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British men who are prescribed erythromycin or other macrolides are advised to inform their prescriber so that the Viagra dose can be reduced if necessary. Canadian healthcare providers take a similarly thoughtful approach to dosing, recognizing that the right dose is the one that achieves the desired effect with the fewest side effects. Sildenafil, the active ingredient in Viagra, was originally developed as a cardiovascular medication designed to improve blood flow. Mi A Kamagra. The more serious concern regarding Viagra and vision involves a condition called non-arteritic anterior ischemic optic neuropathy, often abbreviated as NAION.

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