Silvitra must not be used by men taking nitrate medications, certain blood pressure drugs, or recreational “poppers,” as the combination can cause a dangerous drop in blood pressure. It is also contraindicated in severe heart disease, recent stroke or heart attack, serious liver or kidney impairment without specialist approval, and in men advised to avoid sexual activity for medical reasons. Those with anatomical penile deformities or a history of priapism need extra caution. Before starting therapy, share your full medical history and medication list with a clinician. Once cleared, users can safely Buy Silvitra Online from a reputable chemist.