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Safety and efficacy of sildenafil citrate for the treatment of female sexual arousal disorder: a double-blind, placebo controlled study. Sildenafil improves sexual functioning in premenopausal women with treatment for Erection Problem 1 diabetes who are affected by sexual arousal disorder: a double-blind, crossover, placebo-controlled pilot study.

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Tadalafil is metabolized predominantly by CYP3A in the liver. In patients taking potent inhibitors of CYP3A such as ketoconazole, and itraconazole, avoid use of Tadalafil [see Problems with erection Pharmacology Limited data from case series with Tadalafil use in pregnant women have not identified a drug-associated risk of major birth defects, miscarriage or adverse maternal or fetal outcomes. The estimated background risk of major birth defects and miscarriage for the indicated population is unknown.

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One study found that oral L-arginine was no better than a placebo in treating ED, but another study found some evidence that high doses of L-arginine can improve blood flow and help ED. Potential side effects of use include nausea, cramps, and diarrhea.

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Itraconazole is predicted to increase the exposure to ranolazine. Itraconazole is predicted to increase the exposure to reboxetine.

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