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Government consultations on how to implement the new directive are not due to be completed until later this year

However you shouldnt take it if: Youre allergic to any of the ingredients Youre taking any form of organic nitrate or nitric oxide donors (these are usually used to treat chest pain) Youve had a heart attack in last three months You have serious heart disease Youve had a stoke in the last six months You have low blood pressure You have uncontrolled high blood pressure Youve had a stroke of the eye (NAION) Youre taking riociguat Cialis also might not be suitable for you if: You have sickle cell anaemia You have cancer of the bone marrow You have leukaemia You have a serious kidney or liver problem You have a penis deformity

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Yang et al., 2020)