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Patients should be stable on alpha blocker therapy prior to initiating a PDE5 inhibitor. Physicians should inform patients that substantial consumption of alcohol eg, 5 units or greater in combination with CIALIS can increase the potential for side effects. Specifically, sildenafil had a 55 reduced risk of the disease compared to losartan, 63 compared to metformin, 65 compared to diltiazem and 64 compared to glimepiride.

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