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Contraindications, catetere hypersensitivity, soluble guanylate cyclase (sGC) stimulators (eg, riociguat concomitant use can cause hypotension. Sudden decrease or loss of hearing, which may be accompanied by tinnitus and dizziness. Use with caution in patients with anatomic deformation of penis (eg, angulation, cavernosal fibrosis, or peyronie disease conditions potentially predisposing to priapism (eg, sickle cell anemia, multiple myeloma, or leukemia cardiovascular disease, bleeding disorders, active peptic ulcer disease, liver disease, renal impairment, multidrug antihypertensive regimens. Not to be taken with other pde-5 inhibitors. May cause dose-related impairment of color discrimination; use caution in patients with retinitis pigmentosa.
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Revatio: Epistaxis occurred in 13 of patients with pah secondary to connective tissue disease (eg, scleroderma this effect was not seen in idiopathic pah; incidence was also higher in those receiving concomitant po vitamin k antagonist therapy (9) than in those not receiving such therapy. Cautions, elicits vasodilatory properties, resulting in mild and transient decreases in blood pressure. Consistent with the effects of pde5 inhibition on the nitric oxide/cyclic guanosine monophosphate pathway, pde5 inhibitors may potentiate the hypotensive effects of nitrates. Evaluate underlying causes of erectile dysfunction or bph before initiating therapy. Pulmonary vasodilators may significantly worsen cardiovascular status of patients with pulmonary veno-occlusive disease. Revatio: Not for use in children with pah; increased mortality with increasing doses (hazard ratio.5) was observed in randomized, double-blind, placebo-controlled clinical trial of 234 children (1-17 years) with pah who had mild-to-moderate symptoms at baseline. Viagra: Potential for cardiac risk with sexual activity in patients with preexisting cardiovascular disease; therefore, treatment for erectile dysfunction generally should not be instituted in men for whom sexual activity is inadvisable because of their underlying cardiovascular status. A suitable time interval following pde5 dosing for the safe administration of nitrates or nitric oxide donors has not been determined. Patient taking alpha blocker should be stabilized before starting phosphodiesterase (PDE)-5 inhibitor, which should be initiated at lowest dose; if patient is already taking optimized dose of pde-5 inhibitor, alpha blocker should be initated at lowest dose to avoid hypotension. Coadministration with nitrates, coadministration with nitrates (either regularly and/or intermittently) and nitric oxide donors. Revatio: In small, puntini prematurely terminated study of patients with pah secondary to sickle-cell disease, vaso-occlusive crises requiring hospitalization were more commonly reported by patients who received sildenafil than by those randomized to placebo; effectiveness of sildenafil in pah secondary to sickle-cell anemia has not been.