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Endpoint [Change from baseline] 28% [4%] 42% [24%] 51% [26%] Inform patients that Levitra offers no protection against sexually transmitted diseases. Counsel patients that protective measures necessary to guard against sexually transmitted diseases, including the Human Immunodeficiency Virus (HIV), should be considered.

cialis alternative Although sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis) all work by inhibiting PDE5, tadalafil's pharmacologic distinction is its longer half-life (17.50 hours) [4] – compared to sildenafil and vardenafil (both 4.0–5.0 hours)[5] – resulting in longer duration of action, and so partly responsible for "The Weekend Pill" sobriquet. Furthermore, the longer half-life is the basis for current investigation of tadalafil's daily therapeutic use in relieving pulmonary arterial hypertension. Sildenafil is approved in several world regions as a thrice-daily therapy for pulmonary arterial hypertension.?Do not use Cialis in patients who are using a GC stimulator, such as riociguat. PDE5 inhibitors, including Cialis, may potentiate the hypotensive effects of GC stimulators.painful, swollen jointsCialis or Tadafil is recommended for the treatment of impotence, which in medical terms is called erectile dysfunction or ED. The drug is used as a performance-enhancing drug in intensive sports also. Additionally the drug is also sold by another brand name called Adcirca for controlling high blood pressure. This drug should be taken only with a proper prescription as it can have unhealthy consequences.

Changes in the heartbeat rhythmVery common (10% or more): Abnormal vision (up to 11%) viagra online cheap Physicians should consider whether their patients with underlying NAION risk factors could be adversely affected by use of PDE5 inhibitors. Individuals who have already experienced NAION are at increased risk of NAION recurrence. Therefore, PDE5 inhibitors, including Levitra, should be used with caution in these patients and only when the anticipated benefits outweigh the risks. Individuals with “crowded” optic disc are also considered at greater risk for NAION compared to the general population, however, evidence is insufficient to support screening of prospective users of PDE5 inhibitors, including Levitra, for this uncommon condition.

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Counseling Patients About Sexually Transmitted Diseases Endpoint 28% 46% 41%

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