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If any of these effects persist or worsen, tell your doctor or pharmacist promptly. If your doctor has directed you to use this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
You can take Sildenafil every day if you need to – or keep it on hand for the occasions when you need assistance. The most common dosage is 50mg, and this has sufficient effect for the huge majority of men who take Sildenafil for ED. On the rare occasion that 50mg is insufficient or inappropriate, Sildenafil can also be taken in 25mg or 100mg doses. Consult a Manual clinician if you’re in doubt about which dose suits you. One of the most common questions is about how often you can take Sildenafil.
In order to minimise the potential for developing postural hypotension, patients should be hemodynamically stable on alpha-blocker therapy prior to initiating sildenafil treatment. Initiation of sildenafil at a dose of 25 mg should be considered (see section 4.2). In addition, physicians should advise patients what to do in the event of postural hypotensive symptoms. Viagra is approved to treat erectile dysfunction (ED) in males. But you may have questions about whether Viagra can be used in females. Or you may be wondering if there’s a drug similar to Viagra that can help females with sexual dysfunction.
Paxlovid may alter the blood levels of many other medicines, and vice versa. Tell your healthcare provider about all medicines that you take or have recently taken. Liver damage, also called hepatotoxicity, can happen when taking Paxlovid. Call your healthcare provider right away if you have any of the following symptoms of liver damage. Paxlovid can cause severe skin reactions called Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) that can lead to death if not treated. If you develop a rash, stop Paxlovid and call your healthcare provider right away.
Sildenafil metabolism is principally mediated by the cytochrome P450 (CYP) isoforms 3A4 (major route) and 2C9 (minor route). Therefore, inhibitors of these isoenzymes may reduce sildenafil clearance and inducers of these isoenzymes may increase sildenafil clearance. Dosage adjustments are not required in elderly patients (≥ 65 years old). If you have questions about the safety of using Viagra while breastfeeding, talk with your doctor. If you have questions about the safety of Viagra use during pregnancy, talk with your doctor. Viagra tablets should be stored at room temperature between 68oF and 77°F (20oC and 25°C).
Learn about the causes, treatment and how to prevent complications. Find out what questions a doctor may ask when discussing erectile dysfunction 
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