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If you experience any of the following serious side effects, stop taking Viagra (Sildenafil) and seek emergency medical attention or notify your healthcare professional immediately: sudden vision loss; ringing in your ears, or sudden hearing loss; chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling; irregular heartbeat; swelling in your hands, ankles, or feet; shortness of breath; vision changes; feeling light-headed, fainting; penis erection that is painful or lasts 4 hours or longer.

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Viagra (Sildenafil) metabolic side effects have included thirst, peripheral and general edema, gout, hyperglycemia, hypoglycemia (including hypoglycemia reactions), and hypernatremia.

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Viagra for ED: Very effective. Take without food to help absorption quickly and last longer. Effect does *not* run out in 4 hours. I have taken as little as 10-15 mg and felt the benefits for well over 12 hours. This of course will be different for everyone. Would recommend starting with a very, very low dosage. My first dosage of 25mg made my penis hurt due to the long lasting and persistent erections.

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