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People needs to be secure on alpha-blocker therapy previous to initiating a PDE5 inhibitor. Patients who display hemodynamic instability on alpha-blocker therapy by itself are at increased chance of symptomatic hypotension with concomitant usage of PDE5 inhibitors.

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It's not possible to determine irrespective of whether these functions are associated on to using PDE5 inhibitors or to other things [see ADVERSE REACTIONS].

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