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Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: More common Aches or pains in the muscles bloody nose diarrhea difficult or labored breathing flushing headache pain or tenderness around the eyes and cheekbones redness of the skin sneezing stomach discomfort following meals stuffy or runny nose trouble sleeping unusually warm skin Rare Abdominal or stomach pain abnormal dreams anxiety clumsiness or unsteadiness cough diarrhea or stomach cramps (severe or continuing) difficulty in swallowing ear pain increased amount of saliva increased skin sensitivity lack of coordination loss of bladder control mental depression nausea numbness or tingling of the hands, legs, or feet rectal bleeding redness or irritation of the tongue redness, soreness, swelling, or bleeding of the gums ringing or buzzing in the ears sensation of motion, usually whirling, either of one's self or of one's surroundings sexual problems in men (continuing), including failure to experience a sexual orgasm sleepiness sores in the mouth and on the lips tense muscles trembling and shaking vomiting waking to urinate at night worsening of asthma.

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" Moreover, it is estimated that 30 million American men have erectile dysfunction, and 70 of cases are a result of a potentially deadly condition like atherosclerosis, kidney disease, vascular disease, neurological disease, or diabetes.]