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Precautions

Do NOT use Zenegra if:

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• you are already advised through your doctor to stop sexual practice as a consequence of heart problems

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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) and other medicine that contains sildenafil.

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Contact your physician or physician immediately if any of these apply to you.

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Some medical conditions may connect to Zenegra . Tell your physician or pharmacist when you have any medical ailments, especially if any from the following connect with you:

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• when you have allergies to medicines, foods, and 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 another condition that could raise the chance of a protracted erection (priapism)

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• when you have a good reputation for an extended (greater than 4 hours) or painful erection (priapism)

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

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Some medicines may connect to Zenegra. Tell your doctor should you are taking every other medicines, especially any in the following:

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• 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 boost the risk of Zenegra's negative effects

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Important safety information:

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

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• Zenegra might cause dizziness, lightheadedness, or fainting; alcohol, summer, exercise, or fever may increase these effects. To prevent them, crunch or stand slowly, especially in the morning. Sit or lie down at the first manifestation of any of these effects.

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• Patients with heart problems taking Zenegra may be at increased risk for heart-related side effects, including cardiac arrest or stroke. Symptoms of a heart attack might include chest, shoulder, neck, or jaw pain; numbness associated with an branch; 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 medical professional or seek medical assistance right away should you experience these symptoms.

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• Zenegra may rarely cause a prolonged (eg, over 4 hours) or painful erection. This could happen even though you may usually are not having sexual intercourse. If this is just not treated right away, it might cause permanent sexual dysfunctions like impotence. Contact a medical expert straight away for those who have a bigger harder erection that lasts a lot more than 4 hours.

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• Zenegra won't stop the spread of HIV and other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of contraception (eg, condoms) for those who have HIV infection or an STD.

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• Zenegra is not going to prevent pregnancy. If your partner could become pregnant and also you wish to avoid pregnancy, be sure to work with an effective form of contraception.

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• Zenegra 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.

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• Rarely, an eye problem called nonarteritic anterior ischemic optic neuropathy (NAION) has been reported in patients who took Zenegra. This may lead to decreased vision or permanent lack of vision sometimes. If you notice an unexpected decrease in vision or lack of vision in a single or both eyes, speak to your doctor right away.

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• Sudden decreases in hearing and loss in hearing are actually reported in a few patients who have taken Zenegra. Sometimes in addition they noticed tinnitus or dizziness. If you notice an abrupt decrease or loss of hearing, contact your doctor without delay.

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