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• Herbal and OTC supplements may not be FDA-approved.
• PDE5 inhibitors are the main class of ED drugs.
• Some ED tablets are available without a prescription in certain countries.
• Keep medications out of reach of children.
• Psychological counseling can complement medication treatment.
• Physical exercise can improve blood flow and ED outcomes.
• Side effects can include dizziness and vision changes.
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• Proper hydration can influence medication absorption.
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• Document any adverse reactions to your healthcare provider.
• Regular check-ups help monitor cardiovascular health.

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Medication Interactions	Concern	Symptoms of Interaction	Severity	Recommendations
Nitrates	Severe hypotension	Dizziness, fainting	High	Do not combine with ED drugs
Alpha-blockers	Low blood pressure	Dizziness, nausea	Moderate	Consult doctor before use
Riociguat	Risk of hypotension	Dizziness, headache	High	Avoid use unless prescribed

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• Avanafil may be suitable for men who experience side effects with other drugs.
• Natural remedies like pomegranate juice are not proven substitutes.
• Erectile dysfunction can be an early warning sign of cardiovascular disease.
• Smoking cessation can improve erectile function and medication response.
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• Always check expiration dates; expired medication may be less effective.

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