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Pfizer’s main safety concern before the introduction of Viagra and the generic sildenafil be known to the manufacturer, Pfizer. The exact medicine we'll give you depends on everything we learn about you and what medicines you've tried before. If the first medicine we give you doesn't control your symptoms then we can normally either increase the dose of the same medicine or switch you to a different medicine. Overall our goal is to find the lowest effective dose of the right medicine that will keep your symptoms under control. Most of the medicines we prescribe for have low cost generic versions. Many pharmacies offer them as part of special programs that can make them even less expensive. We can help you find the lowest cost option. If you're using the service for a refill of a medicine you're already taking that's expensive, we may be able to help you find a lower cost alternative that's just as effective. The medicines we prescribe are used to prevent the symptoms of acid reflux from occurring. Some people need to take the medicines every day on an ongoing basis in order to prevent the symptoms from coming back. Other people are able to gradually wean themselves down to taking medicines only when they think they're going to have symptoms. Others stop taking the medicines altogether.

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Generic sildenafil with nitrates or any alpha-blockers can lower blood pressure significantly leading to symptomatic hypotension for example, fainting. Discuss with patients the appropriate use of vardenafil hydrochloride orally disintegrating tablets and its anticipated benefits. It should be explained that sexual stimulation is required for an erection to occur after taking vardenafil hydrochloride orally disintegrating tablets. Vardenafil hydrochloride orally disintegrating tablets should be taken approximately 60 minutes before sexual activity. Patients should be counseled regarding the dosing of vardenafil hydrochloride orally disintegrating tablets, especially regarding the maximum daily dose. Patients should be advised to contact their healthcare provider if they are not satisfied with the quality of their sexual performance with vardenafil hydrochloride orally disintegrating tablets or in the case of an unwanted effect. Inform patients that there have been rare reports of prolonged erections greater than 4 hours and priapism painful erections greater than 6 hours in duration for vardenafil and this class of compounds. In the event that an erection persists longer than 4 hours, the patient should seek immediate medical assistance. If priapism is not treated immediately, penile tissue damage and permanent loss of potency may result. Advise patients to contact the prescribing physician if new medications that may interact with vardenafil hydrochloride orally disintegrating tablets are prescribed by another healthcare provider. Inform patients that vardenafil hydrochloride orally disintegrating tablets offers no protection against sexually transmitted diseases. Counsel patients that protective measures necessary to guard against sexually transmitted diseases, including the Human Immunodeficiency Virus should be considered.

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Viagra and other ED drugs will not help you last longer. Sildenafil active ingredient in Viagra is a well-known drug to treat erectile dysfunction. It is a drug that helps men achieve an erection long enough to have sex. It is licensed in the UK and can be taken 30 minutes prior to sexual intercourse. Erectile dysfunction is a common condition that can make sexual activity difficult. It also impacts men’s quality of life. ED drugs are generally well tolerated. Though the side effects of ED drugs decrease with time, the effects of each medication can cause a painful erection that won’t go away. Tadalafil, Levitra, and Cialis’s active ingredient, tadalafil, and vardenafil Kloner et al 2003a . The exact medicine we'll give you depends on everything we learn about you and what medicines you've tried before. If the first medicine we give you doesn't control your symptoms then we can normally either increase the dose of the same medicine or switch you to a different medicine. Overall our goal is to find the lowest effective dose of the right medicine that will keep your symptoms under control.
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