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Jan 06,  · Taking sildenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure. (Cialis) or vardenafil (Levitra). Tell your doctor about all other medications you use for erectile dysfunction. Do not take sildenafil if you take other medicines to treat pulmonary arterial hypertension, such as riociguat (Adempas).

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Pharmacodynamics. Enalapril is an antihypertensive agent that exhibits natriuretic and uricosuric properties. Enalapril lowers blood pressure in all grades of essential and renovascular hypertension, and peripheral vascular resistance without causing an increase in heart rate. 6 Individuals with low-renin hypertensive population were still responsive to enalapril.