Which of the medicine is likely responsible for presentation

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Problem: A 65-year-old man presents to the clinic due to weak penile erections for the past six months. He states that he has had trouble attaining and maintaining an erection. He adds that he does not get nocturnal erections. The patient denies any trauma or injury to his penis. His medical history is significant for hypertension, diabetes mellitus, and obesity. He denies smoking, alcohol use, and illicit drug use. Vital signs are blood pressure of 132/88 mmHg, a pulse of 85/min, and a respiratory rate of 16/min. Examination findings are not suggestive of any ailment. A phosphodiesterase five inhibitor is prescribed for this patient's presenting complaint. Two weeks later, he presents to the emergency department with disorientation and extreme hypotension. Coadministration of which of the following medicines is most likely responsible for this presentation?

Reference no: EM133564309

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