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In this observe, the urgency of sildenafil in consortium with nitrates, possibly nitric oxide donors, is contraindicated. With the simultaneous administering of the adrenergic blocker doxazosin (4 and 8 mg) and sildenafil (25, 50 and 100 mg) in patients with harmless prostatic hyperplasia with fast hemodynamics, the normally additional lower in SBP / DBP in the phlegmatic localize representing the towards the rear was 7/7, 9 / 5 and 8/4 mm Hg report, and in the still location - 6/6, 11/4 and 4/5 mm Hg. respectively. Reported rare cases of the occurrence of symptomatic postural hypotension in such patients, manifested in the form of dizziness (without fainting). In some subtle patients receiving blockers, the contemporary use of sildenafil can bring to symptomatic hypotension.