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Viagra: How Each Stacks Up. Medically reviewed by Alan Carter, PharmD on July 29, 2016 ‚ Written by Ann Pietrangelo.

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While this normally would be expected to be of little consequence in most patients, prior to prescribing VIAGRA, physicians should carefully consider whether their patients with underlying cardiovascular disease could be affected adversely by such vasodilatory effects, especially in combination with sexual activity. Use with caution in patients with the following underlying conditions which can be particularly sensitive to the actions of vasodilators including VIAGRA ndash; those with left ventricular outflow obstruction (e.aortic stenosis, idiopathic hypertrophic subaortic stenosis) and those with severely impaired autonomic control of blood pressure. There are no controlled clinical data on the safety or efficacy of VIAGRA in the following groups; if prescribed, this should be done with caution. Patients who have suffered a myocardial infarction, stroke, or life-threatening arrhythmia within the last 6 months; Patients with resting hypotension (BP lt; 9050 mmHg) or hypertension (BP gt; 170110 mmHg); Patients with cardiac failure or coronary artery disease causing unstable angina.

Sexual Health. Sexual Health Information. Herpes simplex-1 and herpes simplex-2 are contagious sexually transmitted viruses that can cause symptoms in the genitals, face, and mouth.]