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If you no longer need to take Viagra and have leftover medication, it’s important to dispose of it safely.

This helps prevent others, including children and pets, from taking the drug by accident. It also helps keep the drug from harming the environment.

This article provides several useful tips on medication disposal. You can also ask your pharmacist for information on how to dispose of your medication.

Using more than the recommended dosage of Viagra can lead to serious side effects.

Do not use more Viagra than your doctor recommends. What to do if you think you’ve taken too much Viagra. If you think you’ve taken too much of this drug, call your doctor.

You can also call the American Association of Poison Control Centers at 800-222-1222 or use their online tool. But if your symptoms are severe, call 911 or go to the nearest emergency room right away. Before taking Viagra, talk with your doctor about your health history. Viagra may not be right for you if you have certain medical conditions or other factors affecting your health. These include: History of allergic reaction to Viagra or sildenafil.

Don’t take Viagra if you’ve ever had an allergic reaction to Viagra or sildenafil (the active drug in Viagra). If you’re not sure of your medication allergies, talk with your doctor.

If you have a heart problem, or you’ve had a heart problem or stroke in the past, talk with your doctor about whether Viagra is safe for you.

Heart problems include conditions such as angina (a type of chest pain), heart attack, heart failure, and aortic stenosis (narrowing of the main artery that leaves your heart).

Heart problems also include irregular heartbeat patterns, such as atrial fibrillation (A-fib).

Taking Viagra and having sexual activity may not be recommended if your doctor thinks that doing so will put too much strain on your heart.

If you have a heart problem and you take Viagra, stop sexual activity if you get any chest pain, dizziness, or nausea. And don’t take nitrate

medications

to treat chest pain while you’re using Viagra. If you have

any

heart-related symptoms, call 911 if the symptoms feel life threatening or if you think you’re having a medical emergency. And be sure to see your doctor before taking Viagra again.

If you’re taking medication to treat high blood pressure, taking Viagra could cause your blood pressure to drop even further. In some cases, this could make you feel dizzy or lightheaded, or cause you to faint.

And if you have high blood pressure that’s not controlled (measuring higher than 170/110 mmHg), your heart may not be healthy enough for sex.

If you have high blood pressure, talk with your doctor about whether Viagra is right for you.

If you’re able to take Viagra, your doctor will usually prescribe a dosage for you that’s lower than the typical dosage.

If you already have low blood pressure, taking Viagra can make it drop even further. This could make you feel dizzy or lightheaded, or cause you to faint. If your blood pressure is below 90/50 mmHg, talk with your doctor about whether Viagra is right for you.

If you are able to take Viagra, your doctor will usually prescribe a dosage for you that’s lower than the typical dosage.

If you have problems with your penis, such as bending, scarring, or Peyronie’s disease, it might not be safe for you to take Viagra.

(With Peyronie’s disease, you have an abnormal curvature of your penis.) Rarely, Viagra may cause priapism (a long-lasting and sometimes painful erection).

If you have a physical problem affecting your penis, getting priapism with Viagra could cause further damage to your penis. Talk with your doctor about whether Viagra is right for you. If you have a blood cell problem, such as sickle cell anemia, multiple myeloma, or leukemia, Viagra may not be safe for you.

This is because having these conditions could increase your risk of priapism (a long-lasting and sometimes painful erection) with Viagra. Talk with your doctor about whether Viagra is right for you.

Non-arteritic anterior ischemic optic neuropathy (NAION).

NAION is an eye condition that causes damage to your optic nerve. This damage causes a sudden decrease or loss of vision in one or both eyes. If you’ve already had this eye condition in the past, you could have a higher risk of developing it with Viagra.

Talk with your doctor about whether Viagra is right for you.

This condition, which affects your eye, is passed down in families.

Viagra hasn’t been studied in people with hereditary retinitis pigmentosa.

Talk with your doctor about any eye problems you may have.

If you have certain kidney problems and your kidneys don’t work well,Viagra can build up in your body. This can increase your risk of side effects from the drug.

If you have severe kidney problems, your doctor will prescribe a dosage of Viagra for you that’s lower than the typical dosage.

If you have certain liver problems and your liver doesn’t work well, Viagra can build up in your body. This can increase your risk of side effects from the drug.

If you have liver

problems

, your doctor will prescribe a dosage of Viagra for you that’s lower than the typical dosage.

There have been a few reports of bleeding in people who’ve taken Viagra since this drug was approved and released onto the market. However, there’s no evidence that Viagra caused these problems. It’s not known if Viagra is safe for people with a bleeding problem.

If you have any bleeding problems, talk with your doctor about whether Viagra is right for you. It’s not known whether Viagra is safe for people who have a peptic ulcer.

If you have or have had an ulcer in the past, talk with your doctor about whether Viagra is suitable for you.

For more information, please see the “Viagra and pregnancy” section below.

For more information, please see the “Viagra and breastfeeding” section below. Note: For more information about the potential negative effects of Viagra, see the “Viagra side effects” section above.

As with all medications, the cost of Viagra can vary.

To find current prices for Viagra in your area, check out GoodRx.com. The cost you find on GoodRx.com is what you may pay without insurance.

The actual price you’ll pay depends on your insurance plan, your location, and the pharmacy you use. Your insurance plan may require you to get prior authorization before approving coverage for Viagra. This means that your doctor and insurance company will need to

communicate

about your prescription before the insurance company will cover the drug.

The insurance company will review the request and let you and your doctor know if your plan will cover Viagra.

If you’re not sure if you’ll need to get prior authorization for Viagra, contact your insurance company. If you need financial support to pay for Viagra, or if you need help understanding your insurance coverage, help is available. Pfizer, the manufacturer of Viagra, offers a program that can help lower

the

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information

and to find out if you’re eligible for support, call 855-842-4722 or visit the program website. Viagra is available in generic form called sildenafil.

A generic drug is an exact copy of the active drug in a brand-name medication.

The generic is considered to be as safe and effective as the original drug.

And generics tend to cost less than brand-name drugs.

To find out how the cost of sildenafil compares to the cost of Viagra, visit GoodRx.com. Again, the cost you find on GoodRx.com is what you may pay without insurance. The actual price you’ll pay depends on your insurance plan, your location, and the pharmacy you use. If buy cheap viagra online your doctor has prescribed Viagra and you’re interested in using sildenafil instead, talk

with

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It’s not known whether this drug is safe to take during pregnancy.

In animal studies, Viagra didn’t cause fetal harm when given to pregnant females. But animal studies don’t always predict what will happen in humans.

If you have questions about the safety of Viagra use during pregnancy, talk with your doctor. It’s not known if Viagra is safe to take during pregnancy. (But keep in mind that the drug isn’t approved for use in women.) If you’re sexually active and you or your partner can become pregnant, talk with your doctor about whether you’ll need to use birth control while you’re taking Viagra.

And it hasn’t been studied in women who are breastfeeding. Viagra may pass into breast milk, but it’s not known if this could affect a nursing child. If you have questions about the safety of using Viagra while breastfeeding, talk with your doctor. The following information is provided for clinicians and other healthcare professionals.

Viagra is approved to treat erectile dysfunction (ED) in males ages 18 years and older. It should be taken between 30 minutes and 4 hours before planned sexual activity.

Viagra contains sildenafil citrate, an inhibitor of phosphodiesterase type 5 (PDE5).

Viagra enhances the action of cyclic GMP, which is released in the penis in response to sexual stimulation.

Cyclic GMP dilates smooth muscle in the penile tissue.

It also increases blood to flow into the corpus cavernosum, causing an erection. Viagra blocks PDE5 from breaking down cyclic GMP, thereby improving the ability to achieve and maintain an erection in response to sexual stimulation.

Sildenafil has an average bioavailability of 41% (ranges from 25% to 63%) after oral administration of Viagra tablets. When taken on an empty stomach, the time to reach peak plasma concentration (Tmax) is approximately 30 to 120 minutes. Taking Viagra with a high-fat meal delays Tmax by about 60 minutes.

It also reduces the maximum plasma concentration (Cmax) by an average of 29%. Sildenafil is primarily metabolized by hepatic CYP3A4, to a metabolite with similar activity to sildenafil. Sildenafil and its active metabolite have a terminal half-life of approximately 4 hours. Approximately 80% of the dose is excreted in feces, and approximately 13% is excreted in urine. Reduced clearance of sildenafil is seen in people ages 65 years and over, and in those with hepatic impairment or severe renal impairment.

Viagra is contraindicated in people with a known allergy to sildenafil, or any of the inactive ingredients in Viagra. Viagra is also contraindicated for use in combination with: nitrate drugs in any form, such as: nitroglycerin (Nitromist, Nitro-Dur, Nitrolingual Pumpspray, Gonitro, others) isosorbide mononitrate (Monoket) guanylate cyclase stimulators, such as riociguat (Adempas) Storage.

Store Viagra at room temperature between 68 o F and 77°F (20 o C and 25°C).

Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up-to-date.

However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional.

You should always consult your doctor or other healthcare professional before taking any medication.

The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects.

The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.

Visit Back2BU for the latest updates and information on BU's response to COVID-19. Students can find additional information in the Undergraduate Student Guide and Graduate & Professional Student Guide. Goals Center for Sexual Medicine Faculty and Staff Make an Appointment For Health Care Professionals Training Opportunities. The most common sexual dysfunctions in men include lack of interest, premature ejaculation and erectile dysfunction. The latter affects 52% of men between the ages of 40 and 70, including mild, moderate and complete forms of ED. Organic or physical causes for sexual dysfunction in men include vascular, hormonal and neurologic factors. Concerning vascular causes, the risk factors for atherosclerosis (including smoking, high blood pressure, diabetes (diabetics do not respond well to pills like sildenafil (Viagra)) and high cholesterol are ALSO risk factors for erectile dysfunction.

Since a straddle injury or use of a narrow saddle can obstruct and impair arteries to the penis, bicycle riding is also considered a risk factor for erectile dysfunction.

Little attention has been paid to endocrine factors.

Testosterone modulates desire, arousal and orgasmic function. Concerning the orgasmic response, testosterone modulates the integrity of genital sensory receptors. Concerning the arousal response, decreased testosterone blood levels can influence the efficacy of sildenafil (Viagra). If the sildenafil response is not reliably improving erection, the physician should first check if the patient is taking the pill correctly. The physician should also check the patient’s testosterone level. One investigator in Italy gave testosterone to patients with low testosterone who did not respond to sildenafil (Viagra). When daily testosterone was given, subsequent sildenafil (Viagra) use resulted in IIEF (the International Index of Erectile Function questionnaire used to determine erectile function) scores improving significantly. Other risk factors for erectile dysfunction include neurologic problems (multiple sclerosis, stroke), depression and medications for treating diabetes, hypertension, heart disease and depression. There are many oral therapies for erectile dysfunction, but the only approved medication in the US is the PDE 5 enzyme inhibitor sildenafil (Viagra).

Unapproved therapies, some of which are available in the US and some elsewhere, some of which have data to prove efficacy and some not, include tadalafil (Cialis), vardenafil (Levitra), yohimbine, phentolamine, trazodone, apomorphine

and

neutraceuticals. PDE5 inhibitors act to relax penile erectile tissues with sexual stimulation thus enhancing your ability to get an erection. Sildenafil (Viagra) is effective for all sorts of erectile dysfunction in 69% of people.

In some cases the erection is not hard enough, sometimes sildenafil (Viagra) just doesn’t work. Structurally vardenafil (Levitra) is similar to sildenafil, while tadalafil (Cialis) is very different.

Vardenafil (Levitra) is almost 10 times more biochemically potent than sildenafil, therefore a lower dose is needed to facilitate the penile erection, potentially resulting in less side effects. Selectivity is the ability of the drug to attach to the specific enzyme PDE 5 found in penile tissues.

Vardenafil (Levitra) is more selective than sildenafil and tadalafil (Cialis) to PDE5, which again means a lower dose is needed with potentially less side effects.

Tadalafil is very specific for PDE5 and is also very specific for the enzyme PDE11.

Unfortunately, we don’t know much about PDE11, which is found in the heart, in buy cheap viagra online the pituitary gland in the brain and in the testicles.

Pharmacokinetics, half-life, is how long the medication stay s in the blood. Sildenafil (Viagra) has a half-life of 4 hours and vardenafil (Levitra) has a half-life of 4-6 hours while tadalafil (Cialis) has a half-life of 17.5 hours. This means that vardenafil (Levitra) should act longer than sildenafil (Viagra) but the clinical significance is not known. Tadalafil (Cialis) has the longest half-life and allows you to take the medication and not relate the sexual activity to the immediate use of the medication.

The drawback is if you need nitrates after using tadalafil (Cialis), this medication lasts a long time in your blood stream and may place you at a higher risk. Younger

people

might do well treated with tadalafil, (Cialis) while older people with other health issues might be better off using sildenafil (Viagra) or vardenafil (Levitra) but more data are needed.

The side effects of vardenafil (Levitra) are potentially less than sildenafil (Viagra), but more data are needed. In a recent study on men with erectile dysfunction and diabetes, vardenafil (Levitra) improved their erectile dysfunction. Tadalafil (Cialis) is as effective as sildenafil (Viagra), and vardenafil (Levitra) with similar side effects except for back pain that occurs occasionally with tadalafil, probably because of the long half-life.

Many people stop taking drugs because they are experiencing side effects, they no longer have a partner, or they are worried about safety.

Sexual activity is not a major contributor to the risk of a heart attack. Sexual activity, with or without sildenafil (Viagra) increases the chance of an MI during sexual activity by only 0.1%. If pills fail, there are vacuum devices, Muse, injections, bypass surgery and implants.

The patient making a presentation has had penile bypass surgery.

In addition he takes testosterone and sildenafil as needed..

This is a classic example of why people with ED need complete care: a psychological exam, history and physical exam, and diagnostic studies with long term follow-up care. Patients with ED should not just be prescribed sildenafil (Viagra) and then be lost to follow-up.

When Roman started, 80% of Viagra sold online was counterfeit. It became our mission to make it safe and simple for people to get medication they can trust from a licensed pharmacy, prescribed by a real, US-licensed healthcare professional.

Erectile dysfunction is the inability to get or maintain an erection adequate for sex. There are many different causes, but ED ultimately occurs when there is too little blood flow into the penis and too much blood flow out, partially due to an enzyme called PDE5. Oral ED medications block PDE5 to increase blood flow into the penis and decrease blood flow

out

.

ED medication interferes with the breakdown of chemicals required to obtain and maintain an erection. This interference keeps more of those chemicals in action longer, improving the ability to get and maintain an erection.

A physician in our network will evaluate whether ED treatment is appropriate for you.

If prescribed, we’ll ship it to you in discreet, unmarked packaging. Do not use Viagra/sildenafil if you aren’t healthy enough for sex or if you take nitrates for chest pain. Side effects may include headache, flushing, upset stomach, nasal congestion and abnormal vision. To avoid injury, seek immediate attention if you have an erection lasting longer than 4 hours.

Stop taking Viagra/sildenafil and seek care if you experience a sudden loss or decrease in vision or hearing. Do not use Viagra if you aren’t healthy enough for sex or if you take nitrates for chest pain.

Side effects may include headache, flushing, upset buy cheap viagra online stomach, nasal congestion and abnormal vision.

To avoid injury, seek immediate attention if you have an erection lasting longer than 4 hours. Stop taking Viagra and seek care if you experience a sudden loss or decrease in vision or hearing.

Do not take Cialis if you aren’t healthy enough for sex or if you take nitrates for chest pain.

Side effects may include headache, upset stomach, delayed backache, or muscle ache.

To avoid injury, seek immediate attention if you have an erection lasting longer than 4 hours.

Stop taking Cialis and seek care if you experience a sudden loss or decrease in vision or hearing or if you experience an allergic reaction like rash, hives, swelling of the lips, tongue or throat, or difficulty breathing or swallowing.



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