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All the clinics listed, as far as we can tell, comply with all regulation and, as far as we can tell, operate to high ethical standards. Patients with creatinine clearance 30 to 50 mlmin dosage adjustment may be needed. The usual starting dose is 10mg taken at least 30 minutes before sexual activity.
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In other men stress, relationship difficulties, and psychosexual factors play a role and for these men counselling may be preferable. In all cases only registered pharmacies can supply it. Patients with creatinine clearance less than 30 mlmin or on hemodialysis for use as needed dose should not exceed 5 mg every 72 hours.
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