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inform your medical doctor in case you smoke, When you've got experienced heart medical procedures throughout the previous six months, In case you have ever experienced an erection that lasted for in excess of four hrs, and Should you have a short while ago missing a great deal of overall body fluids (dehydration). This could certainly transpire Should you be sick with fever, diarrhea, or vomiting; sweat lots; or usually do not drink more than enough liquids. Also explain to your physician Should you have or have at any time had pulmonary veno-occlusive sickness (PVOD; blockage of veins inside the lungs); a tummy ulcer; heart, kidney, or liver disease; a coronary heart attack; coronary heart failure; angina (chest agony); an irregular heartbeat; a stroke; chest ache; high or lower blood pressure level; high cholesterol; a bleeding dysfunction; blood circulation issues; blood mobile troubles like sickle mobile anemia (a illness in the red blood cells), many myeloma (cancer of your plasma cells), or leukemia (cancer on the white blood cells); conditions influencing the shape of your penis (e.