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A rare inherited eye disease
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uncontrolled congestive heart failure due to left ventricular impairment (unable to pump enough fluid), reduced ejection fraction (the amount pumped out of the heart to the rest of the body), or a history of arrhythmias
uncontrolled high blood pressure (hypertension)
severe liver problems and certain hereditary degenerative eye diseases such as retinitis pigmentosa
low levels of the male hormone testosterone due to surgery (penectomy), injury, disease, or other causes
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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. Dokteronline.