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    Nov 19, 2018. However, Viagra can have unpleasant side effects, and an overdose. rarely, priapism, a painful, long-lasting erection; heart attack; sudden. metoprolol dose for anxiety Hypersensitivity, including anaphylactic reaction, anaphylactic shock and anaphylactoid reaction, has been reported in association with the use of sildenafil. Warnings and Precautions Mortality with Pediatric Use. In a long-term trial in pediatric patients with PAH, an increase in mortality with increasing sildenafil dose was observed. CONCLUSION Sildenafil and other PDE5 inhibitors have been associated with several ocular side effects. However, this is the first report in the literature of outer macular atrophy in a patient with pulmonary hypertension and long-term use of oral sildenafil.

    In order to use Medscape, your browser must be set to accept cookies delivered by the Medscape site. Medscape uses cookies to customize the site based on the information we collect at registration. The cookies contain no personally identifiable information and have no effect once you leave the Medscape site. It’s safe to take Viagra every day as long as your doctor prescribes it. However, daily Viagra may not be the best option for you. Consider the difference between daily Viagra and daily Cialis. Viagra () usually starts to work in about 1 hour and is effective in your system for 6-8 hours. This narrow “effectiveness window” means you need to time your medication to sync up your sex life—which doesn’t always work. And if you miss that window, you can’t take more Viagra for another 24 hours. (You should never take more than one dose of Viagra per day).

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