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(N=196) Tadalafil 5 mg cialis promotion Follow all directions given to you by your doctor or pharmacist carefully.As an oral medication, it’s simple and convenient to use. You should take Viagra approximately 30 to 60 minutes before sexual activity. The effects can last for up to 4 hours. Some men even find that they can get more than one erection per dose. Creatinine clearance 30 to 50 mL/min: A starting dose of 2.5 mg is recommended. An increase to 5 mg may be considered based on individual response.

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