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Priapism should be reported as soon as possible.

However, Viagra ought to not be combined with such procedures as cimetidine, itraconazole, voriconazole, antidepressants, telithromycin, imatinib, rifampin, isoniazid, ketoconazole, erythromycin, blood pressure medications, conivaptan, clarithromycin or HIV/AIDS medication.

Opposite effects are moderate and you do not have to tell your medical professional about them unless they alter in strength and start bothering you way way too much.