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Make sure you're healthy enough to have sex before taking Viagra - talk to your doctor about any heart disease or heart rhythm problems, as sex puts extra strain on the heart.Renal Insufficiency discount cialis 20mg abdominal or stomach painFor those taking ritonavir (Norvir), and other medications to treat HIV, the recommended dose is 25 mg before sexual activity, and the maximum dose is 25 mg within a 48-hour period.

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Three PDE-5 inhibitorsThe recommended dose of Viagra is 25-100 mg taken 30 minutes to 4 hours before sexual activity. Viagra increases the effects of blood pressure lowering medications. It also increases the blood pressure lowering effects of nitrates (for example, isosorbide dinitrate) that are used primarily for treating angina. Patients taking nitrates should not receive Viagra. Viagra should not be combined with Revatio or other PDE5 inhibitors (for example, Levitra [vardenafil], Cialis [tadalafil]). Tagamet (cimetidine), erythromycin, ketoconazole, Sporanox (itraconazole), and Posicor (mibefradil) can cause marked increases in the amount of Viagra in the body. Patients taking these medications should be observed carefully if Viagra is used. buy levitra 20 mg

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