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A 10 mg injection dose is predicted to provide pharmacological effect equivalent to the 20 mg oral dose. Usual Geriatric Dose of Sildenafil for Erectile Dysfunction: Initial dose: 25 mg orally once a day 1 hour prior to sexual activity. What other drugs will affect sildenafil. Do not take sildenafil with similar medications such as avanafil (Stendra), tadalafil (Cialis) or vardenafil (Levitra). Tell your doctor about all other medications you use for erectile dysfunction. Tell your doctor about all your current medicines and any you start or stop using, especially: drugs to treat high blood pressure or a prostate disorder; an antibiotic - clarithromycin, erythromycin, or telithromycin; antifungal medicine - ketoconazole or itraconazole; or.

Sometimes they also noticed ringing in the ears or dizziness.]