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history of chest pain called unstable angina, sudden numbness/weakness with muscle spasm on one side, and short duration without warning symptoms
uncontrolled congestive heart failure due to left ventricular impairment (unable to pump enough fluid), reduced ejection fraction (the amount pumped out of the heart to the rest of the body), or a history of arrhythmias
uncontrolled high blood pressure (hypertension)
severe liver problems and certain hereditary degenerative eye diseases such as retinitis pigmentosa
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Cialis can also cause an erection to last for more than four hours.
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