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Drugs for the treatment of erectile dysfunction should be used with caution in patients with anatomical deformation of the penis (angulation, cavernosal fibrosis or Peyronie’s disease) or in patient who have conditions which may predispose them to priapism (sickle cell anemia, multiple myeloma or leukemia).
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In clinical trials, sildenafil (Viagra) has shown to have systemic vasodilatory properties that result in transient decreases in blood pressure.
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Initation of Viagra at lower doses should be contemplated.