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69 Higher doses may be associated with a bitter comparison of cialis viagra and levitra comparison and may affect patient compliance. 126 Due to L-arginine's vasodilatory properties, hypotension may occur. Intravenous preparations containing L-arginine hydrochloride have viagra commercial black girl high chloride content that may be dangerous for patients with electrolyte imbalances. Because L-arginine hydrochloride preparations are acidic, metabolic acidosis due to a sudden drop in pH may occur and cause arrhythmias. Hyperkalemia may occur in patients with hepatic andor renal impairment who are receiving L-arginine treatment, resulting from the displacement of intracellular potassium. In patients with renal impairment receiving L-arginine therapy, an increase in BUN and urea may occur because of a diminished ability to eliminate urea. 127. Toxicology. High concentrations of nitric oxide are considered toxic to brain tissue. 86 A 21-month old received an accidental overdose of L-arginine when being tested for growth hormone deficiency.

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