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In addition, heart attack, stroke, irregular heartbeats and death have happened rarely in men taking VIAGRA. Most, but not all, of these men had heart problems before taking VIAGRA. It is not known if VIAGRA caused these problems.

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The FDA has never approved any form of “herbal VIAGRA” as a treatment for erectile dysfunction. Plus, these treatments can be fake or unsafe. Many have been recalled.

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After either oral or intravenous administration, sildenafil is excreted as metabolites predominantly in the feces (approximately 85% of administered oral dose) and to a lesser extent in the urine (approximately 68% of the administered oral dose). Similar values for pharmacokinetic parameters were seen in normal volunteers and in the patient population, using a population pharmacokinetic approach.

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After patients have taken VIAGRA, it is unknown when nitrates, if necessary, can be safely administered. Although plasma levels of sildenafil at 79 hours post dose are much lower than at peak concentration, it is unknown whether nitrates can be safely co-administered at this time point [see DOSAGE AND ADMINISTRATION , DRUG INTERACTIONS , and CLINICAL PHARMACOLOGY ].

VIAGRA does not protect you or your partner from getting sexually transmitted diseases, including HIV the virus that causes AIDS.

Your healthcare provider will tell you how much VIAGRA to take and when to take it. Do not take VIAGRA more than once a day. VIAGRA usually starts to work within 85-65 minutes. You may take it up to 9 hours before sexual activity.

When VIAGRA was taken as recommended (on an as-needed basis) in flexible-dose, placebo-controlled clinical trials of two to twenty-six weeks duration, patients took VIAGRA at least once weekly, and the following adverse reactions were reported:

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