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    Generic sildenafil comes with a patient information leaflet. Read and follow these instructions carefully. Read it again each time you refill your prescription in case there is new information. Ask your doctor if you have any questions. The dose of vardenafil will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of vardenafil. If your dose is different, do not change it unless your doctor tells you to do so. Because the erection is being synthetically generated, the usual sensitivity the enables climax is hindered. This stuff can also cause permanent damage to blood vessels and can potentially lead to permanent damage, it's called Peyronie's Disease. Look it up, they don't mention it in their commercials, they just say to avoid long term damage. I am a registered nurse so I felt I had to comment here.

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