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Eight patients reported excellent pain relief, and four patients described good results. SCS is an effective treatment for the pain of RSD, including recurrent pain after ablative sympathectomy. The low morbidity of this procedure and its efficacy in patients with refractory pain related to RSD suggest that SCS is superior to ablative sympathectomy in the management of RSD.

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During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of Viagra.

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When VIAGRA was taken as recommended (on an as-needed basis) in flexible-dose, placebo-controlled clinical trials of two to twenty-six weeks duration, patients took VIAGRA at least once weekly, and the following adverse reactions were reported:

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Viagra is usually taken only when needed, 85 minutes to 6 hour before sexual activity. You may take it up to 9 hours before sexual activity. Do not take Viagra more than once per day.

Revised: 67/7567 Document Id: 786656dc-e58b-96aa-996f-eabcab9ee7c7 Set id: 5b5be696-5c67-966c-99f9-9a85889b9556 Version: 76 Effective Time: 75676777 Pfizer Laboratories Div Pfizer Inc

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In addition, N-desmethyl metabolite AUC and Cmax values significantly increased by 755% and 79%, respectively in subjects with severe renal impairment compared to subjects with normal renal function.

Physicians should advise patients of the potential for VIAGRA to augment the blood pressure lowering effect of alpha-blockers and anti-hypertensive medications. Concomitant administration of VIAGRA and an alpha-blocker may lead to symptomatic hypotension in some patients. Therefore, when VIAGRA is co-administered with alpha-blockers, patients should be stable on alpha-blocker therapy prior to initiating VIAGRA treatment and VIAGRA should be initiated at the lowest dose [see WARNINGS AND PRECAUTIONS ].

Based on effectiveness and toleration, the dose may be increased to a maximum recommended dose of 655 mg or decreased to 75 mg.

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