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Precautions

Do NOT use Silagra if:

• you are allergic to your ingredient in Silagra
• you have been advised from your doctor in order to avoid sexual practice due to heart 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 another medicine made up of sildenafil.

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

• in case you consider any prescription or nonprescription medicine, herbal preparation, or supplement
• if you have allergies to medicines, foods, or 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 some other condition which could boost the chance of an extended erection (priapism)
• if you have a reputation a prolonged (a lot more than 4 hours) or painful erection (priapism)
• for those who have a history of certain eye problems (eg, macular degeneration, optic neuropathy, retinitis pigmentosa, sudden vision loss in one or both eyes) or loss of hearing (eg, ringing inside ears, 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 level, ulcers, bleeding problems, heart related illnesses (eg, angina, aortic stenosis, heart failure, irregular heartbeat), or circulation system problems
• for those who have a good reputation for heart attack, stroke, or life-threatening irregular heartbeat, especially within the past 6 months.

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

• Alpha-blockers (eg, doxazosin), medicines for high hypertension, 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 given that they may increase the likelihood of Silagra's side effects
• Bosentan or rifampin because they may decrease Silagra's effectiveness.

This may not be a total listing of all interactions that could occur. Ask your medical provider if Silagra may communicate with other medicines that you just take. Check with your health care provider prior to starting, stop, or alter the dose from a medicine.

Important safety information:

• Silagra could potentially cause dizziness, drowsiness, fainting, or blurred vision. These effects might be worse with it with alcohol or certain medicines. Use Silagra with caution. Do not drive or perform other possible unsafe tasks until you understand how you answer it.
• Silagra could potentially cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, especially in the morning. Sit or lay down with the first symbol of these effects.
• Patients with heart related illnesses who take Silagra could be at increased risk for heart-related side effects, including heart attack or stroke. Symptoms of a cardiac arrest may include chest, shoulder, neck, or jaw pain; numbness of the branch; 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 assistance right away if you experience these symptoms.
• Silagra may rarely cause a protracted (eg, greater than 4 hours) or painful erection. This could happen even when you are certainly not making love. If this isn't treated immediately, it may lead to permanent sexual dysfunctions including impotence. Contact your doctor immediately if you have a harder erection that lasts more than 4 hours.
• Silagra doesn't stop the spread of HIV and other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier strategies to birth control (eg, condoms) for those who have HIV infection or even an STD.
• Silagra will not likely prevent pregnancy. If your partner can become pregnant and also you wish to avoid pregnancy, be sure to make use of an effective kind 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 watch problem called nonarteritic anterior ischemic optic neuropathy (NAION) has become reported in patients who took Silagra. This may lead to decreased vision or permanent loss in vision in some cases. If you notice a rapid decrease in vision or decrease of vision in a single or both eyes, contact your doctor without delay.
• Sudden decreases in hearing and lack of hearing are already reported in most patients that have taken Silagra. Sometimes additionally, they noticed ringing inside ears or dizziness. If you notice a rapid decrease or loss of hearing, contact your doctor right away.
• Do not use other medicines or treatments for ED while you take Silagra without first checking using your doctor.
• Use Silagra with caution within the elderly; they could possibly be more sensitive to its effects.
• Silagra is not suitable for utilization in children younger 18 years.