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notify your doctor if you smoke, if you have had coronary heart surgery within the last 6 months, if you have ever experienced an erection that lasted for more than 4 hours, and Should you have a short while ago shed a large amount of physique fluids (dehydration). This could transpire Should you be Unwell with fever, diarrhea, or vomiting; sweat lots; or never consume more than enough liquids. Also convey to your doctor When you have or have ever had pulmonary veno-occlusive disease (PVOD; blockage of veins in the lungs); a tummy ulcer; coronary heart, kidney, or liver disorder; a coronary heart assault; coronary heart failure; angina (chest ache); an irregular heartbeat; a stroke; chest ache; higher or low blood pressure; high cholesterol; a bleeding disorder; blood circulation problems; blood cell problems which include sickle cell anemia (a disease with the crimson blood cells), multiple myeloma (cancer of the plasma cells), or leukemia (most cancers in the white blood cells); conditions impacting The form in the penis (e.