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After patients have taken VIAGRA, it is unknown when nitrates, if necessary, can be safely administered. Although plasma levels of viagra at 24 hours post dose are much lower than at peak concentration, it is unknown whether nitrates can be safely co-administered at this time point [see DOSAGE AND ADMINISTRATION, DRUG INTERACTIONS, and CLINICAL PHARMACOLOGY]. VIAGRA is contraindicated in patients with a known hypersensitivity to viagra, as contained in VIAGRA and REVATIO, or any component of the tablet. Hypersensitivity reactions have been reported, including rash and urticaria [see ADVERSE REACTIONS]. Concomitant Guanylate Cyclase (GC) Stimulators
viagra acts by inhibiting cGMP-specific phosphodiesterase type 5 (phosphodiesterase 5, PDE5), an enzyme that promotes degradation of cGMP, which regulates blood flow in the penis. Pfizer scientists Andrew Bell, David Brown, and Nicholas Terrett originally discovered viagra as a treatment for various cardiovascular disorders.[4][5] Since becoming available in 1998, viagra has been a common treatment for erectile dysfunction; its primary competitors are tadalafil (trade name Cialis) and vardenafil (Levitra).
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