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The following information is a summary about Viagra® . It is not intended to replace a doctor's instructions.

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USES

This medication is used to treat male sexual function problems (erection problems).

HOW TO USE THIS MEDICATION

This drug is taken by mouth as needed between four hours and one-half hour before sexual activity (about one hour before is most effective). Take only as directed, usually once daily as needed. Sildenafil works along with sexual stimulation to help achieve an erection.

SIDE EFFECTS

Headache, flushing, stomach upset, nasal stuffiness, diarrhea and dizziness might occur. If these effects persist or worsen, notify your doctor promptly.

PRECAUTIONS

Before using this drug, tell your doctor your medical history, including any allergies (especially drug allergies), any penis conditions such as fibrosis/scarring, history of painful/prolonged erection (priapism), sickle cell anemia, blood system cancers (such as leukemia or myeloma), or Peyronie's disease, eye problems (retina diseases). kidney or liver disease, bleeding disorders or active stomach ulcers, heart diseases, stroke or severe high or low blood pressure. Limit alcohol intake, as it may aggravate side effects of this drug. To avoid dizziness and lightheadedness when rising from a seated or lying position, get up slowly. The elderly may be more sensitive to the side effects of this drug, therefore caution is advised in this group.

DRUG INTERACTIONS

Tell your doctor of all nonprescription and prescription medication you may use, especially any nitrate medications (e.g., nitroglycerin, isosorbide dinitrate), nitroprusside (any "nitric oxide donor" medicines), cimetidine, erythromycin, azole antifungals (e.g., itraconazole, ketoconazole), mibefradil, rifamycins (e.g., rifampin) or high blood pressure medicines.

NOTES

Do not share this medication with others, since they may have a problem that is not effectively treated by this drug. Use of Viagra does not protect against sexually transmitted diseases (e.g., HIV, Hepatitis B, gonorrhea).

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Not applicable.

STORAGE

Store at room temperature between 59 and 86 degrees F (15-30 degrees C) away from light and moisture. Keep this and all medications out of the reach of children.

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Viagra may reduce effects of hormonal stress on heart
buy viagra soft tabsViagra, famous for improving men's sexual function, also appears to reduce the effects of hormonal stress on the heart by 50 percent, claims a report by researchers at Johns Hopkins University.
Viagra (sildenafil) works by helping genital blood vessels expand to maintain an erection, but more recently, it also has been used as a treatment for pulmonary hypertension. However, the drug has been thought to have no direct effect on the heart.

"Unlike what was previously thought, drugs like Viagra can in fact alter heart function," said researcher Dr. David Kass, a professor of medicine at Johns Hopkins. The report appeared in Monday's online edition of Circulation.  Botulinum toxin can lessen facial pain, research shows

Botulinum toxin, already used to treat migraines and eye spasms, also may help reduce intense facial pain called trigeminal neuralgia, said a study in this past week's Neurology.  People with trigeminal neuralgia suffer sudden, severe pain in one side of the jaw or cheek. The pain lasts several seconds and can be repeated in a series of attacks, which can be triggered by normal actions such as talking, swallowing or brushing teeth.

Currently, anticonvulsant medication is the main form of treatment, and surgery is also an option.
In this study, American and Brazilian researchers looked at the effects of botulinum toxin type A in 13 people with trigeminal neuralgia. The study found the patients had a significant decrease in pain 10 days after receiving the botulinum toxin injection, and they were almost symptom-free after 20 days.  After 60 days, four of the patients no longer needed medication, and others had cut their medication use by more than 50 percent.

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