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This pill is not to be taken if you have heart problems or have suffered a stroke. VIREKTA MAX 200 is not recommended for men over the age of 75. You should not use it if you are on any medication that contains nitrates. Take one tablet with a glass of water one hour before sexual activity, and do not take more than one pill in any 24-hour period. This pill is ideal for the man who is in good health but battles getting a strong erection using the pills available on the market.