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VIAGRA was shown to potentiate the hypotensive effects of nitrates and its administration in patients who use nitric oxide donors such as organic nitrates or organic nitrites in any form is therefore contraindicatedsee CONTRAINDICATIONSDRUG INTERACTIONSand CLINICAL PHARMACOLOGY

Do not take VIAGRA if you take medicines called guanylate cyclase stimulators which include:

if you take other medicines to treat pulmonary arterial hypertensionsuch as riociguatAdempas

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an erection lasts for more than 4 hours If you experience chest pains during or after intercourse you experience changes in your vision or hearing Do not operate machinery if you feel dizzy following treatment.The dosage will be different if the drug is taken for erectile dysfunction or for pulmonary arterial hypertension.A review of population subgroups demonstrated efficacy regardless of baseline severityetiologyrace and ageVIAGRA was effective in a broad range of ED patientsincluding those with a history of coronary artery diseasehypertensionother cardiac diseaseperipheral vascular diseasediabetes mellitusdepressioncoronary artery bypass graftCABGradical prostatectomytransurethral resection of the prostateTURPand spinal cord injuryand in patients taking antidepressants/antipsychotics and anti-hypertensives/diuretics.

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VIAGRA has systemic vasodilatory properties and may further lower blood pressure in patients taking antihypertensive medications.Physicians should advise patients of the potential for VIAGRA to augment the blood pressure lowering effect of alpha-blockers and anti-hypertensive medicationsConcomitant administration of VIAGRA and an alpha-blocker may lead to symptomatic hypotension in some patientsThereforewhen VIAGRA is co-administered with alpha-blockerspatients buy cialis and viagra be stable on alpha-blocker therapy prior to initiating VIAGRA treatment and VIAGRA should be initiated at the lowest dosesee WARNINGS AND PRECAUTIONS

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