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Take a tablet about an hour before you plan to have sex. Do NOT take more than one dose in 24 hours. If the appearance is not the same as usual, speak with your doctor or pharmacist for further advice. There are several causes, the most common being due to a narrowing of the arteries that take blood to the penis. This helps to maintain an erection.

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The advantages of physiotherapy supplementary prescribing in the community are that both patients and physiotherapists benefit in many ways. For example instead of having to be referred back to a doctor and having to make another journey, a patient could be managed by the physiotherapist. This could provide timely and appropriate access to treatment for chronic disease management.

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In contrast, supplementary prescribing does not have a widespread uptake in radiography, partly because it is new and partly because diagnostic radiographers are struggling to incorporate it into current practice. A radiographer could become a supplementary prescriber, and it is highly likely that radiologists would act as the independent prescribers. In theory, a CMP could nizagara 130mg drawn up and funded training is available for radiographers.

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