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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
low levels of the male hormone testosterone due to surgery (penectomy), injury, disease, or other causes
Cialis can also cause an erection to last for more than four hours.
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