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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: Apcalis Tablets and Oral Jellies work in much the same way as Kamagra, except the effects last much longer (typically 24-36 hours) As with Kamagra, Apcalis is also a PDE-5 inhibitor. Similar precautions should also be taken before taking Apcalis Tablets and Oral Jelly (see precautions before taking Apcalis). Apcalis should not be taken more than once a day. Daily use of Apcalis is not recommended.

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