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    In this guide, we'll explain how long sildenafil remains active and compare it to several other. can make sildenafil less effective and increase the risk of side effects. Viagra tablet will produce a more noticeable and longer-lasting effect than. metoprolol 47.5 According to urologists, there's no evidence linking long term use of Viagra for any reason in a physical or chemical or hormonal decline in a man's ability to get a boner or, if you want to use. CONCLUSION Sildenafil and other PDE5 inhibitors have been associated with several ocular side effects. However, this is the first report in the literature of outer macular atrophy in a patient with pulmonary hypertension and long-term use of oral sildenafil.

    In order to use Medscape, your browser must be set to accept cookies delivered by the Medscape site. Medscape uses cookies to customize the site based on the information we collect at registration. The cookies contain no personally identifiable information and have no effect once you leave the Medscape site. It’s safe to take Viagra every day as long as your doctor prescribes it. However, daily Viagra may not be the best option for you. Consider the difference between daily Viagra and daily Cialis. Viagra () usually starts to work in about 1 hour and is effective in your system for 6-8 hours. This narrow “effectiveness window” means you need to time your medication to sync up your sex life—which doesn’t always work. And if you miss that window, you can’t take more Viagra for another 24 hours. (You should never take more than one dose of Viagra per day).

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