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There is a potential for cardiac risk for sexual activity in patients with pre-existing cardiovascular disease.
Therefore, treatments for erectile dysfunction, including sildenafil citrate, should not be generally used in men: For whom sexual activity is advisable because of their underlying cardiovascular status; Patients who have suffered a myocardial infarction, stroke or life-threatening arrhythmia within the last months; Patients with resting hypotension (BP <90/50) or hypertension (BP >170/110); patients with cardiac failure or coronary artery disease causing unstable angina; patients with retinitis pigmentosa (a minority of these patients have genetic disorders of retinal phosphodiesterases).
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