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Sildenafil is used orally as vasoactive therapy to facilitate attainment of a sexually functional erection in males with erectile dysfunction ED, impotence. Sildenafil also is used orally or IV to improve exercise capacity and delay clinical worsening in patients with pulmonary arterial hypertension PAH. The FDA and manufacturer state that use of sildenafil, particularly chronic use, is not recommended in children with PAH because of an increased risk of mortality.

   
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