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Do not take the following medications within 18 hours of injecting (before or after): Sildenafil (Viagra) - 20 mg to 100 mg Vardenafil (Levitra) - 10 mg to 20 mg Avanafil (Stendra) - 50 mg to 200 mg If you take tadalafil (Cialis ) 10 mg or 20 mg, do not inject within 72 hours (3 days) of taking the medication

[6] [10] You should arrange a GP appointment if you experience: Persistent difficulty achieving or maintaining erections sufficient for sexual activity Sudden onset of erectile problems, especially if accompanied by other symptoms Reduced libido or changes in sexual desire Pain during erection or intercourse Concerns about fertility or reproductive health Psychological distress related to sexual function Your GP will conduct a thorough assessment including medical history, medication review, and examination