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Prolonged Erection There have been rare reports of prolonged erections greater than 4 hours and priapism painful erections greater than 6 hours in duration for this class of compounds.

Priapism, if not treated promptly, can result in irreversible damage to the erectile tissue. Patients who have an erection lasting greater than 4 hours, whether painful or not, should seek emergency medical attention. Such an 20mg may be a sign of non-arteritic anterior ischemic optic neuropathy NAIONa rare condition and a cause of decreased vision, including permanent loss of vision, that has been reported rarely postmarketing in 20mg association with the use of all PDE5 inhibitors.

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