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Silagra must be used under a doctors supervision. It is strongly recommended that you seek medical advice (all instances) to establish if your heart is healthy enough for sexual activity. Most importantly Silagra should never be taken if you take any medicines that contain nitrates. Nitrates are commonly contained in drugs for the treatment of Angina. Examples of these are Nitroglycerin, Isosorbide Mononitrate and Isosorbide Dinitrate. Nitrates can also be found in recreational drugs such as Amyl Nitrate (known as Poppers). If you are unsure what nitrates are or need to establish if any medicines you are taking contain nitrates consult your doctor. Taking Silagra with any medication containing nitrates can cause blood pressure to drop to an unsafe level. Possible effects can be dizziness, heart attack or stroke. If you have ever suffered from any of the following conditions inform your doctor before taking Silagra: Side effects of Kamagra.

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The second problem comes for people who are taking drugs like nitroglycerin for angina. Nitroglycerin works by increasing nitric oxide, and it helps with angina by opening up the arteries that supply the heart with oxygen. If you take nitroglycerin and Kamagra together, the increased nitric oxide plus the blocking of PDE5 can lead to problems.
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