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Malegra 25 mg is a medication used to treat erectile dysfunction (ED). It contains sildenafil citrate, which is the same active ingredient found in Viagra. Here are some precautions you should take while using Malegra 25 mg: Consult Your Doctor: Medical History: Inform your doctor about your complete medical history, especially if you have heart problems, high or low blood pressure, liver or kidney disease, a history of stroke, or any other significant health issues. Medications: Discuss all medications you are currently taking, including prescription, over-the-counter, herbal supplements, and vitamins, to avoid potential drug interactions. Avoid Certain Medications: Nitrates: Do not take Malegra 25 mg if you are using nitrates for chest pain or heart problems. This combination can cause a severe drop in blood pressure. Alpha-Blockers: Caution is advised if you are on alpha-blockers for prostate problems or high blood pressure as the combination can also lead to low blood pressure. Health Conditions: Heart Conditions: Use Malegra 25 Mg cautiously if you have cardiovascular issues. Sexual activity can put extra strain on your heart. Priapism: Seek immediate medical attention if you experience an erection lasting more than 4 hours (priapism), as this can cause permanent damage to the penis. Avoid Alcohol and Grapefruit: Alcohol: Limit alcohol consumption, as it can increase the likelihood of side effects like dizziness and can lower blood pressure. Grapefruit: Avoid grapefruit and grapefruit juice as they can interfere with the metabolism of sildenafil and increase the risk of side effects. Driving and Operating Machinery: Drowsiness and Dizziness: Malegra can cause dizziness and vision changes. Avoid driving or operating heavy machinery until you know how the medication affects you. Dosage: Adhere to Prescribed Dose: Do not take more than the prescribed dose. Taking more can increase the risk of adverse effects without improving efficacy. Timing: Take the medication about 30 minutes to an hour before planned sexual activity, but not more than once a day. Potential Side Effects: Common Side Effects: Headache, flushing, upset stomach, nasal congestion, back pain, muscle pain, nausea, dizziness, and rash. Serious Side Effects: Sudden vision loss, hearing loss, chest pain, irregular heartbeat, shortness of breath, light-headedness, or swelling in hands, ankles, or feet. Storage: Proper Storage: Keep Malegra in a cool, dry place away from direct sunlight and moisture. Keep it out of reach of children and pets.