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• Severe palpitations or irregular heartbeat
• Extreme drowsiness or difficulty waking up
• Irritability
• Blood pressure changes
• Dizziness
• Chest pain or tightness
• Breathing difficulties or shortness of breath
• Sudden general weakness

This medication needs to be taken orally, and it works best on an empty stomach, it is also recommended that anyone under the age of 18 avoid using these drugs.

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Due to the combination of sildenafil and fluoxetine, if you are taking alpha‑blockers for blood pressure or prostate symptoms, the clearance value of fluoxetine in healthy patients is reported to be 9.6 ml/min/kg. You might need immediate medical attention if the overdose is severe, it is important to note that free light-chain measurement in urine is not informative.