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Precautions

Do NOT use Nizagara if:

• you are allergic to any ingredient in Nizagara
• you are actually advised from your doctor to stop sexual practice as a result of cardiovascular disease
• you are taking nitrates (eg, isosorbide, nitroglycerin) in any form (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) and other medicine made up of sildenafil.

Contact your medical professional or doctor without delay if some of these connect with you.

Some medical ailments may interact with Nizagara. Tell your doctor or pharmacist if you have any health conditions, particularly if any in the following apply to you:

• in case you are taking 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 other condition that may boost the probability of a prolonged erection (priapism)
• if you have a good a protracted (more than 4 hours) or painful erection (priapism)
• if you have a history of certain eye problems (eg, macular degeneration, optic neuropathy, retinitis pigmentosa, sudden vision loss in one or both eyes) or the loss of hearing (eg, ears ringing, decreased hearing, hearing problems)
• for those who have a good liver or kidney problems, lung problems (eg, pulmonary veno-occlusive disease), high or low blood pressure, ulcers, bleeding problems, cardiovascular disease (eg, angina, aortic stenosis, heart failure, irregular heartbeat), or blood vessel problems
• when you have a good cardiac arrest, stroke, or life-threatening irregular heartbeat, especially within the past a few months.

Some medicines may communicate with Nizagara. Tell your medical provider in the event you are taking every other medicines, especially any of the following:

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

This might not exactly be an entire set of all interactions that will occur. Ask your doctor if Nizagara may connect to other medicines that you take. Check with your health care provider before starting, stop, or customize the dose of the medicine.

Important safety information:

• Nizagara could cause dizziness, drowsiness, fainting, or blurred vision. These effects could be worse with it with alcohol or certain medicines. Use Nizagara with caution. Do not drive or perform other possible unsafe tasks until you discover how you reply to it.
• Nizagara may cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, specifically in the morning. Sit or lay down with the first manifestation of all of these effects.
• Patients with heart problems who take Nizagara could be at increased risk for heart-related unwanted side effects, including cardiac event or stroke. Symptoms of a heart attack can sometimes 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 may include confusion, vision or speech changes, one-sided weakness, or fainting. Contact a medical expert or seek medical attention immediately in the event you experience these symptoms.
• Nizagara may rarely cause an extended (eg, a lot more than 4 hours) or painful erection. This could happen even though you may usually are not making love. If this is just not treated without delay, it could possibly lead to permanent sexual dysfunctions including impotence. Contact your medical professional immediately when you have an erection that lasts over 4 hours.
• Nizagara doesn't stop the spread of HIV or any other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control (eg, condoms) when you have HIV infection or perhaps an STD.
• Nizagara won't prevent pregnancy. If your partner may become pregnant and you wish in order to avoid pregnancy, be sure to utilize an effective kind of birth control method.
• Nizagara may uncommonly cause mild, temporary vision changes (eg, blurred vision, sensitivity to light, blue/green color tint to vision). Contact a medical expert if vision changes persist or are severe.
• Rarely, an eye problem called nonarteritic anterior ischemic optic neuropathy (NAION) has been reported in patients who took Nizagara. This may result in decreased vision or permanent lack of vision occasionally. If you notice an abrupt loss of vision or loss in vision in a single or both eyes, speak to your doctor without delay.
• Sudden decreases in hearing and lack of hearing are actually reported in certain patients who have taken Nizagara. Sometimes additionally they noticed ears ringing or dizziness. If you notice an abrupt decrease or lack of hearing, get hold of your doctor straight away.
• Do not use other medicines or treating ED while you are taking Nizagara without first checking together with your doctor.
• Use Nizagara with caution in the elderly; they could possibly be more understanding of its effects.
• Nizagara just isn't appropriate for use in children younger 18 years.