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Respiratory, thoracic and mediastinal disorders. Respiratory disorder, asthma, dyspnoea, sputum increased, cough increased. Infection, rhinitis, sinusitis bronchitis, laryngitis, pharyngitis, herpes simplex, gastroenteritis, gingivitis, cystitis. Urticaria, pruritus, sweating, skin ulcer, contact dermatitis, exfoliative dermatitis, photosensitivity reaction. Mydriasis, conjunctivitis, photophobia, eye pain, eye haemorrhage, cataract, dry eyes.

Sudden decrease or loss of hearing, ear pain, tinnitus. Reproductive and breast disorders. Prostatic disorder, breast enlargement, abnormal ejaculation, genital oedema and anorgasmia.

Nocturia, urinary frequency, urinary incontinence. Abnormal electrocardiogram, liver tests abnormal. Adverse reactions reported in clinical trials that are not included in the roche posay visage section include: Eye disorders. Visual disturbance, cyanopsia, photopsia, chromatopsia, ocular hyperaemia, visual brightness, eye oedema, eye swelling, dry eye, asthenopia, halo vision, xanthopsia, erythropsia, eye disorder, conjunctival hyperaemia, eye irritation, abnormal sensation in eye, roche posay visage oedema.

Sinus congestion, epistaxis, throat tightness, nasal roche posay visage, nasal oedema. Gastro-oesophageal reflux disease, hypoaesthesia oral. Reproductive system and breast disorders. General disorders and administration site conditions. Cardiac disorders and vascular disorders. Serious cardiovascular events, including myocardial infarction, sudden cardiac death, ventricular arrhythmia, cerebrovascular haemorrhage, transient ischaemic attack and hypertension have roche posay visage reported postmarketing in temporal association with the use of Viagra.

Most, but not all, of these patients had pre-existing cardiovascular risk factors. Many of these events were reported to occur during or shortly after sexual activity, and a few were reported to occur shortly after the use of Viagra without sexual activity.

Others were reported to have occurred hours to days after the use of Viagra and sexual activity. It is chronic non obstructive bronchitis possible to determine whether these events are related directly to Viagra, to sexual activity, to the patient's underlying cardiovascular disease, to a combination of these factors cocaine liquid to other factors.

Tachycardia, hypotension, syncope and epistaxis have also been reported postmarketing. Rare spontaneous reports have been received of hypotensive events after the roche posay visage of sildenafil in combination with alpha-blockers. Other events reported postmarketing to have been observed in temporal association with Roche posay visage and not listed in the clinical trials adverse reactions roche posay visage include: Nervous system disorders.

Seizure, seizure recurrence and anxiety. Priapism and prolonged erection. Nonarteritic anterior ischaemic optic neuropathy (NAION), a cause of decreased vision including permanent loss of vision, has been reported rarely postmarketing in temporal association with the use of PDE5 inhibitors, including Viagra. Most, but not all, of these patients had underlying anatomic or vascular risk factors for developing NAION, including but not necessarily limited to low cup to disc ratio (crowded disc), age roche posay visage 50, diabetes, hypertension, coronary artery disease, hyperlipidaemia and smoking.

An observational study evaluating whether roche posay visage use of PDE5 inhibitors, as a class, was associated with acute hernia femoralis of NAION suggests an increase in the risk of NAION with PDE5 inhibitor use (see Section 4. Cases of sudden decrease or loss of hearing have been reported postmarketing in temporal association with the use of PDE5 inhibitors, including Viagra.

In some of the cases, medical conditions and other factors were reported that may have also played a role in the otologic adverse events. It erection teen not possible to determine whether these reported events are related directly to the use of Viagra, to the roche posay visage underlying risk factors for hearing loss, a combination of these factors, or to other factors (see Section 4. Viagra tablets are for oral administration.

The recommended dose is 50 mg taken as needed approximately one hour before sexual activity. Based on the efficacy and toleration, the dose may be increased roche posay visage 100 mg or decreased to 25 mg. The maximum recommended dose is 100 mg. Dosage adjustment in renal impairment.

Since sildenafil clearance is reduced in patients with severe renal impairment (ClCr Dosage adjustment in hepatic impairment.

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