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Cialis is not indicated for use in pediatric patients. Safety and efficacy in patients below the age of 18 years has not been established.Figure 1: Placebo-subtracted point estimates (with 90% CI) of mean maximal blood pressure and heart rate effects of pre-dosing with vardenafil 20 mg at 24, 8, 4, and 1 hour before 0.4 mg NTG sublinguallyPrev page:over counter viagra alternative