Silagra is suggested for the treatment of ed. It works by helping increase blood circulation into the penis during sexual arousal. Silagra helps to reach and maintain an erection. Use Silagra as instructed by your physician. Take Silagra by mouth with or without any food. Silagra might not act as rapidly for it using a high fat food. Silagra is usually taken about one hour before sexual activity; however, it can be studied anywhere from 4 hrs into a half hour before sexual activity. Talk with your physician about the best solution to have Silagra. Do not take much more than the suggested dose or consider it more frequently than once daily, or as directed by your doctor. In case you miss a dose of Silagra and you still mean to participate in sex, take it as soon as you recall. Continue to take it as instructed by your doctor. Don’t use Silagra if: you are sensitive to any ingredient in Silagra You are advised by your physician to avert sexual activity due to heart issues you are using nitrates (eg, isosorbide, nitroglycerin) in any form (eg, tablet, capsule, patch, ointment), or nitroprusside you use certain recreational drugs called “poppers” (eg, amyl nitrate or nitrite, butyl nitrate or nitrite) you just take another PDE5 inhibitor (eg, tadalafil, vardenafil) or another medicine that includes sildenafil. Some medical conditions may interact with Silagra. Tell your doctor or pharmacist if you hold any health conditions, particularly if any of the following apply to you: In case you are using any prescription or non-prescription medicine, herbal preparation, or dietary supplement When you have allergies to medicines, foods, or other substances if you have a deformed member (eg, cavernosal fibrosis, Peyronie disease), blood cell problems (eg, leukemia, multiple myeloma, sickle cell anemia), or any other situation which will increase the threat of a prolonged erection (priapism) For those who have a background of a prolonged (more than 4 hours) or painful erection (priapism) When you have a history of specific eye problems (eg, macular degeneration, optic neuropathy, retinitis pigmentosa, sudden vision loss in one or both eyes) or hearing problems (eg, ringing in the ears, decreased hearing, deafness) When you have a history of liver or kidney problems, lung problems (eg, pulmonary veno-occlusive disease), high or reduced blood pressure, ulcers, bleeding difficulties, heart problems (eg, angina, aortic stenosis, heart failure, irregular pulse), or blood vessel problems In case you have a history of heart attack, stroke, or life-threatening irregular heartbeat, notably within the previous six months. Some medications may interact with Silagra. Inform your doctor if you’re getting any other medications, particularly the following: Alpha-adrenergic blockers (eg, doxazosin), medicines for hypertension, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because serious low blood pressure with dizziness, faintness, and fainting may occur Azole antifungals (eg, itraconazole, ketoconazole), H2 antagonists (eg, cimetidine), HIV protease inhibitors (eg, ritonavir, saquinavir), macrolide antibiotics (eg, erythromycin), narcotic medications (eg, dihydrocodeine), or telithromycin because they may raise the uncertainty of Silagra’s side effects Bosentan or rifampin because they might reduce Silagra’s effectiveness. This may not be a complete list of all relationships that might happen. Ask your doctor if Silagra may interact with several other medications which you take. Check with your own health care provider before you begin, stop, or adjust the dose of any medication. Essential safety information: Silagra might cause lightheadedness, drowsiness, fainting, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Silagra with warning. Don’t drive or perform other possible unsafe jobs until you understand how you respond to it. Silagra may cause lightheadedness, light-headedness, or fainting; alcohol, hot weather, exercise, or fever may raise these effects. To prevent them, sit up or stand slowly, particularly in the morning. Sit or lay down at the very first sign of any one of these outcomes. Patients with heart problems who require Silagra might be at higher risk for heartrelated side effects, including heart attack or stroke. Indications of a heart attack can include chest, shoulder, neck, or jaw discomfort; numbness of an arm or leg; intense dizziness, headaches, vomiting, stomach pain, or vomiting; fainting; or visual disturbances. Signs of a stroke may include confusion, vision or language changes, one sided weakness, or fainting. Get in touch with your doctor or seek medical attention immediately in the event you have these signs. Silagra may infrequently cause a protracted (eg, over 4 hours) or painful erection. This might occur even if you’re not making love. If that is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor immediately if you’ve got an erection that lasts more than 4 hrs. Silagra doesn’t stop the spread of HIV or other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control (eg, condoms) if you have HIV disease or an STD. Silagra won’t prevent pregnancy. You want to avoid pregnancy and in case your partner can become pregnant, be sure to use a powerful form of birth control. Silagra may uncommonly cause moderate, temporary vision changes (eg, blurred vision, susceptibility to light, blue/green colour tint to vision). Contact your doctor if vision changes prevail or are intense. Rarely, an eye problem called nonarteritic anterior ischemic optic neuropathy (NAION) is documented in patients who took Silagra. This may lead to decreased vision or permanent loss of vision in some circumstances. If you notice a sudden decrease in vision or loss of vision in one or both eyes, contact your doctor without delay. Sudden decreases in hearing and decline of hearing are noted in a few patients who’ve obtained Silagra. Occasionally they also noticed ringing in the ears or light-headedness. If you notice a sudden reduction or loss of hearing, contact your doctor without delay. Do not use other medicines or treatments for ED as long as you are taking Silagra without first checking with your doctor. Use Silagra with caution in the elderly; they might be more sensitive to its effects. Silagra is just not recommended for use in children younger 18 years.