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Since people who have taken tadalafil within the past 48 hours cannot take organic nitrates to relieve angina (such as glyceryl trinitrate spray), these patients should seek immediate medical attention if they experience anginal chest pain.[3] In the event of a medical emergency, paramedics and medical personnel should be notified of any recent doses of tadalafil. what is levitra 20 mg a recent history (in the past 6 months) of a heart attack, stroke, or congestive heart failure;Potential for Cialis to Affect Other Drugs

Seizure medications: carbamazepine (Tegretol), fosphenytoin (Cerebyx)Note: Fraudulent online pharmacies may attempt to sell an illegal generic version of Levitra. These medications may be counterfeit and potentially unsafe. If you purchase medications online, be sure you are buying from a reputable and valid online pharmacy. Ask your health care provider for advice if you are unsure about the online purchase of any medication.Avoid using any other medicines to treat impotence, such as alprostadil or yohimbine, without first talking to your doctor.

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Before you take tadalafil, read the manufacturer's printed information leaflet from inside your pack. The leaflet will give you more information about the tablets, and also a full list of the side-effects you may experience.It doesn't look like this will become the multi-billion pound silver bullet that Viagra became, but it at least provides women with an option. Whether they choose to take it or not is another matter. 40 mg levitra Always take CIALIS exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.

Patient Counseling InformationDo not take Viagra if you are being treated for angina (chest pain) or other heart conditions with certain medicines called nitrates.

Nitrates brand name cialis A time interval between dosing should be considered when Levitra is prescribed concomitantly with alpha-blocker therapy [see Clinical Pharmacology (12.2)]. muscle tension or tightnessNon-arteritic anterior ischemic optic neuropathy (NAION), a cause of decreased vision including permanent loss of vision, has been reported rarely post-marketing in temporal association with the use of phosphodiesterase type 5 (PDE5) inhibitors, including Viagra. Most, but not all, of these patients had underlying anatomic or vascular risk factors for developing NAION, including but not necessarily limited to: low cup to disc ratio ("crowded disc"), age over 50, diabetes, hypertension, coronary artery disease, hyperlipidemia and smoking. It is not possible to determine whether these events are related directly to the use of PDE5 inhibitors, to the patient's underlying vascular risk factors or anatomical defects, to a combination of these factors, or to other factors [see Warnings and Precautions (5.3) and Patient Counseling Information (17)].

Viagra was administered to over 3700 patients (aged 19–87 years) during pre-marketing clinical trials worldwide. Over 550 patients were treated for longer than one year.VIAGRA may be taken with or without food.

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