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Can a man who is taking Betapace, Lanoxin, enalapril, and Coumadin take Viagra? Although Viagra (sildenafil) does not directly interact with coumadin, Betapace (sotalol), Lanoxin (digoxin), or enalapril, it should be used cautiously in patients with underlying heart conditions.
Because Viagra dilates the blood vessels and can reduce the blood pressure, it may increase the blood pressure-lowering effect (natural viagra juice recipe hypotension) caused by enalapril and Betapace. There have been a few isolated reported incidents of heart problems in natural viagra juice recipe patients taking Viagra. The incidents include abnormal heart rhythm (atrial fibrillation and natural viagra juice recipe ventricular arrhythmia), low blood pressure, myocardial infarction, and blood clots (thromboembolism). Because of these possible events, the patients should be monitored closely. The best option is treat erectile dysfunction non-pharmacologically. Viagra (sildenafil) belongs to a class of medications, known natural viagra juice recipe as phosphodiesterase inhibitors, which natural viagra juice recipe are indicated for the treatment of erectile dysfunction in men. These medications are not necessarily different types of Viagra, but treatment alternatives.
By inhibiting phosphodiesterase, Viagra enhances the effect of nitric oxide allowing for smooth muscle relaxation and increasing blood flow to natural viagra juice recipe specific areas of the body in the presence of sexual arousal or natural viagra juice recipe stimulation. Viagra exhibits no therapeutic responses in the absence of sexual stimulation.