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Do not take this medicine in larger or smaller amounts or for longer than recommended. Viagra is usually taken only when needed, 30 minutes to 1 hour before sexual activity.

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1,2 The longer duration of action of Cialis means it is at higher risk for drug interactions, 1 and dosages may need reducing in men with kidney or liver disease. Cialis is not recommended in men who have had a heart attack or stroke within the past 6 months, with either uncontrolled high blood pressure or severely low blood pressure, unstable angina, or other conditions that make sexual activity inadvisable. 1,6.

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