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Physicians should advise patients of the potential for VIAGRA to augment sildenafil with food the blood pressure lowering effect of sildenafil with food alpha-blockers and anti-hypertensive medications. Physicians sildenafil with food should discuss with patients the potential cardiac risk of sexual activity in patients with preexisting cardiovascular risk factors.
Angina pectoris, dizziness, sildenafil with food nausea upon initiation of what do female viagra do sexual activity should be advised to refrain from further activity and should discuss the episode with their physician (see WARNINGS AND PRECAUTIONS) Physicians should advise sildenafil with food patients to stop use of all PDE5 inhibitors, including VIAGRA, and seek medical sildenafil with food attention in the event of a sudden loss of vision in one or both eyes.
Such an event may be a sign of non-arteritic anterior ischemic optic neuropathy (NAION), a cause of decreased vision including possible permanent loss of sildenafil with food vision, that has been reported rarely post-marketing in temporal association with the use of all PDE5 inhibitors. It is not possible to determine whether these events are sildenafil with food related directly to the use of PDE5 inhibitors or to other factors. Physicians should discuss with patients the increased risk of NAION in individuals who have already experienced NAION in one eye.