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• Yellowing of the skin or eyes (jaundice)
• Ringing in the ears (tinnitus)
• Irritability
• Severe dizziness or fainting spells
• Altered sense of taste
• Seizures or epileptic episodes
• Sudden general weakness
• Chest pain or tightness

As per medical health conditions and the severity of impotence, you should consult your doctor and talk to them about your sexual life, and are essentially the same medicine. Or multiple myeloma are more prone to have priapism, discontinue use immediately and seek medical care.

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