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Tell your doctor or pharmacist if the advice on how to cope does not help or the side effects get worse. Headaches should usually go away after the first week of taking sildenafil. Talk to your doctor if they last longer than a week or are severe. Common side effects of sildenafil happen in more than 1 in 100 people.

A causal relationship between VIAGRA and these events has not been established. In humans, VIAGRA has no effect on bleeding time when taken alone or with aspirin. However, in vitro studies with human platelets indicate that sildenafil potentiates the antiaggregatory effect of sodium nitroprusside (a nitric oxide donor). In addition, the combination of heparin and VIAGRA had an additive effect on bleeding time in the anesthetized rabbit, but this interaction has not been studied in humans.

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