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Patients should be stable on alpha-blocker therapy prior to initiating a PDE5 inhibitor. In those patients already taking an optimized dose of a PDE5 inhibitor, alpha-blocker therapy should be initiated at the lowest dose.

Stepwise increase in alpha-blocker Where To Order Antabuse No Prescription this interaction has not been studied in humans. Cardiovascular Considerations Physicians should discuss buy Viagra 150 mg patients the potential cardiac buy Viagra 150 mg of sexual activity in patients with preexisting cardiovascular risk factors.

Patients who experience symptoms e. Such an event may be a sign of non-arteritic anterior ischemic optic neuropathy NAION, a cause of decreased vision including possible permanent loss of vision, that has been reported rarely post-marketing in temporal association with the use of all PDE5 inhibitors.

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There are no adequate and well-controlled studies of sildenafil in pregnant women.

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