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Use protective measures and ask your doctor if you have any questions about this. If you are taking sildenafil for erectile dysfunction, you are unlikely to miss a dose since this medication is taken as needed, not on a regular dosing schedule. Follow your doctor’s orders or the directions on the label. It is important to tell your doctor about any heart problems you have now or may have had in the past. If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took sildenafil.If you have these symptoms, stop taking VIAGRA and contact a doctor right away. have or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve, or heart failure. have low blood pressure, or high blood pressure that is not controlled. Cialis lasts up to 36 hours in the body, while Viagra lasts 4–6 hours in the body. Both are taken 30 minutes before sex. Cialis can cause limb pain, while Viagra can cause vision change, rash. The generic name for Viagra is sildenafil. The drug also has another brand name: Revatio. It works by slowing down the action of PDE5, an enzyme in the blood vessel walls.. This enzyme breaks down.

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