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They are taking other erectile dysfunction drugs such as Viagra/sildenafil, Levitra/vardenafil, or Spedra/avanafil They are currently taking nitrates for angina, including isosorbide mononitrate, isosorbide dinitrate, nicorandil, and glyceryl trinitrate - serious reactions possible They are taking medications to treat HIV, including Indinavir and Ritonavir They are using anti-fungal treatments like Itraconazole or Ketoconazole They are using recreational drugs such as amyl nitrate (poppers) They are taking alpha-blockers often used in the treatment of prostate enlargement and high blood pressure such as Doxazosin, Prazosin, Alfuzosin, Terazosin, Indoramin and Tamsulosin Dr Fox cannot supply treatment to men where the above are present. viagra pd by echeck. However, it is completely fine to take with meals, as long as you expect a slight delay before effects. 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