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IV epoprostenol; inhaled iloprost; inhaled, IV, or subcutaneous treprostinil Current guidelines for the management of PAH viagra pills original that an oral agent such as a PDE type 5 inhibitor generally is preferred for initial therapy in patients with NYHA/WHO functional class II symptoms, while those with more advanced NYHA/WHO functional class III disease may be treated with any currently approved PAH therapy; IV epoprostenol generally is recommended as the treatment of choice for patients with NYHA/WHO viagra pills original IV PAH because of its demonstrated survival benefit.

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Arruda-Olson AM, ahoney DW, ehra A, eckel M, ellikka PA "Cardiovascular effects of sildenafil during exercise in men with wat is viagra pil or probable coronary artery disease: a randomized crossover trial. 1011-817.

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