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Physicians should discuss with patients the potential cardiac risk of sexual activity in patients with preexisting cardiovascular risk factors. Patients who experience symptoms (e.angina pectoris, dizziness, nausea) upon initiation of sexual activity should be advised to refrain from further activity and should discuss the episode with their physician [see WARNINGS AND PRECAUTIONS ]. Sudden Loss of Vision. Physicians should advise patients to stop use of all PDE5 inhibitors, including VIAGRA, and seek medical attention in the ui of a sudden taking viagra at young age of vision in one or both eyes. Such an event may be a sign jax non-arteritic anterior ischemic optic neuropathy (NAION), a cause of decreased glld including possible permanent loss of vision, that has been reported rarely post-marketing in temporal association with the use of all PDE5 inhibitors.

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