Many medicines and/or medical conditions interact with phosphdiesterase inhibitors (Viagra, Cialis, Levitra). It is always prudent to talk to your doctor or pharmacist about all of the prescriptions as well as "natural" protocols that you are taking. It is a well established fact that one should not take any form of nitroglycerin, other nitrates such as isosorbide, nitroprusside or any "nitric oxide donor" medicine, or recreational drugs called "poppers" containing amyl or butyl nitrate because very serious interactions may occur. If you are not sure whether a certain medicine is a nitrate, contact your doctor or pharmacist before taking this medicine. Additional monitoring of your dose or condition may be needed if you are taking any other medicine for erectile dysfunction; certain antifungal medicines such as itraconazole or ketoconazole; macrolide antibiotics such as clarithromycin or erythromycin; medicine for high blood pressure; "water pills" such as bendrofluazide or hydrochlorothiazide; certain alpha-blocker medicines such as alfuzosin, doxazosin, prazosin, or terazosin; or HIV protease inhibitors such as ritonavir or indinavir.
Inform your doctor of any other medical conditions including penis problems; history of painful or prolonged erection; any heart problems; kidney problems; stomach ulcers; bleeding problems; blood cell problems such as sickle cell anemia, leukemia, or myeloma; eye diseases, especially retina diseases such as retinitis pigmentosa; uncontrolled high blood pressure; or allergies.
If you have a history of angina or chest pain, heart attack, stroke, low blood pressure, severe liver problems, or if you have been told by your healthcare provider to not have sexual activity because of certain health problems, using phosphodiesterase inhibitors is not recommended!
Side effects
The side effects of taking phosphodiesterase inhibitors include headache, flushing, stomach upset or nausea, heartburn, stuffy or runny nose, back pain, muscle pain, or vision changes such as trouble telling the difference between blue and green or seeing a blue tinge to objects. If these continue or are bothersome, check with your doctor.
Phosphdiasterase overdose
Contact your local poison control center or emergency room immediately. Symptoms of overdose may include back pain, muscle pain, and abnormal vision.
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