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upset stomachFor most patients, the recommended starting dose of LEVITRA is 10 mg, taken orally, as needed, approximately 60 minutes before sexual activity. The dose may be increased to a maximum recommended dose of 20 mg or decreased to 5 mg based on efficacy and side effects. The maximum recommended dosing frequency is once per day. Sexual stimulation is required for a response to treatment.

Each of these three popular ED medications has been shown to help men with ED when they’re used appropriately. Talk to your doctor about these medications. You and your doctor can make decision based on side effects, administration, drug interactions, and other factors that can help determine which drug may be best for you. cialis substitute Swelling the ankles, hands and feetany deformation of the penis (such as angulation, cavernosal fibrosis or Peyronie's disease) Endpoint [Change from baseline] 26% [4%] 38% [19%] 58% [32%]

Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take sildenafil exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.Pharmacodynamics

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