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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. How to Talk to Your Doctor Given that ED is such a common problem, don't be too daunted about talking to your doctor about it. However, don't expect them to throw you a bunch of free samples right away. First, they are going to want to make sure your erectile issues require medication. They will likely ask about your diet, weight, stress-levels, and sleep. "Making sure the dysfunction is from a medical problem and not necessarily related to anxiety or a psychogenic cause is also important to tease out before to running to give them medicine," says Dr. Benjamin Breyer, Chief of Urology at San Francisco General Hospital. Medical history can also be an important factor, especially for men who have had surgery or radiation that could affect functioning.

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This content has not been reviewed within the past year and may not represent Web MD's most up-to-date information. To find the most current information, please enter your topic of interest into our search box. " The maker of Viagra is introducing it's own cheaper generic version of the impotence drug in order to compete with a version from generic drug maker Teva Pharmaceuticals. Pfizer's generic version will be available as of Monday at half the $65-a-pill price of Viagra. Teva can also start selling its generic drug on Monday, but hasn't disclosed the price, the reported. More generics will become available next summer, which could drive prices down by as much as 90 percent. When generic Viagra comes out, they will be very happy," Dr. Nachum Katlowitz, a urologist at New York's Staten Island University Hospital, told . One of the new generics is made by Teva Pharmaceuticals, and the other by Greenstone, a subsidiary of Pfizer, the company that manufactures Viagra. The generic versions of the little blue pill (sildenafil) will likely be cheaper than brand-name Viagra for most men. And more generic versions are expected next year, which could drive prices even lower. Viagra came on the market in 1998 as the first drug to treat impotence. Cialis (tadalafil) and Levitra (vardenafil) are two other erectile dysfunction medications. They work by relaxing muscle cells in the penis, which allows for greater blood flow, according to the Urology Care Foundation. Pfizer says the current wholesale cost for a 50 milligram or 100 milligram Viagra is $61.54 a pill.

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Buy Cheap Viagra Online $0.99 Generic Pills Only Top Quality Generic Pills. Lowest Prices + Coupon Code. 100% Secure and Anonymous. 24/7 online support Most men will deal with some level of erectile dysfunction at some point in his life. Drugmaker Pfizer is launching its own cheaper generic version of Viagra. Generic Viagra, called sildenafil, will become even more affordable.

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