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It is not known whether these events were caused by sildenafil, sexual activity, heart disease, or a combination of these and other causesTalk to your doctor about the risks of taking sildenafil. Similar values for pharmacokinetic parameters were seen in normal volunteers and in the patient population, using a population pharmacokinetic approach. Go to the emergency room or call your provider immediately if you suddenly notice changes in your vision in one or both eyes. Discussion with the patient s sexual partner may clarify exacerbating issues.

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