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The safety of VIAGRA is unknown in patients with bleeding disorders and patients with active peptic ulceration.

If you take other medicines to treat pulmonary arterial hypertensionsuch as riociguatAdempas

Those on nitric oxide donorsnitratesand organic nitrites men who are advised to refrain from sexual intercourse because of cardiovascular risk factors people with severe liver impairment people with kidney disease individuals with low blood pressurehypotensionthose who have had a recent heart attack or stroke individuals with hereditary degenerative retinal disorders.

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.

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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