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If you are taking sildenafil for erectile dysfunction, your doctor will probably start you on an average dose of sildenafil and increase or decrease your dose depending on your response to the medication. The effects may be increased because of slower removal of the medicine from the body. Ask your healthcare professional how you should dispose of any medicine you do not use. Remove the syringe from the bottle. Medicines that block an enzyme called CYP3A4. Sexual activity may be a strain on your heart, especially if you have heart disease. Leukemia blood related cancer or Multiple myeloma blood related cancer or Sickle-cell anemia blood disorder —Sildenafil should be used with caution in these patients as problems with prolonged erection of the penis may occur. · Maximum dose: 20 mg orally three times a day. Injection: Initial dose: or 10 mg IV bolus three times a day. Comments: No greater efficacy was achieved with oral doses higher than the maximum recommended dose. A 10 mg injection dose is predicted to provide pharmacological effect equivalent to the 20 mg oral dose. Dairy products contain the maximum amount of calcium per serving, and it is well absorbed by the body. They provide us not only with calcium and protein, but also with some vitamins and energy. Order Sildenafil 50mg (or any other dosage) from a reputable online pharmacy. No hidden fees applicable. Buy Sildenafil Citrate with fully discreet. Sildenafil is used to treat erectile dysfunction (ED) and to reduce blood pressure in pulmonary arterial hypertension (PAH). It is taken when needed for ED and daily for PAH. A headache, stomach upsets, and flushing are the main side effects, and it should not be taken within 24 hours of a nitrate. 5. Tips.

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