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heart disease or heart rhythm disorder;
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angina (chest pain), high or low blood pressure;
liver disease;
kidney disease (or if you are on dialysis);
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a bleeding disorder such as hemophilia;
a stomach ulcer;
retinitis pigmentosa (an inherited condition of the eye) or a history of vision loss;
a physical deformity of the penis (such as Peyronie's disease); or
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Avanafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking a similar medication called sildenafil (Viagra). Most of these people also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.

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