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    Structured Product Labeling (SPL) resources for industry professionals.
    These highlights do not include all the information needed to use VIAGRA safely and effectively.
    For most patients, the recommended dose is 50 mg taken, as needed, approximately 1 hour before sexual activity.
    Administration of VIAGRA to patients using nitric oxide donors, such as organic nitrates or organic nitrites in any form.
    Patients should seek emergency treatment if an erection lasts 4 hours.
    Caution is advised when VIAGRA is co-administered with alpha-blockers or anti-hypertensives.
    Decreased blood pressure, syncope, and prolonged erection may occur at higher sildenafil exposures.

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    In patients taking strong CYP inhibitors, such as ritonavir, sildenafil exposure is increased.
    Erythromycin or strong CYP3A4 inhibitors (e.
    Sections or subsections omitted from the full prescribing information are not listed.
    However, VIAGRA may be taken anywhere from 30 minutes to 4 hours before sexual activity.
    The maximum recommended dosing frequency is once per day.
    Based on effectiveness and toleration, the dose may be increased to a maximum recommended dose of 100 mg or decreased to 25 mg.

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