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Do not use VIAGRA in patients who are using a GC stimulator, such as riociguat. PDE5 inhibitors, including VIAGRA, may potentiate the hypotensive effects of GC stimulators.

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Although effective in terms of results, Viagra can also have some unwanted side effects. It is for this reason it is imperative that you consult your physician before beginning the course of Viagra.

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After either oral or intravenous administration, sildenafil is excreted as metabolites predominantly in the feces (approximately 85% of administered oral dose) and to a lesser extent in the urine (approximately 68% of the administered oral dose). Similar values for pharmacokinetic parameters were seen in normal volunteers and in the patient population, using a population pharmacokinetic approach.

Physicians should advise patients to stop taking PDE5 inhibitors, including VIAGRA, and seek prompt medical attention in the event of sudden decrease or loss of hearing. These events, which may be accompanied by tinnitus and dizziness, have been reported in temporal association to the intake of PDE5 inhibitors, including VIAGRA. It is not possible to determine whether these events are related directly to the use of PDE5 inhibitors or to other factors [see WARNINGS AND PRECAUTIONS and ADVERSE REACTIONS ].

Some people have wrongly assumed that medications such as Levitra can provide protection against certain sexually transmitted diseases. In point of fact, Levitra provides no protection whatsoever from any sexually transmitted disease. If you are sexually active, and have more than one regular sexual partner, your best protection from sexually transmitted diseases is the use of a latex condom. If you have questions about Levitra or sexually transmitted diseases, it is important that you consult with your doctor.

In cases of overdose, standard supportive measures should be adopted as required. Renal dialysis is not expected to accelerate clearance as sildenafil is highly bound to plasma proteins and it is not eliminated in the urine.

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