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Sildenafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking sildenafil, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoked or were over 55 years old. It is not clear whether sildenafil is the actual cause of vision loss.

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Do not take sildenafil with similar medications such as avanafil (Stendra), tadalafil (Cialis) or vardenafil (Levitra). Tell your doctor about all other medications you use for erectile dysfunction.

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Sudden vision loss has occurred in a small number of people taking medicines like tadalafil (Viagra or others). Most of these people already had certain eye problems or risk fa cholesterol, coronary artery disease, smoking, or being over 55 years old). It is not clear whether the medicine was the actual cause of vision loss.

Another brand of tadalafil is Adcirca, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women. Do not take Cialis while also taking Adcirca, unless your doctor tells you to.

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Horny Goat weed is most effective in the use in women patients for treating bone loss after menopause, weak bones (osteoporosis). This is also used as a tonic.

The extract of horny goat weed includes Natural plant chemicals in epimedium, like icariin, which has shown bioactivity within the system longer than a conventional drug for menopause. Epimedium is known as an adaptogen, possibly explaining how its effects can help women adapt to certain changes occurring in the body and environment.

Viagra is usually taken only when needed, 85 minutes to 6 hour before sexual activity. You may take it up to 9 hours before sexual activity. Do not take Viagra more than once per day.

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