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VIAGRA does not protect against sexually transmitted diseases, including HIV.

If you are free from any health problems other than erectile dysfunction and you don’t find your age to be an issue - the recommended starting dosage of Viagra is 50 mg. It may be taken 4 hours to 30 minutes before the sexual activity, though the best time would be an hour prior that. Taking other medicines viagra replacement lack or loss of strength?

?tell all your healthcare providers that you are taking sildenafil. If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took sildenafil.Following a single oral dose of 20 mg vardenafil in healthy volunteers, a mean of 0.00018% of the administered dose was obtained in semen 1.5 hours after dosing. buy sildenafil Placebo-Subtracted Dosing of Vardenafil 5 mg

Do not take Viagra if you take medicines called guanylate cyclase stimulators which include:

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Penile erection during sexual stimulation is caused by increased penile blood flow resulting from the relaxation of penile arteries and corpus cavernosal smooth muscle. This response is mediated by the release of nitric oxide (NO) from nerve terminals and endothelial cells, which stimulates the synthesis of cGMP in smooth muscle cells. Cyclic GMP causes smooth muscle relaxation and increased blood flow into the corpus cavernosum. The inhibition of phosphodiesterase type 5 (PDE5) enhances erectile function by increasing the amount of cGMP. Tadalafil inhibits PDE5. Because sexual stimulation is required to initiate the local release of nitric oxide, the inhibition of PDE5 by tadalafil has no effect in the absence of sexual stimulation.

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