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After patients have taken VIAGRAit is unknown when nitratesif necessarycan be safely administeredAlthough plasma levels of sildenafil at 24 hours post dose are much lower than at peak concentrationit is unknown whether nitrates can be safely co-administered at this time pointsee DOSAGE AND ADMINISTRATIONDRUG INTERACTIONSand CLINICAL PHARMACOLOGY

Based on animal dataVIAGRA is not predicted to increase the risk of adverse developmental outcomes in humans.

VIAGRA is not indicated for use in pediatric patientsSafety and effectiveness have not been established in pediatric patients.

Do not use VIAGRA in patients who are using a GC stimulatorsuch as riociguatPDE5 inhibitorsincluding VIAGRAmay potentiate the hypotensive effects of GC stimulators.

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