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    Do not take VIAGRA if you take any other medicines called "nitrates." Nitrates are used to treat chest pain (angina). A sudden drop in blood pressure can cause you to feel dizzy, faint, or have a heart attack or stroke. Do not take VIAGRA if you take medicines called guanylate cyclase stimulators which include: If you need emergency medical care for a heart problem, it will be important for your healthcare provider to know when you last took VIAGRA. Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease. Ask your doctor if your heart is healthy enough to handle the extra strain of having sex. VIAGRA does not protect you or your partner from getting sexually transmitted diseases, including HIV—the virus that causes AIDS. levitra directions for use The primary indication of sildenafil is treatment of erectile dysfunction (inability to sustain a satisfactory erection to complete intercourse). Its use is now one of the standard treatments for erectile dysfunction, including for men with diabetes mellitus. Rare but serious adverse effects found through postmarketing surveillance include prolonged erections, severe low blood pressure, myocardial infarction (heart attack), ventricular arrhythmias, stroke, increased intraocular pressure, and sudden hearing loss. Care should be exercised by people who are also taking protease inhibitors for the treatment of HIV infection. Protease inhibitors inhibit the metabolism of sildenafil, effectively multiplying the plasma levels of sildenafil, increasing the incidence and severity of side effects. Those using protease inhibitors are recommended to limit their use of sildenafil to no more than one 25 mg dose every 48 hours. blocker (typically prescribed for hypertension or for urologic conditions, such as benign prostatic hypertrophy) at the same time may lead to low blood pressure, but this effect does not occur if they are taken at least 4 hours apart.

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    These highlights do not include all the information needed to use VIAGRA safely and effectively. VIAGRA® (sildenafil citrate) tablets, for oral use Initial U. Approval: 1998For most patients, the recommended dose is 50 mg taken, as needed, approximately 1 hour before sexual activity. However, VIAGRA may be taken anywhere from 30 minutes to 4 hours before sexual activity. The maximum recommended dosing frequency is once per day. Based on effectiveness and toleration, the dose may be increased to a maximum recommended dose of 100 mg or decreased to 25 mg. VIAGRA was shown to potentiate the hypotensive effects of nitrates and its administration in patients who use nitric oxide donors such as organic nitrates or organic nitrites in any form is therefore contraindicated [The recommended dose for ritonavir-treated patients is 25 mg prior to sexual activity and the recommended maximum dose is 25 mg within a 48 hour period because concomitant administration increased the blood levels of sildenafil by 11-fold [Consider a starting dose of 25 mg in patients treated with strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, or saquinavir) or erythromycin. Clinical data have shown that co-administration with saquinavir or erythromycin increased plasma levels of sildenafil by about 3 fold [VIAGRA is supplied as blue, film-coated, rounded-diamond-shaped tablets containing sildenafil citrate equivalent to 25 mg, 50 mg, or 100 mg of sildenafil. Tablets are debossed with PFIZER on one side and VGR25, VGR50 or VGR100 on the other to indicate the dosage strengths.], VIAGRA was shown to potentiate the hypotensive effects of nitrates, and its administration to patients who are using nitric oxide donors such as organic nitrates or organic nitrites in any form either regularly and/or intermittently is therefore contraindicated. Wählen Sie eines der folgenden Kapitel aus, um mehr über "VIAGRA 100 mg Filmtabletten" zu erfahren. Die Informationen zu den Wirkstoffen können im Einzelfall von den Angaben im Beipackzettel mancher Fertigarzneimittel abweichen. Das liegt beispielsweise daran, dass wirkstoffgleiche Präparate von verschiedenen Herstellern für unterschiedliche Anwendungsgebiete zugelassen sind. Der Wirkstoff Sildenafil fungiert als Hemmstoff eines Enzyms, das unter anderem in der glatten Muskulatur des Penis und auch in den Lungengefäßen lokalisiert ist. Sildenafil erhöht einen Botenstoff innerhalb der glatten Muskulatur. An der Lunge kommt es zur Entspannung der glatten Muskelzellen und damit zu einer Erniedrigung des erhöhten pulmonalen Druck. Am Penis entspannt sich die Gefäßmuskulatur des Schwellkörpers, wodurch vermehrt Blut einströmt und eine Erektion hervorgerufen wird. Beschreibt, welche Erkrankungen oder Umstände gegen eine Anwendung des Arzneimittels sprechen, in welchen Altersgruppen das Arzneimittel nicht eingesetzt werden sollte/darf und ob Schwangerschaft und Stillzeit gegen die Anwendung des Arzneimittels sprechen. Immer:- Überempfindlichkeit gegen die Inhaltsstoffe- NAION (Sehverlust durch einen Gefäßverschluss am Auge)Unter Umständen - sprechen Sie hierzu mit Ihrem Arzt oder Apotheker:- Geschwüre im Verdauungstrakt, die akut Beschwerden machen- Blutgerinnungsstörung- Niedriger Blutdruck- Syndrom der Multisystematrophie (Störung der körpereigenen Blutdruckkontrolle)- Herz-Kreislauf-Erkrankungen, wie: - Hypertrophe Kardiomyopathie (Herzmuskelerkrankung mit starker Verdickung und Einengung der Herzkammer) - Aortenstenose (Verengung einer Herzklappe der linken Herzhälfte) - Angina pectoris - Herzschwäche - Herzinfarkt, der erst kurze Zeit zurückliegt - Schlaganfall, der erst kurze Zeit zurückliegt- Eingeschränkte Nierenfunktion- Eingeschränkte Leberfunktion- Degenerative Retinaerkrankung (Erbliche Netzhauterkrankung der Augen)- Penismissbildungen, wie z. Verkrümmungen- Erkrankungen bei denen ein Priapismus auftreten kann (Stunden bis Wochen anhaltende, meist schmerzhafte Dauererrektion des Penis ohne sexuelle Empfindung), wie: - Sichelzellenanämie (erblich bedingte Blutbildveränderung) - Leukämie - Plasmozytom Das Arzneimittel ist für Frauen nicht geeignet. - Kinder und Jugendliche unter 18 Jahren: Das Arzneimittel darf nicht angewendet werden. - Schwangerschaft: Das Arzneimittel darf nicht angewendet werden.- Stillzeit: Das Arzneimittel darf nicht angewendet werden. - Vorsicht bei einer Unverträglichkeit gegenüber Lactose.

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