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Severe Renal Dysfunction: Not recommended; Liver Dose Adjustments Mild to Moderate Liver Dysfunction (Child-Pugh A or B): No adjustment recommended; Severe Liver Dysfunction: Not recommended; Dose AdjustmentsAvanafil has an average rating of 5 7 out of 10 from a total of 61 ratings on Drugs com 47% of reviewers reported a positive effect, while 39% reported a negative effect Cialis has an average rating of 8 5 out of 10 from a total of 552 ratings on Drugs com 83% of reviewers reported a positive effect, while 9% reported a negative effect Avanafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss This has occurred in a small number of people taking a similar medication called sildenafil (Viagra) Most of these people also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who Viagra alternatives range from medical options like Cialis and Levitra to natural methods like acupuncture and even therapy See options here Viagra can be very effective in treating ED, but it Avanafil can cause a serious drop in your blood pressure when used with nitrates, which can lead to dizziness, fainting, and rarely heart attack or stroke Do not use avanafil with any of the following: certain drugs used to treat chest pain angina (nitrates such as nitroglycerin, isosorbide), recreational drugs called "poppers" containing amyl Nov 29, 2024 · Erectile dysfunction (ED) affects millions of people around the world In the United States, about 30 million men have ED Men over 75 years old are more likely to have it, but young men can
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