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Men with the following conditions should not take Viagra without further assessment from their GP: Taking medicines called nitrates (often given for chest pain) Taking or intend to take amyl nitrite ('poppers') Taking riociguat (to treat high blood pressure in the lungs) Low or high blood pressure Allergies or reactions to past ED treatments 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 Bleeding disorders (such as haemophilia) Current active stomach ulcers (peptic ulcer or gastric ulcer) Lactose intolerant (tablets contain lactose) Dr Fox cannot supply ED treatment to men who have any of the above conditions. 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