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Do not take Viagra if you are also using a nitrate drug for chest pain or heart problemsThis includes nitroglycerinisosorbide dinitrateand isosorbide mononitrateNitrates are also found in some recreational drugs such as amyl nitrate or nitritepoppersTaking Viagra with a nitrate medicine can cause a sudden and serious decrease in blood pressure.

Sildenafil enhances the effect of NO by inhibiting phosphodiesterase type 5PDE5which is responsible for degradation of cGMP in the corpus cavernosumSildenafil has no direct relaxant effect on isolated human corpus cavernosumWhen sexual stimulation causes local release of NOinhibition of PDE5 by sildenafil causes increased levels of cGMP in the corpus cavernosumresulting in smooth muscle relaxation and inflow of blood to the corpus cavernosumSildenafil at recommended doses has no effect in the absence of sexual stimulation.

VIAGRA is contraindicated in patients with a known hypersensitivity to sildenafilas contained in VIAGRA and REVATIOor any component of the tabletHypersensitivity reactions have been reportedincluding rash and urticariasee ADVERSE REACTIONS

The dosage will be different if the drug is taken for erectile dysfunction or for pulmonary arterial hypertension.

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2018-10-03T07:26:49+00:00 2018 - 09 - 11|

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