Orlistat 60 dosage try not to eat grapefruit or drink grapefruit juice while you are being treated with Sildenafil. Inform your doctor if you have hypotension or hypertension, cardiac failure, coronary artery disease, deformations of the penis, sickle-cell anaemia, multiple myeloma, leukaemia, retinitis pigmentosa, and also a history of cardiac dysfunction, myocardial infarction, stroke arrhythmia, life-threatening arrhythmia, cardiovascular problems, allergies. Do not take Super P-Force together with other ED medication. Most usual side effects of Apcalis are facial flushing (reddening), headaches, stomach upset, diarrhea, flu-like symptoms and nausea. In more rare cases low blood pressure, blurred vision and changes in color vision, and abnormal ejaculation may occur. Prolonged erections or priapism (painful erections lasting more than 6 hours) are also possible. If your erection is longer than 4 hours, seek for immediate medical help as it may permanently damage your penis. Aggravation of heart problems in patients with pre-existing heart disease using Apcalis was reported.