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Taking medicines called nitrates (often given for chest pain)
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Recent heart attack (within 6 weeks) or suffer from angina (heart pain on exertion) or any form of heart disease
History of strokes or mini-strokes (transient ischaemic attack)
History of vision problems caused by circulation problems
History in the family of rare degenerative eye disease
Serious kidney (renal) or liver disease
Peyronie's disease – angulation or deformity of the penis
Leukaemia, multiple myeloma or sickle cell disease
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What precautions should I take?
Viagra is known to interact adversely with certain drugs and substances:
you should avoid grapefruit - when combined with sildenafil, the fruit can cause low blood pressure
alcohol - excessive consumption can increase the chance of side effects occurring
blood pressure medications - some medications, such as Lisinopril or Amlodipine can lower blood pressure to dangerous levels
if you have used other erectile dysfunction treatments such as Cialis or Levitra it is recommended to wait at least 24 hours (36 hours for Cialis) before using Viagra
if you are also using Priligy to combat premature ejaculation, you should confirm with a doctor that you are also suited to take Viagra
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