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It is forbidden to apply this preparation under following circumstances: - serious heart diseases; - hypertension; - hypotension; - a recent history of a heart attack. You must take this medicine with caution, if you have one of following troubles: - coronary artery disease; - physical deformities of the penis; - sickle cell anemia; - myeloma, leukemia. It is recommended to consult a health provider before administration of this drug. It can help you to avoid or at least to minimize possible adverse results. Vegarra (Generic Viagra) and other medicines You should remember that if you take other medications during administration of Vegarra (Generic Viagra), it can lead to loss of effectiveness of this medication. Moreover, it may cause serious health problems. Inform your doctor about all medicines which you administrate. Everybody who wants to administrate Vegarra (Generic Viagra) should know that it is contraindicated to use this medication, if nitrate medicines are administrated. 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