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A prolonged erection (priapism) can damage the penis. Stop using Viagra and get emergency medical help if you have sudden vision loss. Before taking this medicine. You should not use Viagra if you are allergic to sildenafil, or: if you take other medicines to treat pulmonary arterial hypertension, such as riociguat (Adempas). Do not take Viagra if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate.

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