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Precautions

Do NOT use Silagra if:

• you are allergic to any ingredient in Silagra
• you happen to be advised by your doctor in order to avoid intercourse as a consequence of heart problems
• 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) and other medicine which has sildenafil.

Some health conditions may communicate with Silagra. Tell your doctor or pharmacist in case you have any medical ailments, especially if any in the following affect you:

• should you take any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• in case you have allergies to medicines, foods, or another substances
• for those who have a deformed penis (eg, cavernosal fibrosis, Peyronie disease), blood cell problems (eg, leukemia, multiple myeloma, sickle cell anemia), or any other condition that may boost the risk of an extended erection (priapism)
• for those who have a good an extended (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 a or both eyes) or loss of hearing (eg, ringing in the ears, decreased hearing, the loss of hearing)
• in case you have a reputation liver or kidney problems, lung problems (eg, pulmonary veno-occlusive disease), high or low blood pressure level, ulcers, bleeding problems, cardiovascular disease (eg, angina, aortic stenosis, heart failure, irregular heartbeat), or circulation problems
• for those who have a good heart attack, stroke, or life-threatening irregular heartbeat, especially within the past six months.

Some medicines may interact with Silagra. Tell your medical provider if you take any other medicines, especially any with the following:

• Alpha-blockers (eg, doxazosin), medicines for high blood pressure, 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 since they may raise the likelihood of Silagra's negative effects
• Bosentan or rifampin since they may decrease Silagra's effectiveness.

This might not exactly be an entire listing of all interactions that will occur. Ask your doctor if Silagra may connect to other medicines that you simply take. Check with your doctor before you start, stop, or change the dose of the medicine.

Important safety information:

• Silagra could cause dizziness, drowsiness, fainting, or blurred vision. These effects could be worse with it with alcohol or certain medicines. Use Silagra with caution. Do not drive or perform other possible unsafe tasks unless you know how you answer it.
• Silagra could potentially cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, crunch or stand slowly, especially inside morning. Sit or sleep the night at the first sign of these effects.
• Patients with heart disease taking Silagra may be at increased risk for heart-related unwanted side effects, including cardiac event or stroke. Symptoms of a heart attack might include chest, shoulder, neck, or jaw pain; numbness of your arm or leg; 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 help immediately if you experience these symptoms.
• Silagra may rarely cause an extended (eg, greater than 4 hours) or painful erection. This could happen even though you may usually are not having sex. If this isn't treated immediately, it could result in permanent sexual difficulties for example impotence. Contact your doctor immediately in case you have a hardon that lasts a lot more than 4 hours.
• Silagra doesn't stop the spread of HIV or another sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of contraception (eg, condoms) if you have HIV infection or perhaps an STD.
• Silagra is not going to prevent pregnancy. If your partner can be pregnant and also you wish to avoid pregnancy, be sure to use an effective way of birth control method.
• 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) continues to be reported in patients who took Silagra. This may lead to decreased vision or permanent loss in vision sometimes. If you notice an unexpected reduction in vision or loss in vision a single or both eyes, speak to your doctor without delay.
• Sudden decreases in hearing and decrease of hearing are actually reported in some patients who may have taken Silagra. Sometimes additionally, they noticed ringing inside ears or dizziness. If you notice an abrupt decrease or loss of hearing, speak to your doctor immediately.
• Do not use other medicines or treatments for ED while you take Silagra without first checking along with your doctor.
• Use Silagra with caution inside the elderly; they might be more responsive to its effects.
• Silagra is just not appropriate for used in children younger 18 years.