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While internet pharmacies can make it easier to obtain prescribed drugs, they cannot replace viagra oral interactions face-to-face consultations with clinical staff, as the RPS has emphasised. Viagra, like all drugs, has potential side effects so patients may need follow-up assessments after they begin taking the drug.eading to symptomatic hypotension e. dizziness, lightheadedness, fainting Patients who demonstrate hemodynamic instability on alpha-blocker therapy alone are at increased risk of symptomatic hypotension with concomitant use of PDE5 inhibitors.

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