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A product that may interact with this drug is: riociguat. Sildenafil can cause a serious drop in your blood pressure when used with nitrates. A serious drop in blood pressure can lead to dizziness, fainting, and rarely heart attack or stroke. Do not use sildenafil with any of the following: certain drugs used to treat chest painangina (nitrates such as nitroglycerin, isosorbide), recreational drugs called "poppers" containing amyl nitrate, amyl nitrite, or butyl nitrite. If you are also taking an alpha blocker medication (such as doxazosin, tamsulosin) to treat an enlarged prostateBPH or high blood pressure, your blood pressure may get too low which can lead to dizziness or fainting.

Viagra is not a medicine that is prescribed in a fixed dose format. Since it is linked to sexual performance it needs to be taken only before intercourse. So there are health problems in case of missing a dose. ) Overdosing.]