Viagra comes as a tablet containing sildenafil citrate, to take by mouth. For most men, the recommended dose is 50 mg. taken, as needed, approximately 1 hour before sexual activity. However, sildenafil citrate may be taken anywhere from 4 hours to 0.5 hour before sexual activity. Based on effectiveness and toleration, the dose may be increased to a maximum recommended dose of 100 mg or decreased to 25 mg. The maximum recommended dosing frequency is once per day.

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Is viagra available as a generic drug (without prescription) for sale, without restriction. The FDA approved Viagra without restriction in 2001. However, generic versions of the drug are no longer available on the U.S. market. Generic versions of Viagra now on the market include Lexapro, Cialis and Levitra. Most U.S. consumers can easily find generic versions of the drug at stores and over-the-counter (OTC) pharmacies. Generic versions of Viagra are less likely to cause side effects. A 2012 study published in the Journal of American Medical Association showed that most patients in the study experienced no serious, life-threatening side effects at higher doses. While a new study (published in December 2013 the Journal of American College Cardiology and on line at medicaldaily.com) indicates that a new version of Viagra with fewer side effects may still be of significant interest, it is difficult to predict when exactly the next generic brand will come on to the market. While there are generic versions of Viagra available today, the drug can have serious side effects, including, the following: Nausea, lightheadedness, dizziness, or "euphoria" Blood and bone marrow suppression Impaired sexual function, including anorgasmia Abnormal vaginal bleeding or spotting Abnormal prostate enlargement and urinary retention Other side effects include, enlarged prostate gland, decreased sexual desire, depression, dizziness, and insomnia Some people may experience allergic reactions to any medicine containing sildenafil or may require treatment with antihistamine. Side effects are often reversible, meaning that the patient will simply begin taking the medication on same day or shortly after the initial dose if side effect does not last. In recent years, there has been no change in the type of pills given to patients reduce the side effect pharmacy jobs in winnipeg canada profile of Viagra. How can I prevent or relieve my symptoms? Many medications can cause side effects. They are usually reversible. Treatment with low dose aspirin or nonsteroidal anti-inflammatory agents like ibuprofen is highly effective in treating severe, persistent symptoms. Side effects occur in more than 90% of people who suffer from sexual problems. If an erection does not <$%INSIDE_LINK_0%$> last for more than a couple of hours and does not improve or return after a few weeks of treatment, patients should be evaluated. In most cases, patients will benefit by seeing a counselor or psychologist for help. However, some patients may find relief through alternative methods such as sexual intercourse or masturbation. In cases where there is concern about the possible side effects of Viagra, the patient should see an ophthalmologist or eye specialist for a more thorough examination. Treatment, other than a change in medication, should also be pursued with a focus on psychological issues. As noted last month, the psychological component to erectile dysfunction is rarely treated well. For more information about erectile dysfunction, visit: The American Sexual Health Association (www.asexualhealth.org) and its sister organization, the American Association for Sexual Medicine (www.aasexualmed.org) were founded by physician Dr. Kenneth Miller and clinical psychologist Richard Greenfield, after years of research into sexual addiction and the cause of sexual problems in men and women. Dr. Miller remains as president. The mission of AASM is to provide.



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