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Sildenafil Citrate Side Effects Dizziness, headache, redness, or indigestion may occur. Changes in vision, such as increased light sensitivity, blurred vision, or difficulty distinguishing between blue and green, may also occur. To reduce the risk of dizziness and light-headedness, get up slowly from a sitting or lying position. Remember that your doctor has prescribed this medication because he or she has determined that the benefit for you outweighs the risk of side effects. Many of us who take this drug have no serious side effects. Sexual activity can put extra pressure on your heart, especially if you have heart problems. If you have heart problems and have any of these serious side effects during sex, stop getting medical attention immediately: severe dizziness, fainting, chest/jaw/left arm pain, nausea. Rarely, sudden visual impairment, including permanent blindness, can occur in one or both eyes (NAION). If this major problem occurs, stop taking sildenafil and seek m...