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Viagra must not be taken with nitrates or medicines of the class guanylate cyclase stimulators such as riociguat used to treat pulmonary hypertension. Nitroglycerin rectalsildenafil increases effects of nitroglycerin rectal by additive vasodilation. Aprepitantaprepitant will increase the level or effect of sildenafil by affecting hepatic intestinal enzyme CYP3A4 metabolism. However, the drug in clinical practice is used only intranasally, since it is recognized as a rather toxic compound.

Get ready for a bold and enlightening episode of Hone In with Saad Alam, featuring the insightful Dr. Laura Purdy. In a candid and humorous discussion, they tackle one of the most burning questions on men's minds: Can I make my penis bigger? Dr. Purdy demystifies the myths and truths surrounding this sensitive topic, addressing the complex interplay of physical enhancements and psychological perceptions. From vacuum-assisted devices to PDE5 inhibitors like Viagra, they explore the various methods men employ in pursuit of this goal, emphasizing the importance of satisfaction and happiness over mere size. This episode takes a deep dive into the world of male enhancement, revealing that sometimes what's perceived as growth is simply making the most of what one has. Join this frank conversation that not only discusses size and enhancement techniques but also touches upon the emotional aspects of sexual health. Whether you're seeking serious answers or just curious about the topic, this episode of Hone In with Saad Alam promises to be as informative as it is entertaining. Check out all the episodes at: : https://honehealth.com/edge/podcast/ Listen to the episodes on: SPOTIFY: https://open.spotify.com/show/76Hg5OU5oOu7S9Ze6WPSlw APPLE PODCASTS: https://podcasts.apple.com/us/podcast/hone-in/id1707026738 Get exclusive weekly tips from show guests in our newsletter:: https://hone-health.ck.page/hone-in Follow us at: HONE HEALTH INSTAGRAM: https://www.instagram.com/hone.health/?hl=en SAAD ALAM INSTAGRAM: https://www.instagram.com/msaadalam/?hl=en Learn More: https://honehealth.com/