Blessing can turn into curse if misused. The extraordinary, blue, diamond shaped pill Generic viagra is a medical boon for those who are suffering from erectile dysfunction and wanted an end to all their ED problems. There are many conditions in which Generic viagra can give relief. But there are several other conditions in which the use of Generic viagra can be dangerous.
Before treating ED with Generic viagra, physicians should consider the impact of resuming sexual activity and the mild and transient vasodilatory effects of Generic viagra on blood pressure. Physicians should carefully consider whether patients with underlying cardiovascular disease or other more unusual conditions could be adversely affected by vasodilatory effects, especially in combination with sexual activity.
Physicians should advise patients of the potential for PDE5 inhibitors, including Generic viagra, to augment the blood pressure lowering effect of alpha-blockers and anti-hypertensive medications. In some patients, concomitant administration of a PDE5 inhibitor and alpha-blocker may lead to symptomatic hypotension. Patients should be stable on alpha-blocker therapy prior to initiating Generic viagra treatment, and Generic viagra should be initiated at the lowest dose (25 mg).
Non-arteritic anterior ischemic optic neuropathy (NAION) has been reported rarely post-marketing in temporal association with the use of PDE5 inhibitors, including Generic viagra. It is not possible to determine if these events are related to PDE5 inhibitors like Generic viagra or to other factors. Physicians should advise patients to stop use of PDE5 inhibitors, including Generic viagra, and seek medical attention in the event of sudden loss of vision.
As there have been infrequent reports of prolonged erections lasting more than 4 hours or Priapism with all ED treatments (Generic viagra) in this drug class, patients should be advised to seek immediate medical attention should these occur. Erections lasting longer than 6 hours can result in penile tissue damage and long-term loss of potency.
Use a starting dose of Generic viagra 25 mg for a patient who may have increased plasma levels (age >65, hepatic impairment, severe renal impairment, and concomitant use of potent CYP450 3A4 inhibitors).
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