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Tell your doctor about all the prescriptions and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other health care professionals. Do not start using a new medication without telling your healthcare professional.

Avoid drinking alcohol, which can increase some of the side effects of Viagra. Avoid using other medicines to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), without first talking to your healthcare professional.

Viagra (Sildenafil) musculoskeletal side effects have included arthritis, arthrosis, myalgia, tendon rupture, tenosynovitis, bone pain, myasthenia, and synovitis.

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Hippocrates: If we could give every individual the right amount of nourishment and exercise, not too little and not too much, we would have found the safest way to health.

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Viagra (Sildenafil) nervous system side effects have included headache, observed in up to 16% of patients. Other nervous system side effects have included dizziness in 2%, and, in less than 2%: ataxia, hypertonia, neuralgia, neuropathy, paresthesias, tremor, vertigo, depression, insomnia, somnolence, abnormal dreams, decreased reflexes, and hypesthesia. There have been case reports of transient global amnesia and tonic-clonic seizures. Post marketing experience has included reports of anxiety, seizure and seizure recurrence.

If you have a condition that might result in long-lasting erections, such as sickle cell anemia, multiple myeloma (a disease of the bone marrow), or leukemia, use Viagra (Sildenafil) with caution. Also use cautiously if you have a genital problem or deformity such as Peyronie's disease. If an erection lasts more than 4 hours, seek treatment immediately. Permanent damage and impotence could result.

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Viagra for ED: Healthy robust 53 year old here....50mgs work great but on an empty stomach. Slower and less effective on top of food. Reaction within 30 minutes with better erections up to 9 hours later. Side effects. Nasal congestion, flushing fullness in head, eye pressure, sometimes increased heart rate and respiration. Poor sleep, next day fatigue and slight anxiety. I went crazy with this when I first started and took it every day for a week. Lots of fun.

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Viagra (Sildenafil) has been assigned to pregnancy category B by the FDA. Animal data have failed to reveal evidence of teratogenicity or fetotoxicity even after doses that represented up to 40 times the maximum recommended human dosage (on a mg/m2 basis). There are no controlled data in human pregnancy. Viagra is only recommended for use during pregnancy when benefit outweighs risk.

If you experience any of the following serious side effects, stop taking Viagra (Sildenafil) and seek emergency medical attention or notify your healthcare professional immediately: sudden vision loss; ringing in your ears, or sudden hearing loss; chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling; irregular heartbeat; swelling in your hands, ankles, or feet; shortness of breath; vision changes; feeling light-headed, fainting; penis erection that is painful or lasts 4 hours or longer.

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