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tender, swollen glands in the neckIn addition to human corpus cavernosum smooth muscle, PDE5 is also found in other tissues including platelets, vascular and visceral smooth muscle, and skeletal muscle, brain, heart, liver, kidney, lung, pancreas, prostate, bladder, testis, and seminal vesicle. The inhibition of PDE5 in some of these tissues by sildenafil may be the basis for the enhanced platelet antiaggregatory activity of NO observed in vitro, an inhibition of platelet thrombus formation in vivo and peripheral arterial-venous dilatation in vivo. cialis 5 mg for sale Viagra (sildenafil citrate) is supplied as blue, film-coated, rounded-diamond-shaped tablets containing sildenafil citrate equivalent to the nominally indicated amount of sildenafil and debossed on the obverse and reverse sides as follows:Uncommon (0.1% to 1%): Rash, urticaria, hyperhidrosis (sweating)Tell any other doctors, dentists and pharmacists who are treating you that you are taking Viagra.

CIALIS 20 mg tablets are yellow, film coated, almond shaped tablets, marked "C20" on one side.Caution is advised when PDE5 inhibitors are co-administered with alpha-blockers. PDE5 inhibitors, including Levitra, and alpha-adrenergic blocking agents are both vasodilators with blood-pressure lowering effects. When vasodilators are used in combination, an additive effect on blood pressure may be anticipated. In some patients, concomitant use of these two drug classes can lower blood pressure significantly leading to symptomatic hypotension (for example, fainting) [see Drug Interactions (7.1) and Clinical Pharmacology (12.2)]. Consideration should be given to the following: buying cialis online This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.

For oral erectile dysfunction medicines to work as desired, they must be used properly in the first place. This means taking the medicine 30–45 minutes before engaging in sexual intimacy; taking the drug on an empty stomach or at least avoiding a heavy or high-fat meal before taking the drug (this is especially important when using sildenafil); and engaging in adequate genital stimulation before attempting intercourse. Drinking small amounts of alcohol (one to two drinks) should not compromise the effectiveness of erectile dysfunction medicines, but larger amounts of alcohol can diminish a man’s ability to have an erection.

viagra mechanism of action Take any medicines called “nitrates” (often used to control chest pain, also known as angina).difficulty in swallowingOther experts argue that though the drug may be imperfect, it gives physicians an option to offer female patients. “Currently, there is no drug available in the U.S. for the treatment of HSDD, and clinicians and patients are very interested in having access to an approved medication,” Dr. Bob Barbieri, chair of the department of obstetrics and gynecology at Brigham and Women’s Hospital told TIME. “Once the drug is available to clinicians and patients, the role of the drug in the treatment of HSDD will be better clarified.”

Do not take Viagra if you are taking other drugs for erectile dysfunction, such as Stendra, Cialis, or Levitra.NotesProduct Characteristics

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