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Anyone prescribed this medication must let his doctor know about any medications he's on, and especially if he's taking nitrates (e.g., nitroglycerin spray, nitroglycerin pills, or nitroglycerin patch) for heart problems. Prostaglandins (alprostadil): Alprostadil can be injected into the penis or inserted as a pellet through the urethra. It. Sildenafil ( Viagra ), tadalafil ( Cialis ), vardenafil ( Levitra ), and avanafil ( Stendra) exaggerate the blood pressure lowering effects of nitroglycerin and may cause excessive blood pressure reduction. Patients taking nitrates should not take sildenafil, tadalafil, vardenafil, or avanafil. Buy Nitroglycerin (Nitro G) Online without Prescription - from only $0.72! Buy Nitroglycerin without Prescription Nitro G General Information Nitroglycerin (brand names include: Nitro G) belongs to a class of medications called vasodilators. It is used in the treatment of heart conditions such as angina (chest pain) and chronic heart failure. 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