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The extremity recommended amount is 100 mg. The peak recommended frequency of capitalize on is 1 heretofore / day. If there is renal flop of temperate and controlled inhumanity (CC 30-80 ml / min), prescribe adjustment is not required, if there is brutal renal dereliction (CC amount of sildenafil should be reduced on the eve of 25 mg. Since the elimination of sildenafil is impaired in patients with liver harm (say, cirrhosis), the dosage of the sedative should be reduced beforehand during 25 mg. In hoary patients, prescribe aright is not required.

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Combined from with other medicines. Concomitant use with ritonavir is not recommended. In any situation, the maximum scrap of Viagra should answerable to no circumstances conquest upwards 25 mg, and the frequency of demand should be 1 at a opportunity in 48 hours. The carriage of junction say with inhibitors of the isoenzyme CYP3A4 (erythromycin, saquinavir, ketoconazole, itraconazole), the commencing value of the medicate Viagra should be 25 mg.

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To minify the peril of postural hypotension in patients taking alpha-blockers, the handle of Viagra should be opened at most then, that is, hemodynamic stabilization in these patients has been unequivocally achieved. Fee should be conceded to reducing the starting dispense of sildenafil. Side effects. The most tired side effects were headache and steaming flashes. Side effects are usually modest to lessen and transient.

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In studies using a regular quantity, it has been found that the frequency of some adverse events increases with increasing dose. The frequency of adverse reactions is intent as follows: unequivocally ordinarily (? 10%), over again (? 1% and From the safe system: infrequently - hypersensitivity reactions (including skin quixotic), allergic reactions.

From the side of the organ of view: time again - blurred insight, blurred perception, cyanopsia; rarely - irritation in the eyes, photophobia, photopsia, chromatopsia, redness of the eyes / sclera injections, modification in the brightness of starlight appreciation, mydriasis, conjunctivitis, hemorrhage in the eye tissue, cataract, disruption of the lacrimal gadgetry; every once in a while - edema of the eyelids and adjacent tissues, a view of dryness in the eyes, the presence of rainbow circles in the competitors of vision not quite the light outset, increased percipience tire, the dream of objects in yellow color (xanthopsia), illusion of objects in red (erythropsia), conjunctival hyperemia, hot mucosa membranes of the eyes, discomfort in the eyes; frequency unknown - non-arteritis anterior ischemic neuropathy of the optic hysteria, retinal suggestion occlusion, visual meadow liability, diplopia *, temporary shrinkage of view, that is, decreased visual acuity, increased intraocular compressing, retinal edema, retinal vascular infirmity, vitreous detachment / vitreous traction.

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From the side of the daily of hearing: occasionally - a sudden shrink, that is, hearing waste, pounding in the ears, pain in the ears. From the side of the cardiovascular methodology: repeatedly - "fiery flashes"; irregularly - tachycardia, palpitations, decreased TARTAR, increased magnanimity rating, indecisive angina pectoris, AV blockade, myocardial ischemia, cerebral thrombosis, cardiac interrupt, heartlessness failure, abnormalities in ECG readings, cardiomyopathy, increased FAVOURITE; rarely - atrial fibrillation, impulsive cardiac expiry *, ventricular arrhythmia *. From the hematopoietic plan: infrequently - anemia, leukopenia.

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From the side of metabolism and nutrition: seldom - a perception of hankering, edema, gout, uncompensated diabetes mellitus, hyperglycemia, peripheral edema, hyperuricemia, hypoglycemia, hypernatremia. From the respiratory scheme: time - nasal congestion; irregularly - nosebleeds, rhinitis, asthma, dyspnea, laryngitis, pharyngitis, sinusitis, bronchitis, growth of the capacity of secreted sputum, increased cough; almost never - a sensation of tightness in the throat, dryness of the nasal mucosa, protrusion of the nasal mucosa.

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From the digestive combination: commonly - nausea, dyspepsia; irregularly - gastroesophageal reflux pestilence, vomiting, illness in the abdomen, unadorned entry-way, glossitis, gingivitis, colitis, dysphagia, gastritis, gastroenteritis, esophagitis, stomatitis, eccentric liver function tests, rectal bleeding; on occasions - hypesthesia of the word-of-mouth mucosa.

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From the musculoskeletal system: commonly - gloominess in the go; seldom - myalgia, limb disorder, arthritis, arthrosis, tendon splitting, tenosynovitis, bone woe, myasthenia gravis, synovitis.

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From the genitourinary group: irregularly - cystitis, nocturia, heap of mammary glands, urinary incontinence, hematuria, impaired ejaculation, edema of the genitals, anorgasmia, hematospermia, cost to the tissues of the penis; scarcely ever, prolonged erection and / or priapism.