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Grapefruit and grapefruit juice may interact with sildenafil. The interaction could lead to potentially adverse effects. You should discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
Other, less serious side effects may be more likely to occur. Continue to take sildenafil and talk to your doctor if you experience flushing;
mild dizziness; headache; nasal congestion; diarrhea;
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.