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Do Not Use This Medication If You Have: Hypersensitivity or allergy to any component of this formulation. Conditions predisposing you to priapism (a painful erection lasting 4 hours or more): sickle cell anemia, multiple myeloma, or leukemia. Anatomical deformation of the penis or with penile implants. Been told by your physician that sexual activity is inadvisable or contraindicated

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