![]() some types of antibiotics, such as clarithromycin (Biaxin), telithromycin (Ketek), or erythromycin.some types of oral antifungal medicines, such as ketoconazole (Nizoral) and itraconazole (Sporanox).medicines called HIV protease inhibitors, such as ritonavir (Norvir), indinavir sulfate (Crixivan), saquinavir (Fortovase or Invirase), or atazanavir sulfate (Reyataz).In some patients, the use of XSTRONG with alpha-blockers can lead to a drop in blood pressure or to fainting Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. medicines called alpha-blockers, such as Hytrin (terazosin HCl), Flomax (tamsulosin HCl), Cardura (doxazosin mesylate), Minipress (prazosin HCl), Uroxatral (alfuzosin HCl), Jalyn (dutasteride and tamsulosin HCl), or Rapaflo (silodosin).medicines called guanylate cyclase stimulators such as Adempas (riociguat).Especially tell your healthcare provider if you take any of the following: XSTRONG may affect the way other medicines work, and other medicines may affect the way XSTRONG works, causing side effects. Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. have kidney problems or are having kidney dialysis.have ever had severe vision loss, including an eye problem called NAION.have retinitis pigmentosa, a rare genetic (runs in families) eye disease.have problems with your blood cells such as sickle cell anemia, multiple myeloma, or leukemia.have had an erection that lasted for more than 4 hours.have low blood pressure, or high blood pressure that is not controlled.have had heart surgery within the last 6 months.have or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve, or heart failure.If you have these symptoms, stop taking XSTRONG and contact a doctor right awayīefore you take XSTRONG, tell your healthcare provider if you: Some people may also have ringing in their ears (tinnitus) or dizziness. sudden hearing decrease or hearing loss.Stop taking XSTRONG and call your healthcare provider right away if you have any sudden vision loss Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). sudden vision loss in one or both eyes.If it is not treated right away, priapism can permanently damage your penis If you have an erection that lasts more than 4 hours, get medical help right away. an erection that will not go away (priapism).If you experience chest pain, dizziness, or nausea during sex, seek immediate medical help. are allergic to sildenafil, as contained in XSTRONG and REVATIO, or any of the ingredients in XSTRONGĭiscuss your health with your doctor to ensure that you are healthy enough for sex.Your blood pressure could drop to an unsafe level take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas (riociguat) for pulmonary hypertension.IMPORTANT SAFETY INFORMATION AND INDICATION Do not take XSTRONG if you:
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