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See to it you take this medication specifically as advised - often it's 30-60 minutes before making love. The following safety conditions could have an effect on the dosage you are prescribed and require additional examinations to be done: retinitis pigmentosa, coronary artery illness, heart tempo issues, renal system disease, a history of a cardiovascular disease, cardiovascular disease, physical deformity of the penis, liver illness, hemorrhaging condition, high or low blood stress, tummy ulcer, a past of a movement, heart rhythm ailment, heart disease, and some blood cell disorder.

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