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Doctors must consult with sufferers the contraindication of VIAGRA with normal and/or sporadic utilization of nitric oxide donors, for example natural nitrates or natural nitrites in virtually any type [see CONTRAINDICATIONS ]. Doctors must recommend sufferers of the possibility of VIAGRA to enhance the blood-pressure decreasing impact of alpha-blockers anti-hypertensive and medicines. Administration of VIAGRA and an alpha blocker can lead to hypotension in certain sufferers. Consequently, when VIAGRA is co-given with alphablockers, sufferers ought to be steady on alpha- therapy just before starting VIAGRA therapy and VIAGRA ought to be started in the cheapest dosage [view WARNINGS ]. Doctors must consult with sufferers the possible cardiac threat of intercourse with preexisting risk factors in-patients. Sufferers who encounter signs (e.g., angina pectoris, vertigo, sickness) upon initiation of intercourse ought to be recommended to avoid further exercise and really should examine the occurrence using their doctor [view WARNINGS AND PRECAUTIONS ].

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