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Sexual activity may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any of these serious side effects while having sex, stop and get medical help right away: severe dizziness, fainting, chest/jaw/left arm pain, nausea. how long does levitra work Dose AdjustmentIf you do not understand the instructions on the pack, ask your doctor or pharmacist for help.

?Current treatments are varied. Can include changes to medication and/or lifestyle, counselling and oestrogen therapy, or a combination of these15. Webster LJ, Michelakis ED, Davis T, Archer SL "Use of sildenafil for safe improvement of erectile function and quality of life in men with New York Heart Association classes II and III congestive heart failure: a prospective, placebo-controlled, double-blind crossover trial." Arch Intern Med 164 (2004): 514-20

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