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| Precaution / Interaction | Potential Effect | Advice |
|---|---|---|
| Concomitant use with nitrates | Severe hypotension | Avoid combination |
| Use with alpha-blockers | Risk of orthostatic hypotension | Titrate dose carefully |
| Severe hepatic impairment | Increased drug levels | Use with caution, lower doses |
| Grapefruit juice | Alters drug metabolism | Avoid intake during use |
| Cardiovascular conditions | Risk of adverse events | Consult doctor before use |
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- While generally well-tolerated, be aware of potential side effects.
- Headache and dyspepsia (indigestion) are among the most commonly reported.
- Nasal congestion, flushing, and muscle aches (e.g., back pain) can occur.
- Back pain is typically mild to moderate and resolves on its own.
- Vision changes, such as blurred vision or a blue tinge, are less common.
- Sudden decrease or loss of hearing has been reported in rare instances.
- Seek immediate medical attention for an erection lasting more than 4 hours.
- Report any sudden vision loss or hearing changes to a doctor immediately.
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| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
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| Viagra Generic | 150mg | 30 + 2 Pills | 72.32€ 68.88€ | |
| Apcalis SX Oral Jelly | 20mg | 50 + 6 Sachets | 146.39€ 139.42€ | |
| Cialis Original | 20mg | 120 + 8 Pills | 497.29€ 473.61€ | |
| Kamagra Polo | 100mg | 84 + 4 Pills | 244.49€ 232.85€ | |
| Apcalis SX Oral Jelly | 20mg | 70 + 7 Sachets | 184.98€ 176.17€ | |
| Kamagra Soft Tabs | 100 mg | 60 + 4 Pills | 180.59€ 171.99€ | |
| Cialis Professional | 20mg | 180 + 4 Pills | 423.11€ 402.96€ | |
| Apcalis SX Oral Jelly | 20mg | 120 + 13 Sachets | 280.38€ 267.03€ |
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| Parameter | Value | Notes |
|---|---|---|
| Absorption | Peak plasma concentrations in 2 hours | Food slightly delays absorption |
| Half-life | Approx. 17.5 hours | Allows once daily dosing |
| Metabolism | Liver (CYP3A4 enzyme) | No dose adjustment needed in mild impairment |
| Excretion | Feces (61%), Urine (36%) | -- |
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| Indication | Recommended Dosage | Onset of Action | Duration of Effect | Contraindications |
|---|---|---|---|---|
| Erectile Dysfunction | 10 mg taken 30-60 min before activity | 30-60 min | Up to 36 hours | Nitrate medication, severe cardiovascular conditions |
| Pulmonary Hypertension | 20 mg once daily | 30 min | 4-6 hours | Liver impairment, hypersensitivity |
| BPH (Benign Prostatic Hyperplasia) | 5 mg daily | N/A | N/A | Severe hepatic impairment |
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