from the American Urological Association. However, Viagra is recommended in similar guidelines from the European Association of Urology. If you’re interested in taking Viagra to treat PE, talk with your doctor. What’s the youngest age for which Viagra is safe to use? Viagra is approved for use in males ages 18 years and older. You shouldn’t take Viagra if you’re younger than 18 years. This is because the safety and effectiveness of Viagra haven’t been studied in people of this age group. The manufacturer of Viagra doesn’t give any specific warnings about drinking alcohol while using this drug. But in general, it’s best to avoid drinking lots of alcohol with the medication. This is because certain side effects of Viagra may be worsened by alcohol. This includes such side effects as headaches, flushing, and dizziness. And drinking lots of alcohol can also make it more difficult to get an erection, which is what you’d be using Viagra to do. If you drink alcohol, talk with your doctor about how much is safe for you to drink while you’re taking Viagra. Viagra can interact with several other medications. Different interactions can cause different effects. For instance, some interactions can interfere with how well a drug works. Other interactions can increase side effects or make them more severe. Below are lists of medications that can interact with Viagra. These lists don’t contain all the drugs that may interact with Viagra. Before taking Viagra, talk with your doctor and pharmacist. Tell them about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and teva generic cialis cost supplements you use. Sharing this information can help you avoid potential interactions. If you have questions about drug interactions that may affect you, ask your doctor or pharmacist. You shouldn’t take Viagra with any other medications for erectile dysfunction (ED). This includes prescription medications, such as: tadalafil (Cialis) avanafil (Stendra) vardenafil (Levitra, Staxyn) teva generic cialis cost alprostadil (Muse, Caverject, Caverject Impulse, Edex) It also includes natural or over-the-counter ED treatments, such as l-arginine and yohimbine. Taking Viagra with other ED medications increases your risk of certain side effects, such as low blood pressure and priapism.* If you’re using Viagra, don’t use any other medications for ED without talking with your doctor. * Priapism is a long-lasting and sometimes painful erection that doesn’t go away. It’s a medical emergency because it can damage the tissues in your penis and lead to permanent ED. This includes certain prescription drugs, such as nitroglycerin, used to treat angina (a type of chest pain). It also includes certain illicit drugs called poppers, such as amyl nitrate. Taking Viagra with nitrates can cause a dangerous drop in your blood pressure that can lead to heart attack or stroke. Examples of nitrate drugs that should not be taken with Viagra include: nitroglycerin (Nitromist, Nitro-Dur, Nitrolingual Pumpspray, Gonitro, others) isosorbide mononitrate (Monoket) isosorbide dinitrate (Dilatrate SR, Isordil) glyceryl trinitrate amyl nitrate alkyl nitrate butyl nitrate. Viagra and drugs for pulmonary arterial hypertension. You shouldn’t take Viagra if you’re taking the pulmonary arterial hypertension (PAH)* drugs listed below. Taking Viagra with these medications can cause your blood pressure to drop too low. Examples of drugs used to treat PAH that should not be taken with Viagra include: riociguat (Adempas) sildenafil (Revatio) tadalafil (Adcirca) * With PAH, you have high blood pressure in the artery between your heart and lungs. Taking Viagra with drugs used to treat high blood pressure can cause your blood pressure to drop even lower. Examples of drugs used to treat high blood pressure include: If you take a drug for high blood pressure, your doctor might prescribe a dose of Viagra for you that’s lower than the typical dose. If you’re taking a type of blood pressure drug called an alpha-blocker, the extra drop in blood pressure from Viagra could make you feel dizzy or lightheaded. If you’re taking an alpha-blocker, your doctor will recommend a starting dose of 25 mg of Viagra, which is lower than the usual starting dose. Examples of alpha-blocker drugs used for high blood pressure include: If you take one of teva generic cialis cost the drugs listed above, tell your doctor if you feel dizzy or lightheaded, or faint after taking Viagra. You shouldn’t take Viagra with illicit drugs called poppers. Poppers contain nitrate drugs such as amyl nitrate, alkyl nitrate, and butyl nitrate. Taking Viagra with poppers can cause a dangerous drop in your blood pressure that can lead to heart attack or stroke. Viagra hasn’t been tested for use with illicit drugs other than poppers. But it’s possible that taking Viagra with certain other illicit drugs could also have dangerous effects on your heart and blood pressure. Examples of illicit drugs that could have dangerous effects if taken with Viagra include: stimulants, such as cocaine, ecstasy, amphetamines, and speed anabolic steroids. If you’re thinking of using illicit drugs with Viagra, talk with your doctor about whether this is safe for you to do. Certain drugs used to treat benign prostatic hyperplasia (BPH)* can also cause low blood pressure. Taking Viagra with alpha-blockers can cause your blood pressure to drop even lower. This could make you feel dizzy or lightheaded, or even cause you to faint. Examples of alpha-blockers that are used to treat BPH include: alfuzosin (Uroxatral) doxazosin (Cardura) tamsulosin (Flomax) silodosin (Rapaflo) terazosin. If you’re taking an alpha-blocker, your doctor will recommend a starting dose of 25 mg of Viagra, which is lower than the usual starting dose. And if you take one of the drugs listed above, tell your doctor if you feel very dizzy, lightheaded, or faint after taking Viagra. Viagra hasn’t been tested for use with Adderall, so it’s not known what effects the drugs would have if taken together. But that doesn’t mean there wouldn’t be an interaction. Adderall, which contains amphetamine salts, is approved to treat attention deficit hyperactivity disorder (ADHD). Adderall has stimulant effects in your body, and it could cause serious heart-related side effects. Viagra, on the other hand, may cause low blood pressure. So it’s possible that taking it with Adderall could have dangerous effects on your heart or blood pressure. If you take Adderall, ask your doctor if it’s safe for you to take Viagra as well. Viagra hasn’t been tested for use with Xanax, so it’s not known what effects the drugs would have if taken together. But that doesn’t mean there wouldn’t be an interaction. Xanax, which is a benzodiazepine, contains the active drug alprazolam. Xanax can sometimes cause low blood pressure, dizziness, and fainting. So it’s possible that taking it with Xanax could have dangerous effects on your heart or blood pressure. If you take Xanax, ask your doctor if it’s safe for you to take Viagra as well. It’s usually fine to take Viagra with antidepressants. It’s important to note that erectile dysfunction (ED) is a common side effect of certain antidepressants. This is particularly true for selective serotonin reuptake inhibitors (SSRIs), such as sertraline (Zoloft). And Viagra is sometimes prescribed to treat ED that’s caused by antidepressants. If you have questions about whether you can take Viagra with an antidepressant, talk with your doctor. Taking Viagra with certain antimicrobials (drugs used to treat infection) can slow the breakdown of Viagra in your body. This can cause Viagra to build up inside your body, which may increase your risk of side effects from the drug. Examples of antimicrobial drugs that can increase the risk of side effects from Viagra include: certain antibiotics, such as: clarithromycin erythromycin telithromycin (Ketek) certain antifungals, such as: ketoconazole (Nizoral) itraconazole (Sporanox) posaconazole (Noxafil) voriconazole (Vfend) certain antivirals used for HIV, such as: atazanavir (Reyataz) cobicistat (Tybost) ritonavir (Norvir) indinavir sulfate (Crixivan) nelfinavir mesylate (Viracept) saquinavir mesylate (Invirase) If you take one of the drugs listed above, your doctor will recommend you take a starting dose of 25 mg for Viagra. (This is lower than the typical starting dose of Viagra.) And if you take ritonavir, you shouldn’t take more than one 25-mg dose of Viagra within a 48-hour period. There aren’t any herbs or supplements that have been specifically reported to interact with Viagra. However, you should still check with your doctor or pharmacist before using any of these products while taking Viagra. There aren’t any foods that have been specifically reported to interact with Viagra. If you have any questions about eating certain foods with Viagra, talk with your doctor. Grapefruit juice can affect the levels of some medications in your body. But there’s not much evidence to show that the fruit or its juice can affect Viagra levels. It showed that drinking grapefruit juice with Viagra slightly increased people’s blood level teva generic cialis cost of the drug. This could possibly increase the risk of certain side effects such as headaches, flushing, or dizziness. But these side effects weren’t specifically reported in the study. If you want to drink grapefruit juice or eat grapefruit while you’re taking Viagra, talk with your doctor. They can recommend whether this is safe best price for generic sildenafil for you to do. If you do have increased side effects with this combination, try avoiding grapefruit while you’re taking Viagra. You should take Viagra according to your doctor’s or healthcare provider’s instructions. For most people, it’s recommended that you take Viagra as needed, about 1 hour before you plan to have sex. But Viagra can actually be taken anywhere from 30 minutes to 4 hours before sexual activity. It’s important to remember that you shouldn’t take the medication more than once a day. But if you take it with a meal, the drug may take about an hour longer than usual to start working. This is especially the case if you eat a high-fat meal, such as a cheeseburger with fries. You don’t need to wait to take Viagra if you’ve recently eaten a meal. Just be aware that it might take a bit longer for the drug to work. It’s also important to remember that if Viagra gives you indigestion, taking the drug with food may help to reduce this side effect. The safety and effectiveness of Viagra tablets that are crushed, split, or chewed haven’t been tested. And Viagra tablets are meant to be swallowed whole. It’s not known if crushing or chewing the tablets will make them work any differently than usual. If you have trouble swallowing Viagra tablets, you might find it easier to swallow the tablet with different drinks, such as water, juice, or milk. Or talk with your doctor or pharmacist about how else you can take the drug. If you want to crush, split, or chew Viagra tablets, ask your doctor or pharmacist if this is safe to do. The Food and Drug Administration (FDA) approves prescription drugs such as Viagra to treat certain conditions. Viagra may also be used off-label for other conditions. Off-label use is when a drug that’s approved to treat one condition is used to treat a different condition. Viagra is FDA-approved to treat erectile dysfunction (ED) in males ages 18 years and older. With ED, you’re not able to get and keep an erection that’s firm enough to have sex. This condition is a common problem that’s experienced by many men. These include psychological or emotional problems, such as: performance anxiety relationship problems depression stress. But ED may also be caused by physical problems, such as: Viagra increases blood flow to your penis, which helps you have and maintain an erection. However, the drug itself doesn’t give you an erection. In several clinical studies, Viagra was effective in treating ED. In these studies, men who used the drug had an improved ability to have and keep erections that allowed for successful sex. Across the studies, between 43% and 83% of men who took Viagra had improved erections. (These success rates varied depending on the cause of their ED and the dosage of Viagra being used.) In comparison, improved erections occurred in 10% to 24% of men who took a placebo (no active drug). Some studies looked at the effect of different doses of Viagra. These studies, which involved 1,797 men, lasted up to 6 months. Improved erections were reported in: 63% of men who took 25 mg of Viagra 74% of men who took 50 mg of Viagra 82% of men who took 100 mg of Viagra 24% of men who took a placebo (no active drug) Effectiveness of Viagra for ED with different causes. Other studies have looked at the effect of Viagra in men whose ED had different causes. For example, one study specifically looked at men with ED that was related to complications of diabetes.
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