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India's Silent Up Tablets Your doctor will determine the optimal dosage for each medication, although the typical dosage for this one is as follows: Take 25–100 mg one hour before engaging in sexual activity. This medication takes up to four hours to take effect after consumption. It starts to work thirty minutes after ingestion. When using this medication in the elderly, especially if they also take other medications like nitrates, it is best to have the direct advice of the appropriate doctor and follow his prescription. Use Only As Directed By A Physician. 

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