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Precautions

Do NOT use Silagra if:

• you are allergic to your ingredient in Silagra
• you are already advised from your doctor to prevent intercourse as a consequence of heart related illnesses
• 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) or any other medicine which contains sildenafil.

Some health conditions may connect to Silagra. Tell your doctor or pharmacist if you have any medical ailments, in particular when any of the following affect you:

• in case you take any prescription or nonprescription medicine, herbal preparation, or health supplement
• if you have allergies to medicines, foods, or any other substances
• in case 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 boost the risk of a prolonged erection (priapism)
• if you have a history of an extended (more than 4 hours) or painful erection (priapism)
• for those who have a good certain eye problems (eg, macular degeneration, optic neuropathy, retinitis pigmentosa, sudden vision loss in a or both eyes) or hearing difficulties (eg, ringing in the ears, decreased hearing, hearing difficulties)
• if you have a good reputation for 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
• when you have a good heart attack, stroke, or life-threatening irregular heartbeat, especially within the past six months.

Some medicines may communicate with Silagra. Tell your medical provider in the event you are taking another medicines, especially any in 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 improve the chance of Silagra's unwanted side effects
• Bosentan or rifampin simply because they may decrease Silagra's effectiveness.

This might not be a whole set of all interactions that may occur. Ask your doctor if Silagra may interact with other medicines that you just take. Check with your health care provider before starting, stop, or affect the dose from a medicine.

Important safety information:

• Silagra might cause dizziness, drowsiness, fainting, or blurred vision. These effects could possibly be worse if you take it with alcohol or certain medicines. Use Silagra with caution. Do not drive or perform other possible unsafe tasks before you understand how you reply to it.
• Silagra could cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially inside morning. Sit or lay down on the first manifestation of all of these effects.
• Patients with heart related illnesses who take Silagra could be at increased risk for heart-related side effects, including cardiac arrest or stroke. Symptoms of a cardiac arrest can sometimes include chest, shoulder, neck, or jaw pain; numbness of your 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 attention right away in the event you experience these symptoms.
• Silagra may rarely cause an extended (eg, greater than 4 hours) or painful erection. This could happen even when you are not having sexual intercourse. If this is just not treated without delay, it may lead to permanent sexual difficulties for example impotence. Contact your doctor immediately for those who have a bigger harder erection that lasts a lot more than 4 hours.
• Silagra won't stop the spread of HIV or another sexually transmitted diseases (STDs) to others through sexual contact. Use barrier strategies to birth control (eg, condoms) in case you have HIV infection or an STD.
• Silagra will not prevent pregnancy. If your partner can be pregnant and also you wish to prevent pregnancy, be sure to make use of an effective form 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.
• Rarely, a close look problem called nonarteritic anterior ischemic optic neuropathy (NAION) has been reported in patients who took Silagra. This may lead to decreased vision or permanent lack of vision in some instances. If you notice a sudden decline in vision or loss in vision a single or both eyes, get hold of your doctor without delay.
• Sudden decreases in hearing and loss in hearing are already reported in certain patients that have taken Silagra. Sometimes in addition they noticed ringing in the ears or dizziness. If you notice a rapid decrease or decrease of hearing, get hold of your doctor straight away.
• Do not use other medicines or control of ED while you are taking Silagra without first checking with your doctor.
• Use Silagra with caution in the elderly; they may be more responsive to its effects.
• Silagra isn't appropriate for utilization in children younger 18 years.