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Before prescribing Cialis, your doctor will need to know if you have had a stroke, had angina, heart failure, irregular heartbeats, or have had a heart attack, have retinitis pigmentosa, a genetic eye disease, have a bleeding problem, have liver problems, have kidney problems or require dialysis, have stomach ulcers, have low blood pressure or have high blood pressure that is not controlled, have a deformed penis shape or Peyronies disease, have had an erection that lasted for over four hours or have blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia. Your doctor may feel it is not safe for you to engage in sexual activity.
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