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Who should avoid taking Malegra  ?
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Mar 27, 2025
11:53 PM
Malegra is a medication that contains sildenafil, the same active ingredient found in Viagra, and is used to treat erectile dysfunction (ED). While it is generally effective and safe for many men, there are certain groups of people who should avoid taking Malegra or use it with caution. 1. People with Heart Conditions: Nitrates: Malegra should never be taken with nitrates (e.g., nitroglycerin), which are commonly prescribed for chest pain (angina) or heart conditions. Combining sildenafil (the active ingredient in Malegra) with nitrates can cause a dangerous drop in blood pressure, which can lead to dizziness, fainting, or even heart attack or stroke. Individuals with a history of heart disease (e.g., heart failure, arrhythmias, or coronary artery disease) should consult their doctor before using Malegra. Sildenafil can cause a slight drop in blood pressure, which may pose risks in those with heart problems. 2. People with Severe Liver or Kidney Problems: People with severe liver or kidney impairments may have difficulty metabolizing the drug, leading to higher levels in the bloodstream, which could increase the risk of side effects. If you have moderate to severe liver disease or severe kidney impairment, it's important to avoid Malegra or use it under the strict supervision of a healthcare provider. 3. People with Low Blood Pressure (Hypotension): If you already have low blood pressure (under 90/60 mm Hg), Malegra can further lower it, potentially causing dizziness, fainting, or other complications. This is especially true for people who have uncontrolled or unstable hypotension. 4. People Taking Certain Medications: Nitrates (as mentioned earlier) or other medications for heart disease (e.g., alpha-blockers, such as tamsulosin, used for prostate issues) can interact with Malegra and cause dangerous drops in blood pressure. Protease inhibitors used for HIV (e.g., ritonavir) and some antifungals or antibiotics (e.g., ketoconazole, itraconazole, erythromycin) can raise the levels of sildenafil in your body, leading to an increased risk of side effects. Other ED medications (like tadalafil or vardenafil) should not be used with Malegra, as combining multiple PDE5 inhibitors can cause serious side effects. 5. People with Eye Problems: Malegra (and other sildenafil-based medications) can rarely cause sudden vision changes or loss of vision in one or both eyes (a condition known as non-arteritic anterior ischemic optic neuropathy or NAION). If you have a history of vision problems, such as retinitis pigmentosa (a genetic eye disorder), you should avoid using Malegra. 6. People with a History of Stroke or Seizures: If you've had a stroke or seizures, the effects of Malegra on blood pressure and circulation may pose additional risks. Always check with your healthcare provider before using the medication. 7. People Who Are Allergic to Sildenafil: Anyone who is allergic to sildenafil or any of the ingredients in Malegra should not take the medication. Allergic reactions may include symptoms like rash, itching, swelling, or difficulty breathing. 8. People with Priapism or Hematologic Conditions: Malegra can increase the risk of priapism (a prolonged, painful erection). If you have a history of priapism or any conditions that could increase the risk (e.g., sickle cell anemia, multiple myeloma, or leukemia), you should avoid using Malegra.


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