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g., creatinine clearance < 30 m, L/min), and concomitant use of  erythromycin or strong CYP3A4 inhibitors, plasma levels of sildenafil at 24 hours post dose have been discovered to be 3 to 8 times greater than those seen in healthy volunteers. Although plasma levels of sildenafil at 24 hr post dosage are much lower than at peak concentration, it is unidentified whether nitrates can be safely co-administered at this time point [see]



In the very first research study, a single oral dose of VIAGRA 100 mg or matching placebo was administered in a 2-period crossover style to 4 generally healthy males with benign prostatic hyperplasia  (BPH). Following at least 14 consecutive everyday dosages of doxazosin, VIAGRA 100 mg or matching placebo was administered simultaneously with doxazosin.


Thereafter, 17 topics were treated with VIAGRA 25 mg or matching placebo in combination with doxazosin 4 mg (15 subjects) or doxazosin 8 mg (2 subjects). The mean subject age was 66. 5 years. For the 17 subjects who got VIAGRA 25 mg and matching placebo, the placebo-subtracted mean maximum decreases from standard (95% CI) in systolic high blood pressure were as follows: Placebo-subtracted mean optimal decrease in systolic blood pressure (mm Hg) VIAGRA 25 mg Supine 7.


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9, 15. 7) Standing 6. 0 (-0. 8, 12. 8) The mean profiles of the modification from standard in standing systolic high blood pressure in topics treated with doxazosin in combination with 25 mg VIAGRA or matching placebo are shown in Figure 2.  Research It Here  was determined immediately pre-dose and at 15, 30, 45 minutes, and 1, 1.


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5, 3, 4, 6 and 8 hours after VIAGRA or matching placebo. Outliers were defined as topics with a standing systolic high blood pressure of < 85 mm, Hg or a reduction from standard in standing systolic high blood pressure of > 30 mm, Hg at one or more timepoints. There were no topics treated with VIAGRA 25 mg who had a standing SBP < 85mm, Hg.