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Furthermore, among the nine patients who responded to placebo, seven (78%) did so within 30 min after dosing, similar viagra cialis side effects to the proportion of sildenafil responders (86%, 12/14) who responded during the same time interval. In addition, a high percentage of patients responded to viagra use marathi both sildenafil and placebo in Study I (47%) and in the first part of Study II when VSS started 2 h after dosing (42%). These findings suggest that a large proportion of the combinar cialis y levitra patients enrolled in these two studies appeared to have had a significant psychogenic component to their ED. An objective evaluation of psychogenic factors leading to ED may serve to direct the patient to the appropriate therapy, such as psychological treatment with or without pharmacological treatment. Although combinar cialis y levitra this report supplies specific and detailed information related to the onset combinar cialis y levitra and duration of action of sildenafil, several combinar cialis y levitra limitations are inherent in the combinar cialis y levitra study design. The use of 60 min of continuous VSS may have confounded the results as, on its own, prolonged continuous VSS combinar cialis y levitra may produce some effects.