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Persons who have already had a case NESN have an increased risk of relapse NESN. Therefore, the doctor should discuss this risk with such patients, as well as the potential chance of adverse effects of PDE-5 inhibitors. PDE-5 inhibitors, including Buy Viagra Online Bitcoin Or Credit Card, in such patients should be used with caution and only in situations where the expected benefit outweighs the risk. In patients with episodes of development PINZN with loss of vision in one eye receiving Buy Viagra Online Bitcoin Or Credit Card is contraindicated (see "Contraindications").

A small number of patients with hereditary retinitis pigmentosa have genetically determined disorders of the PDE of the retina. Information about the safety of the drug Buy Viagra Online Bitcoin Or Credit Card in patients with retinitis pigmentosa absent, so these patients should not be used Discount Red Viagra With Bitcoin (see "Contraindications").

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Studies of visual impairment. In some patients, 1 h after taking Buy Viagra Online Bitcoin Or Credit Card at a dose of 100 mg with the Farnsworth-Mansell test 100 revealed a slight and transient violation of the ability to distinguish shades of color (blue/green). After 2 hours after taking the drug, these changes were absent. It is believed that color vision impairment is caused by inhibition of PDE-6, which is involved in the process of color transmission in the retina. Buy Viagra Online Bitcoin Or Credit Card had no effect on visual acuity, contrast perception, electroretinogram, IOP or pupil diameter.

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There were no signs of significant interaction with tolbutamide (250 mg) or warfarin (40 mg), which are metabolized by CYP2C9 isoenzyme.

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Inside, can be taken with or without water. When taking the drug, you should put a tablet, dispersed in the oral cavity, on the tongue, after which it will quickly dissolve, and it can be swallowed. The tablet should be taken immediately after opening the blister. Patients who are recommended a dose of Buy Viagra Online Bitcoin Or Credit Card 100 mg, the second tablet of Buy Viagra Online Bitcoin Or Credit Card 50 mg should be taken after complete dissolution of the first tablet.

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Special patient groups

Renal impairment. In mild to moderate renal failure dose adjustment is not required, in severe renal failure (Creatinine CL <30 ml/min) Buy Kamagra With Bitcoin dose should be reduced to 25 mg.

Hepatic impairment. Since the excretion of Buy Viagra Online Bitcoin Or Credit Card is disturbed in patients with liver damage (in particular, cirrhosis), the dose of The Purchase Of Extra Super Viagra should be reduced to 25 mg.

Joint application with other drugs. Joint use with ritonavir is not recommended. In any case, the maximum dose of Buy Viagra Online Bitcoin Or Credit Card under any circumstances should not exceed 25 mg, and the frequency of application — 1 time in 48 h (see "Interaction").

When combined with inhibitors of CYP3A4 isoenzyme (erythromycin, saquinavir, ketoconazole, Itraconazole), the initial dose of Buy Viagra Online Bitcoin Or Credit Card should be 25 mg (see "Interaction").

To minimize the risk of postural hypotension in patients taking α-blockers, Buy Viagra Online Bitcoin Or Credit Card should be started only after achieving hemodynamic stabilization in these patients. Consideration should also be given to reducing the initial dose of Buy Viagra Online Bitcoin Or Credit Card (see special instructions and Interactions).

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