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If the rash spreads, persists beyond 72 hours, or is accompanied by breathing difficulty or facial swelling, stop the medication and seek urgent medical advice

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In diabetic populations, erectile dysfunction has been shown to correlate negatively with psychological variables such as depression, anxiety, and perceived stress, indicating that more severe ED is associated with higher levels of psychological distress [81]

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Declare the medication at customs and keep it in original packaging with your prescription documentation