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Precautions

Do NOT use Silagra if:

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• you are allergic to any ingredient in Silagra
• you are actually advised through your doctor in order to avoid sexual practice as a result of heart problems
• you take 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) or any other medicine which contains sildenafil.

Some health conditions may communicate with Silagra. Tell your doctor or pharmacist for those who have any health concerns, particularly if any with the following connect with you:

• in case you take any prescription or nonprescription medicine, herbal preparation, or nutritional supplement

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• in case you have allergies to medicines, foods, or other substances

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• 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 increase the probability of a prolonged erection (priapism)

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• when you have a history of a prolonged (over 4 hours) or painful erection (priapism)

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• if you have a good certain eye problems (eg, macular degeneration, optic neuropathy, retinitis pigmentosa, sudden vision loss in one or both eyes) or the loss of hearing (eg, ringing inside the ears, decreased hearing, hearing problems)

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• for those who have a good reputation for liver or kidney problems, lung problems (eg, pulmonary veno-occlusive disease), high or low blood pressure levels, ulcers, bleeding problems, cardiovascular disease (eg, angina, aortic stenosis, heart failure, irregular heartbeat), or circulatory problems

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• if you have a reputation cardiac event, stroke, or life-threatening irregular heartbeat, especially within the past a few months.

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Some medicines may talk with Silagra. Tell your doctor in case you are taking another medicines, especially any from 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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• 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 probability of Silagra's negative effects
• Bosentan or rifampin simply because they may decrease Silagra's effectiveness.

This may not be a complete set of all interactions that could occur. Ask your health care provider if Silagra may connect to other medicines that you simply take. Check with your medical provider prior to starting, stop, or affect the dose from a medicine.

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Important safety information:

• Silagra may cause dizziness, drowsiness, fainting, or blurred vision. These effects might be worse if you take it with alcohol or certain medicines. Use Silagra with caution. Do not drive or perform other possible unsafe tasks until you recognize how you respond to it.

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• Silagra 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 sleep the night in the first symbol of all of these effects.

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• Patients with heart disease taking Silagra could be at increased risk for heart-related unwanted effects, including cardiac arrest or stroke. Symptoms of a heart attack might include chest, shoulder, neck, or jaw pain; numbness of an arm or leg; 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 your doctor or seek medical assistance right away if you experience these symptoms.

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• Silagra may rarely cause a protracted (eg, a lot more than 4 hours) or painful erection. This could happen even if you usually are not having sex. If this is not treated without delay, it could possibly cause permanent sexual problems such as impotence. Contact your doctor immediately for those who have an erection that lasts over 4 hours.

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• Silagra won't stop the spread of HIV or any other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier ways of birth control method (eg, condoms) if you have HIV infection or perhaps an STD.

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• Silagra will not prevent pregnancy. If your partner can be pregnant and you also wish to stop pregnancy, be sure to make use of an effective type of birth control.
• 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.

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• Rarely, an eye problem called nonarteritic anterior ischemic optic neuropathy (NAION) continues to be reported in patients who took Silagra. This may bring about decreased vision or permanent loss in vision occasionally. If you notice a sudden decline in vision or decrease of vision a single or both eyes, speak to your doctor straight away.
• Sudden decreases in hearing and loss of hearing are actually reported in some patients that have taken Silagra. Sometimes they also noticed ringing inside the ears or dizziness. If you notice an abrupt decrease or loss of hearing, contact your doctor without delay.

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• Do not use other medicines or treatments for ED while you consider Silagra without first checking using your doctor.

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• Use Silagra with caution inside the elderly; they may be more understanding of its effects.
• Silagra just isn't suitable for utilization in children younger 18 years. 

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