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Sudden decrease or loss of hearing has been rarely reported in people taking PDE5 inhibitors, including VIAGRA. It is not possible to determine whether these events are related directly to the PDE5 inhibitors or to other factors. If you experience sudden decrease or loss of hearing, stop taking VIAGRA and contact a doctor right away.
VIAGRA should not be used with other treatments that cause erections. VIAGRA should not be used with REVATIO as REVATIO contains sildenafil, the same medicine found in VIAGRA.
That is possible, and fairly normal. It is also possible that you are on too high a dose and that can cause fatigue as well. PLUS, I can't stress enough how much of a difference it makes spreading out your dose instead of taking it all at once. YOu might find that 2 grains a day is just right if you take half in the morning (shoot for an hour before breakfast) and half in the afternoon (two hours or more after lunch).
My workouts at home use a recumbent exercise bicycle and an elliptical cross trainer. I spend 45 minutes 5 to 7 mornings per week on them (that includes a 5 minute or so warmup), but I mix up how much time on each machine, and I listen to books on CD while I work out. Every other day I also do some resistance weight training to keep muscle tone, but my focus is on the cardio stuff mainly. My target heart rate is 145-155, but this has been refined from the calculated one based on ECG monitored exercise sessions during cardiac rehab. One of the biggest changes I made after my heart attack was making time for these workouts. For me, to be sure I really will do them, I schedule them in the morning, before work - that means getting up dang early on weekdays! After nearly a year of that, I do really feel much better for the whole day - the high energy workout just really does energize me for the whole day (and I do in fact feel less alert and awake when I do miss a morning's workout).
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