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    Before the beginning of the treatment you should ask your doctor how to take this drug, what dose should be used, how often the tablets may be taken and what recommendations to increase the efficiency of the treatment are. All these recommendations are directed to provide the maximal safety of the treatment and avoid the side effects.

    It is recommended to have one pill of Silvitra from 20 minutes to one hour before your sexual act. Silvitra should be taken not more than once per day. Please see your physician before starting to take this drug to verify you have no counterindications.


    The usual dose of Silvitra doesn’t exceed one tablet once daily, an hour before sexual activity.

    Missed dosage: In case you have missed the dose of Silvitra, take the tablet as soon as you remember it. Do not take more than one tablet of Silvitra once daily.


    Store Silvitra in a dry place at room temperature. Do not expose it to direct sunlight. Keep the drug away from children.


  • Please consult a doctor before taking Silvitra.

    Silvitra should not be taken if you are suffering from coronary disease or taking any drugs containing nitrates or nitrites.

    Do not take Silvitra if you’re allergic to either Sildenafil Citrate or Vardenafil.

    Use Silvitra as described in the instructions, or according to your doctor's prescription to prevent side effects caused by the Sildenafil Citrate 100 mg + Vardenafil 20 mg.

    Patients with hypersensitivity (allergy) to any of the drug’s component should avoid taking Silvitra. Patients with a history of heart diseases should not take the drug without a thorough consultation with a doctor. Patients with hypotension should avoid using Silvitra.

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    blush, eye reddening, nasal congestion, headache, dysfunction of gastrointestinal tract, nausea, vision disorders, insomnia. Please see your physician if any of the mentioned side effects does not disappear.

    Adverse effects of the drug include problems with digestion, fatigue, dizziness, and vertigo. You may also get vision disorders and headaches. Patients with allergy to the drug components may suffer from hypersensitivity to light, flushes, and insomnia.