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Info: Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis. Avanafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking a similar medication called sildenafil (Viagra).

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This medication is usually taken with food or milk to prevent stomach upset.
As usual it affects the the effect of drugs, so consult with your doctor about how it interactions are being managed or should be managed.
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Plaquenil should be used with caution if you have liver disease.

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