Always make certain you tell the physician you will certainly be discussing you treatment with if you have higher cholesterol levels, a history of a cardiac arrest, pulmonary veno-occlusive illness, diabetes, liver condition, hemorrhaging disorder, breast discomfort, blood flow troubles, red blood cell issues, problems influencing the shape of the penis, irregular heartbeat, heart problem, low or high blood stress, renal system illness, stomach abscess, or a record of a stroke, as your dose may be affected.