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daily cialis online An erection that won’t go away: If you get an erection lasting more than 4 hours, seek immediate medical help to avoid long-term injury.For more information about the various options for treating erectile dysfunction, check out “Drugs and Devices for Erectile Dysfunction.”

medication for controlling blood pressure?tell your doctor and pharmacist if you are allergic to sildenafil, any other medications, or any of the ingredients in sildenafil products. Ask your pharmacist for a list of the ingredients.

Less common side effects altered vision, dizziness, nasal, congestion indigestion, nausea, dizziness, nasal congestion back pain, muscle aches, nasal congestion, facial flushing, dizziness cialis uses ?Get emergency help if you experience sudden vision loss because Cialis can decrease blood flow to the optic nerve in the eye.Cardiovascular: palpitation, tachycardia, angina pectoris, myocardial infarction, ventricular tachyarrhythmias, hypotension Adcirca

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Viagra (sildenafil) is only available in dosages of 25, 50, and 100 mg. The maximum dosage is 100 mg, therefore, you would not want to increase beyond this dosage. The following website has additional information on Viagra:

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Co-administration of erythromycin, a moderate CYP3A4 inhibitor, resulted in a 160% and 182% increases in sildenafil Cmax and AUC, respectively. Co-administration of saquinavir, a strong CYP3A4 inhibitor, resulted in 140% and 210% increases in sildenafil Cmax and AUC, respectively. Stronger CYP3A4 inhibitors such as ketoconazole or itraconazole could be expected to have greater effects than seen with saquinavir. A starting dose of 25 mg of Viagra should be considered in patients taking erythromycin or strong CYP3A4 inhibitors (such as saquinavir, ketoconazole, itraconazole) [see Dosage and Administration (2.4), Clinical Pharmacology (12.3)].Erection of the penis is initiated by the relaxation of smooth muscle in the corpus cavernosum, one of a pair of sponge-like regions in the penis. When aroused, nitric oxide is released from nerve endings and endothelial cells in the corpus cavernosum. Nitric oxide activates the enzyme guanylate cyclase resulting in increased synthesis of cyclic guanosine monophosphate (cGMP) in the smooth muscle cells of the corpus cavernosum. The cGMP triggers smooth muscle relaxation, increasing blood flow into the penis, resulting in erection.

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