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Indeed, current guidelines do not recommend administration of PDE5i to patients with unstable angina, severe congestive heart failure, or uncontrolled hypertension, patients at high risk for arrhythmias, and patients receiving nitrates [13]

Tip: Take with a small snack if you are prone to stomach upset
Dosing with ATX involves weight-based dosing up to 1.4 mg/kg/day

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