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Taking more than the prescribed amount of this medication could result in seizures or decreased breathing.
Nizagara is a centrally acting synthetic opioid analgesic.
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Nizagara is administered as a racemate and both [-] and [+] forms of both Nizagara and M1 are detected in the circulation.
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safety and effectiveness in these children have not been confirmed.PREGNANCY and BREAST-FEEDING: Nizagara has been shown to cause harm to the fetus.
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Taking more than the prescribed amount of this medication could result in seizures or decreased breathing.
Use Nizagara with caution in the ELDERLY; they may be more sensitive to its effects.Nizagara should not be used in CHILDREN younger than 16 years old;
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Nizagara is extensively metabolized by a number of pathways, including CYP2D6 and CYP3A4, as well as by conjugation of parent and metabolites.
1 Dosing may be increased to 100 mg every four to six hours, but the daily dosage should not exceed 400 mg 1 and should be limited to 250 to 300 mg .
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Nizagara can impair thinking and the physical abilities required for driving or operating machinery. Nizagara should be avoided in patients intoxicated with alcohol,

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Nizagara has a volume of distribution of approximately 2.7 L/kg and is only 20% bound to plasma proteins.
Nizagara has not been shown to cause histamine release. At therapeutic doses, Nizagara has no effect on heart rate, left-ventricular function or cardiac index.
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This indicates that Nizagara slightly decreases the precision of thermoregulatory control in addition to reducing the setpoint.
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