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Much more severe negative effects are extremely unexpected yet possible, included that you always take Sildenafil as recommended and never ever surpass the dose suggested.
The following medicines are very important to point out, as you may really need a lower or greater amount of Sildenafil depending on your therapy schedule: nevirapine, HIV protease inhibitors, cimetidine, 'beta' blockers, efavirenz, other medicines for impotence, anticoagulants, medications for higher blood tension, alpha blockers, particular antifungals, seizure medications, different barbiturates, and erythromycin.