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Take the whole sachet by mouth. You may take this medicine with or without meals. The dose is usually taken 20 to 30 minutes before sexual activity. You should not take this dose more than once per day. Do not take your medicine more often than directed.

What may interact with this medicine?
Do not take this medicine with any of the following medications:
    * nitrates like amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin
This medicine may also interact with the following medications:
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    * certain drugs for the treatment of HIV infection or AIDS
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    * certain drugs used for seizures like carbamazepine, phenytoin, and phenobarbital
    * grapefruit juice
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    * medicines for prostate problems
    * rifabutin, rifampin or rifapentine
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