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When Viagra is co-administered with an alpha-blocker, patients should be stable on alpha-blocker therapy prior to initiating Viagra treatment and Viagra should be initiated at 25 mg [see Warnings and Precautions (5.5), Drug Interactions (7.2), and Clinical Pharmacology (12.2)].Cialis essentials

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33. Boolell M, Gepi-Attee S, Gingell JC, Allen MJ "Sildenafil, a novel effective oral therapy for male erectile dysfunction." Br J Urol 78 (1996): 257-61Yet another reason for the drugs not to work as intended is the consumption of a high-fat meal before or along with taking the drug. The fat in such a meal can decrease absorption of the medicine from the gastrointestinal tract.

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