There are potential drug interactions detected between your medications. Dilantin could increase the metabolism of sildenafil. This means that the clearance of sildenafil from the body would increase and blood concentrations of the medication could decrease. This could lead to decreased effects of the sildenafil. There is also a possibility of a drug interaction between the Dilantin and the Depakote. Dilantin could increase the metabolism of the Depakote. Depakote could also decrease the concentration of the Dilantin. Also of note is that currently sildenafil has only two Food and Drug-labeled indications and that is for erectile dysfunction or treatment of pulmonary arterial hypertension. As always, talk to your health care provider regarding these interactions and for management of the interactions. Patients should be stable on alpha-blocker therapy prior to initiating a PDE5 inhibitor. Patients who demonstrate hemodynamic instability on alpha-blocker therapy alone are at increased risk of symptomatic hypotension with concomitant use of PDE5 inhibitors. is there a generic cialis Viagra 100 mgBack pain, Myalgia, Pain in extremity
8. Malozowski S, Sahlroot JT "Hemodynamic effects of sildenafil." N Engl J Med 343 (2000): 967-8 Viagra: headache, epistaxis, flushing, indigestion, dizziness, nasal congestion, abnormal vision
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