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Do not take this medicine when you have severe coronary heart or liver problems, have lately had a stroke or coronary heart attack or if you have low blood strain. Let your physician know when you undergo from these or any other well being problems earlier than taking it. Avoid consuming alcohol while taking this medicine as it increases the chances of unwanted facet effects. Sildenafil citrate 20 mg tablets are the generic version of REVATIO®, prescription medicine used to deal with pulmonary hypertension. Sildenafil citrate can be the energetic ingredient in VIAGRA® , which is FDA approved to deal with erectile dysfunction .

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However, inform your physician when you have any underlying kidney disease. A lowering of dose could additionally be thought of if it isn't well-tolerated. Patients looking to start taking treatment who have a creatinine clearance of 30mL are generally suggested to use a lower dosage.
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With the recent expiration of patents for brand name erectile dysfunction medicine, the flexibility for men to obtain generic medicines to help with impotence has grown massively. The market is on a continuing uprise, and these products have turn into obtainable to patients with out the need for a visit to your doctor for a prescription. Seek urgent medical recommendation if an allergic reaction, sudden vision loss or painful erections lasting more than four hours happen.

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