Shake the bottle effectively for at least ten seconds ahead of Each and every use. Remove the cap by pushing it down and twisting it counter-clockwise. Thrust the plunger in the syringe, then insert the tip in the bottle although holding the bottle upright over a flat surface area. Gradually pull again the plunger right up until the necessary dose.

In case you have an erection that lasts over 4 several hours, you must get unexpected emergency health care treatment. Go for your nearest crisis home, or phone 911 or your neighborhood crisis quantity.When you are a lady and you also are having sildenafil to treat PAH, notify your medical professional if you are pregnant, strategy to be pregnant,