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Review the patient's medical history for contraindications and cautions

Cardiovascular

Cardiovascular disease

🔴 Severe heart failure (NYHA class IV)

🔴 Uncontrolled arrhythmias

🔴 Recent MI or stroke (within 6 months)

🔴 Unstable angina

Diabetes

Hepatic impairment

Renal impairment

Other Conditions

Neurological conditions

🔴 Hereditary degenerative retinal disorders

🔴 Previous NAION

Sickle cell disease / blood disorders

Bleeding disorders / active peptic ulceration

Penile deformity

History of priapism

Suspected hypogonadism

Psychiatric/psychosexual issues

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