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Doses may range from 5 mg to 20 mg depending on efficacy and patient tolerability. Both dopamine and norepinephrine are important for sexual excitement. Taking Viagra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack. Vobig MA "Retinal side-effects of sildenafil." Lancet 353 (1999): 1442 40. The results suggest an approximate 2 fold increase in the risk of NAION within 5 half-lives of PDE5 inhibitor use.
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In cases of overdose, standard supportive measures should be adopted as required. These effects on the metabolite are not expected to be of clinical consequence.
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