The benefits and harms of Viagra


 What is Viagra?


 Viagra (sildenafil) relaxes the muscles in the walls of blood vessels and increases blood flow to specific areas of the body.  Viagra is used to treat erectile dysfunction in men.  But an erection will not happen on its own just by just taking the pill.  In combination with stimulating sexual arousal and taking sildenafil, it increases blood flow to the penis to help perform and increase erection.


 Some medical drugs cause unwanted and sometimes dangerous effects when combined with Viagra.  Therefore, the doctor must be informed of all the medications that you are taking and consult him before using Viagra.


 To make sure Viagra is safe to use, tell your doctor about other medicines you use, especially if:


 Presence of heart disease, heart rhythm problems (heart rate disturbances) or coronary artery disease Exposure to angina, stroke, or myocardial infarction within the past six months Presence of high or low blood pressure Presence of high or low blood pressure Kidney or liver disease Disorder.  In blood cells, such as sickle cell anemia or leukemia, stomach ulcers, retinitis pigmentosa (a genetic disease that affects the eye), a malformation of the penis such as Peyronie's disease, lung diseases, alcoholism, hearing impairment, liver disease, retinitis.


 Viagra may reduce blood flow to the ocular nerve causing sudden vision loss.  This occurs in rare cases, especially if it is accompanied by heart disease, diabetes, high blood pressure, high cholesterol, or smokers after the age of fifty.


 How do I take a Viagra dose?


 Take the dose exactly as it was prescribed for you by the doctor.  That is, do not increase or decrease the dose or stop the medicine on your own without the knowledge of the doctor.


 Viagra is usually given to treat erectile dysfunction in the following doses: 25 mg, 50 mg, or 100 mg.  And describe it only when needed.


 The average starting dose is 50 mg once a day (about an hour before sex).  However, you can take the medicine from 30 minutes to 4 hours before having sex.  You cannot take more than one pill per day.


 During sexual intercourse, or if you feel dizzy, nauseous, painful or tight in the chest, arm, neck, or jaws, immediately stop having sex and contact your doctor.  It could be an indication of a serious health problem or side effects caused by Viagra.


 Viagra should be stored at room temperature, away from moisture or heat.


 What happens if I exceed the prescribed dose?


 The medical assistance team should be contacted directly.


 What should I avoid while taking Viagra?


 Alcohol with Viagra should be avoided, as it increases the unwanted side effects. You should refrain from consuming grapefruit or grapefruit juice with Viagra.  The ingredients in it interact with Viagra and lead to undesirable effects. You should refrain from taking any other drug to enhance erection without consulting a doctor, such as alprostadil or yohimbine.


 Damage to taking Viagra and its side effects:


 The doctor should be contacted if:


 The ambulance should be called directly when there are symptoms of anaphylaxis resulting from taking Viagra, and the symptoms are manifested as follows: Difficulty breathing, swelling of the face, lips, tongue or throat. Also, an ambulance should be called when there are: Symptoms of angina such as pain or pressure in the chest  Pain spreading to the jaws or shoulder area, in addition to sweating and nausea. Changes or blurring of vision. Pain in an erection or persistence of an erection for more than four hours (an erection for a long period of time may cause damage to the penis) Tinnitus or sudden hearing loss.  Heartbeat. Swelling in the hands or feet. Shortness or interruption of breathing. Seizures, as in the case of epileptic seizures.


 Common side effects of Viagra include:


 Headache, dizziness, blurred vision, muscle and lower back pain, stomach upset, stuffy nose (nasal congestion), tingling sensation, skin rash.


 Less common and unwanted side effects:


 Pain in the bladder and when urinating. Burning in the chest or heartburn. Blood in the urine or the color of the urine is cloudy cloudy. Dizziness. Increased frequency of urination. Indigestion. Diarrhea. Disturbances in behavior, such as in the case of drunkenness that occurs as a result of excessive  Drinking alcohol. Bone and joint pain. Chest pain. Dry eyes, mouth and skin. Enlarged breasts. Cold sweats. Hearing impairment or hearing loss. Pale skin. Confusion and seizures, such as in cases of epilepsy. Difficulty concentrating.  Feeling hungry and thirsty. Rapid and irregular heartbeat. High temperature and chills. Increased pupil size. Low back pain. Severe headache as in the case of migraine. Severe nausea or vomiting. Sleep disturbances and seeing nightmares. Increased states of anxiety and  Tension and nervousness. Numbness in the hands. Pain in the penis when ejaculating. Redness, swelling and itching in the eyes. Sensitivity to light. Inflammation of the pharynx. Swelling and swelling of the face, hands and feet. Changes in vision or temporary loss of vision. High sugar  Blood, gout (high level of uric acid in the blood), bronchitis and sinusitis, depression, and liver function disorders.


 Risks associated with heart problems:


 Myocardial infarction, atrial fibrillation, ventricular arrhythmias, unstable angina pectoris, myocardial ischemia, cerebral thrombosis, cardiac arrest, heart failure, abnormal ECG, cardiomyopathy and shock.


 Digestive Risks:


 Hemorrhoids, gingivitis, gastritis or heartburn (esophageal regurgitation), bloating and gas, colitis or intestinal inflammation.


 Risks associated with the musculoskeletal system:


 Pain in the extremities; arthritis, tendon rupture, tendinitis, bone pain, and asthenia.


 Risks related to the nervous system:


 Loss of consciousness and coma. Temporary brain ischemia. Repeated seizures and convulsions. Nerve pain.


 Risks related to eye and vision health:


 Retinal hemorrhage, conjunctivitis, decreased visual acuity, and in rare cases: retinal hemorrhage, retinopathy, glaucoma, myopia, swelling of the eyelid.


 Skin related risks:


 Skin rashes, night sweats, alopecia areata (a type of hair loss), ulcers and inflammation of the skin, fluid retention.


 Drug interactions between Viagra and other medications:


 Drug interactions mean the possibility of changing the mechanism of action of drugs in the body while sharing them with another substance (such as taking an antihypertensive drug with Viagra) or increasing the risk of complications and side effects.


 Viagra should not be taken with other similar drugs such as avanafil (Stendra), tadalafil (Cialis) or vardenafil (Levitra).


 The doctor should be informed of all medicines that you are taking or have recently stopped taking, especially:


 Anti-inflammatories such as clarithromycin, erythromycin, or telithromycin.  Tamsoleucin is in addition to other over-the-counter medicines, so you should consult your doctor or pharmacist before taking any medicine.


 I will present to you some common medicines that interfere with sildenafil, but these are not all medicines, so you should consult your doctor before taking any prescription or over-the-counter medicine.  This is to avoid complications and unwanted side effects.


 An example of some common prescription drugs that interact with sildenafil (Viagra):


 Amlodipine, Aspirin, Atorvastatin, Tadalafil, Fish Oil Love (Omega 3), Gabapentin, Hydrochlorothiazide, Losartan, Metformin, Ameprazole, Tamsulosin, Tramadol, Vitamin D, and Alcohol.


 If you are taking alpha blockers such as doxazosin or tamsoleucin to treat an enlarged prostate or high blood pressure, taking this medicine with Viagra could cause a severe drop in blood pressure, resulting in dizziness or loss of consciousness.  Therefore, the doctor begins by giving a reduced dose of Viagra until your body gets used to it and to prevent severe hypotension. There is another type of Viagra known as Revatio, which is used to treat pulmonary arterial hypertension and improve the ability to exercise in men and women.  Therefore, you should not take Viagra if you are taking Revaito to not increase the dose, unless the doctor prescribes it for you. And Viagra should not be combined with the nitrates that are used to treat angina and heart problems.  Examples are nitroglycerine, isosorbide de nitrate, and isosorbide mononitrate.  The use of sildenafil with nitrates causes a sudden decrease in blood pressure, which results in several complications and serious problems to the health of the body.

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