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More serious, but less frequent side effects include prolonged erection lasting more than four hours, vision changes, and loss of hearing. The incidents include abnormal heart rhythm (atrial fibrillation and ventricular arrhythmia), low blood pressure, myocardial infarction, and blood clots (thromboembolism).

According to clinical trial results, the most common side effects include: headaches nasal congestion impaired vision photophobia, or sensitivity to light indigestion Less commonly, some users have experienced cyanopsia, where everything appears to have a tinted blue tinge. The grant was initiated by the researchers and the pharmaceutical company had no other role in the study, the researchers say.

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