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See full Prescribing Information, including BOXED WARNING regarding severe low blood pressure and fainting in certain settings, and Medication Guide at addyicom pi. Semenax was developed specifically to combat this issue while also increasing semen volume and is clinically proven to work. So, we don t recommend taking sildenafil based medications like Viagra unless a doctor or pharmacist agrees you should. If you have any questions about sildenafil, ask your doctor or pharmacist.