Before you start taking Stendra, discuss the following with your doctor:, Your allergies, Your health problems, Any medications you take, including prescription, nonprescription, vitamins, and herbal supplements, You should not take Stendra if you have been advised to avoid sexual activity due to underlying cardiovascular problems or other reasons., Taking Stendra with blood pressure medications or large quantities of alcohol can cause low blood pressure., If you have an erection that lasts longer than 4 hours, get emergency care immediately., If you experience sudden vision loss in one or both of your eyes, stop taking Stendra and get emergency care immediately. This could be a sign of Non Arteritic Ischemic Optic Neuropathy (NAION). Your risk may be higher if you have had NAION., If you experience a decrease in hearing or hearing loss, stop taking Stendra and get emergency care immediately. Your allergies, Your health problems, Any medications you take, including prescription, nonprescription, vitamins, and herbal supplements