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Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur while taking sildenafil: Less common Bladder pain burning feeling in the chest or stomach burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings cloudy or bloody urine dizziness increased frequency of urination indigestion pain on urination stomach upset tenderness in the stomach area Rare Abnormal vision anxiety behavior change similar to drunkenness bleeding of the eye blurred vision bone pain breast enlargement chest pain chills cold sweats confusion convulsions (seizures) cool and pale skin deafness or hearing loss decrease in amount of urine or the frequency of urination decreased vision difficulty in concentrating dizziness or lightheadedness, especially when getting up suddenly from a lying or sitting position double vision drowsiness dry eyes dry mouth dryness, redness, scaling, or peeling of the skin excessive hunger eye pain fainting or faintness fast, irregular, or pounding heartbeat feeling of something in the eye fever or chills headache (severe or continuing) increase in the size of the pupil increased sweating increased thirst lower back or side pain migraine headache nausea (severe or continuing) nervousness nightmares numbness of the hands painful, swollen joints prolonged, painful erection of penis redness, burning, or swelling of the eyes redness, itching, or tearing of the eyes restless sleep seeing shades of colors differently than before sensitivity to light shakiness skin lesions with swelling skin paleness skin rash, hives, or itching skin ulcers slurred speech sore throat sudden weakness swelling of the face, hands, feet, or lower legs trouble breathing twitching of the muscles unusual feeling of burning or stinging of the skin unusual tiredness or weakness vision changes vision loss, temporary Incidence not known Blindness. Some side effects of sildenafil may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine.]