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SILDENAFIL CITRATE is used to treat erection problems in men, an oral therapy for erectile dysfunction. It treats erectile dysfunction, the inability to achieve and/or maintain an erection of the penis that is adequate for sexual intercourse. Ten to fifteen million men in the United States suffer from ED, and by age 65, up to 25% of men have experienced impotence problems. Erectile dysfunction can be caused by a number of physical and psychological conditions, including diabetes, depression, prostate cancer, spinal cord injury, multiple sclerosis, artherosclerosis, and heart disease. Injuries to the penis that cause nerve, tissue, or vascular damage can trigger impotence. It is also a common side effect of some prescription medications.

Viagra may trigger temporary hypotension (low blood pressure) and is known to increase cardiovascular nerve activity, so it is prescribed with caution in men with a history of heart attack, artherosclerosis, angina, arrhythmia, and chronic low blood pressure problems. However, a study published in the March 15, 2001, British Medical Journal found no evidence that the drug causes a higher incidence of heart attack. A four-year update on the safety of Viagra published in September 2002 corroborated the findings of the British report, and stated that the only absolute contraindication for the use of sildenafil is the concurrent use of nitrates. Read more