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In ED, tablets are typically secure and well tolerated. In some instances, they are able to produce painful prolonged erections (priapism). And they are able to on occasion lower blood strain by using widening arteries someplace else in the body. That's why guys who take any shape of nitrate medicine need to never use ED tablets, and it is why men with ED who take alpha blockers for BPH need to choose a selective alpha blocker and need to use ED drugs with warning. Although these medicines are generally secure for the coronary heart, men with recent coronary heart assaults or strokes, uncontrolled hypertension, or volatile angina have to additionally abstain from ED drugs.