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Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.Dose adjustments are not required in diabetic patients. cipla viagra Potent CYP3A4 inhibitors

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Counseling Patients About Sexually Transmitted DiseasesYour doctor will review your complete medical history before writing a prescription for Viagra to treat male impotence. Viagra is not suitable for all patients. You should not take Viagra if you have certain cardiovascular conditions, including high blood pressure. Patients with kidney problems, liver damage, sickle cell anemia, bleeding disorders, leukemia, or multiple myeloma may not be able to take Viagra. Tell your doctor if you have any of these conditions.

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