Viagra Generic Name: VIAGRA pills – instructions for use, reviews, description, analogs, release form, photo packaging, side effects, contraindications, price in pharmacies – Health Mail.ru

Jun 17, 2019 Viagra

Viagra Generic Name: VIAGRA pills – instructions for use, reviews, description, analogs, release form, photo packaging, side effects, contraindications, price in pharmacies – Health Mail.ru

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Viagra Generic Name: VIAGRA pills - instructions for use, reviews, description, analogs, release form, photo packaging, side effects, contraindications, price in pharmacies - Health Mail.ru

VIAGRA pills – instructions for use, reviews, description, analogs, release form, photo packaging, side effects, contraindications, price in pharmacies – Health Mail.ru

Instructions for use and summary of the drug, reviews of the drug VIAGRA pills, the minimum cost, photo packaging, analogs of VIAGRA, side effects, indications for use and contraindications, conditions of dispensing cost of viagra from pharmacies

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To diagnose erectile dysfunction, determine their possible causes, and select an adequate treatment, it is necessary to gather a full medical history and conduct a thorough physical examination. Erectile dysfunction treatment should be used with caution in patients with anatomical deformation of the penis (angulation, cavernous fibrosis, Peyronie’s disease), or in patients with risk factors for priapism (sickle cell anemia, multiple myeloma, leukemia).

During postmarketing studies, cases of prolonged erection and priapism have been reported. If an erection persists for more than 4 hours, the patient should immediately seek medical attention. If priapism therapy was not carried out immediately, it can cause damage to the tissues of the penis and irreversible loss of potency.

Drugs for treating erectile dysfunction should where to buy viagra not be given to men for whom sexual activity is undesirable.

Sexual activity poses a certain risk in the presence of heart disease, so before starting any therapy for erectile dysfunction, the doctor should refer the patient to an examination of the state of the cardiovascular system. Sexual activity is undesirable in patients with heart failure, unstable angina, suffered myocardial infarction or stroke in the last 6 months, life-threatening arrhythmias, arterial hypertension (BP> 170/100 mm Hg) or hypotension (BP <90/50 мм рт.ст.). Прием силденафила у таких пациентов противопоказан. В клинических исследованиях показано отсутствие различий в частоте развития инфаркта миокарда (1.1 на 100 человек в год) или частоте смертности от сердечно-сосудистых заболеваний (0.3 на 100 человек в год) у пациентов, получавших препарат Виагра, по сравнению с пациентами, получавшими плацебо.

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Cardiovascular complications

Viagra Generic Name: VIAGRA pills - instructions for use, reviews, description, analogs, release form, photo packaging, side effects, contraindications, price in pharmacies - Health Mail.ru

Post-marketing use of sildenafil for the treatment of erectile dysfunction reported adverse events such as serious cardiovascular complications (including myocardial infarction, unstable angina, sudden cardiac death, ventricular arrhythmia, hemorrhagic stroke, transient ischemic attack, and an arthritis, transient ischemic attack. hypotension), which had a temporary relationship with the use of sildenafil. Most of these patients, but not all of them, had risk factors for cardiovascular complications. Many of these adverse events were observed shortly after sexual activity, and some of them is viagra government funded were observed after taking sildenafil without subsequent sexual activity. It is not possible to establish the existence of a direct connection between the observed adverse events and the specified or other factors.

Hypotension

Sildenafil has a systemic vasodilating effect, leading to a transient decrease in blood pressure, which is not a clinically significant effect and does not lead to any consequences in most patients. However, before prescribing Viagra, a doctor should carefully best place to buy viagra online evaluate the risk of possible undesirable manifestations of vasodilating action in patients with appropriate diseases, especially against the background of sexual activity. Increased susceptibility to vasodilators is observed in patients with obstruction of the excretory tract of the left ventricle (aortic stenosis, hypertrophic obstructive cardiomyopathy), as well as with rarely encountered multiple systemic atrophy syndrome, manifested by a severe dysregulation of blood pressure in the autonomic nervous system.

Since the combined use of sildenafil and alpha-blockers can lead to symptomatic hypotension in certain sensitive patients, Viagra should be used with viagra canada caution in patients taking alpha-blockers. To minimize the risk of postural hypotension in patients taking alpha blockers, taking Viagra should be started only after stabilization of hemodynamic parameters in these patients is achieved. It should also consider the feasibility of reducing the initial dose of the drug Viagra. It is necessary to inform patients about what actions should be taken in case of symptoms of postural hypotension.

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Visual impairment

In rare cases, during post-registration use of all PDE5 inhibitors, including sildenafil, nonarteritis anterior ischemic optic neuropathy (NPINZN) – a rare disease and cause of loss or loss of vision was reported. Most of these patients had risk factors, in particular a decrease in the ratio of excavation diameters and optic nerve head (“stagnant disc”), over 50 years of age, diabetes free viagra, hypertension, coronary artery disease, hyperlipidemia, and smoking. In an observational study, it was evaluated whether the recent use of drugs of the FDE5 inhibitor class is associated with an acute onset of NPINSN. The results indicate an approximately twofold increase in the risk of NPINZN within 5 elimination half-lives after the use of the PDE5 inhibitor. According to published literary data, the annual incidence of NPINSN is 2.5-11.8 cases per 100,000 men ge; 50 years in the general population. Patients should be advised to discontinue sildenafil therapy in the event of a sudden loss of vision and consult a physician immediately. Persons who have already had a case of an NPINZN have an increased risk of a recurrence of an NPINZN. Therefore, the physician should discuss this risk with such patients and discuss with them the potential chance of adverse effects from PDE5 inhibitors. PDE5 inhibitors, incl. Sildenafil, in such patients should be used with caution and only in situations where the expected benefit outweighs the risk. In patients with episodes of development teva generic viagra of NPINZN with loss of vision in one eye, sildenafil is contraindicated.

A small number of patients with hereditary retinitis pigmentosa have genetically determined abnormalities of retinal phosphodiesterase functions. Information about the safety of the drug Viagra in patients with retinitis pigmentosa is absent, therefore, sildenafil should be used with caution.

Viagra Generic Name: VIAGRA pills - instructions for use, reviews, description, analogs, release form, photo packaging, side effects, contraindications, price in pharmacies - Health Mail.ru

Hearing loss

In some post-marketing and clinical studies reported cases of sudden deterioration or hearing loss associated with the use of all PDE5 inhibitors, including sildenafil. Most of these patients had risk factors for sudden deterioration or hearing loss. There is no causal relationship between the use of PDE5 inhibitors and the sudden deterioration of hearing or hearing loss. In the event of a sudden deterioration in hearing or hearing order viagra online loss while taking sildenafil, the patient should immediately consult a doctor.

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Bleeding

Sildenafil enhances the antiplatelet effect of sodium nitroprusside, a nitric oxide donator, on human platelets in vitro. Data on the safety of sildenafil in patients with a tendency to bleeding or exacerbation of gastric ulcer and duodenal ulcer are not available, therefore, Viagra in these patients should be used with caution. The incidence of nasal bleeding in patients with pulmonary hypertension associated with diffuse connective tissue diseases was higher (sildenafil 12.9%, placebo 0%) than in patients with primary pulmonary hypertension (sildenafil 3%, placebo 2.4%). In patients receiving sildenafil in combination with a vitamin K antagonist, the frequency of nosebleeds was higher (8.8%) than in patients not taking viagra samples a vitamin K antagonist (1.7%).

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Use in conjunction with other erectile dysfunction treatments.

The safety and efficacy of Viagra together with other PDE5 inhibitors or other drugs for the treatment of pulmonary hypertension containing sildenafil (for example, Revazio), or other means of treating erectile dysfunction have not been studied, so the use of such combinations is not recommended.

Influence on ability to drive motor transport and control mechanisms

Against womens viagra the background of sildenafil intake, there was no negative effect on the ability to drive a car or other technical means. However, since the administration of sildenafil may cause dizziness, a decrease in blood pressure, the development of chromatopsia, blurred vision and other side effects, caution should be exercised when driving and doing other potentially dangerous activities that require increased concentration and psychomotor speed. You should also be attentive to the individual action of the drug in these situations, especially at the beginning of treatment and when changing the dosage regimen.

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