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The evaluation of erectile dysfunction should include a medical assessment, a determination of potential underlying causes and the identification of appropriate treatment.

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Viagra has systemic vasodilatory properties that resulted in transient decreases in supine blood pressure in healthy volunteers (mean maximum decrease of 8.4/5.5 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. viagra soft Change from Baseline to Week 26b 295 -4.5 308 -5.5 -1.0 .022Supine 3.6 (-1.5, 8.8)See also: Side effects (in more detail)Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Viagra. Inform your doctor if you are taking any blood pressure medications. Also, talk to your doctor about your complete medical history, especially if you have heart disease, angina (chest pain), recently suffered a heart attack, stroke or life-threatening arrhythmia, if you have a physical deformation of your penis, sickle cell anemia, retinitis pigmentosa (eye disease that involves damage to the layer of tissue in the back of the eye, called the retina), or kidney, liver, or blood problems.

rare disease called pulmonary arterial hypertension (PAH).EF Domain Score