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Viagra can cause serious side effects Rarely reported side effects include:

• sudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have these symptoms, stop taking Sildenafil pills and contact a doctor right away;
• an erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, get medical help right away. If it is not treated right away, priapism can permanently damage your penis;
• sudden vision loss in one or both eyes. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). It is uncertain whether PDE5 directly cause the vision loss. Stop taking VIAGRA or Sildenafil and call your healthcare provider right away if you have sudden vision loss in one or both eyes.

Type 2 diabetes is typically a chronic disease associated with a ten-year-shorter life expectancy. This is partly due to a number of complications with which it is associated, including: two to four times the risk of cardiovascular disease, including ischemic heart disease and stroke; a 20-fold increase in lower limb amputations, and increased rates of hospitalizations. In the developed world, and increasingly elsewhere, type2 diabetes is the largest cause of nontraumatic blindness and kidney failure. It has also been associated with an increased risk of cognitive dysfunction and dementia through disease processes such as Alzheimer's disease and vascular dementia. Other complications include acanthosis nigricans, impotence, and frequent infections.

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Sildenafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking Sildenafil Duloxetine, most of whom also had heart disease, Diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old. It is not clear whether Generic Sildenafil is the actual cause of vision loss. Stop using sildenafil and get emergency medical help if you have sudden vision loss.

MUSE may be effective in men who have vascular disease or Diabetes or have undergone prostate surgery. Intraurethral alprostadil is a useful agent for men who do not want to use self-injections or for men in whom oral medications have failed. It has been successfully used together with Generic Sildenafil in cases in which each agent alone failed.

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Alcohol and Sildenafil citrate (an active ingredient of Kamagra pills Chew) can interact. As per studies Sildenafil lowers blood pressure in men and alcohol also does the same. Lowering of blood pressure may cause light-headedness, fainting, headache and even feelings of having rapid, fluttering or pounding heart.