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Dosage adjustments In some cases, your doctor may need to increase your Aromasin dosage. To make swallowing easier: Place the tablet into a glass of water (4 to 8 ounces) and stir for about 15 minutes. Less common, but important side effects can include: • Bladder Irritation: Cyclophosphamide may irritate your bladder, cause blood in your urine, or pain with urination Cialis Original 5 mg. FluMist and other live vaccines FluMist is a live vaccine.