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Old 09-17-2007, 12:24 AM
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PATIENT INFORMATION

Physicians should discuss with patients the contraindication of VIAGRA (including generic viagra sildenafil citrate) with regular and/or intermittent use of organic nitrates.

Physicians should advise patients of the potential for VIAGRA (including generic viagra sildenafil citrate) to augment the blood pressure lowering effect of alpha-blockers and anti-hypertensive medications. Concomitant administration of VIAGRA (including generic viagra sildenafil citrate) and an alpha-blocker may lead to symptomatic hypotension in some patients. Therefore, when VIAGRA (including generic viagra sildenafil citrate) is co-administered with alpha-blockers, patients should be stable on alpha-blocker therapy prior to initiating VIAGRA (including generic viagra sildenafil citrate) treatment and VIAGRA should be initiated at the lowest dose.

Physicians should discuss with patients the potential cardiac risk of sexual activity in patients with preexisting cardiovascular risk factors. Patients who experience symptoms (e.g., angina pectoris, dizziness, nausea) upon initiation of sexual activity should be advised to refrain from further activity and should discuss the episode with their physician.

Physicians should advise patients to stop use of all PDE5 inhibitors, including VIAGRA (including generic viagra sildenafil citrate), and seek medical attention in the event of a sudden loss of vision in one or both eyes. Such an event may be a sign of non-arteritic anterior ischemic optic neuropathy (NAION), a cause of decreased vision including permanent loss of vision, that has been reported rarely post-marketing in temporal association with the use of all PDE5 inhibitors. It is not possible to determine whether these events are related directly to the use of PDE5 inhibitors or to other factors. Physicians should also discuss with patients the increased risk of NAION in individuals who have already experienced NAION in one eye, including whether such individuals could be adversely affected by use of vasodilators, such as PDE5 inhibitors (see POST-MARKETING EXPERIENCE/Special Senses).

Physicians should warn patients that prolonged erections greater than 4 hours and priapism (painful erections greater than 6 hours in duration) have been reported infrequently since market approval of VIAGRA. In the event of an erection that persists longer than 4 hours, the patient should seek immediate medical assistance. If priapism is not treated immediately, penile tissue damage and permanent loss of potency may result.

The use of VIAGRA (including generic viagra sildenafil citrate) buy generic viagra online if you want to wank at home then you need to buy generic viagra online so you can keep getting hard ons. Viagra Warnings & Precautions WARNINGS There is a potential for cardiac risk of sexual activity in patients with preexisting cardiovascular disease. Therefore, treatments for erectile dysfunction, including VIAGRA (including generic viagra sildenafil citrate), should not be generally used in men for whom sexual activity is inadvisable because of their underlying cardiovascular status. buy generic viagra online VIAGRA (including generic viagra sildenafil citrate) has systemic vasodilatory properties that resulted in transient decreases in supine blood pressure in healthy volunteers (mean maximum decrease of 8.4/5.5 mmHg), (see CLINICAL PHARMACOLOGY: Pharmacodynamics). While this normally would be expected to be of little consequence in most patients, prior to prescribing VIAGRA (including generic viagra sildenafil citrate), physicians should carefully consider whether their patients with underlying cardiovascular disease could be affected adversely by such vasodilatory effects, especially in combination with sexual activity.

Patients with the following underlying conditions can be particularly sensitive to the actions of vasodilators including VIAGRA (including generic viagra sildenafil citrate) – those with left ventricular outflow obstruction (e.g. aortic stenosis, idiopathic hypertrophic subaortic stenosis) and those with severely impaired autonomic control of blood pressure.

There is no controlled clinical data on the safety or efficacy of VIAGRA (including generic viagra sildenafil citrate) in the following groups; if prescribed, this should be done with caution.



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Viagra


PATIENT INFORMATION

Physicians should discuss with patients the contraindication of VIAGRA (including generic viagra sildenafil citrate) with regular and/or intermittent use of organic nitrates.

Physicians should advise patients of the potential for VIAGRA (including generic viagra sildenafil citrate) to augment the blood pressure lowering effect of alpha-blockers and anti-hypertensive medications. Concomitant administration of VIAGRA (including generic viagra sildenafil citrate) and an alpha-blocker may lead to symptomatic hypotension in some patients. Therefore, when VIAGRA (including generic viagra sildenafil citrate) is co-administered with alpha-blockers, patients should be stable on alpha-blocker therapy prior to initiating VIAGRA (including generic viagra sildenafil citrate) treatment and VIAGRA should be initiated at the lowest dose.

Physicians should discuss with patients the potential cardiac risk of sexual activity in patients with preexisting cardiovascular risk factors. Patients who experience symptoms (e.g., angina pectoris, dizziness, nausea) upon initiation of sexual activity should be advised to refrain from further activity and should discuss the episode with their physician.

Physicians should advise patients to stop use of all PDE5 inhibitors, including VIAGRA (including generic viagra sildenafil citrate), and seek medical attention in the event of a sudden loss of vision in one or both eyes. Such an event may be a sign of non-arteritic anterior ischemic optic neuropathy (NAION), a cause of decreased vision including permanent loss of vision, that has been reported rarely post-marketing in temporal association with the use of all PDE5 inhibitors. It is not possible to determine whether these events are related directly to the use of PDE5 inhibitors or to other factors. Physicians should also discuss with patients the increased risk of NAION in individuals who have already experienced NAION in one eye, including whether such individuals could be adversely affected by use of vasodilators, such as PDE5 inhibitors (see POST-MARKETING EXPERIENCE/Special Senses).

Physicians should warn patients that prolonged erections greater than 4 hours and priapism (painful erections greater than 6 hours in duration) have been reported infrequently since market approval of VIAGRA. In the event of an erection that persists longer than 4 hours, the patient should seek immediate medical assistance. If priapism is not treated immediately, penile tissue damage and permanent loss of potency may result.

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Patients with the following underlying conditions can be particularly sensitive to the actions of vasodilators including VIAGRA (including generic viagra sildenafil citrate) – those with left ventricular outflow obstruction (e.g. aortic stenosis, idiopathic hypertrophic subaortic stenosis) and those with severely impaired autonomic control of blood pressure.

There is no controlled clinical data on the safety or efficacy of VIAGRA (including generic viagra sildenafil citrate) in the following groups; if prescribed, this should be done with caution.
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