Common side effects may include:

1. Headache
2. Dizziness
3. Facial flushing or warmth
4. Nasal congestion
5. Upset stomach or heartburn
6. Back or muscle pain
7. Nausea
8. Drowsiness

Less common side effects may include:

1. Vision changes
2. Hearing changes
3. Rash
4. Yawning

If nasal congestion occurs, discuss appropriate treatment options with your healthcare provider. Do not use over-the-counter nasal decongestant sprays for more than a few days without medical guidance.

Serious side effects are rare but require immediate medical attention. These include:

1. An erection lasting more than 4 hours (priapism)
2. Sudden vision loss
3. Sudden hearing loss
4. Chest pain
5. Severe dizziness or fainting

Contact your healthcare provider if you experience concerning symptoms.

Compounded medications are not FDA-approved. They are prepared by licensed compounding pharmacies under medical supervision and may differ in formulation, dosing, and supporting evidence from FDA-approved products.

This article is for general informational purposes only and does not provide medical advice, diagnosis or treatment for any specific person.