The combination can cause a dangerous fall in your blood pressure. These results demonstrated that the effect of VIAGRA on the primary endpoint was statistically non-inferior to placebo. The major circulating metabolite results from N-desmethylation of sildenafil, and is itself further metabolized. Tell your doctor if sildenafil is not working well or if you are experiencing side effects. If you have certain health conditions or are taking certain medications, your doctor may tell you to take sildenafil less often. Who may not be able to take sildenafil Sildenafil is not suitable for some people.Who may not be able to take sildenafil. Sildenafil is not suitable for some people. To make sure it’s safe for you, speak to your doctor or pharmacist before taking sildenafil if you: have ever had an allergic reaction to sildenafil or any other medicine. have recently had a stroke, heart attack or a heart problem – your doctor should. 1 day ago · You can purchase a one-time order or sign up for a subscription plan that sends you a monthly supply of the pills in discreet packaging. Cost: Branded Viagra is available starting at $ per dose. Take sildenafil at least 30 minutes, but no more than 4 hours, before sexual activity (1 hour before is the most effective). Do not take more than once daily. A high- fat meal may delay how.

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