Just started to take ravatio (sildenafil) for pah. feel, Ask an Expert

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Just started to take ravatio (sildenafil) for pah. feel tired and kind of not in touch with myself don't know how to explain it. not dizzy or anything just kinda floaty and more short of breath. I also use inhalers for COPD and diltiazem for afib. Ran the meds through the druginteractions and all came back as moderate interaction. anyone else have a problem with this drug?

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