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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
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Each brand of medicine must obtain a separate license (‘marketing authorisation’), so for instance there are numerous brands of sildenafil licensed in the UK but currently only some brands, such as TEVA and Actavis, are licensed centrally with the EMA and can be supplied throughout Europe.
Men with the following conditions should not take Viagra without further assessment from their GP:
Taking medicines called nitrates (often given for chest pain)
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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
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Dr Fox cannot supply ED treatment to men who have any of the above conditions.
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