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Unprescribed recreational use of viagra and other PDE5 inhibitors is noted as particularly high among users of illegal drugs.[20] viagra is sometimes used to counteract the effects of other substances, often illicit.[17] Some users mix it with methylenedioxymethamphetamine (MDMA, ecstasy), other stimulants, or opiates in an attempt to compensate for the common side effect of erectile dysfunction, a combination known as “sextasy”, “rockin’ and rollin'” or “trail mix”.[17] Mixing with amyl nitrite is particularly dangerous and potentially fatal.[17]
In clinical trials, the most common adverse effects of viagra use included headache, flushing, indigestion, nasal congestion, and impaired vision, including photophobia and blurred vision.[2] Some viagra users have complained of seeing everything tinted blue (cyanopsia).[10] Some complained of blurriness and loss of peripheral vision. In July 2005, the FDA found that viagra could lead to vision impairment in rare cases[11] and a number of studies have linked viagra use with non-arteritic anterior ischemic optic neuropathy.[12]
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Rare but serious adverse effects found through postmarketing surveillance include prolonged erections, severe low blood pressure, myocardial infarction (heart attack), ventricular arrhythmias, stroke, increased intraocular pressure, and sudden hearing loss.[2] In October 2007, the FDA announced that the labeling for all PDE5 inhibitors, including viagra, required a more prominent warning of the potential risk of sudden hearing loss.[13]
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