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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 should be stable on alpha-blocker therapy prior to initiating VIAGRA treatment and VIAGRA should be initiated at the lowest dosesee WARNINGS AND PRECAUTIONS

Avoid using any other medicines to treat impotencesuch as alprostadil or yohimbinewithout first talking to your doctor.

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

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

Physicians should discuss with patients the contraindication of VIAGRA with regular and/or intermittent use of nitric oxide donorssuch as organic nitrates or organic nitrites in any formsee CONTRAINDICATIONS

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