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There is a potential for cardiac risk of 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 inadvisable 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).
