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Physicians should advise patients to stop taking PDE5 inhibitorsincluding VIAGRAand seek prompt medical attention in the event of sudden decrease or loss of hearingThese eventswhich may be accompanied by tinnitus and dizzinesshave been reported in temporal association to the intake of PDE5 inhibitorsincluding VIAGRAIt is not possible to determine whether these events are related directly to the use of PDE5 inhibitors or to other factorssee WARNINGS AND PRECAUTIONS and ADVERSE REACTIONS

Do not use VIAGRA in patients who are using a GC stimulatorsuch as riociguatPDE5 inhibitorsincluding VIAGRAmay potentiate the hypotensive effects of GC stimulators.

It is very common for Viagra to cause headacheThis side effect affects up to one in ten men who use Viagra.

VIAGRAsildenafil citratean oral therapy for erectile dysfunctionis the citrate salt of sildenafila selective inhibitor of cyclic guanosine monophosphatecGMPspecific phosphodiesterase type 5PDE5

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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