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Do not take more than one dose a day but your doctor may consider an increase in dosage over the counter viagra for women 2. 5 to 5mg if ineffective. Side effects of Cialis include headache and indigestion. Viagra is taken on an as needed basis, at a dose of 50mg, approximately 1 hour before sexual activity (although can be taken from 30 minutes to 4 hours before). The dose may be increased to 100mg if 50mg is ineffective or decreased to 25mg if side effects are intolerable. 2 Viagra should only be taken once steinhorn intravenous sildenafil viagra day even though the effects wear off after approximately 4-5 hours. The main side effects are headache, flushing and indigestion. 2 Rarely, color perception may vuagra altered with Viagra. This side effect does not happen with Cialis.

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Some medicines can cause unwanted or dangerous effects when used with Viagra. Tell your doctor about all your current medicines, especially riociguat (Adempas). Do not take Viagra if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking sildenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure. Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours.

Retrieved 2012-04-06. 160; a b c McManus, Brian (2012-06-26). "Kanye West Doesn't Seem To Know Much About Lamborghinis".]