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dear m1e1b1s1,
I can't believe that doctors are doing this but I know that many PM docs are very strict when it comes to patients calling them. Of course they don't understand what it is like to go through withdrawl. It is not fun I can attest to that. If it looks like you are faced with no meds for awhile I would titrate down as fast as possible. It is definitely better than going cold turkey. I believe you said you were able to get final script right? You need to go down as fast as possible so you don't end up going through horrendous withdrawal. If you are at the point where you are coming up to being completely out of meds then you may have no choice but to go through a detox at a hospital. At least they would be able to monitor you and give you medications that would make the withdrawals not as bad. You then might actually be able to start on something called Suboxone which is normally used for addicts that have pain but could be used in your sitution. It is a narcotic medication that is a "partial antagonist" meaning that you really can't get high off of it. The only drawback is that the pain relieving properties only go up to a certain point. So once the medication is increased to a certain dose, any increase in dose after that would not result in any additional pain relieving properties. However, I know that it would be better than nothing. Also, you actually have to be in withdrawal, I believe for 24 hours, before they can start the Suboxone. If you don't do this you would be thrown into major withdrawal and become violently sick. I would open up the phone book and look for hospitals and possible referral agencies for detox.
If you are older than age 65, or have serious liver or kidney problems, your doctor may start you at the lowest dose (25 mg) of VIAGRA. If you are taking protease inhibitors, such as for the treatment of HIV, your doctor may recommend a 25 mg dose and may limit you to a maximum single dose of 25 mg of VIAGRA in a 48-hour period.
Discuss your general health status with your doctor to ensure that you are healthy enough to engage in sexual activity. If you experience chest pain, nausea, or any other discomforts during sex, seek immediate medical help.
