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• men at risk of priapism, e.g. if you have sickle cell anaemia
• men using other erectile dysfunction medications
• men with a penile implant
• men who have been told to avoid sexual activity

men with the following conditions should not use alprostadil:

• ed may be caused by underlying vascular disease. if you have vascual disease and have not spoken to your gp about your ed, we would recommend you do.
• fatal reaction:  there can be a fatal reaction between ed tablets and nitrate medications such as gtn spray. you must not take or purchase ed medication from us if you take nicorandil, a gtn spray, tablets, patch, gel or cream or any nitrate tablets (usually for heart conditions).

you should not take cialis if you