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Take Viagra about 1 hour before sexual activity. You may take Viagra between 30 minutes to 4 hours before sexual activity if needed. Severe (CrCl <30 mL/min and on hemodialysis): Not to exceed 5 mg PO q72hr other uses for viagra Hearing Loss [see Warnings and Precautions (5.4)]

Ophthalmologic — visual field defect, retinal vein occlusion, retinal artery occlusionDose adjustments are not required in patients with mild to moderate renal impairment. For patients with severe renal impairment, 10 mg is the maximum recommended dose.

chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling; viagra ice cream Back pain or myalgia was reported at incidence rates described in Tables 1 through 4. In tadalafil clinical pharmacology trials, back pain or myalgia generally occurred 12 to 24 hours after dosing and typically resolved within 48 hours. The back pain/myalgia associated with tadalafil treatment was characterized by diffuse bilateral lower lumbar, gluteal, thigh, or thoracolumbar muscular discomfort and was exacerbated by recumbency. In general, pain was reported as mild or moderate in severity and resolved without medical treatment, but severe back pain was reported with a low frequency (<5% of all reports). When medical treatment was necessary, acetaminophen or non-steroidal anti-inflammatory drugs were generally effective; however, in a small percentage of subjects who required treatment, a mild narcotic (e.g., codeine) was used. Overall, approximately 0.5% of all subjects treated with Cialis for on demand use discontinued treatment as a consequence of back pain/myalgia. In the 1-year open label extension study, back pain and myalgia were reported in 5.5% and 1.3% of patients, respectively. Diagnostic testing, including measures for inflammation, muscle injury, or renal damage revealed no evidence of medically significant underlying pathology. Incidence rates for Cialis for once daily use for ED, BPH and BPH/ED are described in Tables 2, 3 and 4. In studies of Cialis for once daily use, adverse reactions of back pain and myalgia were generally mild or moderate with a discontinuation rate of <1% across all indications.The recommended dose of Cialis for once daily use is 5 mg, taken at approximately the same time every day, without regard to timing of sexual activity.Clinical Studies

Dosing considerationsCardiovascular: angina pectoris, AV block, migraine, syncope, tachycardia, palpitation, hypotension, postural hypotension, myocardial ischemia, cerebral thrombosis, cardiac arrest, heart failure, abnormal electrocardiogram, cardiomyopathy. cialis 2.5 mg POSSIBLE SIDE EFFECTS

Postmarketing reports: Visual field defect, retinal vein occlusion, and retinal artery occlusion. Non-arteritic anterior ischemic optic neuropathy (NAION), a cause of decreased vision including permanent loss of vision, has been reported in temporal association with the use of this drug.[Ref]

buying cialis from canada uncontrolled arrhythmias, hypotension (<90/50 mm Hg), or uncontrolled hypertensionPotential for Cialis to Affect Other Drugs

neck painEquivalent to

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