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MedicineNet lists naproxen milligrams as a nonsteroidal anti-inflammatory drug (NSAID) used to treat pain, inflammation and fever as well as osteoarthritis, rheumatoid arthritis, ankylosing spondy. Sildenafil (Viagra) is the most effective oral therapy currently available for erectile dysfunction. Patients should be given clear instructions regarding the use of sildenafil. If you take sildenafil for pulmonary arterial hypertension, do not take Viagra® or other PDE5 inhibitors, such as tadalafil (Cialis®) or vardenafil (Levitra®). Grapefruit is known to potentially interact with many medications, including sildenafil. Sildenafil is also sometimes used to treat pulmonary hypertension (high blood pressure in the blood vessels that supply the lungs). Sildenafil and Grapefruit. Sildenafil (Viagra) is the most effective oral therapy currently available for erectile dysfunction. Patients should be given clear instructions regarding the use of sildenafil. 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