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glyceryl trinitrate) for chest pain or heart conditions Men who take riociguat or other soluble guanylate cyclase stimulators Anyone with a known allergy to sildenafil or any of the other ingredients Men with severe liver or kidney problems Men who have recently had a stroke or heart attack Men with low blood pressure (hypotension) Men who have been told by a doctor to avoid sexual activity due to heart problems Men under 18 years of age Interactions Sildenafil can interact with several medicines, including nitrates (used for chest pain), alpha-blockers (used for high blood pressure or prostate problems), HIV protease inhibitors, antifungal medicines such as ketoconazole or itraconazole, and certain antibiotics such as erythromycin

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