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Viagra and other medications indicated for ED are not "blood thinners" in the exact sense of the term. They work by inhibiting phospodiesterase-5, which leads to vasodilation. This vasodilation is great in the target area, where the blood gets "trapped" and an erection occurs. However, vasodilation is not always wanted, especially if taking another medication that acts as a vasodilator, where the additive effects of the two may lead to hypotension.

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