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The maximum dose is 100 milligrams of the active substance, which may be used at most once a day. Since January 2006, sildenafil has also been approved for the treatment of pulmonary hypertension due to its vasodilator effect. In pulmonary hypertension PH, the blood vessels of the lungs are narrowed, causing the blood pressure in the pulmonary vessels between the right and left ventricles to rise.

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This leads to a circulatory disorder of the lungs, a deteriorated oxygen uptake and an increasing overload of the right ventricle to heart failure. This improves blood circulation and increases oxygen uptake.

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