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It is an expensive medication and will not be available as a generic for a few more years. Hepatic Impairment In volunteers with hepatic impairment (Child-Pugh Class A and B), sildenafil clearance was reduced, resulting in higher plasma exposure of sildenafil (47% for C max and 85% for AUC).

Vobig MA "Retinal side-effects of sildenafil." Lancet 353 (1999): 1442 40. It is not recommended to mix one or more PDE5 inhibitors at the same time, as this can result in overdose. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.

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Because of these possible events, the patients should be monitored closely. Avant d'acheter sildenafil, veuillez consulter votre médecin ceci afin d'avoir plus d'information sur ses effets, mode d'usage.

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Similar to Levitra, the recommended starting dose for Cialis, as needed, is 10 mg. A class of drugs is a group of medications that work in a similar way. Tell your doctor about all other medications you use for erectile dysfunction. Your physician is best able to determine if Viagra is appropriate for you or not.

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You and your healthcare provider understand your situation best. Purpose and benefits There are several reasons that women would seek out a Viagra-like pill. One or two glasses of wine or beer shouldn’t have too much of a detrimental effect, although results will vary from person to person. Read More I'm new here and I'm in need of some help and advice.