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Precautions

Do NOT use Nizagara if:

• you are allergic to any ingredient in Nizagara
• you are already advised through your doctor to prevent intercourse due to heart disease
• you are taking 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 physician or doctor straight away if these connect with you.

Some health conditions may communicate with Nizagara. Tell a medical expert or pharmacist when you have any medical ailments, particularly when any of the following apply to you:

• in case you are taking 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 some other condition that could raise the chance of an extended erection (priapism)
• when you have a good a protracted (a lot more than 4 hours) or painful erection (priapism)
• if you have a good reputation for certain eye problems (eg, macular degeneration, optic neuropathy, retinitis pigmentosa, sudden vision loss in a or both eyes) or hearing difficulties (eg, ringing 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 hypertension, ulcers, bleeding problems, heart related illnesses (eg, angina, aortic stenosis, heart failure, irregular heartbeat), or circulation problems
• in case you have a good reputation for cardiac event, stroke, or life-threatening irregular heartbeat, especially within the past 6 months.

Some medicines may talk with Nizagara. Tell your doctor in case you take another medicines, especially any with 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 because they may raise the likelihood of Nizagara's side effects
• Bosentan or rifampin since they may decrease Nizagara's effectiveness.

This might not exactly be a total list of all interactions that could occur. Ask your doctor if Nizagara may talk with other medicines that you simply take. Check with your medical provider before starting, stop, or alter the dose from a medicine.

Important safety information:

• Nizagara could cause dizziness, drowsiness, fainting, or blurred vision. These effects might be worse if you take it with alcohol or certain medicines. Use Nizagara with caution. Do not drive or perform other possible unsafe tasks before you recognize how you respond to it.
• Nizagara might cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, particularly in the morning. Sit or lay down on the first symbol of these effects.
• Patients with cardiovascular disease having Nizagara may be at increased risk for heart-related negative effects, including cardiac arrest or stroke. Symptoms of a cardiac arrest may 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 might include confusion, vision or speech changes, one-sided weakness, or fainting. Contact your doctor or seek medical assistance immediately if 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 are certainly not making love. If this is just not treated right away, it might result in permanent sexual difficulties such as impotence. Contact a medical expert right away if you have a bigger harder erection that lasts a lot more than 4 hours.
• Nizagara will not stop the spread of HIV or other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control (eg, condoms) in case you have HIV infection or an STD.
• Nizagara will not prevent pregnancy. If your partner can be pregnant and also you wish to stop pregnancy, be sure to work with an effective kind of birth control.
• Nizagara may uncommonly cause mild, temporary vision changes (eg, blurred vision, sensitivity to light, blue/green color tint to vision). Contact your physician if vision changes persist or are severe.
• Rarely, a watch problem called nonarteritic anterior ischemic optic neuropathy (NAION) has been reported in patients who took Nizagara. This may bring about decreased vision or permanent loss in vision in some cases. If you notice a sudden decline in vision or lack of vision in one or both eyes, contact your doctor right away.
• Sudden decreases in hearing and loss in hearing happen to be reported in a few patients who have taken Nizagara. Sometimes in addition they noticed ringing ears or dizziness. If you notice a sudden decrease or decrease of hearing, get hold of your doctor right away.
• Do not use other medicines or control of ED while you take Nizagara without first checking together with your doctor.
• Use Nizagara with caution in the elderly; they might be more sensitive to its effects.
• Nizagara is just not appropriate for utilization in children younger 18 years.