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If you are currently taking any over-the-counter, recreational or prescription drugs or supplements, tell your healthcare provider. Some medications, like nitroglycerin (nitrates), isosorbide dinitrate, riociguat, ritonavir, itraconazole, ketoconazole, alpha blockers and “poppers”, have well-documented drug interactions with sildenafil and could cause serious side effects. If you are currently taking a PDE5 inhibitor, like Revatio for pulmonary arterial hypertension, talk to your doctor about adjusting your dosage.
There are also some rare, serious side effects of sildenafil, namely an allergic reaction, loss of vision/hearing, or priapism, an erection lasting for more than four hours. Seek emergency medical attention if you experience any of these serious side effects.
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