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Erectile dysfunction is very common in the men with illness of heart and hypertension, and while it is often put the responsibility on the medicines, most of the time, it is due to illness of the arteries that provide the penis that is affected elsewhere of the same way as arteries in the body. Viagra (sildenafil) helps to dilate the arteries in the penis and to encourage the current of blood in him that is required to produce erection. In people without illness of the arteries, Viagra dilates some of the other arteries of it in the body to a small extent and decrease blodd pressure by some points. It potentiates the effects of nitroglycerine that also dilates some arteries and is used to treat the angina. It can result in a bigger and sudden fall of tension that could be serious in someone that has the illness of heart. Viagra should not be used ever therefore by people who take nitroglycerine or related drugs (nitrates) to treat their angina. There were some reports of the case of men that have some heart attacks after having taken Viagra, but these were probably of pure coincidence and not the result to take the Viagra.

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This findings is assuring the safety of using viagra with men having blood pressure or heart disease if they are not taking nitro glycerine at all for chest pain. In people having blood pressure conditions erectile dysfunction is an unvited geust who enters on its own. In such men viagra hepls to improve the condition.

What should I discuss with my beneficiary of medical care before taking tadalafil?
Don’t take tadalafil if you also use a drug of the nitrate for pain of the chest or problems of the heart. It includes the nitroglycerine (Nitrostat, Nitrolingual, Nitro-Hard, Nitro-Bid, and other), dinitrate of the isosorbide (Dilatrate-SR, Isordil, Sorbitrate), and mononitrate of the isosorbide (Imdur, ISMO, Monoket). the Nitrates are also found in some drugs destined to the leisures as nitrate of the amyl or nitrite (”poppers). to Take tadalafil with a medicine of the nitrate can cause a serious decrease in tension, while leading to vanish, caress, or heart attack.

A small number of patients had a sudden loss of view after having taken tadalafil. This type of loss of the vision is caused by current of blood decreased to the optic nerve of the eye. It is not clear if the tadalafil is the real reason of such loss of the vision. The loss of the sudden vision with use of the tadalafil occurred more often in people with illness of heart, diabetes, hypertension, high cholesterol, or some problems of the pre-existing eye, and in those that smoke or have 50 years everywhere.

Before taking tadalafil, tells your doctor if you have:
illness of heart or problems of the rhythm of the heart, a recent history a heart attack (in the 90 past days),
a recent history of stroke or congestive heart failure, angina, high or low tension, illness of the liver,
illness of the kidney, a blood cellular mess as sickle cellular anemia, multiple myeloma, or leukemia,
a mess of the bleeding as hemophilia, an ulcer of the stomach, pigmentosa of the retinitis
a physical deformity of the penis or if you told yourselves should not have sexual intercourse for the reasons of health.
If you have each of these conditions, you cannot be capable to use tadalafil or you can have need of a dosage adjustment or special tests during treatment.
Don’t use tadalafil without telling your doctor if you are enclosed or project to become pregnant during treatment. Although the tadalafil is not for use in the women, it is not known if the tadalafil passes in milk of the breast or if it can hurt a nursing baby. Don’t use this medicine without telling your doctor if you are chest food a baby. You can need a lower dose of this medicine if you are older than 65. Follow your instructions of the doctors.
Don’t take cialis if you are taking nitroglycerin for angina or chest pain as this may cause hypotension which is severe condition.