Impotence Treatment Drugs And Dangers
A few medications should never be taken with Viagra, Levitra or Cialis, or should be used with caution:
Never take Viagra, Levitra or Cialis if you take nitrate drugs to treat chest pain due to heart problems (angina). Like Viagra, Levitra and Cialis, nitrates dilate blood vessels. Their combined effects can cause dangerous low blood pressure and loss of consciousness. Medications that contain nitrates include:
Nitroglycerin (Nitro-Bid, Minitran, others)
Isosorbide dinitrate (Dilatrate-SR, Isordil, others)
Isosorbide mononitrate (Imdur, Monoket, others)
Recreational drugs such as amyl nitrite or nitrite ("poppers")
Don't use Viagra, Levitra or Cialis within four hours of taking an alpha blocker. Alpha blockers can cause dangerously low blood pressure when combined with drugs for erectile dysfunction. Examples of alpha blockers include: tamsulosin (Flomax), terazosin (Hytrin) and doxazosin (Cardura).
If you do use an alpha blocker, never take sildenafil (Viagra) in doses above 25 milligrams.
There's one exception to the rule about not taking alpha blockers with medications for erectile dysfunction: Tadalafil (Cialis) has been approved for use with the alpha blocker tamulosin (Flomax).
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