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No dosage adjustment is necessary in patients with creatinine clearance (CLcr) of 30–80 mL/min. In male volunteers with CLcr = 50-80 ml/min, the pharmacokinetics of vardenafil were similar to those observed in a control group with CLcr >80 mL/min. In male volunteers with CLcr = 30-50 mL/min or CLcr<30 mL/min, the AUC of vardenafil was 20–30% higher compared to that observed in a control group with CLcr>80 mL/min. [See Dosage and Administration (2.3) and Warnings and Precautions (5.9).] ed pill 0173-0830-13 antifungal medications such as:

This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.

Discuss with patients the potential cardiac risk of sexual activity for patients with preexisting cardiovascular risk factors. xplode adwcleaner If you notice any changes in your vision while taking this drug, call your doctor or health care professional as soon as possible. Call your health care provider right away if you have any change in vision. Contact you doctor or health care professional right away if the erection lasts longer than 4 hours or if it becomes painful. This may be a sign of a serious problem and must be treated right away to prevent permanent damage. If you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after taking this medicine, you should refrain from further activity and call your doctor or health care professional as soon as possible. Using this medicine does not protect you or your partner against HIV infection (the virus that causes AIDS) or other sexually transmitted diseases.3We guarantee supplement of high quality product marketed under name Generic Cialis. Generic Cialis medication is produced in WHO certified facilities and legally approved as genuine treatment. Under common name Generic Cialis we will send you one of the following products: Cikalis, Tadagra, Tadaga, Tadarise, Tadalista, Tazzle, Vidalista. Actual product will be selected from the ones available in stock at the moment of your order being packed for delivery. We cannot guarantee which product will be shipped excatly.

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Clinical efficacy and safetyWhen taking more than one medication, it is important to make sure there are no drug interactions. Viagra (sildenafil) is safe to take with most other medications. However, it can have a serious interaction with nitrates. If you have a medication that you place under your tongue when you feel chest pain, it is probably nitroglycerin, and should not be combined with Viagra or the other two erectile dysfunction medications, Cialis (tadalafil) and Levitra (vardenafil). Sometimes, nitrates are also given on a daily basis, once or twice a day. The combination of medications can cause a serious drop in blood pressure. A study looked at the effects of taking 100 mg of Viagra in a single dose, which resulted in a decrease of 8.4/5.5 mmHg in blood pressure. This decrease was seen at one to two hours after taking the medication. Other blood pressure medications reduce blood pressure, but not in the same sudden type of reaction.