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She takes the time to listen carefully, understand the root cause of the problem, and then explains the treatment plan in a clear and reassuring manner

This information helps identify patterns and quality trends over time

Before prescribing sildenafil, carefully consider whether patients with certain underlying conditions could be adversely affected by such vasodilatory effects (e.g., patients on antihypertensive therapy or with resting hypotension [blood pressure less than 90/50], fluid depletion, severe left ventricular outflow obstruction, or autonomic dysfunction)

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However, the use of combined therapies also increases adverse side effects (Mller, 2015)