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The usual starting dose of 100 mg works within 15 minutes. With a lower dose, you ll need to wait about 30 to 45 minutes. Typical dose: The recommended starting dose is 100 mg, but doses can range from 50 mg to 200 mg, depending on your need and response. <a href="https://ivermectin-12mg.com/">ivermectin lotion over the counter</a> The word sildenafil is pronounced as sil-DEN-uh-fil. The emphasis is on the second syllable, DEN. The si is pronounced as sil with a short i sound, and the afil is pronounced as uh-fil. It is important to note that the pronunciation may vary slightly depending on regional accents.