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Precautions

Do NOT use Zenegra if:

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• you have been advised through your doctor to prevent intercourse due to heart disease

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• you consider nitrates (eg, isosorbide, nitroglycerin) in all forms (eg, tablet, capsule, patch, ointment), or nitroprusside

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• you use certain recreational drugs called "poppers" (eg, amyl nitrate or nitrite, butyl nitrate or nitrite)

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Contact your medical professional or health care provider without delay if all of these affect you.

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Some medical conditions may interact with Zenegra . Tell your medical professional or pharmacist for those who have any medical ailments, in particular when any of the following sign up for you:

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• for those who have allergies to medicines, foods, or another substances

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• when you have a deformed penis (eg, cavernosal fibrosis, Peyronie disease), blood cell problems (eg, leukemia, multiple myeloma, sickle cell anemia), or any other condition which could improve the chance of a protracted erection (priapism)

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• in case you have a history of an extended (over 4 hours) or painful erection (priapism)

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• when you have a good reputation for certain eye problems (eg, macular degeneration, optic neuropathy, retinitis pigmentosa, sudden vision loss in a single or both eyes) or loss of hearing (eg, tinnitus, decreased hearing, hearing difficulties)

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• when you have a good reputation for heart attack, stroke, or life-threatening irregular heartbeat, especially within the past 6 months.

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Some medicines may communicate with Zenegra. 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, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low blood pressure 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 likelihood of Zenegra's side effects

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• Bosentan or rifampin given that they may decrease Zenegra's effectiveness.

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This may not be an entire report on all interactions that will occur. Ask your doctor if Zenegra may connect to other medicines which you take. Check with your health care provider before starting, stop, or customize the dose of the medicine.

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Important safety information:

• Zenegra might cause dizziness, drowsiness, fainting, or blurred vision. These effects could possibly be worse for it with alcohol or certain medicines. Use Zenegra with caution. Do not drive or perform other possiblу unsafe tasks until you understand how you react to it.

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• Zenegra may cause dizziness, lightheadedness, or fainting; alcohol, summer, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, specifically in the morning. Sit or sleep the night with the first sign of any of these effects.

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• Patients with heart related illnesses taking Zenegra might be at increased risk for heart-related side effects, including cardiac event or stroke. Symptoms of a cardiac arrest might include chest, shoulder, neck, or jaw pain; numbness of the arm or; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of a stroke can include confusion, vision or speech changes, one-sided weakness, or fainting. Contact your doctor or seek medical help straight away in the event you experience these symptoms.

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• Zenegra may rarely cause a protracted (eg, a lot more than 4 hours) or painful erection. This could happen even though you may usually are not having sex. If this is not treated immediately, it could possibly lead to permanent sexual problems including impotence. Contact your medical professional right away in case you have a bigger harder erection that lasts a lot more than 4 hours.

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• Zenegra doesn't stop the spread of HIV or any other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier strategies to birth control method (eg, condoms) for those who have HIV infection or an STD.

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• Zenegra won't prevent pregnancy. If your partner may become pregnant and you wish to avoid pregnancy, be sure to work with an effective form of birth control method.

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• Zenegra may uncommonly cause mild, temporary vision changes (eg, blurred vision, sensitivity to light, blue/green color tint to vision). Contact a medical expert if vision changes persist or are severe.

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• Rarely, an eye problem called nonarteritic anterior ischemic optic neuropathy (NAION) may be reported in patients who took Zenegra. This may result in decreased vision or permanent lack of vision sometimes. If you notice a sudden decline in vision or loss of vision in a or both eyes, contact your doctor straight away.

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• Sudden decreases in hearing and loss in hearing happen to be reported in certain patients who've taken Zenegra. Sometimes additionally, they noticed tinnitus or dizziness. If you notice a rapid decrease or loss in hearing, get hold of your doctor without delay.

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• Do not use other medicines or treating ED while you are taking Zenegra without first checking using your doctor.

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• Use Zenegra with caution within the elderly; they could possibly be more sensitive to its effects.

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• Zenegra is just not appropriate for use in children younger 18 years.

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