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This is particularly true for selective serotonin reuptake inhibitors (SSRIs), such as sertraline (Zoloft). And Viagra is sometimes prescribed to treat ED thatís caused by antidepressants. If you have questions about whether you can take Viagra with an antidepressant, talk with your doctor.

Taking Viagra with certain antimicrobials (drugs used to treat infection) can slow the breakdown of Viagra in your body. This can cause Viagra to build up inside your body, which may increase your risk of side effects from the drug. Examples of antimicrobial drugs that can increase the risk of side effects from Viagra include: certain antibiotics, such as: clarithromycin erythromycin telithromycin (Ketek) certain antifungals, such as: ketoconazole (Nizoral) itraconazole (Sporanox) posaconazole (Noxafil) voriconazole (Vfend) certain antivirals used for HIV, such as: atazanavir (Reyataz) cobicistat (Tybost) ritonavir (Norvir) indinavir sulfate (Crixivan) nelfinavir mesylate (Viracept) saquinavir mesylate (Invirase) If you take one of the drugs listed above, your doctor will recommend you take a starting dose of 25 mg for Viagra.

(This is lower than the typical starting dose of Viagra.) And if you take ritonavir, you shouldnít take more than one 25-mg dose of Viagra within a 48-hour period.

There arenít any herbs or supplements that have been specifically reported to interact with Viagra.

However, you should still check with your doctor or pharmacist before using any of these products while taking Viagra. There arenít any foods that have been specifically


to interact with Viagra.

If you have any questions about eating certain foods with Viagra, talk with your doctor.

Grapefruit juice can affect the levels of some medications in your body. But thereís not much evidence to show that the fruit or its juice can affect Viagra levels. It showed that drinking grapefruit juice with Viagra slightly increased peopleís blood level of the drug.

This could possibly increase the risk of certain side effects such as headaches, flushing, or dizziness.

But these side effects werenít specifically reported in the study.

If you want to drink grapefruit juice or eat grapefruit while youíre taking Viagra, talk with your doctor. They can recommend whether this is safe for you to do. If you do have increased side effects with sildenafil generic this combination, try avoiding grapefruit while youíre taking Viagra. You should take Viagra according to your doctorís or healthcare providerís instructions. For most people, itís recommended that you take Viagra as needed, about 1 hour before you plan to have sex. But Viagra can actually be taken anywhere from 30 minutes to 4 hours before sexual activity. Itís important to remember that you shouldnít take the medication more than once a day. But if you take it with a meal, the drug may take about an hour longer than usual to start working.

This is especially the case if you eat a high-fat meal, such as a cheeseburger with fries.

You donít need to wait to take Viagra if youíve recently eaten a meal.

Just be aware that it might take a bit longer for the drug to work. Itís also important to remember that if Viagra gives you indigestion, taking the drug with food may help to reduce this side effect.

The safety and effectiveness of Viagra tablets that are crushed, split, or chewed havenít been tested.

And Viagra tablets are meant to be swallowed whole. Itís not known if crushing or chewing the tablets will make them work any differently than usual.

If you have trouble swallowing Viagra tablets, you might find it easier to swallow the tablet with different drinks, such as water, juice, or milk. Or talk with your doctor or pharmacist about how else you can take the drug. If you want to crush, split, or chew Viagra tablets, ask sildenafil coupon your doctor or pharmacist if this is safe to do.

The Food and Drug Administration (FDA) approves prescription drugs such as Viagra to treat certain conditions.

Viagra may also be used off-label for other conditions. Off-label use is when a drug thatís approved to treat one condition is used to treat a different condition.

Viagra is FDA-approved to treat erectile dysfunction (ED) in males ages 18 years and older. With ED, youíre not able to get and keep an erection thatís firm enough to have sex.

This condition is a common problem thatís experienced by many men.

These include psychological or emotional problems, such as: performance anxiety relationship problems depression stress. But ED may also be caused by physical problems, such as: Viagra increases blood flow to your penis, which helps you have sildenafil coupons and maintain an erection.

However, the drug itself doesnít give you an erection.

In several clinical studies, Viagra was effective in treating ED. In these studies, men who used the drug had an improved ability to have and keep erections that allowed for successful sex. Across the studies, between 43% and 83% of men who took Viagra had improved erections. (These success rates varied depending on the cause of their ED and the dosage of Viagra being used.) In comparison, improved erections occurred in 10% to 24% of men who took a placebo (no active drug).

Some studies looked at the effect of different doses of Viagra.

These studies, which involved 1,797 men, lasted up to 6 months.

Improved erections were reported in: 63% of men who took 25 mg of Viagra 74% of men who took 50 mg of Viagra 82% of men who took 100 mg of Viagra 24% of men who took a placebo (no active drug) Effectiveness of Viagra for ED with different causes. Other studies have looked at the effect of Viagra in men whose ED had different causes. For example, one study specifically looked at men with ED that was related to complications of diabetes. Improved erections were reported in: 57% of men who took Viagra 10% of men who took a placebo. One study only involved men with ED that resulted from a spinal cord injury. Improved erections were reported in: 83% of men who took Viagra 12% of men who took a placebo.

Also, using information from multiple studies, researchers looked at how well Viagra worked in men with ED that developed after theyíd had surgery to remove their prostate gland.

Improved erections were reported in: 43% of men who took Viagra 15% of men who took a placebo. In addition, men whose ED had psychological causes were specifically looked at as part of one study.

Improved erections were reported in: 84% of men who took Viagra 26% of men who took a placebo. In addition to the use described above, Viagra may be used off-label.

Off-label drug use is when a drug thatís approved for one condition is given for a different condition thatís not approved. Below is an example of an off-label use for Viagra. Viagra isnít approved to treat Raynaudís disease, but sometimes itís used off-label for this condition. With Raynaudís disease, the blood vessels in your hands and feet spasm and temporarily become narrowed. These narrowed blood vessels restrict blood supply to your fingers or toes.

This can cause your fingers and toes to look white and feel cold, painful, or numb. Episodes of spasm can be triggered by cold temperatures or emotional stress. Viagra works to treat Raynaudís disease by relaxing and widening certain blood vessels in your body. One review of studies found that PDE5 inhibitors, including Viagra, can improve Raynaudís disease. (PDE5 inhibitors describes a certain class of drugs. Medications in the same class of drugs work in a similar way inside your body.) In fact, in the studies, these drugs reduced the number of Raynaudís disease episodes people had.

And the drugs also decreased how long the episodes lasted. If you have questions about using Viagra for Raynaudís disease, talk with your doctor. Viagra is only approved for use in adult males with ED. It hasnít been studied in people younger than 18 years of age.

Viagra is approved to treat erectile dysfunction (ED) in men. But you may have questions about whether Viagra can be used in women. Or you may be wondering if thereís a drug similar to Viagra that can help women with sexual dysfunction.

And there isnít enough evidence to show that Viagra works for treating sexual problems in women. One review of studies showed that current research has conflicting results on how Viagra affects women.

For example, in women with female sexual arousal disorder, the review showed the following findings: In one study, some women whoíd gone through menopause were given Viagra. These women had improved arousal, vaginal lubrication, and orgasm when they took the drug. In another study, both women whoíd gone through menopause and those who hadnít were given Viagra. These women reported no significant positive effects from taking the drug. In men, Viagra improves blood flow to their penis by blocking the action of a chemical called PDE5.

This chemical is sildenafil coupon also found in the vagina and the clitoris of women.

So in theory, if a woman takes Viagra, it could increase blood flow to her genitals. But in reality, thereís less PDE5 in a femaleís genitals than there is in a maleís penis. This could explain why Viagra has less of a physical effect in women than it does in men. And keep in mind that sexual problems in women often have a lot to do with reduced sexual desire and arousal.

While Viagra isnít approved for use in women, a drug called Addyi is approved for use in certain women. Some people refer to Addyi as ďfemale Viagra.Ē However, Addyi doesnít work like Viagra does. Below, we describe the condition Addyi is approved to treat and how the drug works.

If you have questions about using Addyi, talk with your doctor.

Addyi is a brand-name prescription drug thatís approved to treat hypoactive sexual desire disorder (HDSS). Itís prescribed for women who havenít yet gone through menopause. Itís not known for sure how Addyi works to treat HDSS.

With HDSS, you have very low sexual desire thatís troublesome for you.

The condition can have various physical or psychological causes. Unlike Viagra, which improves blood flow to male genitals, Addyi doesnít work by improving blood flow to female genitals.

Instead, Addyi affects the activity of certain neurotransmitters that are involved in sexual desire and arousal. (Neurotransmitters are chemicals found in your brain.) The neurotransmitters affected by Addyi include dopamine, noradrenaline, and serotonin.

But itís not known for sure how the drugís action affects sexual function.

For some women with HDSS, Addyi can improve sexual desire and increase the number of sexually satisfying events. But the drug hasnít been found to be very effective. For example, in clinical studies, treatment with Addyi was compared with that of a placebo (no active drug).

The number of women whose HDSS was ďmuch improvedĒ or ďvery much improvedĒ was only about 10% higher in women who took Addyi compared with women who took the placebo. And keep in mind that it can take up to 8 weeks for Addyi to start working to treat HDSS.

When you get Viagra from the pharmacy, the pharmacist will add an expiration date to the label on the bottle. This date is typically 1 year from the date they dispensed the medication. The expiration date helps guarantee that the medication is effective during this time.

The current stance of the Food and Drug Administration (FDA) is to avoid using expired medications.

If you have unused medication that has gone past the expiration date, talk to your pharmacist about whether you might still be able to use it. How long a medication remains good (also called shelf-life) can depend on many factors. These factors include how and where you store the medication. Viagra tablets should be stored at room temperature between 68 o F and 77įF (20 o C and 25įC).

It should be kept in a tightly sealed container away from light. Avoid storing this medication in areas where it could get damp or wet, such as in bathrooms.

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