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5 mmHg), [ see Clinical Pharmacology (12. 2) ]. While this normally would be expected to be of little consequence in most patients, prior to prescribing Viagra, physicians should carefully consider whether their patients with underlying cardiovascular disease could be affected adversely by such vasodilatory effects, especially in combination with sexual activity. Use with caution in patients with the following underlying conditions which can be particularly sensitive to the actions of vasodilators including Viagra ndash; those with left ventricular outflow obstruction (e.

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There is a list of adverse health effects for the body that may occur: increased or decreased blood pressure. problems with vision andor hearing, including its temporary loss. difficulties with breathing.]