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A 59 yo man with a history of angina is given a prescription for an oral nitrate formulation (isosorbide dinitrate) 20 mg bid. A second agent that this patient should be warned "NOT" to take while on this oral nitrate formulation is:

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SUGGESTIVE. OF ...*D*.... ...SILDENAFIL. AS. THE. CONCOMITANT. USE. CAN. RESULT. IN... .... VERY. LOW. BLOOD. PRESSURE..

D—Sildnafil is contraindicated with isosarbide dinitrate, blood pressure will fall drastically leading to cardiovascular collapse

D-Sildenafil is contraindicated with isosarbide dinitrate, blood pressure will fall drastically leading to cardiovascular collapse

D. Sildenafil

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Obviously D

Thanks Dr. Ashok leel, Dr. Gyanendra Tripathi, Dr. Prakash B Makwana, Dr.Dinesh Gupta, Dr. Pranab Bera
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Ans:- D. Sildenafil

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Absolutely D Sildenafil.....

Thank you Sir@Dr. Vipin Bihari Jain .
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The correct answer is, "Sildenafil"

Sildanefil

Correct Ans. D

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