The following clinical conditions could impact the dosage you are suggested and should therefore be gone over regarding your wellness care supplier: high cholesterol, uneven heartbeat, Peyronie's condition, heart, liver, or kidney disease, eye disease, intense eyesight reduction, ulcers, cavernosal fibrosis, blood cell issues, breast pain, angulation, a heart attack, a stroke, hemorrhaging condition, high or reduced blood tension, or diabetic issues.