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• in case you have a deformed penis (eg, cavernosal fibrosis, Peyronie disease), blood cell problems (eg, leukemia, multiple myeloma, sickle cell anemia), or other condition that could raise the risk of a protracted erection (priapism)

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• in case you have a history of an extended (more than 4 hours) or painful erection (priapism)

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Some medicines may connect to Nizagara. Tell your doctor if you take every other medicines, especially any in the following:

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

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• Nizagara could cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, especially in the morning. Sit or take a nap at the first symbol of these effects.

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• Nizagara may rarely cause an extended (eg, more than 4 hours) or painful erection. This could happen even though you may are not having sex. If this just isn't treated right away, it may lead to permanent sexual dysfunctions including impotence. Contact your medical professional straight away in case you have an erection that lasts more than 4 hours.

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• Rarely, an eye problem called nonarteritic anterior ischemic optic neuropathy (NAION) may be reported in patients who took Nizagara. This may cause decreased vision or permanent loss of vision occasionally. If you notice an abrupt reduction in vision or lack of vision a single or both eyes, contact your doctor immediately.

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