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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)
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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
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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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