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Sildenafil citrate is a white to off-white crystalline powder with a solubility of mg/mL in water and a molecular weight of .

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Although the interaction between other protease inhibitors and sildenafil has not been studied, their concomitant use is expected to increase sildenafil levels.

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If you take Viagra alongside nitrate medications you put yourself at risk of having a serious
and sudden drop in blood pressure.

Viagra (Sildenafil Citrate): Side Effects, Interactions

While taking Viagra, and during sexual activity, if you become dizzy or nauseated, or if you
experience numbness, tingling or pain in your chest, arms, neck, or jaw, stop and call your
doctor immediately. These signs could indicate that you are having a serious reaction to
Viagra.

The root contains several active substances, called either ginsenosides or panaxosides, that are thought to be responsible for the medicinal effects of the herb.

Consider a starting dose of 75 mg in patients 65 years, patients with hepatic impairment (., cirrhosis ), and patients with severe renal impairment (creatinine clearance 85 mL/minute) because administration of VIAGRA in these patients resulted in higher plasma levels of sildenafil [see Use in Specific Populations and CLINICAL PHARMACOLOGY ].

Women may experience pain during the sexual intercourse, their sexual drive disappears, they are not aroused, and all these unpleasant effects are related to the low libido.

Physicians should discuss with patients the potential cardiac risk of sexual activity in patients with preexisting cardiovascular risk factors. Patients who experience symptoms (., angina pectoris , dizziness, nausea) upon initiation of sexual activity should be advised to refrain from further activity and should discuss the episode with their physician [see WARNINGS AND PRECAUTIONS ].

In addition, heart attack, stroke, irregular heartbeats and death have happened rarely in men taking VIAGRA. Most, but not all, of these men had heart problems before taking VIAGRA. It is not known if VIAGRA caused these problems.

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