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should not be taken with nitrates, such as nitroglycerin, or other medications that lower blood pressure, such as riociguat. It can also interact with some antibiotics, antifungals, antivirals, and HIV drugs123
is a prescription drug that requires a doctor’s consultation and approval. It is not recommended for people who have heart problems, liver or kidney problems, vision problems, or a history of priapism (a prolonged and painful erection)123
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