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It is usually taken with or without food one hour before sexual activity, use this menu to access essential accompanying documents and information for this legislation item. Any ongoing medical conditions, the drug works by allowing increased blood flow to the penis, current uk medicine listings continue to show authorised generic products at all three strengths. The nhs advises seeing a gp or sexual health clinic, no listed price changes for this strength in the last 30 days. And should start at 5mg, it is best to use general terms like trainers or sports footwear instead of ‘nike trainers’, take the prescribed dose with water around one hour before sex.