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Why should men with ED consult their regular doctors before using ED treatment?
ED can be a sign of an underlying medical condition, such as reduced circulation, diabetes, high cholesterol, or a neurological or hormonal issue.
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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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
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Current active stomach ulcers (peptic ulcer or gastric ulcer)
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Dr Fox cannot supply ED treatment to men who have any of the above conditions.
The checks on the quality of original brands and generics are the same.
In practice, if a medicine is purchased privately and patients pay the full cost, when the price drops substantially, the majority will switch to a generic, and will normally be happy with it.
A doctor can also advise a person on whether Viagra or sildenafil will interact with other medication or any recreational drugs or dietary supplements. Viagra contains sildenafil, which belongs to a class of phosphodiesterase type 5 (PDE5) inhibitors.S.
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