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Decreased pedigree pressure, syncope, and lengthened erection were reported in more or less level-headed volunteers uncovered to high up doses of sildenafil citrate (200 to 800 mg). To diminish the fortune of untoward reactions in patients pickings ritonavir, a step-down in Viagra dose is recommended [see Dosage and Administration (2.4), Drug Interactions (7.4), and Clinical Pharmacology (12.3)]. 5.4 Listening Exit Physicians should counsel patients to point taking PDE5 inhibitors, including sildenafil tablets, and look for expeditious aesculapian attending in the upshot of sudden drop-off or loss of earreach. These events, which May be attended by tinnitus and dizziness, hold been reported in temporal role tie-up to the uptake of PDE5 inhibitors, including sildenafil tablets. It is non conceivable to watch whether these events are germane right away to the expend of PDE5 inhibitors or to former factors [see Adverse Reactions (6.1, 6.2)]. Sildenafil (Viagra) is victimized to plow erectile dysfunction (impotence; unfitness to begin or donjon an erection) in work force.
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