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Precautions

Do NOT use Nizagara if:

• you are allergic to any ingredient in Nizagara
• you are actually advised through your doctor in order to avoid sexual activity as a result of heart related illnesses
• you are taking nitrates (eg, isosorbide, nitroglycerin) in all forms (eg, tablet, capsule, patch, ointment), or nitroprusside
• you use certain recreational drugs called "poppers" (eg, amyl nitrate or nitrite, butyl nitrate or nitrite)
• you take another PDE5 inhibitor (eg, tadalafil, vardenafil) and other medicine that contains sildenafil.

Contact a medical expert or health care provider right away if all of these sign up for you.

Some health concerns may communicate with Nizagara. Tell your medical professional or pharmacist if you have any medical conditions, particularly if any of the following affect you:

• in case you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• for those who have allergies to medicines, foods, or other substances
• for those who have a deformed penis (eg, cavernosal fibrosis, Peyronie disease), blood cell problems (eg, leukemia, multiple myeloma, sickle cell anemia), or some other condition that will raise the likelihood of a prolonged erection (priapism)
• for those who have a history of a prolonged (greater than 4 hours) or painful erection (priapism)
• for those who have a history of certain eye problems (eg, macular degeneration, optic neuropathy, retinitis pigmentosa, sudden vision loss in a single or both eyes) or hearing problems (eg, ringing ears, decreased hearing, hearing difficulties)
• for those who have a good liver or kidney problems, lung problems (eg, pulmonary veno-occlusive disease), high or low blood pressure levels, ulcers, bleeding problems, heart related illnesses (eg, angina, aortic stenosis, heart failure, irregular heartbeat), or circulation system problems
• when you have a good reputation for cardiac event, stroke, or life-threatening irregular heartbeat, especially within the past six months.

Some medicines may talk with Nizagara. Tell your doctor in case you take some other medicines, especially any in the following:

• Alpha-blockers (eg, doxazosin), medicines for high blood pressure, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low blood pressure with dizziness, lightheadedness, and fainting may occur
• Azole antifungals (eg, itraconazole, ketoconazole), H₂ antagonists (eg, cimetidine), HIV protease inhibitors (eg, ritonavir, saquinavir), macrolide antibiotics (eg, erythromycin), narcotic analgesics (eg, dihydrocodeine), or telithromycin simply because they may raise the likelihood of Nizagara's unwanted side effects
• Bosentan or rifampin since they may decrease Nizagara's effectiveness.

This may not be a total report on all interactions that will occur. Ask your doctor if Nizagara may connect to other medicines that you take. Check with your medical provider before starting, stop, or change the dose of the medicine.

Important safety information:

• Nizagara might cause dizziness, drowsiness, fainting, or blurred vision. These effects could possibly be worse with it with alcohol or certain medicines. Use Nizagara with caution. Do not drive or perform other possible unsafe tasks before you recognize how you answer it.
• Nizagara could potentially cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, crunch or stand slowly, particularly in the morning. Sit or sleep the night in the first manifestation of these effects.
• Patients with heart related illnesses having Nizagara might be at increased risk for heart-related side effects, including cardiac event or stroke. Symptoms of a cardiac arrest can sometimes include chest, shoulder, neck, or jaw pain; numbness of your arm or; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of a stroke might include confusion, vision or speech changes, one-sided weakness, or fainting. Contact a medical expert or seek medical help straight away in case you experience these symptoms.
• Nizagara may rarely cause a protracted (eg, greater than 4 hours) or painful erection. This could happen even though you may are certainly not having sexual intercourse. If this is not treated right away, it may bring about permanent sexual dysfunctions for example impotence. Contact your medical professional without delay if you have a hardon that lasts more than 4 hours.
• Nizagara doesn't stop the spread of HIV or any other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier ways of contraception (eg, condoms) if you have HIV infection or perhaps an STD.
• Nizagara will not likely prevent pregnancy. If your partner can become pregnant so you wish in order to avoid pregnancy, be sure to work with an effective way of birth control method.
• Nizagara may uncommonly cause mild, temporary vision changes (eg, blurred vision, sensitivity to light, blue/green color tint to vision). Contact your physician if vision changes persist or are severe.
• Rarely, an eye fixed problem called nonarteritic anterior ischemic optic neuropathy (NAION) has been reported in patients who took Nizagara. This may result in decreased vision or permanent decrease of vision sometimes. If you notice an abrupt decline in vision or decrease of vision in a or both eyes, contact your doctor immediately.
• Sudden decreases in hearing and decrease of hearing are actually reported in most patients that have taken Nizagara. Sometimes additionally they noticed tinnitus or dizziness. If you notice a rapid decrease or loss in hearing, get hold of your doctor immediately.
• Do not use other medicines or treating ED while you take Nizagara without first checking with your doctor.
• Use Nizagara with caution inside elderly; they might be more understanding of its effects.
• Nizagara isn't recommended for use in children younger 18 years.