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Manufacturer advises a starting dose of 25 mg with concurrent use of moderate and potent inhibitors of CYP3A4. Manufacturer advises if concurrent use of ritonavir is unavoidable, the max.

Common side effects include headaches, heartburn, and flushed skin. Sildenafil and other PDE5 inhibitors are used off-label to alleviate vasospasm and treat severe ischemia and ulcers in fingers and toes for people with secondary Raynaud's phenomenon ; 19 20 these drugs have moderate efficacy for reducing the frequency and duration of vasospastic episodes. Food and Drug Administration FDA found that sildenafil could lead to vision impairment in rare cases, 23 and a number of studies have linked sildenafil use with non-arteritic anterior ischemic optic neuropathy. Sildenafil compound UK, was synthesized by a group of pharmaceutical chemists working at Pfizer's Sandwich, Kent, research facility in England. The first clinical trials were conducted in Morriston Hospital in Swansea. While the sale remains subject to a consultation with a pharmacist, the other restrictions from the trial have been removed, allowing customers over the age of 18 to purchase an unlimited number of pills 70 The decision was made, in part, to reduce online sales of counterfeit and potentially dangerous erectile dysfunction treatments.

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Fluconazole belongs to a group of medications known as antifungals.
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