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Sildenafil citrate, sold under the names Viagra, Revatio and under various other names, is a drug used to treat male erectile dysfunction and pulmonary arterial hypertension, developed by the pharmaceutical company Pfizer. Its primary competitors on the market are tadalafil, and vardenafil.

Since viagra is a patented medicine with a registered trademark, no one other than the Pfizer company is allowed to market a product called viagra. The term Generic Viagra is used to refer to products that are chemically identical to viagra, but sold as sildenafil citrate. If you take any medicines that have nitrates in them (like nitroglycerin for chest pain) every day or even once in a while you should NOT take VIAGRA.

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Tramadol is an atypical opioid which is a centrally acting analgesic, used for treating moderate to severe pain. It is a synthetic agent, as a 4-phenyl-piperidine analogue of codeine, and appears to have actions on the GABAergic, noradrenergic and serotonergic systems.

Tramadol is usually marketed as the hydrochloride salt and is available in both injectable and oral preparations. It is also available in conjunction with paracetamol

Seizures have occurred in some people taking tramadol. You may be more likely to have a seizure while taking tramadol if you have a history of seizures or head injury, a metabolic disorder, or if you are taking certain medicines such as antidepressants, muscle relaxers, or medicine for nausea and vomiting.

Take tramadol exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Do not take more than 300 milligrams of tramadol in one day.

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Flomax is in a group of drugs called alpha-adrenergic blockers. Flomax relaxes your veins and arteries so that blood can more easily pass through them. It also relaxes the muscles in the prostate and bladder neck, making it easier to urinate. Flomax is used to improve urination in men with benign prostatic hyperplasia.

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Before taking this medication, tell your doctor if you are allergic to sulfa drugs. You may also be allergic to Flomax.

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Soma is a muscle relaxer that works by blocking pain sensations between the nerves and the brain. Soma is used together with rest and physical therapy to treat injuries and other painful musculoskeletal conditions. Soma may also be used for other purposes not listed in this medication guide.

This medication may be habit-forming and should be used only by the person it was prescribed for. Soma should never be given to another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. You may have withdrawal symptoms when you stop using Soma after using it over a long period of time. Do not stop using Soma suddenly without first talking to your doctor. You may need to use less and less before you stop the medication completely. Soma can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid drinking alcohol. It can increase drowsiness and dizziness caused by Soma.

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