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Avoid consuming grapefruit and grapefruit juice while taking sildenafil. Erectile dysfunction is a common problem in diabetic men. The cause is usually related to a decrease in the blood supply to the penis as well as to injury to the nerves that are responsible for the erection mechanism. A decrease in testosterone production has also been identified as the cause in some men with diabetes. Medications such as Viagra, Levitra, and Cialis are commonly used by diabetics, without any problems. Viagra (sildenafil) is a medication specifically used to treat erectile dysfunction. It works by boosting the effects of nitric oxide, relaxing the smooth muscles of the arteries in the penis, allowing for increased blood flow and resulting in an erection. Whether your particular situation would benefit or be harmed by the use of this medication can only be determined by your physician. He or she will do a physical examination, look at your current medications, and will decide which medication you would benefit from.Speaking of which – recreational use of Cialis is not something you should consider when you don’t have erectile dysfunction in the first place. If you are not certain about your condition, you should seek medical help and get diagnosed by a specialist. You can start off by passing a quick ED test online like this one [http://counseling-office/surveys/test_male_erectile_dysfunction_impotence.phtml]. In case you don’t have ED diagnosed, Cialis will not make you experience anything new. Quite the opposite, it may trigger the mechanisms that will eventually grow to be the first signs of impotence if you abuse Cialis recreationally.

Sudden loss or decrease in hearing, sometimes with ringing in the ears and dizziness, has been rarely reported in people taking PDE5 inhibitors, including LEVITRA. It is not possible to determine whether these events are related directly to the PDE5 inhibitors, to other diseases or medications, to other factors, or to a combination of factors. If you experience these symptoms, stop taking LEVITRA and contact a doctor right away. viagra number The precise reason why Cialis is not for self-administration is because over dosage can be harmful. To detect an overdose look for typical signs such as pain in the chest, a feeling of giddiness or vomiting sensation. The heart beats could also suddenly uneven. When any of these happen, immediate medical help should be sought.Insertion of Penis (SEP2)?Patients will have had no previous problems with sexual desire

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After patients have taken Viagra, it is unknown when nitrates, if necessary, can be safely administered. Although plasma levels of sildenafil at 24 hours post dose are much lower than at peak concentration, it is unknown whether nitrates can be safely co-administered at this time point [see Dosage and Administration (2.3), Drug Interactions (7.1), and Clinical Pharmacology (12.2)].Do not take CIALIS to treat any other complaints unless your doctor tells you to.? diarrhea