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history of chest pain called unstable angina, sudden numbness/weakness with muscle spasm on one side, and short duration without warning symptoms
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
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They are taking other erectile dysfunction drugs such as Viagra/sildenafil, Levitra/vardenafil, or Spedra/avanafil
They are currently taking nitrates for angina, including isosorbide mononitrate, isosorbide dinitrate, nicorandil, and glyceryl trinitrate - serious reactions possible
They are taking medications to treat HIV, including Indinavir and Ritonavir
They are using anti-fungal treatments like Itraconazole or Ketoconazole
They are using recreational drugs such as amyl nitrate (poppers)
They are taking alpha-blockers often used in the treatment of prostate enlargement and high blood pressure such as Doxazosin, Prazosin, Alfuzosin, Terazosin, Indoramin and Tamsulosin
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