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Precautions

Do NOT use Silagra if:

• you are allergic to any ingredient in Silagra
• you have been advised by your doctor to stop sexual activity as a result of heart related illnesses
• you are taking nitrates (eg, isosorbide, nitroglycerin) of any type (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.

Some health conditions may communicate with Silagra. Tell your doctor or pharmacist when you have any medical ailments, in particular when any of the following connect with you:

• should you are taking any prescription or nonprescription medicine, herbal preparation, or nutritional supplement
• if you 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 increase the likelihood of a protracted erection (priapism)
• for those who have a history of a prolonged (greater than 4 hours) or painful erection (priapism)
• when you have a history of certain eye problems (eg, macular degeneration, optic neuropathy, retinitis pigmentosa, sudden vision loss a single or both eyes) or hearing difficulties (eg, ringing in the ears, decreased hearing, the loss of hearing)
• when you have a reputation liver or kidney problems, lung problems (eg, pulmonary veno-occlusive disease), high or low hypertension, ulcers, bleeding problems, heart problems (eg, angina, aortic stenosis, heart failure, irregular heartbeat), or circulatory problems
• in case you have a history of heart attack, stroke, or life-threatening irregular heartbeat, especially within the past 6 months.

Some medicines may communicate with Silagra. Tell your medical provider should you are taking any other medicines, especially any in the following:

• Alpha-blockers (eg, doxazosin), medicines for high hypertension, 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 because they may improve the risk of Silagra's negative effects
• Bosentan or rifampin since they may decrease Silagra's effectiveness.

This might not exactly be a whole set of all interactions that will occur. Ask your health care provider if Silagra may communicate with other medicines that you just take. Check with your medical provider prior to starting, stop, or alter the dose from a medicine.

Important safety information:

• Silagra might cause dizziness, drowsiness, fainting, or blurred vision. These effects could be worse for it with alcohol or certain medicines. Use Silagra with caution. Do not drive or perform other possible unsafe tasks and soon you recognize how you respond to it.
• Silagra might cause dizziness, lightheadedness, or fainting; alcohol, summer, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, especially in the morning. Sit or lie down in the first symbol of any of these effects.
• Patients with cardiovascular disease having Silagra could be at increased risk for heart-related unwanted side effects, including cardiac event or stroke. Symptoms of a cardiac arrest may include chest, shoulder, neck, or jaw pain; numbness of your arm or leg; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of a stroke can sometimes include confusion, vision or speech changes, one-sided weakness, or fainting. Contact your doctor or seek medical assistance straight away in case you experience these symptoms.
• Silagra may rarely cause an extended (eg, a lot more than 4 hours) or painful erection. This could happen even when you usually are not having sexual intercourse. If this is just not treated immediately, it may result in permanent sexual dysfunctions such as impotence. Contact your doctor immediately in case you have a harder erection that lasts a lot more than 4 hours.
• Silagra won't stop the spread of HIV or any other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier strategies to birth control (eg, condoms) when you have HIV infection or even an STD.
• Silagra won't prevent pregnancy. If your partner can be pregnant and also you wish in order to avoid pregnancy, be sure to work with an effective form of birth control method.
• 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.
• Rarely, an eye problem called nonarteritic anterior ischemic optic neuropathy (NAION) may be reported in patients who took Silagra. This may cause decreased vision or permanent loss in vision in some instances. If you notice an abrupt loss of vision or lack of vision in a single or both eyes, speak to your doctor immediately.
• Sudden decreases in hearing and loss in hearing happen to be reported in certain patients who've taken Silagra. Sometimes additionally they noticed ringing inside the ears or dizziness. If you notice a rapid decrease or decrease of hearing, contact your doctor straight away.
• Do not use other medicines or treating ED while you take Silagra without first checking using your doctor.
• Use Silagra with caution within the elderly; they could possibly be more sensitive to its effects.
• Silagra isn't suitable for utilization in children younger 18 years.