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Precautions

Do NOT use Zenegra if:

• you are allergic to any ingredient in Zenegra
• you are already advised through your doctor in order to avoid intercourse due to 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 which contains sildenafil.

Contact your physician or doctor straight away if all of these connect with you.

Some medical conditions may communicate with Zenegra . Tell your physician or pharmacist in case you have any medical conditions, in particular when any with the following apply to you:

• in the event you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or any other substances
• in case 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 boost the probability of a protracted erection (priapism)
• when you have a reputation an extended (a lot more than 4 hours) or painful erection (priapism)
• for those who have a good certain eye problems (eg, macular degeneration, optic neuropathy, retinitis pigmentosa, sudden vision loss in a or both eyes) or the loss of hearing (eg, ringing ears, decreased hearing, the loss of hearing)
• if you have a good 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 circulation problems
• if you have a good reputation for cardiac arrest, stroke, or life-threatening irregular heartbeat, especially within the past six months.

Some medicines may communicate with Zenegra. Tell your medical provider should you consider another medicines, especially any of the following:

• Alpha-blockers (eg, doxazosin), medicines for high blood pressure levels, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low blood pressure level 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 increase the chance of Zenegra's unwanted effects
• Bosentan or rifampin simply because they may decrease Zenegra's effectiveness.

This might not be a whole report on all interactions that could occur. Ask your health care provider if Zenegra may talk with other medicines that you simply take. Check with your medical provider before you begin, stop, or affect the dose associated with a medicine.

Important safety information:

• Zenegra might cause dizziness, drowsiness, fainting, or blurred vision. These effects could possibly be worse with it with alcohol or certain medicines. Use Zenegra with caution. Do not drive or perform other possiblу unsafe tasks and soon you recognize how you reply to it.
• Zenegra might cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, crunch or stand slowly, specially in the morning. Sit or lay down in the first sign of some of these effects.
• Patients with heart related illnesses taking Zenegra could be at increased risk for heart-related negative effects, including cardiac arrest or stroke. Symptoms of a heart attack can include chest, shoulder, neck, or jaw pain; numbness of an arm or; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of a stroke can include confusion, vision or speech changes, one-sided weakness, or fainting. Contact your doctor or seek medical attention straight away in case you experience these symptoms.
• Zenegra may rarely cause an extended (eg, over 4 hours) or painful erection. This could happen even when you aren't having sexual intercourse. If this is not treated immediately, it could possibly lead to permanent sexual difficulties including impotence. Contact your medical professional straight away if you have a bigger harder erection that lasts a lot more than 4 hours.
• Zenegra does not stop the spread of HIV or any other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier types of contraceptive (eg, condoms) when you have HIV infection or perhaps an STD.
• Zenegra will not likely prevent pregnancy. If your partner may become pregnant so you wish to prevent pregnancy, be sure to work with an effective type of birth control.
• 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.
• Rarely, an eye fixed problem called nonarteritic anterior ischemic optic neuropathy (NAION) continues to be reported in patients who took Zenegra. This may lead to decreased vision or permanent decrease of vision in some instances. If you notice an unexpected loss of vision or loss of vision in a single or both eyes, contact your doctor immediately.
• Sudden decreases in hearing and decrease of hearing have been reported in most patients who may have taken Zenegra. Sometimes additionally, they noticed ears ringing or dizziness. If you notice a sudden decrease or lack of hearing, speak to your doctor immediately.
• Do not use other medicines or control of ED while you consider Zenegra without first checking using your doctor.
• Use Zenegra with caution within the elderly; they might be more sensitive to its effects.
• Zenegra is just not suitable for used in children younger 18 years.