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Vigora 50 mg is a medication used to treat erectile dysfunction (ED). However, there are certain health conditions where caution is advised when taking Vigora 50 mg, including:

1. Cardiovascular Conditions: Vigora 50 mg can interact with certain cardiovascular medications and may not be suitable for individuals with a history of heart attack, stroke, or other cardiovascular diseases. It's important to consult a healthcare provider to ensure the safety of using Vigora 50 mg in such cases.

2. Liver or Kidney Disorders: Vigora 50 mg is metabolized by the liver and excreted by the kidneys. Individuals with liver or kidney problems may require a lower dosage or alternative treatment options to avoid potential side effects.

3. Neurological Conditions: Certain neurological conditions, such as multiple sclerosis or Parkinson's disease, can affect sexual function and may require special considerations when using Vigora 50 mg.

4. Priapism: Vigora 50 mg can increase the risk of priapism, a prolonged and painful erection that requires immediate medical attention. Individuals with a history of priapism or conditions that predispose to it should exercise caution when using Vigora 50 mg.

5. Diabetes: Diabetes can affect sexual function and may require careful monitoring and dosage adjustments when using Vigora 50 mg.

It's essential for individuals with these or any other underlying health conditions to consult their healthcare provider before starting Vigora 50 mg. The healthcare provider can assess the individual's medical history, current medications, and overall health to determine the appropriate treatment approach and any necessary precautions.