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Indeed, current guidelines do not recommend administration of PDE5i to patients with unstable angina, severe congestive heart failure, or uncontrolled hypertension, patients at high risk for arrhythmias, and patients receiving nitrates [13]

My GP tested and my levels were so low they were going to hospitalise me but I said I would have the injection every day at my GPs surgery

Transient elevations in cortisol and prolactin levels