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For those male patients who take generic Viagra, you should understand that the combination of this ED medication with nitrates is contraindicated. This means that men need to avoid this unwanted drug combination because it can result in significant hypertension, but the worst thing is that it may be potentially fatal.Combined Use Of Generic Viagra And Nitrates

Important Guidelines about Sildenafil Citrate and Nitrates

There are strict guidelines given by the CSM (Committee on Safety of Medicines) on the combined use of generic Viagra and nitrates:

  • Nitrates and Canadian Viagra – it’s not allowed to take them concurrently because of the existing risk of developing serious hypertension. Nitrates are taken by patients with cardiovascular conditions, so that if they want to start using generic Viagra, they need to consult their doctors first.
  • Viagra (Sildenafil Citrate) shouldn’t be taken by those men whose sexual activity is not advisable. As an example, if they suffer from serious heart or vascular disorders, including unstable angina and severe heart failures, they should be careful.

How the British Heart Foundation Addresses This Problem

There are certain rules that must be obeyed by all male patients when using nitrates and such PDE-5 inhibitors as generic Viagra:

  • The combination of Viagra and nitrates may produce unpredictable excessive vasodilation, thus, resulting in severe hypertension.
  • If doctors prescribe any nitrate therapy, remember that it’s an absolute contraindication to the intake of sildenafil citrate.
  • When dealing with hypotension cases, male patients must be placed in the so-called Trendelenburg position and seek emergency medical help immediately. Their resuscitation with special intravenous fluids must be started as early as possible.
  • Such sublingual nitrates as GNT sprays shouldn’t be used within 24 hours of taking generic Viagra.
  • Coital angina is not a common negative effect, so that nitrates can be safely substituted or discontinued in stable male patients who want to solve their ED problems.
  • If they have erectile issues and stable angina, the reassessment of their need to use nitrates should be made before cancelling any treatment that includes Viagra.
  • When those male patients who have CHC develop angina during or right after their sexual activity, they need to discontinue it at once and relax for ten minutes or longer. They shouldn’t stand up because it will only decrease the preload and won’t relieve unwanted symptoms.
  • If their angina pain doesn’t stop after 30 minutes, men need to call emergency medical services and inform specialists about the intake of generic Viagra. They shouldn’t continue their sexual activity before undergoing detailed reassessment.
  • Concurrent intake of this medication and Nicorandil is contraindicated because of its nitrate element.

We recommend to read: Understanding the Effects of Sildenafil Treatment on Erection Maintenance and Erection Hardness

List of Important Notes

Men should understand that the use of any nitrates is contraindicated within 24 hours after taking generic Viagra or other similar drugs. They must be on stable alpha blockers before starting their intake of sildenafil citrate from its lower doses. This kind of drug interaction can be life-threatening because of severe hypertension in those male patients who have coexisting cardiac ailments that require the use of nitrates and alpha blockers. It’s always necessary to turn to medical specialists in those situations when Canadian Viagra is contraindicated to avoid the risk of developing serious adverse effects. Men should realize that drug interactions, such as sildenafil citrate and nitrates, make their sexual activities unsafe.

From a therapeutic angle, the intravenous injections of PGE1 are safe and effective when treating ED in those patients who have cardiac problems because there are no unsafe drug interactions reported. In addition, there are many other alternative treatment options, such as Caverjet, MUSE, special vacuum devices, etc. Before starting to use any of them, it’s important to consult doctors to ensure that you’re making the right choice and avoid possible complications. Take into account that generic Viagra shouldn’t be combined not only with nitrates, but also men shouldn’t use it together with alpha blockers.