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The medication should be taken 30-60 minutes before sexual intercourse. The recommended dose is 50 mg or 100 mg depending on therapeutic effect. The physiological mechanism of erection is related to the release of nitric oxide in the cavernous body during sexual excitement.Caverta comes in the form of tablets that are taken by mouth. Sildenafil is a powerful and selective inhibitor of cGMP-specific phosphodiesterase type 5 (PDE-5), which is responsible for the breaking down of cGMP in the penis smooth muscles. In elderly patients with impaired renal or hepatic failure the dose should not exceed 25 mg of Caverta. Nitric oxide activates the enzyme guanylate cyclase resulting in increased levels of cyclic guanosine monophosphate (cGMP). Caverta is one of the safest treatment that is used to cure impotency in male by giving them a stiffer organ. This leads to relaxation of smooth muscles of the cavernous body and increase blood flow to the penis. Remember, that Sildenafil Citrate does not work without sexual stimulation.Caverta contains Sildenafil Citrate that belongs to erectile dysfunction drug enhancing blood flow to the penis andrestores impaired erectile function and provides a natural response to sexual stimulation.Side effects: headache, hot flashings, stomach disturbances, nasal congestion, infections of the urinary tract, problems with vision, skin rash, dizziness, diarrhea Florida, Omaha, AZ, Virginia Beach, Oklahoma, Pennsylvania, MT, Maryland, Charlotte, San Diego, Washington, Massachusetts, Seattle, MA, ND, Florida, Michigan, CT, Las Vegas, Atlanta, OR, Rhode Island, Tennessee, CO, Idaho, Illinois, Indiana, Oklahoma City, Illinois, New York, MI, Nevada, Nevada, VT, Michigan, District of Columbia, Chicago, Denver, Maine, ID, Los Angeles, SC, District of Columbia, Nebraska, WA, Mesa, Louisiana, Minnesota, Hawaii, California, New York, OK, Maryland, NJ, MD, AK, North Carolina, Wisconsin, MS, Tulsa, Hempstead, Indiana, Philadelphia, New Mexico, Texas, Wisconsin, West Virginia, Fresno, NY, Colorado, Georgia, GA, South Carolina, Louisiana, Nashville-Davidson, WV, Iowa, IA, HI, Hawaii, Kansas City, Houston, Mississippi, PA, North Carolina, RI, Austin, Kentucky, Minneapolis, Texas, El Paso, San Jose, Colorado, Virginia, Connecticut, AR, South Dakota, WI, VA, IN, Cleveland, Columbus, Wyoming, New Orleans, Virginia, DE, Vermont, Dallas, LA, MO, Pennsylvania, New Mexico, Alabama, Ohio, Phoenix, Memphis, TX, Tucson, IL, FL, California, Tennessee, TN, Arizona, Milwaukee, Arkansas, Indianapolis, DC, Boston, New Hampshire, Portland, Minnesota, MN, WYSan Francisco, Long Beach, Detroit, Alaska, OH, Georgia, Oregon, Baltimore, Washington, Missouri, UT, Oregon, Massachusetts, Albuquerque, Washington, AL, KY, NV, CA, Delaware, Miami, Ohio, Sacramento, Montana, Fort Worth, ME, KS, Nebraska, SD, North Dakota, Kansas, Honolulu, Brookhaven, Oklahoma, Colorado Springs. Arizona, NC, San Antonio, NH, Missouri, Oakland, NM, NE, New Jersey, Jacksonville, NY, Utah,