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Increased side effects can include low blood pressure, dizziness, or vision problems. They can also include erections that last longer than normal.

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Sudden vision loss warning: This drug can cause sudden vision loss in one or both eyes. This can be a sign of a serious eye problem. If this occurs, stop taking sildenafil and call your doctor right away.

For PAH: Sildenafil works by relaxing the muscles and opening up the blood vessels in your lungs. This decreases the blood pressure in your lungs. Sildenafil slows down the progression of your illness. It also makes you more able to exercise.

The most effective ED pill for you will vary depending on your needs, health, and other medications you may already be taking.

Talk with your doctor if you’re pregnant or planning to become pregnant. It appears unlikely that this drug will harm a pregnancy. However, this drug should only be used during pregnancy if clearly needed.

Sildenafil and tadalafil are alike because they both can treat ED and PAH. However, tadalafil has a few distinctions from sildenafil.

Taking these drugs with sildenafil can cause your blood pressure to drop suddenly to an unsafe level.

For children: This drug isn’t recommended in children younger than 18 years. In one study, children with PAH who took this drug had an increased chance for death.

Call your doctor right away if you have serious side effects. Call 911 if your symptoms feel life threatening or if you think you’re having a medical emergency. Serious side effects and their symptoms can include the following:

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However, Viagra is marketed and prescribed viagra strictly for erectile dysfunction, while generic sildenafil can be prescribed for PAH as well.

For people with problems with the shape of their penis: If you have a problem with the shape of your penis, such as Peyronie’s disease, this drug raises your risk for having an erection that lasts more than 4 hours.

Sildenafil can be taken with food or without food. It is important to note that certain foods, particularly foods high in fat, can cause the drug to work more slowly than normal.