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These factors include how and where you store the medication. With HDSS, you have very low sexual desire that’s troublesome for you. The condition can have various physical or psychological causes. The safety and effectiveness of Viagra tablets that are crushed, split, or chewed haven’t been tested. It’s not known if crushing or chewing the tablets will make them work any differently than usual. There aren’t any herbs or supplements that have been specifically reported to interact with Viagra.

These include whether you take sildenafil on an empty stomach or after a meal, your metabolism, your weight, and the dose you take. Other factors such as your age, other medication you take, your general health and your state of mind can also affect how long the effects of sildenafil last. Some of the more common side effects linked to sildenafil include headache, facial flushing, a stuffy nose, visual changes or dizziness. If you experience mild side effects, you may feel that the benefits outweigh the cons. However, should you experience a more serious side effect, such as a prolonged erection (priapism) or vision loss, then you need to seek immediate medical attention. A risk management plan has been developed to ensure that Viagra is used as safely as possible.

A causal relationship between VIAGRA and these events has not been established. In humans, VIAGRA has no effect on bleeding time when taken alone or with aspirin. However, in vitro studies with human platelets indicate that sildenafil potentiates the antiaggregatory effect of sodium nitroprusside (a nitric oxide donor). In addition, the combination of heparin and VIAGRA had an additive effect on bleeding time in the anesthetized rabbit, but this interaction has not been studied in humans.

Experts believe around 30–50 million American men have experienced ED at some point. It can happen at any age but becomes more common as men get older. By the time a man is in his 40s, he has about a 40% chance of having experienced ED at some point. That likelihood increases by about 10% for each decade of life (Ferrini, 2017