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若心臟病患者考慮服用威而鋼，首先需要確保其病情在至少半年內穩定且無復發，並且是無需依靠藥物來控制病情的情況下。在這種情況下，患者需經過醫師的徹底評估，確定用藥的安全性。藥物威而鋼劑量也需要精確控制，避免可能的風險。
這一點至關重要，因為心臟病患者通常依賴硝酸鹽類藥物來管理病情。硝酸鹽類藥物與威而鋼如果同時存在體內，會產生嚴重的藥物互動作用，可能導致危及生命的後果。因此，若心臟病患者依然需要服用硝酸鹽類藥物，則絕不可考慮同時服用威而鋼。
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