This medication isn't meant to be used by ladies and men ought to avoid exploitation the other medicines to treat impotence while not rebuke a doctor 1st. It are often dangerous to require it along side medicines known as nitrates (often given for pain or angina). don't take this medication if you've got severe heart or liver issues, if you've got recently had a stroke or attack or if you've got low vital sign. Let your doctor understand if you suffer from these or the other health issues before taking it.