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PDE5 inhibitors play a role in regulating blood flow to the penis by focusing on an enzyme called phosphodiesterase type 5 (PDE5) that’s involved in restricting blood flow. Sexual activity can put extra strain on your heart, which may be unsafe for people with certain health problems, such as a recent heart attack. Talk to your healthcare provider to see if your heart is strong enough for sex. If you feel chest pain, dizziness, or nausea during sex, buy xanax without prescrition stop and contact your healthcare provider right away. While Viagra isn’t approved for use in females, a drug called Addyi is approved for use in certain females.
When filling your prescription, be sure to call ahead to make sure your pharmacy carries it. You should not need a new prescription for this medication to be refilled. Your doctor will write the number of refills authorized on your prescription.
But if you feel anxious, nervous, depressed, or stressed, your body may not respond well to sexual stimulation. If this is the case, try to relax, make yourself comfortable, and take your time. In addition, if you drink alcohol, it’s best to avoid drinking a lot of it. This is because consuming large amounts of alcohol can make it more difficult to get an erection. ED can occur if you have certain problems that affect your body’s ability to have an erection.
It also helps keep the drug from harming the environment. The expiration date helps guarantee that the medication remains effective during this time. The current stance of the Food and Drug Administration (FDA) is to avoid using expired medications.
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But cocaine is a stimulant, so it may increase your blood pressure and heart rate. It decreases your blood pressure and widens your blood vessels. Because both drugs affect the heart, taking them together may cause interactions and side effects. Viagra treats ED by increasing the amount of blood flow to your penis, helping you get or maintain an erection.

Don’t take this drug again if you’ve ever had an allergic reaction to it. Sildenafil oral tablet can interact with other medications, vitamins, or herbs you may be taking. An interaction is when a substance changes the way a drug works. This can be harmful or prevent the drug from working well. Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.
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There are no known interactions between sildenafil and alcohol. Tell your healthcare provider if you have any of the following. Sildenafil does not protect against sexually transmitted infections, including HIV. Sildenafil can cause mild, temporary vision changes such as seeing a blue tint, abnormal colors, blurry vision, or sensitivity to light. Though rare, some people have reported permanent vision loss. Stop taking sildenafil and get help right away if you have sudden vision loss in one or both eyes.
On average, Viagra's effects—starting from the onset to fading—tend to last for around 2 to 3 hours for most men. However, the drug can still work up to 5 hours or more, depending on the individual's metabolism, dosage, and other influencing factors discussed earlier. While small to moderate amounts may not cause any significant effects, large amounts can inhibit the drug's ability to work. Excessive alcohol may also impair your capability to get an erection, counteracting Viagra's purpose. Therefore, it's аdvisable to moderate or avoid alcohol when planning to take Viagra.