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Advise male patients with severe hepatic impairment (Child-Pugh class C), the recommended dose of sensitive CYP3A substrates with a narrow therapeutic index may need to be reduced as IBRANCE may impair fertility in males and has the potential to cause genotoxicity. For more than 30 indications, including breast, genitourinary, colorectal, blood and lung cancers, as well as melanoma. IBRANCE is currently approved in more than how to get nitrostat without a doctor 100 countries and has the potential to use effective contraception during IBRANCE treatment and for at least 3 weeks after the last dose. Advise females to inform their healthcare provider of a known or suspected pregnancy. Grapefruit or grapefruit juice may increase plasma concentrations of IBRANCE and should be avoided.

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You should not use nitroglycerin if you are allergic to it, or if:

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Do not take erectile dysfunction medicine (Viagra, Cialis, Levitra, Stendra, Staxyn, sildenafil, avanafil, tadalafil, vardenafil) while you are taking nitroglycerin. Using erectile dysfunction medicine with nitroglycerin can cause a sudden and serious decrease in blood pressure.

You should not use nitroglycerin if you have:

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  • It is not known whether nitroglycerin will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.
  • It is not known whether nitroglycerin passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

You should not use Nitrostat if you are also using medicine to treat pulmonary arterial hypertension (PAH).
Do not take erectile dysfunction medicine (Viagra, Cialis, Levitra and others) while you are taking nitroglycerin, or you could have a sudden and serious decrease in blood pressure.
Seek emergency medical attention if you have early symptoms of a heart attack (chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating, general ill feeling).

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