Sickle cell anaemia, leukaemia, multiple myeloma, Peyronie's disease, cardiac disease, stomach ulcer, bleeding disorder. Discontinue in case of sudden decrease or loss of vision. Do not use w/ any other treatment for erectile dysfunction. Patients w/ renal or hepatic impairment. May affect ability to drive or operate machinery. Should not be given to childn <18 yr. Not indicated for women.