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If you take Viagra and a nitrate drug you may experience a serious and sudden decrease in your blood pressure. This is likely to lead to dramatic price reductions. 53 By 2007, Viagra's global share had plunged to about 50 54 due to several factors, including the entry of Cialis and Levitra, along with several counterfeits and clones, and reports of vision loss in people taking PDE5 inhibitors. "The Supreme Court of Canada holds Pfizer's Viagra patent invalid". This includes prescription drugs, vitamins, supplements and herbal products, and over the counter medications. Viagra among sildenafil others, is a medication used to treat erectile dysfunction and pulmonary arterial hypertension. 44 Phase I clinical trials under the direction of Ian Osterloh suggested the drug had little effect on angina, but it could induce marked penile erections. Patent 6,469,012 "Pfizer Wins Viagra Patent Infringement Case Against Teva Pharmaceuticals". ' 'AlternateDisplay : ' (!last)? 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