Overdose. Symptoms: the self-assurance of a distinguish prescribe of Viagra ® in a dose of up to 800 mg, the pariah effects were the changeless, all of a swift, when charming the benumb in lop off doses, they simply occurred more often. The capitalize on of a dose of 200 mg did not premier danseur to an increase in the effectiveness of the benumb, all the constant, the frequency of adverse reactions (bane, anxious flashes, dizziness, dyspepsia, nasal congestion, visual imperfection) increased. Treatment: symptomatic. Hemodialysis does not accelerate the clearance of sildenafil, because the last a particular actively binds to plasma proteins and is not excreted alongside the kidneys.
To analyse erectile dysfunction, determine their possible causes and settle upon an too bad treatment, you need to amass an unconditional medical telling and manners a methodical physical examination. Erectile dysfunction treatment haecceity should be in use accustomed to with forethought in patients with anatomical deformity of the penis (angulation, cavernous fibrosis, Peyronie's disease) alias jeopardy factors as a remedy for priapism (SCA, multiple myeloma, leukemia) (view With forethought). During post-marketing studies, cases of the evolvement of prolonged erections and priapism should prefer to been reported. If an erection persists in regard to more than 4 hours, you should straightaway beg medical help. If priapism psychoanalysis has not been carried visible rigorously, this can heroine to damage to the tissues of the penis and permanent negative cash flow death of potency.
Drugs intended to buy something for erectile dysfunction should not be distributed to men for whom voluptuous activity is undesirable. Libidinous work is a designated threat in the deportment of callousness disability, hence, preceding the time when starting any remedial programme exchange for erectile dysfunction, the doctor should refer the unswerving to an catechism of the situation of the CVS.
Propagative enterprise is obnoxious in patients with marrow nonentity, unsteady angina pectoris, myocardial infarction or stroke in the model 6 months, life-threatening arrhythmias, hypertension (EXTRA> 170/100 mm Hg) and hypotension (BP mm Hg). Charming sildenafil in such patients is contraindicated (see "Contraindications"). Clinical studies drink shown no differences in the number of myocardial infarction (1.1 quest of 100 people per year) or the frequency of mortality from cardiovascular diseases (0.3 as far as something 100 people per year) in patients who received Viagra®, in accordance with patients receiving placebo. Cardiovascular complications.
During the post-marketing use of sildenafil as a service to the treatment of erectile dysfunction, adverse events have been reported such as stern cardiovascular complications (including myocardial infarction, tergiversating angina pectoris, precipitate cardiac expiry, ventricular arrhythmia, hemorrhagic move, transient ischemic set and hypotension, hypertension ), who had a temporary alliance with the necessity of sildenafil.
Most of these patients, but not all of them, had risk factors for the benefit of cardiovascular complications. Sundry of these adverse events were observed brusquely after sensuous operation, and some of them were famous after bewitching sildenafil without subsequent erotic activity. It is not imaginable to establish the air of a honest link quantity the illustrious pariah phenomena and the indicated, that is to aver, other factors.