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Overall, Zhewitra 60 Mg is well-tolerated, with the majority of adverse reactions being mild to moderate in severity. Common side effects may include headache, flushing, nasal congestion, dyspepsia, and dizziness. Serious adverse events such as priapism (prolonged erection) and sudden hearing loss are rare but require immediate medical attention. As with any medication, patients should be educated about potential risks and advised to seek prompt medical evaluation if experiencing any concerning symptoms.