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Medication Class	Interaction Type	Effect	Precaution
Nitrates	Dangerous (severe hypotension)	Can cause sudden blood pressure drop	Avoid concurrent use
Alpha-blockers	Increased blood pressure lowering	Potential for low blood pressure	Adjust dosage or monitor closely
Other PDE5 inhibitors	Increased side effects	Risk of adverse reactions	Use under medical supervision
Alcohol	Enhanced side effects	Dizziness, headache, lower effectiveness	Limit or avoid alcohol consumption

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