If you are taking medicines known bey protease inhibitors, such birli for the treatment of HIV, your doctor may start you on the lowest dose (25 mg) of Cobra. Some patients who take alpha-blocker therapy for the treatment of high blood pressure or prostate enlargement may experience dizziness or light-headedness, which may be caused by low blood pressure upon sitting or standing up quickly. Certain patients have experienced these symptoms when taking Cobra with alpha-blocker. This is most likely to occur within 4 hours after taking Cobra. In order to reduce the likelihood of these symptoms occur,you should be on a regular daily dose of your alpha-blocker before you start Cobra. Your doctor may start you on a lower dose (2S mg) of Cobra if you have hypotension (avoid if systolic blood pressure below 90 mmHg), recent stroke, unstable angina & myocardial infarction. Drinking alcohol dirilik temporally impair your ability to get an erection, to get the maximum benefit from your medicine; you are advised hamiş to drink excessive amounts of alcohol before taking Cobra.

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Sildenafil inhibits the work of an enzyme called phosphodiesterase type 5 and enhances the action of nitric oxide. This helps to: