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Precautions

Do NOT use Zenegra if:

• you are allergic to any ingredient in Zenegra
• you have been advised from your doctor to avoid intercourse due to heart related illnesses
• you consider nitrates (eg, isosorbide, nitroglycerin) in all forms (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 which contains sildenafil.

Contact a medical expert or physician without delay if these affect you.

Some medical ailments may interact with Zenegra . Tell your doctor or pharmacist when you have any medical conditions, particularly when any with the following connect with you:

• in the event you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• 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 some other condition that could increase the chance of a protracted erection (priapism)
• if you have a good reputation for 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 one or both eyes) or loss of hearing (eg, ringing in the ears, decreased hearing, the loss of hearing)
• for those who have a history of liver or kidney problems, lung problems (eg, pulmonary veno-occlusive disease), high or low blood pressure levels, ulcers, bleeding problems, heart related illnesses (eg, angina, aortic stenosis, heart failure, irregular heartbeat), or circulation system problems
• for those who have a good reputation for cardiac event, stroke, or life-threatening irregular heartbeat, especially within the past a few months.

Some medicines may communicate with Zenegra. Tell your doctor should you take another medicines, especially any with the following:

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

This might not be a complete set of all interactions that may occur. Ask your doctor if Zenegra may connect to other medicines which you take. Check with your health care provider before you begin, stop, or change the dose of the medicine.

Important safety information:

• Zenegra could potentially cause dizziness, drowsiness, fainting, or blurred vision. These effects might be worse for it with alcohol or certain medicines. Use Zenegra with caution. Do not drive or perform other possiblу unsafe tasks until you discover how you respond to it.
• Zenegra could cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, particularly in the morning. Sit or sleep the night at the first symbol of all of these effects.
• Patients with heart related illnesses taking Zenegra could possibly be at increased risk for heart-related unwanted side effects, including cardiac arrest or stroke. Symptoms of a cardiac event 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 sometimes include confusion, vision or speech changes, one-sided weakness, or fainting. Contact your medical professional or seek medical help immediately in the event you experience these symptoms.
• Zenegra may rarely cause a protracted (eg, more than 4 hours) or painful erection. This could happen even if you are not making love. If this is just not treated without delay, it may result in permanent sexual dysfunctions for example impotence. Contact your medical professional straight away in case you have an erection that lasts more than 4 hours.
• Zenegra doesn't stop the spread of HIV and other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of contraception (eg, condoms) if you have HIV infection or even an STD.
• Zenegra will not likely prevent pregnancy. If your partner can become pregnant so you wish to prevent pregnancy, be sure to use an effective kind of contraception.
• 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, a watch problem called nonarteritic anterior ischemic optic neuropathy (NAION) may be reported in patients who took Zenegra. This may bring about decreased vision or permanent loss in vision sometimes. If you notice an abrupt loss of vision or loss in vision in a or both eyes, get hold of your doctor without delay.
• Sudden decreases in hearing and decrease of hearing happen to be reported in certain patients that have taken Zenegra. Sometimes additionally, they noticed ringing in the ears or dizziness. If you notice an abrupt decrease or loss of hearing, get hold of your doctor straight away.
• Do not use other medicines or control of ED while you consider Zenegra without first checking with your doctor.
• Use Zenegra with caution inside the elderly; they may be more responsive to its effects.
• Zenegra is not suitable for use within children younger 18 years.