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If chest pains, dizziness, or nausea are experienced during sex, the exertion should be stopped and your doctor informed.For the best experience on our site, be sure to turn on Javascript in your browser.It can be harmful for people to take this medication if their doctor has not prescribed it.If use of a nitrate-containing medication is considered medically necessary, you must wait 48 hours after the last dose of sildenafil before taking a nitrate, and only under close medical supervision.

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Kidney problems: If you have poor kidney function you may need lower doses of this medication.You should also let your doctor know if you have or have had low blood pressure.

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