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Condition Risk Factors Precautions Alternative options
Use with Nitrates Severe hypotension Do not combine Behavioral therapy
Severe Cardiovascular Disease Heart failure, uncontrolled hypertension Medical supervision required Other ED treatments
Retinitis Pigmentosa Genetic retinal disorder Consult ophthalmologist Different medication options
Allergies to Components Hypersensitivity Discontinue use if allergic reaction Alternative formulations

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