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However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Tell your doctor if any of these symptoms are severe or do not go away: headache. Often, these are prescribed for chest pain called angina. When choosing one, tell your doctor or other health care professional what your preferences are, such as cost, ease of use, how long the drug’s effects last and side effects. Do not take more or less of it or take it more often than prescribed by your doctor. · Currently, there are no over the counter alternatives to Viagra available. Viagra (sildenafil) is a prescription medication, meaning it’s not available over the counter from your. Read on to learn about Viagra versus Cialis and other alternative drugs. Viagra vs. Cialis. Viagra vs. over-the-counter products. Many over-the-counter (OTC) products may be advertised to help. Sildenafil (Viagra). Tadalafil (Cialis). Vardenafil. These medicines are called PDE5 inhibitors. They enhance the effects of a chemical the body makes that relaxes muscles in the penis, called nitric oxide. This boosts blood flow and helps you get an erection from sexual activity. How oral medicines differ.

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