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Before a man concludes that oral drugs don’t work for him, he should have his testosterone levels checked to rule out hormone deficiency as the cause of (or as a contributor to) his sexual dysfunction. Other symptoms of low testosterone include a low sex drive and infertility. Checking testosterone levels requires a blood test. If a man’s levels of testosterone are decreased or at the lower end of normal, his doctor may prescribe supplemental testosterone therapy, either as testosterone injections or testosterone gel, which is applied daily to the skin. In some cases, testosterone therapy alone can resolve sexual dysfunction, or it can be combined with the use of oral erectile dysfunction drugs. best generic viagra Viagra, Cialis, and Levitra are all contraindicated with nitrates. Contraindication means that mixing the two could lead to potential harm. Nitrates work by widening arteries. This increases blood flow and reduces strain on the heart. All three ED drugs increase the effects of nitrates, which can lead to a problematic decrease in blood pressure (hypotension).The recommended dose for ritonavir-treated patients is 25 mg prior to sexual activity and the recommended maximum dose is 25 mg within a 48 hour period because concomitant administration increased the blood levels of sildenafil by 11-fold [see Warnings and Precautions (5.6), Drug Interactions (7.4), and Clinical Pharmacology (12.3)].Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine.Stop using Levitra and get emergency medical help if you have sudden vision loss.

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