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Be aware that Viagra may interact with some medicines. Consult with your health care provider in case you are taking any other drugs, especially any of the following: nitroglycerin-type drugs for the heart or chest pain such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, even if these are only taken occasionally. Before using Tramadol you should tell your doctor if you have any medical conditions listed below: you are pregnant, planning to become pregnant, or are breast-feeding a baby; you are taking any prescription (especially depression medicines) or nonprescription medicine, herbal preparation, or dietary supplement;

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