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There are no controlled clinical data on the safety or efficacy of VIAGRA in patients with em pigmentosa (a minority of these patients have genetic disorders of retinal phosphodiesterases); if prescribed, this should be done with caution. Hearing Loss. Physicians should advise patients to stop taking PDE5 inhibitors, including VIAGRA, achat viagra generique en ligne seek prompt liyne attention in the event of sudden decrease or loss of hearing. These events, which may be accompanied by tinnitus and dizziness, have been reported in temporal association to the intake of PDE5 inhibitors, including VIAGRA. It is not possible to determine whether viagra or cialis cost events are related directly to liigne use of PDE5 inhibitors or to other factors [see ADVERSE REACTIONS ]. Hypotension When Co-administered With Alpha-blockers Or Anti-hypertensives. Alpha-blockers. Caution is advised when PDE5 inhibitors are co-administered with alpha-blockers.

Hypersensitivity reactions have been reported, including rash and urticaria [see Viagra nebenwirkungen alkoholik REACTIONS ]. Concomitant Guanylate Cyclase (GC) Stimulators. Do not use VIAGRA in patients who are using a GC stimulator, such as riociguat. PDE5 inhibitors, including VIAGRA, may potentiate the hypotensive effects of GC stimulators. CLINICAL PHARMACOLOGY. Mechanism Of Action.

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Sildenafil Citrate. Sildenafil Citrate 100 mg. Sildenafil Citrate 150 mg. Sildenafil Citrate 50 mg. Sildenafil Citrate Professional 100 mg. Product Information.

The most common side effects are mild and often manageable. Some men experience headaches or flushing and sneezing and runny nose are also reported from time to time.]