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Medical Forum / Diseases and Disorders / Prostate Cancer / January 2005

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important notice about ED drugs and heart attacks.....

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c palmer - 28 Jan 2005 23:49 GMT
i went with the wife to the doctor.   i've known him for many years and
i will ask for a free sample of the ED meds, but he has always given me
viagra and said not the take the other ED meds.  

this time, he made a comment similar to that, so i pinned him down and
ask why is viagra so much better than the other two because my thinking
is that it doesn't last as long.

he said that if you have taken an ED drug and you were to have a heart
attack later, than you can't have the nitro or some of the other drugs
they use for heart attacks in order to save your life because the ED
drug is still in your system and could interact with it.

since the viagra lasts only a short while, if you had a heart attack the
next day - for example - there would be no problem.

since he's a doctor, i have no reason to doubt what he has said, but i'm
curious why i haven't heard anything about this fact.  has anyone else
heard about  this fact?

~ curtis

knowledge is power - growing old is mandatory - growing wise is optional    
"Many more men die with prostate cancer than of it. Growing old is
invariably fatal. Prostate cancer is only sometimes so."
http://community.webtv.net/PALMER_ENT/doc
JerryW - 29 Jan 2005 00:18 GMT
Curtis,

This is true. All of the ED drugs, Viagra, Levitra, and Cialis will interact
with nitrate-based drugs like nitroglycerin, for example, to dramatically
and dangerously lower your blood pressure. I had a heart attack in 2001, and
I carry nitroglycerin pills with me all the time, even though I haven't had
to take one in over two years. I asked my Cardiologist about using these
meds, and he OK'd Viagra because it is relatively short-lasting. He ruled
out Cialis due to its longer life. He just warned me if I took a Viagra not
to take a nitroglycerin for chest pain within 24 hours. In case of chest
pain, call 911 and let them know you've taken a Viagra.

By the way, I have not tried Viagra yet. In fact, I just now came home from
the pharmacy with my first prescription for it. Have been using the
pump...not too excited about it, though.
Signature

JerryW
jweindel at flash dot net

2/11/04 PSA 2.6, Suspicious DRE (age 62)
2/23/04 Biopsy: Gleason 3+4=7, T2a, left lobe
5/18/04 RRP, Path: Gleason 4+3=7, T2c, both lobes
7/13/04 PSA <0.1
10/12/04 PSA <0.1
1/18/05 PSA <0.1

>i went with the wife to the doctor.   i've known him for many years and
> i will ask for a free sample of the ED meds, but he has always given me
[quoted text clipped - 22 lines]
> invariably fatal. Prostate cancer is only sometimes so."
> http://community.webtv.net/PALMER_ENT/doc
Claude - 29 Jan 2005 00:48 GMT
> Curtis,
>
[quoted text clipped - 8 lines]
> pain within 24 hours. In case of chest pain, call 911 and let them know
> you've taken a Viagra.

Isnt Viagra only effective for about 4 hours?  If so, why do you have to
wait as long as 24 hours to escape the danger of its interacting with
nitrates?
JerryW - 29 Jan 2005 01:04 GMT
I'm not sure if he was just being cautious, or if there was some residual
effect possible. IIRC, he did say 24 hours, but then I've been having
"senior moments" more often lately and may have misheard. Someone will
surely set the matter straight.
Signature

JerryW
jweindel at flash dot net

2/11/04 PSA 2.6, Suspicious DRE (age 62)
2/23/04 Biopsy: Gleason 3+4=7, T2a, left lobe
5/18/04 RRP, Path: Gleason 4+3=7, T2c, both lobes
7/13/04 PSA <0.1
10/12/04 PSA <0.1
1/18/05 PSA <0.1

>
>> Curtis,
[quoted text clipped - 13 lines]
> wait as long as 24 hours to escape the danger of its interacting with
> nitrates?
JerryW - 29 Jan 2005 01:20 GMT
Claude,

Now that you've mentioned this and I've thought back, my Cardiologist may
just have warned against using the nitroquick while using the Viagra. It's
possible I conjured up the 24-hour rule (probably because that's what I
intend to do). The package insert warns about nitrates but doesn't indicate
any time lapse between using the two. Interestingly, the package insert does
talk about separating the use of alpha-blockers and Viagra by 4 hours.
Signature

JerryW
jweindel at flash dot net

2/11/04 PSA 2.6, Suspicious DRE (age 62)
2/23/04 Biopsy: Gleason 3+4=7, T2a, left lobe
5/18/04 RRP, Path: Gleason 4+3=7, T2c, both lobes
7/13/04 PSA <0.1
10/12/04 PSA <0.1
1/18/05 PSA <0.1

>
>> Curtis,
[quoted text clipped - 13 lines]
> wait as long as 24 hours to escape the danger of its interacting with
> nitrates?
ron - 29 Jan 2005 01:39 GMT
It was in the 2003 flick "Something's Gotta Give" with Jack
Nicholson...Ron
jhhtexas@ieee.org - 29 Jan 2005 02:09 GMT
> It was in the 2003 flick "Something's Gotta Give" with Jack
> Nicholson...Ron

I am taking my chances with Cialis. My wife goes to bed early and I
have to have my pleasures of the flesh in the morning. It bothered me
to wait an hour in the morning or to get up an hour earlier. Cialis
works just fine when I take it the night before.
Beverley - 29 Jan 2005 15:14 GMT
Viagra was developed as a blood pressure medication but when it went into
study it was discovered that it had a very unusual side effect and really
was not very effective in lowering BP. Viagra is a vaso-dilator as is
nitroglycerin. Can you see the correlation?

My daughter is a paramedic. She says she always asks a conscious male
patient who is having a heart attack if they have Viagra or other ED drug in
their system. The reason she must ask is there is a whole long list of
things they can use on a patient who is having a heart attack but right at
the top of the list is a vasodilator. So if the patient has Viagra or other
similar drug in their system they skip down to the next drug.

Now think of the guys who were in that initial study for the new BP med.
"Gee, doc I don't know what is in this pill but ever since I started taking
it I've had the best erections!" And just think, they were probably taking
it at a minimum of at least daily. Some of these guys were seeing life where
it hadn't been seen in years.

Seriously, listen to the ads on TV.  I looked up the web sites and posted
direct quotes from each concerning the drug. All three sites are loaded in
information. It is worth taking a few minutes and reading through them. I
thought it was interesting that the one should not be taken with
erythromycin. That is a very common Rx.
Bev

http://www.viagra.com/index.asp
Remember that no medicine is for everyone. Only your doctor can prescribe
VIAGRA for you. If you use nitrate drugs, often used to control chest pain
(also known as angina), don't take VIAGRA. This combination could cause your
blood pressure to drop to an unsafe or life-threatening level. Be sure to
ask your doctor if your heart is healthy enough for sexual activity.

ALSO on that site they have a special deal where you can get every 7th
refill free!

http://www.levitra.com/index.htm
LEVITRA is a prescription medicine that is used to treat erectile
dysfunction (ED).

Men taking nitrate drugs, often used to control chest pain (also known as
angina), should not take LEVITRA. Men who use alpha blockers, sometimes
prescribed for high blood pressure or prostate problems, also should not
take LEVITRA. Such combinations could cause blood pressure to drop to an
unsafe level. You should not take LEVITRA if your doctor determines that
sexual activity poses a health risk for you. Men who experience an erection
for more than four hours should seek immediate medical attention. LEVITRA
does not protect against sexually transmitted diseases. The starting dose of
LEVITRA is 10 mg taken no more than once per day. Your doctor will decide
the dose that is right for you. In patients taking certain medications such
as ritonavir, indinavir, ketoconazole, itraconazole, and erythromycin, lower
doses of LEVITRA are recommended, and time between doses of LEVITRA may need
to be extended. In clinical trials, the most commonly reported side effects
were headache, flushing, and stuffy or runny nose. LEVITRA is available in
2.5 mg, 5 mg, 10 mg, and 20 mg tablets.

http://www.cialis.com/?ccd=cialis226
CIALIS is not for everyone. If you take nitrates, often used for chest pain
(also known as angina), or alpha-blockers (other than Flomax 0.4 mg once
daily), prescribed for prostate problems or high blood pressure, do not take
CIALIS. Such combinations could cause a sudden, unsafe drop in blood
pressure. Don't drink alcohol in excess (to a level of intoxication) with
CIALIS. This combination may increase your chances of getting dizzy or
lowering your blood pressure. CIALIS does not protect a man or his partner
from sexually transmitted diseases, including HIV.

The most common side effects with CIALIS were headache and upset stomach.
Backache and muscle ache were also reported, sometimes with delayed onset.
Most men weren't bothered by the side effects enough to stop taking CIALIS.
Although a rare occurrence, men who experience an erection for more than 4
hours (priapism) should seek immediate medical attention. Discuss your
medical conditions and medications with your doctor to ensure CIALIS is
right for you and that you are healthy enough for sexual activity.

*Individual results may vary. In clinical trials, CIALIS was shown to
improve, up to 36 hours after dosing, the ability of men with ED to have a
single successful intercourse attempt. CIALIS has not been studied for
multiple sexual attempts per dose.

CIALIS? is a registered trademark of Lilly ICOS LLC.
Flomax? (tamsulosin HCl) is a registered trademark of its owner.

CIALIS is available by prescription only. For additional safety information,
talk to your doctor about this medicine and see the full Patient
Information.
Olfart - 29 Jan 2005 16:43 GMT
> Viagra was developed as a blood pressure medication but when it went into
> study it was discovered that it had a very unusual side effect and really
[quoted text clipped - 80 lines]
> talk to your doctor about this medicine and see the full Patient
> Information.

If none of the above work, you have probably developed Noassitol syndrome

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