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Any treatment for erectile dysfunction should normally be used with caution in patients with anatomical deformation of the penis (cavernosal fibrosis, Peyronie?s disease, angulation) or in patients who have conditions which may predispose them to priapism.
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Severe hepatic impairment, end stage renal disease requiring dialysis, hypotension (resting systolic blood pressure of < 90 mm Hg), recent history of stroke for myocardial infarction (for the last 6 months), unstable angina and known hereditary degenerative retinal disorder like retinitis pigmentosa.
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The safety of Levitra has not been studied in the following subgroups of patients and its use is therefore not recommended until further information is available.