I tilfelle leverproblemer eller medisinsk historie, del det med legen din og apoteket for å få den justerte dosen eller en alternativ medisin for å behandle din medisinske tilstand.
Snakk med lege før du tar legemidlet dersom du har høyt blodtrykk som ikke er godt behandlet, eller har uregelmessige hjerteslag/hjertebank.
Also, N-desmethyl metabolite AUC and Cmax values considerably enhanced by two hundred% and 79%, respectively in subjects with extreme renal impairment in comparison to subjects with normal renal perform.
The usage of sildenafil and an αone blocker (commonly prescribed for hypertension or for urologic situations, which include benign prostatic hypertrophy) at the same time may well result in very low blood pressure, but this result won't manifest if they are taken at the very least 4 hours apart.[29]
This Examination was executed retrospectively, and was not powered to detect any pre-specified variance in adverse reactions.
g., creatinine clearance < 30 mL/min), and concomitant use of erythromycin or robust CYP3A4 inhibitors, plasma levels of sildenafil at 24 several hours article dose are already identified to be three to 8 situations increased than Individuals noticed in nutritious volunteers. Despite the fact that plasma levels of sildenafil at 24 hrs write-up dose are much decrease than at peak focus, it is unfamiliar no matter whether nitrates is usually safely co-administered at the moment level [see CONTRAINDICATIONS].
Physicians need to focus on with individuals the contraindication of VIAGRA with common and/or intermittent usage of nitric oxide donors, like organic nitrates or organic nitrites in almost any form [see CONTRAINDICATIONS].
Treatment ought to be exercised by people who are also using protease inhibitors to the procedure of HIV an infection. Protease inhibitors inhibit the metabolism of sildenafil, effectively multiplying the plasma amounts of sildenafil, expanding the incidence and severity of Unwanted effects.
Physicians need to look at regardless of whether their sufferers with underlying NAION risk factors could be adversely afflicted by usage of PDE5 inhibitors. Individuals who have now professional NAION are at greater danger of NAION recurrence. Hence, PDE5 inhibitors, like VIAGRA, ought to be made use of with caution in these read more clients and only when the predicted benefits outweigh the pitfalls.
VIAGRA may well have an impact on the way other medicines get the job done, and various medicines could have an affect on how VIAGRA will work causing Negative effects. Specially tell your healthcare supplier if you take any of the subsequent:
VIAGRA was proven to potentiate the hypotensive results of nitrates and its administration in sufferers who use nitric oxide donors for instance natural and organic nitrates or natural and organic nitrites in almost any sort is thus contraindicated [see CONTRAINDICATIONS, DRUG INTERACTIONS, and Medical PHARMACOLOGY].
If it is almost time to your following dose, skip the missed dose and only just take another dose. Talk to your Health care company if you are Doubtful how to proceed following a missed dose. Don't take double or extra doses.
Doctors really should suggest clients of your potential for VIAGRA to reinforce the hypertension decreasing influence of alpha-blockers and anti-hypertensive medicines. Concomitant administration of VIAGRA and an alpha-blocker might result in symptomatic hypotension in certain clients.
Viagra Reseptfri kan bestilles by means of Klikk & Hent til ønsket Vitusapotek. Noen obligatoriske spørsmål om din helsetilstand og bruk av medisiner vil stilles når du plukker opp bestillingen i apoteket.