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Because clinical trials are conductedunder widely varying conditionsadverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice.

Physicians should discuss with patients the contraindication of VIAGRA with use of guanylate cyclase stimulators such as riociguatsee CONTRAINDICATIONS

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.

Common Viagra side effects include redness or flushing and indigestionSome men also report having a stuffy nosefeeling dizzynauseaback painmuscle pain or experiencing visual disturbances when taking Viagra.

The safety and efficacy of combinations of VIAGRA with other PDE5 Inhibitorsincluding REVATIO or other pulmonary arterial hypertensionPAHtreatments containing sildenafilor other treatments for erectile dysfunction have not been studiedSuch combinations may further lower blood pressureThereforethe use of such combinations is not recommended.

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