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In the rare event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and get medical help right away, or permanent problems could occur. Memory related changesThe industry is currently dominated by "Big Pharmas", big

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tender, swollen glands in the neck levitra patent expiration date Tell any other doctors, dentists and pharmacists who are treating you that you are taking Viagra.

If you miss a dose, you may take it when you remember but do not take more than one dose per day.excessive hunger

Take Viagra 30 to 120 minutes prior to expected sexual activity. Wash it down with a big glass of water. Avoid drinking grapefruit juice or eating grapefruit when taking Viagra – these two may interact causing the amount of Sildenafil in your bloodstream to increase, which is very likely to cause side effects. On the contrary, alcohol and fatty foods may weaken the effect of Viagra making it impossible for you to obtain an erection, so avoid drinking and having fatty meals when taking Viagra. You are recommended to start with 50mg of Sildenafil but the dosage may be either increased to 100mg or decreased to 25mg according to the way your body responds to the intake of the medicine. You are not advised to take more than 100mg of Sildenafil within 24 hours under any circumstances. directions for cialis

In a separate postmarketing study of 44 healthy volunteers, single doses of 10 mg Levitra resulted in a placebo-subtracted mean change from baseline of QTcF (Fridericia correction) of 5 msec (90% CI: 2,8). Single doses of gatifloxacin 400mg resulted in a placebo-subtracted mean change from baseline QTcF of 4 msec (90% CI: 1,7). When Levitra 10mg and gatifloxacin 400 mg were co-administered, the mean QTcF change from baseline was additive when compared to either drug alone and produced a mean QTcF change of 9 msec from baseline (90% CI: 6,11). The clinical impact of these QT changes is unknown [see Warnings and Precautions (5.7)].Nasal congestion 4% 4% 9% 2%

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