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Precautions

Do NOT use Silagra if:

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• you are allergic to any ingredient in Silagra

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• you are actually advised because of your doctor to avoid sex due to heart disease

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• you are taking nitrates (eg, isosorbide, nitroglycerin) of any type (eg, tablet, capsule, patch, ointment), or nitroprusside

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• you use certain recreational drugs called "poppers" (eg, amyl nitrate or nitrite, butyl nitrate or nitrite)

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• you take another PDE5 inhibitor (eg, tadalafil, vardenafil) or another medicine that contains sildenafil.

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Some health concerns may talk with Silagra. Tell your doctor or pharmacist if you have any medical conditions, especially if any in the following connect with you:

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• in the event you take any prescription or nonprescription medicine, herbal preparation, or supplement

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• for those who have allergies to medicines, foods, or any other substances

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• when you have a deformed penis (eg, cavernosal fibrosis, Peyronie disease), blood cell problems (eg, leukemia, multiple myeloma, sickle cell anemia), or some other condition that could raise the likelihood of a prolonged erection (priapism)

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• for those who have a good reputation for a prolonged (a lot more than 4 hours) or painful erection (priapism)

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• if you have a reputation certain eye problems (eg, macular degeneration, optic neuropathy, retinitis pigmentosa, sudden vision loss in one or both eyes) or hearing problems (eg, ringing inside the ears, decreased hearing, the loss of hearing)

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• in case you have a reputation liver or kidney problems, lung problems (eg, pulmonary veno-occlusive disease), high or low hypertension, ulcers, bleeding problems, heart related illnesses (eg, angina, aortic stenosis, heart failure, irregular heartbeat), or blood vessel problems

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• in case you have a good reputation for cardiac event, stroke, or life-threatening irregular heartbeat, especially within the past six months.

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Some medicines may talk with Silagra. Tell your health care provider should you take some other medicines, especially any of the following:

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• Alpha-blockers (eg, doxazosin), medicines for high blood pressure level, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low blood pressure levels 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 since they may improve the chance of Silagra's negative effects

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• Bosentan or rifampin given that they may decrease Silagra's effectiveness.

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This may well not be a total listing of all interactions that will occur. Ask your doctor if Silagra may connect to other medicines that you just take. Check with your medical provider before you start, stop, or customize the dose of any medicine.

Important safety information:

• Silagra could potentially cause dizziness, drowsiness, fainting, or blurred vision. These effects could possibly be worse with it with alcohol or certain medicines. Use Silagra with caution. Do not drive or perform other possible unsafe tasks and soon you discover how you react to it.

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• Silagra could potentially cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, especially in the morning. Sit or sleep the night with the first symbol of all of these effects.

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• Patients with heart related illnesses taking Silagra could be at increased risk for heart-related unwanted side effects, including cardiac arrest or stroke. Symptoms of a cardiac arrest can 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 may include confusion, vision or speech changes, one-sided weakness, or fainting. Contact your doctor or seek medical help immediately should you experience these symptoms.

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• Silagra may rarely cause a protracted (eg, over 4 hours) or painful erection. This could happen even when you are certainly not making love. If this is not treated right away, it may cause permanent sexual problems including impotence. Contact your doctor without delay for those who have an erection that lasts over 4 hours.
• Silagra won't stop the spread of HIV or another sexually transmitted diseases (STDs) to others through sexual contact. Use barrier types of birth control method (eg, condoms) for those who have HIV infection or even an STD.

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• Silagra won't prevent pregnancy. If your partner can be pregnant and you wish in order to avoid pregnancy, be sure to utilize an effective kind of birth control method.

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• Silagra may uncommonly cause mild, temporary vision changes (eg, blurred vision, sensitivity to light, blue/green color tint to vision). Contact your doctor if vision changes persist or are severe.

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• Rarely, an eye problem called nonarteritic anterior ischemic optic neuropathy (NAION) has been reported in patients who took Silagra. This may bring about decreased vision or permanent loss of vision in some instances. If you notice an unexpected loss of vision or loss in vision in a single or both eyes, speak to your doctor immediately.

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• Sudden decreases in hearing and decrease of hearing are already reported in some patients who may have taken Silagra. Sometimes additionally they noticed ringing in the ears or dizziness. If you notice an unexpected decrease or loss of hearing, speak to your doctor immediately.

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• Do not use other medicines or control of ED while you are taking Silagra without first checking together with your doctor.

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• Use Silagra with caution inside elderly; they could possibly be more sensitive to its effects.

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• Silagra just isn't recommended for use in children younger 18 years. 

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