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There have been rare reports of prolonged erections greater than 4 hours and priapism painful erections greater than 6 hours in duration for this class of compounds. Priapism, Fluoxymesterone results, if not treated promptly, can result in irreversible damage to the erectile tissue. Physicians should advise patients who have an erection lasting greater than 4 hours, whether painful or not, to seek emergency medical attention. Physicians should advise patients to stop use of all PDE5 inhibitors, including Stendra, and seek medical attention in the event of a sudden loss of vision in one or both eyes. Such an event may be a sign of non-arteritic anterior ischemic optic neuropathy NAIONa cause of decreased vision including permanent loss of vision that has been reported rarely in temporal association Fluoxymesterone results the use of PDE5 inhibitors. Physicians should advise patients to stop taking PDE5 inhibitors, including Stendra, and seek prompt medical attention in the event of sudden decrease or loss of hearing. Use of PDE5 inhibitors has been associated with sudden decrease or loss of Halotestin, which may be accompanied by tinnitus and dizziness. Patients should be made aware that both alcohol and PDE5 inhibitors including Stendra act as mild vasodilators. When mild vasodilators are taken in combination, blood pressure-lowering effects of each arimidex steroid crossfit">individual compound may be increased. Counseling of patients about the protective measures necessary to guard against sexually transmitted diseases, including Human Immunodeficiency Virus HIV should be considered. Physicians should discuss with patients the appropriate use of Stendra and its anticipated benefits. It should be explained that sexual stimulation is required for an erection to occur after taking Stendra. Patients should be counseled regarding the dosing of Stendra. Inform patients that the recommended starting dose of Stendra is mg, taken as early as approximately 15 minutes before initiation of sexual activity. Based on efficacy and tolerability, the dose may be increased to mg taken as early as approximately 15 minutes before sexual activity, or decreased to 50 mg taken approximately 30 minutes before sexual activity.

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