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I tried sildenafil with the starter pack. i experienced terrible nausea, insomnia, hot flashes, racing heart and fever. my doctor reduced the dosage back to 12.5 mg but with very little improvement of side effects. she finally told me to stop taking it. i have had great results with my other medications and i wasn't having any issues but my doctor wanted me to try this new "great" medication. i haven't felt this bad in years. if i were having problems i could understand her trying the sildenafil with me but for me this medicaiton made me feel worse than i have in a very long time. i am relieved to be off of it. in the future if my other medications ...