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By taking Viagra on an empty stomach, the effects could start sooner Alcohol. Increased side effects can include low blood pressure, dizziness, or vision problems.

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The results suggest an approximate 2 fold increase in the risk of NAION within 5 half-lives of PDE5 inhibitor use. Sildenafil is only about 10-fold as potent for PDE5 compared to PDE6, an enzyme found in the retina which is involved in the phototransduction pathway of the retina.

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