Consult your doctor before using this combo pack, especially if you have heart problems, high or low blood pressure, liver or kidney disease, or a history of stroke.
Common side effects include headache, flushing, nasal congestion, and indigestion. These usually are mild and temporary. However, seek immediate medical attention if you experience:
| Prolonged erection (priapism) | An erection lasting more than four hours. This requires immediate medical intervention. |
| Sudden vision loss | Complete or partial loss of vision. Contact your doctor immediately. |
| Sudden hearing loss | Seek medical advice promptly if you experience a sudden decrease or loss of hearing. |
| Chest pain | Pain or discomfort in the chest area. Call emergency services. |
| Severe allergic reaction | Symptoms may include rash, hives, itching, swelling of your face, lips, or tongue, difficulty breathing. Seek immediate medical attention. |
Avoid grapefruit juice as it can increase the effects of the medication. Do not consume alcohol excessively while using this product, as this can increase the risk of side effects.
This information is not a substitute for professional medical advice. Always discuss your health conditions and medications with a doctor before starting any new treatment.


