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The chemicals used in both the pills are different.

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The researchers suggest that the combination of Viagra and grapefruit juice be "avoided. " Men who use protease inhibitors are usually prescribed less-than-normal doses of Viagra because protease inhibitors can raise levels of Viagra several times greater than normal, which can cause dangerous side effects. Therefore, men who use protease inhibitors and Viagra may wish to also avoid taking Viagra with grapefruit juice.

More evidence is needed to rate the effectiveness of propionyl-L-carnitine for these uses. PROPIONYL-L-CARNITINE Side Effects Safety. Propionyl-L-carnitine is safe for most people when taken by mouth or given intravenously by a healthcare professional. It can cause nausea, vomiting, stomach pain, weakness, and chest pain (angina).]