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Physicians shouldalso discuss with patients the increased risk of NAION among the generalpopulation in patients with a “crowded” optic disc, although evidence isinsufficient to support screening of prospective users of PDE5 inhibitor,including VIAGRA, for this uncommon condition [see WARNINGS ANDPRECAUTIONS and ADVERSE REACTIONS]. Physicians should discuss with patients the increased risk of NAION inindividuals who have already experienced NAION in one eye. Patients who experience symptoms(e.g., angina pectoris, dizziness, nausea) upon initiation of sexual activityshould be advised to refrain from further activity and should discuss theepisode with their physician [see WARNINGS AND PRECAUTIONS]. I love your products I have never found anything that helps so good. "Their products are third-party tested, certified organic, and loved by reviewers." 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