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Viagra increases blood flow in the penis area, which helps to achieve a stable erection for men who have problems with erectile dysfunction. The action of Viagra lasts up to 4 hours, which is long enough to enjoy several full sexual acts. Do not take Viagra if you are not planning any sexual activity within several hours. However, If you plan to try Viagra for the first time, do not take more than 50 mg of the drug. For men over 65 years of age, patients with kidney, liver, or cardiovascular disease, the recommended dosage of Viagra should be reduced to 25 mg.
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Common side effects include headaches, heartburn, and flushed skin. Sildenafil acts by blocking phosphodiesterase 5 PDE 5, an enzyme that promotes breakdown of cGMP, which regulates blood flow in the penis. The primary indication of sildenafil is treatment of erectile dysfunction inability to sustain a satisfactory erection to complete intercourse.
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What advice can you give Mrs Dexter about what appears to be neuropathic pain. You may need to refer to Chapter treatment of neuropathic pain in the BNF. After cardiovascular disease, cancer is the second major cause of death in the developed world, being the cause of about one in five deaths. It is increasingly common over the age of those commonly occurring such as lung cancer, breast cancer and colon cancer as well as much rarer conditions, some of which occur almost exclusively in children (for example retinoblastoma).
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