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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)
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History in the family of rare degenerative eye disease
Serious kidney (renal) or liver disease
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Dr Fox cannot supply ED treatment to men who have any of the above conditions. Nitrates interact very adversely with all phosphodiesterase type 5 inhibitors like Spedra, Viagra, Cialis, Levitra and sildenafil.
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