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Therefore always use the precise amount and frequency your doctor prescribed you. - However, when treating ED your doctor might prescribe a dose of 10 mg, to be taken at least 30 minutes before you need it to be active. If this works insufficiently the dose could be increased up to 20mg. - When treating an enlarged prostate, your doctor might prescribe a dose of 5mg 1x/day. What are common the side-effects? - Common (1-10%): headache, flushing, nasal congestion, muscle pain and back pain. - Uncommon (0.1-1%): Hypersensitivity reactions, blood pressure changes, dizziness, chest pain, palpitations, fatigue, nausea, vomiting, abdominal pain, skin rash, blurred vision, eye pain, tinnitus and prolonged erections. - Rare (0.01-0.1%): pain on your chest, heart problems, penile bleeding, migraine, convulsions, transient amnesia, swollen eyelids, sudden deafness and skin rashes. - In elderly (65+ years): more frequent diarrhoea and dizziness. 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