The dose may be increased to 20 mg or decreased to 5 mg, based on individual efficacy and tolerability. The maximum recommended dosing frequency is once per day in most patients. is there a generic levitra The drawbacks are that there are adverse effects with this medication, as there are with all medications. The major adverse effects are dizziness and drowsiness, which can affect about 10 percent to 15 percent women taking the medication. This is not significantly different from the widely prescribed SSRI antidepressants. We don’t yet have long-term data on other potential risks, including cancer. It should be pointed out, however, that Viagra was approved with six months of safety data. Most studies on flibanserin have one to two years of safety data.If you are taking sildenafil for PAH, you should know that sildenafil controls PAH but does not cure it. Continue to take sildenafil even if you feel well. Do not stop taking sildenafil without talking to your doctor.
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Mild-to-moderate (CrCl 31-80 mL/min): 20 mg PO once daily initially; may be increased to 40 mg once daily on basis of tolerability
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