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وجود عوامل تزيد من خطر الإصابة بالانتصاب المستمر، مثل فقر الدم المنجلي، الورم النخاعي المتعدد، وسرطان الدم.
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لم يتم دراسة هذا الاستخدام في المرضى الذين يعانون من ضعف كبير في وظائف الكبد.
انسداد تدفق البطين الأيسر (مثل تضيق الشريان الأورطي). هناك درجة sikik من الخطر على القلب مرتبط بالنشاط الجنسي، وبالتالي، ينبغي أن استشارة الأطباء القلب والأوعية الدموية قبل الشروع في أي علاج لمشاكل في الانتصاب.
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