When should Vigora 50 mg not be combined with nitrates?

Vigora 50 mg should never be combined with nitrate medicines. Vigora contains sildenafil, which can interact with nitrates and cause a sudden, potentially life-threatening drop in blood pressure. 1. Which nitrate medicines should be avoided? Avoid combining Vigora 50 mg with: Nitroglycerin (GTN). Isosorbide mononitrate. Isosorbide dinitrate. Nitrite medicines such as amyl nitrite (sometimes called poppers). Other nitrate-containing medicines used for angina or heart conditions. 2. When is the combination dangerous? The interaction can occur: When nitrates are taken before Vigora. When nitrates are taken after Vigora. When both medicines are taken close together. Even when nitrate medicines are used only occasionally. Important: Sildenafil and nitrates should not be combined. Medical guidance generally requires at least 24 hours after sildenafil before nitrate administration is considered, and even then it must be decided by emergency medical professionals. 3. What symptoms can occur? Severe dizziness. Sudden blood pressure reduction. Fainting. Weakness. Heart-related complications. If you experience chest pain after taking Vigora, seek emergency medical help. Do not take nitroglycerin yourself. Tell emergency staff when you last took sildenafil. 4. One important question Are you taking any heart medication, such as: Nitroglycerin? Isosorbide mononitrate? Isosorbide dinitrate? I can help explain the potential interaction with Vigora 50 mg.