Concomitant use with other PDE5 inhibitors or other treatments for erectile dysfunction. The safety of Cenforce has not been studied in the following sub-groups of patients and its use is therefore contraindicated: severe hepatic impairment, hypotension (blood pressure < 90/50 mmHg), recent history of stroke or myocardial infarction and known hereditary degenerative retinal disorders such as retinitis pigmentosa (a minority of these patients have genetic disorders of retinal phosphodiesterases). In addition, initiation of Cenforce at a dose of 25 mg should be considered (see sections 4.4 and 4.5).
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