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Precautions

Do NOT use Silagra if:

• you are allergic to any ingredient in Silagra

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• you happen to be advised by your doctor in order to avoid intercourse because of heart disease

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• 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)

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

Some medical ailments may interact with Silagra. Tell your doctor or pharmacist for those who have any medical conditions, particularly if any in the following affect you:

• should you are taking any prescription or nonprescription medicine, herbal preparation, or health supplement

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• for those who have allergies to medicines, foods, or another 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 will raise the risk of a prolonged erection (priapism)

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• when you have a good a protracted (more than 4 hours) or painful erection (priapism)

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• if you have a good 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, hearing problems)

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• for those who have a good liver or kidney problems, lung problems (eg, pulmonary veno-occlusive disease), high or low blood pressure levels, ulcers, bleeding problems, heart problems (eg, angina, aortic stenosis, heart failure, irregular heartbeat), or circulation problems

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• when you have a good cardiac event, stroke, or life-threatening irregular heartbeat, especially within the past half a year.

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Some medicines may interact with Silagra. Tell your health care provider in case you take any other medicines, especially any of 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 since they may boost the probability of Silagra's negative effects

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

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This may not be a total list of all interactions that could occur. Ask your medical provider if Silagra may communicate with other medicines that you just take. Check with your medical provider before you begin, stop, or customize the dose from a medicine.

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Important safety information:

• Silagra may cause dizziness, drowsiness, fainting, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Silagra with caution. Do not drive or perform other possible unsafe tasks and soon you know how you answer it.
• Silagra may cause dizziness, lightheadedness, or fainting; alcohol, summer, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially inside morning. Sit or lie down with the first symbol of some of these effects.

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• Patients with heart related illnesses who take Silagra could possibly be at increased risk for heart-related side effects, including heart attack or stroke. Symptoms of a cardiac event may 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 might include confusion, vision or speech changes, one-sided weakness, or fainting. Contact your doctor or seek medical assistance without delay in the event you experience these symptoms.
• Silagra may rarely cause a prolonged (eg, a lot more than 4 hours) or painful erection. This could happen even though you may are not making love. If this isn't treated right away, it might lead to permanent sexual difficulties for example impotence. Contact your doctor without delay in case you have a harder erection that lasts more than 4 hours.

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

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• Silagra will not likely prevent pregnancy. If your partner can become pregnant so you wish to prevent pregnancy, be sure to use an effective form of contraceptive.

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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) continues to be reported in patients who took Silagra. This may result in decreased vision or permanent loss of vision in some cases. If you notice a sudden loss of vision or lack of vision in one or both eyes, speak to your doctor immediately.
• Sudden decreases in hearing and loss in hearing are actually reported in some patients who've taken Silagra. Sometimes they also noticed ringing within the ears or dizziness. If you notice an abrupt decrease or lack of hearing, speak to your doctor right away.

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• Do not use other medicines or treating ED while you consider Silagra without first checking along with your doctor.
• Use Silagra with caution inside the elderly; they could be more understanding of its effects.

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• Silagra isn't suited to utilization in children younger 18 years. 

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