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Precautions

Do NOT use Zenegra if:

• you are allergic to any ingredient in Zenegra
• you are actually advised because of your doctor to avoid sexual practice as a result of cardiovascular disease
• you take nitrates (eg, isosorbide, nitroglycerin) in all forms (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 has sildenafil.

Contact your doctor or doctor right away if any of these sign up for you.

Some health concerns may interact with Zenegra . Tell a medical expert or pharmacist if you have any health conditions, in particular when any in the following affect you:

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

Some medicines may interact with Zenegra. Tell your doctor should you are taking another medicines, especially any of the following:

• Alpha-blockers (eg, doxazosin), medicines for high blood pressure levels, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low hypertension 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 improve the probability of Zenegra's unwanted side effects
• Bosentan or rifampin given that they may decrease Zenegra's effectiveness.

This might not exactly be a whole list of all interactions that may occur. Ask your doctor if Zenegra may connect to other medicines that you simply take. Check with your doctor before you start, stop, or customize the dose associated with a medicine.

Important safety information:

• Zenegra may cause dizziness, drowsiness, fainting, or blurred vision. These effects could possibly be worse with it with alcohol or certain medicines. Use Zenegra with caution. Do not drive or perform other possiblу unsafe tasks unless you understand how you react to it.
• Zenegra may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, crunch or stand slowly, particularly in the morning. Sit or lie down at the first symbol of all of these effects.
• Patients with heart problems taking Zenegra may be at increased risk for heart-related negative effects, including heart attack or stroke. Symptoms of a cardiac arrest can include chest, shoulder, neck, or jaw pain; numbness associated with an 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 without delay in the event you experience these symptoms.
• Zenegra may rarely cause a prolonged (eg, more than 4 hours) or painful erection. This could happen even if you are not having sexual intercourse. If this is just not treated without delay, it could result in permanent sexual problems for example impotence. Contact your physician without delay in case you have an erection that lasts a lot more than 4 hours.
• Zenegra won't stop the spread of HIV or any other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of contraception (eg, condoms) in case you have HIV infection or even an STD.
• Zenegra won't prevent pregnancy. If your partner can become pregnant and you wish to avoid pregnancy, be sure to work with an effective form of birth control.
• Zenegra may uncommonly cause mild, temporary vision changes (eg, blurred vision, sensitivity to light, blue/green color tint to vision). Contact your medical professional if vision changes persist or are severe.
• Rarely, an eye fixed problem called nonarteritic anterior ischemic optic neuropathy (NAION) continues to be reported in patients who took Zenegra. This may result in decreased vision or permanent loss in vision occasionally. If you notice a rapid loss of vision or loss of vision in a single or both eyes, contact your doctor without delay.
• Sudden decreases in hearing and decrease of hearing have been reported in most patients who may have taken Zenegra. Sometimes additionally, they noticed ears ringing or dizziness. If you notice a rapid decrease or decrease of hearing, contact your doctor immediately.
• Do not use other medicines or treating ED while you are taking Zenegra without first checking together with your doctor.
• Use Zenegra with caution inside the elderly; they might be more understanding of its effects.
• Zenegra is not recommended for used in children younger 18 years.