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Precautions

Do NOT use Silagra if:

• you are allergic to the ingredient in Silagra
• you are actually advised through your doctor in order to avoid sexual practice because of heart disease
• 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) or another medicine made up of sildenafil.

Some health conditions may connect to Silagra. Tell your doctor or pharmacist for those who have any medical conditions, particularly when any with the following apply to you:

• in the event you take any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, and other substances
• 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 will boost the chance of a prolonged erection (priapism)
• in case you have a reputation a protracted (over 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 in a or both eyes) or loss of hearing (eg, ringing within the ears, decreased hearing, hearing problems)
• when you have a good liver or kidney problems, lung problems (eg, pulmonary veno-occlusive disease), high or low blood pressure level, ulcers, bleeding problems, heart related illnesses (eg, angina, aortic stenosis, heart failure, irregular heartbeat), or blood vessel problems
• for those who have a good heart attack, stroke, or life-threatening irregular heartbeat, especially within the past half a year.

Some medicines may talk with Silagra. Tell your health care provider in the event you are taking another medicines, especially any from the following:

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

This may not be a total list of all interactions which could occur. Ask your doctor if Silagra may communicate with other medicines which you take. Check with your health care provider prior to starting, stop, or affect the dose associated with a medicine.

Important safety information:

• Silagra might cause dizziness, drowsiness, fainting, or blurred vision. These effects may be worse invest the it with alcohol or certain medicines. Use Silagra with caution. Do not drive or perform other possible unsafe tasks and soon you discover how you answer it.
• Silagra may cause dizziness, lightheadedness, or fainting; alcohol, summer, exercise, or fever may increase these effects. To prevent them, crunch or stand slowly, especially inside the morning. Sit or take a nap with the first manifestation of these effects.
• Patients with heart problems taking Silagra could possibly be at increased risk for heart-related unwanted side effects, including cardiac arrest or stroke. Symptoms of a cardiac arrest may include chest, shoulder, neck, or jaw pain; numbness of your arm or; 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 straight away should you experience these symptoms.
• Silagra may rarely cause an extended (eg, more than 4 hours) or painful erection. This could happen even if you aren't having sex. If this just isn't treated right away, it might cause permanent sexual difficulties like impotence. Contact your doctor without delay if you have an erection that lasts a lot more than 4 hours.
• Silagra does not stop the spread of HIV and other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier ways of birth control (eg, condoms) when you have HIV infection or an STD.
• Silagra will not likely prevent pregnancy. If your partner may become pregnant so you wish in order to avoid pregnancy, be sure to use an effective form of contraception.
• 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, a close look problem called nonarteritic anterior ischemic optic neuropathy (NAION) has been reported in patients who took Silagra. This may bring about decreased vision or permanent lack of vision occasionally. If you notice an abrupt decline in vision or loss in vision in one or both eyes, speak to your doctor immediately.
• Sudden decreases in hearing and loss of hearing have been reported in most patients who've taken Silagra. Sometimes in addition they noticed ringing inside ears or dizziness. If you notice a sudden decrease or lack of hearing, speak to your doctor straight away.
• Do not use other medicines or treating ED while you consider Silagra without first checking with your doctor.
• Use Silagra with caution in the elderly; they may be more responsive to its effects.
• Silagra just isn't recommended for used in children younger 18 years.