Brief Answer:
Review blood pressure and amlodipine dose if taking viagra 4 times weekly

Detailed Answer:
Hi XXXXXXX
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. Blood pressure is the pressure with which blood flows through the arteries. It is recorded by measured by recording the pressure exerted by the flowing blood on the walls of the arteries.

2. Measurement of blood pressure is done after at least 30 minutes of physical and mental rest. This is to be measured on 3 subsequent days at the same time of the day and using the same machine. If the resting blood pressure is above 140/ 90 mm Hg on all three occasions then the person can have a high blood pressure and requires detailed investigation.

3. Therefore it is important to know when your were diagnosed to have high blood pressure and if your blood pressure was measured on 3 days and found to be higher than 140/ 90 mm Hg and then medicine was started.

4. If your blood pressure is 120/ 80 mm Hg after medicine then it is normal. Amlodipine is a good medicine and 5 mg is a small dose.

5. Viagra dose of 25 mg is low dose and will not cause much interaction with amlodipine. Research has shown that the blood pressure after taking amlodipine 5 mg or 10 mg, and Viagra, 100 mg together then patients had a decrease in blood pressure of 8 mm Hg systolic and 7 mmHg diastolic blood pressure.

6. If your blood pressure is 120/ 80 after amlodipine regularly then you can skip taking amlodipine when you are taking viagra.

7. However if you are taking viagra 4 times in a week then it needs to be reported to your doctor to review your medicines and keep blood pressure in control and allow you to take viagra because missing amlodipine 4 times a week is not good. If required you doctor will change dose of amlodipine after clinical examination.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,

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Brief Answer:
There is no serious interaction between Nicotex and Viagra

Detailed Answer:
Hi XXXXXXX
Thanks for writing back with an update.

1. There is no serious interaction between Nicotex and Viagra. Therefore I did not feel it important to mention about any problems in the earlier reply. Please continue with your smoking control program and my best wishes are with you. You can continue to take Viagra when required keeping in mind regular precautions of the medicine.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,

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