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Analyses of subgroups of patients with ED indicate that efficacy of sildenafil is not affected by race or age, duration of ED, or duration of select underlying disease states e.26 This study also noted a significant placebo effect in the control group.

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Flu-like syndrome and respiratory tract infection occurred in greater than 2% of patients with ED receiving oral sildenafil in controlled clinical trials, but were cialis 20 mg equivalent to viagra common in those receiving placebo. Asthma, dyspnea, laryngitis, pharyngitis, sinusitis, bronchitis, increased sputum, and increased cough were reported in less than 2% of patients with ED receiving sildenafil in controlled cialis 20 mg equivalent to viagra trials but have not been directly attributed to the drug.he typical dose is as follows: Have kidney problems or are having kidney dialysis have any other medical conditions Medicines called HIV protease inhibitors, such as ritonavir Norvir indinavir sulfate Crixivan saquinavir Fortovase or Invirase or atazanavir sulfate Reyataz If you are not sure if any of your medicines contain nitrates, or if you do not understand what nitrates are, ask your doctor or pharmacist.

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PDE5 inhibitors, including VIAGRA, may potentiate the hypotensive effects of GC stimulators.Because peak plasma sildenafil concentrations achieved with recommended doses for ED are well below the concentrations necessary for in vitro inhibition of these CYP isoenzymes, the manufacturer states that it is viagra and cialis best price that sildenafil will alter the clearance of drugs metabolized by these isoenzymes. Combination antiretroviral therapy viagra and cialis best price includes one or more HIV protease inhibitors that are inhibitors of CYP3A4 and/or CYP2C9, and the possibility for an interaction with sildenafil clearance resulting in an increased likelihood of sildenafil-associated adverse effects such as headache, flushing, visual changes, priapism, and possibly hypotension and syncope exists.

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