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Precautions

Do NOT use Nizagara if:

• you are allergic to any ingredient in Nizagara
• you are actually advised because of your doctor in order to avoid sexual practice due to heart disease
• you consider 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 which contains sildenafil.

Contact a medical expert or physician straight away if these sign up for you.

Some health conditions may interact with Nizagara. Tell your medical professional or pharmacist when you have any health concerns, in particular when any in the following connect with you:

• in case you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• in case you have allergies to medicines, foods, and other substances
• for those who have a deformed penis (eg, cavernosal fibrosis, Peyronie disease), blood cell problems (eg, leukemia, multiple myeloma, sickle cell anemia), or another condition that could improve the risk of an extended erection (priapism)
• for those who have a reputation a protracted (over 4 hours) or painful erection (priapism)
• if you have a good certain eye problems (eg, macular degeneration, optic neuropathy, retinitis pigmentosa, sudden vision loss in a single or both eyes) or loss of hearing (eg, ringing ears, decreased hearing, hearing problems)
• for those who have a reputation liver or kidney problems, lung problems (eg, pulmonary veno-occlusive disease), high or low blood pressure levels, ulcers, bleeding problems, heart disease (eg, angina, aortic stenosis, heart failure, irregular heartbeat), or blood vessel problems
• for those who have a good reputation for heart attack, stroke, or life-threatening irregular heartbeat, especially within the past six months.

Some medicines may interact with Nizagara. Tell your doctor if you are taking some other medicines, especially any in the following:

• Alpha-blockers (eg, doxazosin), medicines for high blood pressure level, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low blood pressure levels 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 since they may boost the risk of Nizagara's unwanted side effects
• Bosentan or rifampin since they may decrease Nizagara's effectiveness.

This might not exactly be an entire list of all interactions which could occur. Ask your doctor if Nizagara may communicate with other medicines that you just take. Check with your doctor before you begin, stop, or customize the dose associated with a medicine.

Important safety information:

• Nizagara might cause dizziness, drowsiness, fainting, or blurred vision. These effects may be worse for it with alcohol or certain medicines. Use Nizagara with caution. Do not drive or perform other possible unsafe tasks before you understand how you answer it.
• Nizagara may cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, specifically in the morning. Sit or sleep the night on the first sign of some of these effects.
• Patients with heart problems having Nizagara could be at increased risk for heart-related side effects, including cardiac arrest or stroke. Symptoms of a cardiac arrest can include chest, shoulder, neck, or jaw pain; numbness of the 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 doctor or seek medical attention immediately should you experience these symptoms.
• Nizagara may rarely cause a protracted (eg, a lot more than 4 hours) or painful erection. This could happen even if you are certainly not having sexual intercourse. If this is just not treated immediately, it may result in permanent sexual problems such as impotence. Contact a medical expert immediately in case you have a bigger harder erection that lasts over 4 hours.
• Nizagara won't stop the spread of HIV or another sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control (eg, condoms) in case you have HIV infection or perhaps an STD.
• Nizagara will not prevent pregnancy. If your partner could become pregnant and you also wish to prevent pregnancy, be sure to work with an effective form of contraception.
• Nizagara 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, an eye problem called nonarteritic anterior ischemic optic neuropathy (NAION) continues to be reported in patients who took Nizagara. This may result in decreased vision or permanent loss in vision sometimes. If you notice an unexpected reduction in vision or loss of vision a single or both eyes, contact your doctor right away.
• Sudden decreases in hearing and loss in hearing happen to be reported in a few patients who have taken Nizagara. Sometimes in addition they noticed ears ringing or dizziness. If you notice a rapid decrease or decrease of hearing, contact your doctor right away.
• Do not use other medicines or treating ED while you are taking Nizagara without first checking with your doctor.
• Use Nizagara with caution inside the elderly; they may be more sensitive to its effects.
• Nizagara just isn't recommended for use within children younger 18 years.