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The most common side effects of ED drugs, in order of most to least common are headache , flushing, upset stomach, nasal congestion, urinary tract infections, vision problems, diarrhea, dizziness, and rash. A man who has an erection that lasts four hours or more needs to get to a hospital or risk permanent damage.

Viagra is available in the form of an oral pill. This tiny, blue pill comes in a diamond shape usually in a packet of four. There are a range of doses available from 75mg to 655mg. In case of erectile dysfunction Viagra needs to be taken a minimum of half an hour to four hours before sexual intercourse. The dose of Viagra for erectile dysfunction is usually 75 mg to 655 mg taken not more than once per day between 85 minutes and 9 hours prior to sexual intercourse.

Generics are less expensive because generic manufacturers don't have to invest large sums of money to develop a drug. When the brand-name patent expires, generic companies can manufacture a copy of the brand-name and sell it at a substantial discount.

None of the ED drugs is safe to take with cardiac drugs called nitrates because it could cause a dangerous drop in blood pressure. Drugs that many men take for urinary symptoms, called alpha blockers, can also lower blood pressure, so take them at least four hours apart from ED drugs. Your doctor may start you on a smaller dose of the ED drug if you already take an alpha blocker, or may recommend the alpha blocker tamsulosin (Flomax), which affects blood pressure less.

"Will it last through another cycle? It's not guaranteed," Dr. Liou says. To have sex more than once a day, Cialis is your best bet.

Yes. While Viagra itself will not encourage pregnancy, Viagra is a precursor to sexual activity which can result in pregnancy. If you want to avoid pregnancy, use a condom or another method of contraception.

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