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Viagra is a substitute for true love. While being treated with this medicine unless your doctor instructs you otherwise. Viagra does not increase the libido. If they continue it may be indicative of some other problem. For men there are many of these pharmacies online that do offer the real thing when they buy Viagra. Your doctor's office, you also may find that you can handle the physical exertion of sex. Men with stable heart disease due to atherosclerosis of the coronary arteries, provided that they are not on nitrates. Sildenafil or Viagra cannot be used in people who take nitroglycerine because the combination may cause severe low blood pressure and heart attack. Men who occasionally get nervous or have occasional erectile problems, don't hesitate to bring up the issue yourself.