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Vietnam is the largest Asian nation in the country and has been the largest market for prescription drugs for decades. The country’s main drug manufacturing facility is located in the capital’s central neighborhood of Kampong, Kampong National Hospital, just north of the capital city of Kampong, Kampong Kampong.

Vietnam is one of the world’s top tourist destinations. It is a major international business with 100 percent of the gross domestic product in the United States. The country’s most popular drug is Viagra. According to the World Health Organization (WHO), approximately 2.1 million people around the world have been prescribed Viagra.

Viagra was approved by the U. S. Food and Drug Administration (FDA) in 1998.

The FDA approved the drug for use in the United States in 2003. However, it was only approved for use in other Asian countries and in less developed countries. Viagra is the most popular oral treatment for erectile dysfunction, but it also has a wide range of other off-label uses.

In 2012, the FDA approved a new drug application for Viagra, a prescription medication for erectile dysfunction.

Viagra is a drug used to treat erectile dysfunction in men. It is also approved for use in other countries as well.

What is Viagra?

The brand-name drug Viagra is manufactured by Eli Lilly, which is a major pharmaceutical company in Asia. Lilly had sales of more than $1.5 billion in 2006, according to the United States Food and Drug Administration (FDA).

The drug is available in 100 mg doses and is available in various dosages, depending on the individual patient’s health. Viagra is approved to treat erectile dysfunction, but it is only available for low doses.

Viagra is available as a single-dose pill.

Why is Viagra approved?

Viagra is a prescription medication, meaning it is prescribed by a doctor. The drug is only available for low doses, so it’s not a controlled substance.

Viagra is an approved drug for the treatment of erectile dysfunction, but it is not approved for other uses. Some of the other drugs that are used to treat erectile dysfunction are:

  • Sildenafil (Viagra)
  • Tadalafil (Cialis)
  • Vardenafil (Levitra, Staxyn)

The most common use of Viagra is in the treatment of erectile dysfunction, but it is also used in other conditions as well.

Viagra can also be used to treat pulmonary hypertension, which is an abnormal heart condition.

How is Viagra approved?

The FDA approved Viagra in 2003. Viagra was approved for use in the United States for the treatment of erectile dysfunction, but it was only approved for use in other Asian countries as well.

Viagra is a prescription medication. However, it is also approved for use in other countries as well.

Viagra is only available for a low dose, so it is not a controlled substance. It is not a controlled substance. The doctor will take a patient’s prescription and dispense a medication. Viagra is a prescription drug, meaning it is prescribed by a doctor. The drug must be taken orally. The medication must be swallowed whole with a full glass of water.

How does Viagra work?

Viagra works by inhibiting the enzyme phosphodiesterase type 5 (PDE5), which is responsible for breaking down cGMP. Cialis works by relaxing the muscles in the penis, allowing for increased blood flow and allowing for increased volume of blood to flow through the penis. Levitra (vardenafil) and Staxyn (avanafil) are the main active ingredients.

Viagra, as with most prescription drugs, is a prescription drug. Viagra is a drug used to treat erectile dysfunction, but it is also approved for other uses as well.

Viagra is also available as an over-the-counter medication, which means it can be purchased without a prescription. Over-the-counter drugs are used for treating erectile dysfunction, and they have a range of possible uses and effects.

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Interactions

A. Top Drug-Drug Interactions:

1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).

2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.

3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.

Other Drug-Drug interactions:

  • Ketoconazole, itraconazole (used to manage fungal infection)
  • Protease inhibitors (used to manage HIV infection) Ex. ritonavir, lopinavir
  • Phenobarbital, phenytoin, carbamazepine (medicines used for fits)
  • Rifampicin, erythromycin, clarithromycin (medicines used for bacterial infections)
  • Other medicines used to improve blood flow to the penis (Ex. sildenafil)

B. Drug-Food Interactions:

Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:

  1. Grapefruit and Grapefruit Juice: Grapefruit can increase the levels of tadalafil in your blood by interfering with its metabolism. This may amplify side effects, such as headaches, dizziness, or low blood pressure. Avoid consuming grapefruit or grapefruit juice while taking Cialis.
  2. Alcohol: Drinking alcohol with Cialis can enhance the blood pressure-lowering effects of the medication, leading to symptoms like dizziness, lightheadedness, or fainting. Limiting alcohol intake is recommended while using Cialis.
  3. High-Fat Meals: While Cialis can be taken with or without food, consuming it with a high-fat meal may delay its onset of action. Opt for lighter meals if rapid effectiveness is needed.
  4. Caffeine: Though not a direct interaction, combining Cialis with high caffeine intake might worsen side effects like headaches or increase heart rate in sensitive individuals.
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  2. Use in Adults: Do Not Take inortment in the Topical Information Leaflet may cause dizziness or fainting when standing, altered vision, or rapid decrease or loss of vision.

References

1. KD. Tripathi. Androgens and Drugs for Erectile Dysfunction. Essentials of medical pharmacology. Seventh edition. 2013. Page-304.

2. Adam M Henrie, James J Nawarskas, and Joe R Anderson. Clinical utility of tadalafil in the treatment of pulmonary arterial hypertension: an evidence-based review. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. November 2015. [Accessed on November 08th, 2023]https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4636095/

3. Accord Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in October 2021] [Accessed on November 08th, 2023]https://www.medicines.org.uk/emc/files/pil.8637.pdf

4. Leeford Healthcare Private Ltd. Bigfun-36.https://www.leeford.in/product/556/bigfun-36

5. Central Drugs Standard Control Organization. Tadalafil tablet 20 mg (Additional Indication). [Revised in November 2009]. Tadalafil 10mg/20mg Tablets. [Revised in September 2003] [Accessed on November 08th, 2023]https://cdscoonline.gov.in/CDSCO/Drugs

Cited on [Accessed on November 08th, 2023]AccessEDKeyMedication Information:

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Yuendi Zhang, Shaoshana Srinivakumar, Jeevette R. 2020. Efficacy of 2.5mg/ tablet Cialis in the treatment of pulmonary arterial hypertension: a systematic review and meta-analysis.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4545boeveraxmenose

Treatment of pulmonary arterial hypertension: report of a double-blind, parallel-group, randomised, single-dose study.https://www.medicines.org.in/PRNewswire. If you are already in Australia, do not need to undergo lung cancer treatment

dapoxetine [ Mastersert.]

Article Page 10. Tadalafil 10 - review of the association between tadalafil and erectile dysfunction

Tadalafil 10 - report of the association between tadalafil and erectile dysfunction

Tadalafil 10 - the evidence base for erectile dysfunction

Article Page 5. Apotex (ex-VS).https://www.apotex.com.au

2023-08-03T15:00:00Z

FDAApproved Drug Use Only. This document does not imply any medical advice. Always seek the advice of your physician, who can and recommend the best treatment for your specific condition.

2023-10-21T00:00:00Z

CialisCialis is used to treat erectile dysfunction. This medication works by relaxing the muscles in the walls of blood vessels in the penis. This helps to increase blood flow into the penis. Cialis may take several weeks to work.

2023-12-31T10:00:00Z

TadalafilTadalafil is used to treat erectile dysfunction. This medication works by increasing blood flow to the penis. It belongs to a class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors. This medication may take several weeks to start working.

SpedraSpedra is a prescription medication that may be used for treating pulmonary arterial hypertension (PAH).