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CGMP causes the arteries in the penis to dilateso that the arteries and the erectile tissue fill with bloodAn erection results.

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.

This list is not completeOther drugs may interact with sildenafilincluding prescription and over-the-counter medicinesvitaminsand herbal productsNot all possible interactions are listed in this medication guide.

Physicians should discuss with patients the potential cardiac risk of sexual activity in patients with preexisting cardiovascular risk factorsPatients who experience symptomse.gangina pectorisdizzinessnauseaupon initiation of sexual activity should be advised to refrain from further activity and should discuss the episode with their physiciansee WARNINGS AND PRECAUTIONS

Caution is advised when PDE5 inhibitors are co-administered with alpha-blockersPDE5 inhibitorsincluding VIAGRAand alpha-adrenergic blocking agents are both vasodilators with blood pressure lowering effectsWhen vasodilators are used in combinationan additive effect on blood pressure may occurIn some patientsconcomitant use of these two drug classes can lower blood pressure significantlysee DRUG INTERACTIONS and CLINICAL PHARMACOLOGYleading to symptomatic hypotensione.gdizzinesslightheadednessfainting

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