Precautions while Using Viagra
Use Viagra exactly as directed by your doctor. Do not use more of it and do not use it more often than your doctor ordered. If too much is used, the chance of side effects is increased.
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If you experience a prolonged or painful erection for 4 hours or more, contact your doctor immediately. This condition may require prompt medical treatment to prevent tissue damage of the penis and possi ble permanent impotence.

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Doses range from 25 milligrams to 100 milligrams, depending on Viagra's effect. The usual dose is 50 milligrams. If you are over 65, have liver or kidney problems, or are taking erythromycin, ketocona zole, itraconazole, ritonavir, or saquinavir a dose of 25 milligrams may be sufficient. Your doctor will adjust the dosage if Viagra is not working properly for you.

Take Viagra only before sexual activity. The manufacturer recommends a maximum of 1 dose per day (1 dose every 2 days for those taking ritonavir).

To avoid low blood pressure, do not take the 50-milligram or 100-mi lligram dose of Viagra within 4 hours of taking an alpha-blocking drug such as Cardura.



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Precautions Before Using Viagra
The presence of other medical problems may affect the use of Viagra. Make sure you tell your doctor if you have any other medical problems, especially:
- Arrhythmias (irregular heartbeat) or
- Coronary artery disease or
- Heart attack, history of (within the last 6 months) or
- High blood pressure or
- Low blood pressure or
- Stroke, history of (within the last 6 mont hs)¡XChance of problems occurring may be increased
- Abnormal penis, including curved penis and birth defects of the penis¡XChance of problems occurring may be increased
- Bleeding problems or
- Retinitis pigmentosa¡XChance of problems occurring may be increased. It is not known if Viagra is safe for use in these patients
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