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جمعه, 21 شهریور 1393 00:00 Written by  2791 comments

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    Contraindications

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    GI: diarrhea, dyspepsia, gastritis

    Musculoskeletal: myalgia


    Respiratory: exacerbation of dyspnea

    GU: hematuria, urinary tract infection, priapism


    Skin: flushing, rash, erythema, pyrexia

    Other: hypersensitivity together with anaphylactic reactions (uncommon)


    Interactions

    Drug-drug.Alpha blockers, Antihypertensives, nitrates:
    elevated threat of hypotension


    Enzyme inducers, rifampin: diminished sildenafil blood stage

    Hepatic isoenzyme inhibitors (reminiscent of cimetidine,
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    Drug-meals.Excessive-fats food regimen: decreased drug absorption, decreased peak stage

    Patient monitoring


    • Monitor cardiovascular standing fastidiously.

    • Consider affected person's imaginative and prescient and
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    • Assess for drug efficacy.


    Patient instructing

    • Advise affected person taking drug for erectile dysfunction to take half-hour
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    • Inform affected person to not exceed prescribed dosage or take multiple
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    ☞ Instruct affected person to cease sexual exercise and phone
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    ☞ Educate affected person to acknowledge and instantly report critical cardiac and imaginative and prescient issues and sudden lower in or lack of
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    • Inform affected person that drug could cause critical interactions with many frequent medication. Instruct him to inform all prescribers he is taking it.



    ☞ Warning affected person by no means to take drug with nitrates, due to danger of probably fatal hypotension.
    • Instruct affected person to not take different PDE5 inhibitors.

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