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If the individual is taking alpha-blockersthey should make sure they take Viagra at least 4 hours before or after to prevent dangerously low blood pressure.

Physicians should advise patients to stop taking PDE5 inhibitorsincluding VIAGRAand seek prompt medical attention in the event of sudden decrease or loss of hearingThese eventswhich may be accompanied by tinnitus and dizzinesshave been reported in temporal association to the intake of PDE5 inhibitorsincluding VIAGRAIt is not possible to determine whether these events are related directly to the use of PDE5 inhibitors or to other factorssee WARNINGS AND PRECAUTIONS and ADVERSE REACTIONS

Consistent with its known effects on the nitric oxide/cGMP pathwaysee CLINICAL PHARMACOLOGYVIAGRA was shown to potentiate the hypotensive effects of nitratesand its administration to patients who are using nitric oxide donors such as organic nitrates or organic nitrites in any form either regularly and/or intermittently is therefore contraindicated.

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Viagra is used to treat erectile dysfunctionimpotencein menAnother brand of sildenafil is Revatiowhich is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women.

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