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Drug Class Interaction Effect Advice
Nitrates Severe hypotension Do not combine
Alpha-blockers Increased risk of hypotension Use cautiously
Other PDE5 inhibitors Increased side effects Avoid combined use
CYP3A4 inhibitors Increased drug levels Dose adjustment may be needed

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Condition Description
Temperature Store below 30°C (86°F)
Light Keep in a cool, dry place away from light
Humidity Avoid humid environments
Out of reach of children Keep securely away from children

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  • Interacts with alpha-blockers
  • Dangerous with nitrate drugs
  • Avoid recreational drugs
  • Interaction with grapefruit juice
  • Can worsen heart conditions
  • Caution with other ED meds
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Country Legal Status Notes
India Over-the-counter, prescription optional Available in pharmacies
USA Not approved, illegal import Not FDA-approved
UK Prescription required Classified as prescription medication
Australia Prescription only Regulated for safety