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Hydroxychloroquine may cause some people to be agitated, irritable, or display other abnormal behaviors. It may also cause some people to have suicidal thoughts and tendencies, or to become more depressed. If you or your caregiver notice any of these side effects, tell your doctor right away.

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When you're sexually stimulated, Viagra can make your erect penis larger than usual. This is because the drug increases the amount of blood flow to your penis, increasing its size. But a rare side effect of Viagra is swelling of your genitals, including your penis.

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The best approach is just to say, "I think I may have ED." It's unlikely your doctor will feel uncomfortable. If they have trouble talking about sexual issues with you, ask them to refer you to a urologist. The doctor will start by asking about your medical history.

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Viagra is usually taken only when needed, 30 minutes to 1 hour before sexual activity. You may take it up to 4 hours before sexual activity. Do not take Viagra more than once per day. Viagra can help you have an erection when sexual stimulation occurs.

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Physical causes of overall sexual dysfunction may be: Low testosterone levels. Prescription drugs (antidepressants, high blood pressure medicine). Blood vessel disorders such as atherosclerosis (hardening of the arteries) and high blood pressure.

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Official Answer. The maximum recommended dose of Cialis is 20mg daily. Increasing the dose to 40mg might just increase the intensity of side effects and may not actually deal with the erectile dysfunction problem. If 20mg dose is not working you might want to look for an another medicine.

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The usual starting dose for as-needed Cialis is 10 mg. It's adjusted upward or downward depending on how you react to the medication. Don't take more than one dose per day to avoid the risk of a prolonged, painful erection (priapism), drop in blood pressure, or other serious side effects.

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