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Do not take Malegra DXT if:

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• you are already advised from your doctor to avoid sex as a result of heart related illnesses

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• you consider nitrates (eg, isosorbide, nitroglycerin) in all forms (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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Contact your physician or physician straight away if some of these affect you.

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Some medical ailments may communicate with Malegra DXT. Tell your doctor or pharmacist when you have any medical conditions, particularly if any from the following sign up for you:

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• should you have a deformed penis (eg, Peyronie disease), blood cell problems (eg, leukemia, sickle cell anemia)

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• in case you use a history of heart attack, stroke, or life-threatening irregular heartbeat, especially inside past a few months.

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Some medicines may interact with Malegra DXT. Tell your medical provider should you are taking every other medicines, especially any in the following:

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• Alpha-blockers (eg, doxazosin), medicines for high blood pressure, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low hypertension with dizziness, lightheadedness, and fainting may occur

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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 given that they may increase the chance of Malegra DXT's unwanted side effects

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

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This might not exactly be a total listing of all interactions that will occur. Ask your health care provider if Malegra DXT communicate with other medicines which you take. Check along with your health care provider prior to deciding to start, stop, or affect the dose of any medicine.

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Important safety information:

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• Malegra DXT could potentially cause dizziness, drowsiness, fainting, or blurred vision. These effects might be worse should you take it with alcohol or certain medicines. Use Malegra DXT with caution. Do not drive or perform other possible unsafe tasks before you know how you reply to it.

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• Malegra DXT may cause dizziness, lightheadedness, or fainting; alcohol, summer, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or take a nap in the first sign of these effects.

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• Patients with heart related illnesses taking Malegra DXT may be at increased risk for heart-related unwanted effects, including heart attack or stroke. Symptoms of your cardiac arrest might include chest, shoulder, neck, or jaw pain; numbness of the branch; 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 physician or seek medical assistance immediately in case you experience these symptoms.

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• Malegra DXT will not stop the spread of HIV or another sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control (eg, condoms) if you have HIV infection or an STD.

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• Malegra DXT will not likely prevent pregnancy. If your partner can become pregnant and you wish to prevent pregnancy, be sure you readily effective way of birth control.

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• Malegra DXT 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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• Do not use other medicines or control of ED while you take Malegra DXT without first checking along with your doctor.

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• Use Malegra DXT with caution inside the elderly; they might be more understanding of its effects.

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• Malegra DXT is not recommended for use within patients younger 18 years.

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