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Sildenafil (Viagra®) has two actions that may be of consequence in patients with heart disease. It can lower the blood pressure, and it can interact with nitrates. It should never be used in patients who are taking nitrates.
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The B-complex vitamins and vitamin C are not stored in the body and must be replaced each day.
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People about to have surgery must tell their health care providers about all supplements they take.
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Nitroglycerin is used to alleviate various heart-related conditions, and it is also the chief component of dynamite (but mixed in a solid clay base to stabilize it).
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Most childhood vaccines are 90–99% effective in preventing disease. Side effects are rarely serious.