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Drug Interactions

mail order levitra CIALIS must not be used in men with cardiac disease for whom sexual activity is inadvisable. Physicians should consider the potential cardiac risk of sexual activity in patients with pre-existing cardiovascular disease.Nitrates: Concomitant use with nitrates and nitric oxide donors in any form is contraindicated [see Contraindications (4.1)].20 mg vardenafil

Brand name prescription drugs are protected under patent. When the patent expires, other drug companies can start manufacturing and selling a generic form of the drug that is usually less expensive. The patent for Viagra (sildenafil) will not expire until 2012; therefore, no generic, less expensive form is currently available. Consult your physician or healthcare provider for specific recommendations on potential alternatives to Viagra treatment. Sarah Lewis, PharmD tentex forte

If you have an erection which lasts longer than 4 hours you should contact a doctor immediately.Use with caution in patients with the following underlying conditions which can be particularly sensitive to the actions of vasodilators including Viagra – those with left ventricular outflow obstruction (e.g., aortic stenosis, idiopathic hypertrophic subaortic stenosis) and those with severely impaired autonomic control of blood pressure.

viagra free sample More common Priapism [see Warnings and Precautions (5.3)] feeling light-headed, fainting;

feverPotential side effects of Levitra and Viagra include:

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