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Physicians should discuss with patients the potential cardiac risk of sexual activity in patients with preexisting cardiovascular risk factorsPatients who experience symptomse.gangina pectorisdizzinessnauseaupon initiation of sexual activity should be advised to refrain from further activity and should discuss the episode with their physiciansee WARNINGS AND PRECAUTIONS

VIAGRA was shown to potentiate the hypotensive effects of nitrates and its administration in patients who use nitric oxide donors such as organic nitrates or organic nitrites in any form is therefore contraindicatedsee CONTRAINDICATIONSDRUG INTERACTIONSand CLINICAL PHARMACOLOGY

A review of population subgroups demonstrated efficacy regardless of baseline severityetiologyrace and ageVIAGRA was effective in a broad range of ED patientsincluding those with a history of coronary artery diseasehypertensionother cardiac diseaseperipheral vascular diseasediabetes mellitusdepressioncoronary artery bypass graftCABGradical prostatectomytransurethral resection of the prostateTURPand spinal cord injuryand in patients taking antidepressants/antipsychotics and anti-hypertensives/diuretics.

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