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We may recommend 25mg if you’ve previously tried 50mg but experienced some side effects, the smallest dose for sildenafil is 25mg.

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• Extreme drowsiness or difficulty waking up
• Sudden loss of vision in one or both eyes
• Unusual bleeding (gums, nose, urine, or stool)
• Blood pressure changes
• Excessive sweating
• Significant hearing changes
• Dizziness
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