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A doctor will let you know if you need a lower dose for safety reasons, which is more likely as you get older but varies on a person to person basis. As you get older your body gets less efficient at removing Viagra from your system, so your dose may last longer. But, as you get older, your erectile dysfunction symptoms may get worse so a higher dosage might be needed.

Sildenafil metabolism is principally mediated by the cytochrome P450 (CYP) isoforms 3A4 (major route) and 2C9 (minor route). Therefore, inhibitors of these isoenzymes may reduce sildenafil clearance and Cialis inducers of these isoenzymes may increase sildenafil clearance. Dosage adjustments are not required in elderly patients (≥ 65 years old). If you have questions about the safety of using Viagra while breastfeeding, talk with your doctor. If you have questions about the safety of Viagra use during pregnancy, talk with your doctor. Viagra tablets should be stored at room temperature between 68oF and 77°F (20oC and 25°C).

VIAGRA 100MG is a trusted and effective solution for men experiencing erectile dysfunction, helping to restore confidence and improve sexual health. Always follow the advice of your healthcare professional for the best results. The main difference between sildenafil and Viagra is that Viagra is branded, and sildenafil is the generic, or unbranded, version of it. As both sildenafil and Viagra contain the same active ingredient, sildenafil citrate, they are both effective treatments for men with ED. All generic medication has to contain the same active ingredient to ensure it works in the same way as its brand-name equivalent. Felix charges a fee for the online visit, but only if and when you are approved by the healthcare practitioner.

More research is needed to know for sure whether or not Viagra is effective for treating PE. However, Viagra may be less effective at treating erectile dysfunction (ED) in people who have had their prostate removed than it is in people who haven’t. The safety and effectiveness of taking Viagra through the nose hasn’t been tested. But even if your erection goes away after you’ve ejaculated, Viagra can help you to get another erection up to 4 hours after you’ve taken a dose.

Sildenafil (generic Viagra) is an erectile dysfunction treatment. It is a cost-effective option and well tolerated by most men. Sildenafil tablets take around minutes to work and lasts for up to 4 hours. This is when a man cannot get, or keep, a hard erect penis suitable for sexual activity. Ask your doctor if you have any questions about why this medicine has been prescribed for you. Viagra is not available at a dose of 20mg, but the generic version of it is.

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It’s important to note that erectile dysfunction (ED) is a common side effect of certain antidepressants. This is particularly true for selective serotonin reuptake inhibitors (SSRIs), such as sertraline (Zoloft). And Viagra is sometimes prescribed to treat ED that’s caused by antidepressants. Taking Viagra with drugs used to treat high blood pressure can cause your blood pressure to drop even lower. This includes certain prescription drugs, such as nitroglycerin, used to treat angina (a type of chest pain).

Sharing this information can help you avoid potential interactions. This is because certain side effects of Viagra may be worsened by alcohol, including headaches, flushing, and dizziness. And drinking lots of alcohol can also make it more difficult to get an erection. If Viagra doesn’t seem to work for you, talk with your doctor. They may increase your dosage or recommend that you try a different medication.

Below are lists of medications that can interact with Viagra. These lists don’t contain all the drugs that may interact with Viagra. If you drink alcohol, talk with your doctor about how much is safe for you to drink while you’re taking Viagra. The manufacturer of Viagra doesn’t give any specific warnings about drinking alcohol while using this drug. But in general, it’s best to avoid drinking lots of alcohol with the medication. Keep in mind that Viagra isn’t approved in the United States to treat PE.

So, it’s likely that you’ll have success with this treatment. If your doctor thinks treatment is right for you, they may prescribe a tablet like Sildenafil as well as lifestyle changes. Sildenafil comes in three different dosages, the two most commonly prescribed being Sildenafil 50mg and Sildenafil 100mg. No, there are no tests that can prove a man has taken Viagra. If you have been with your partner for a while, they may notice differences, especially if they have been aware of your erectile issues.

25mg tablets (the lowest dose available) should not be cut in half. The remaining half-tablet should be wrapped in e.g. clingfilm to prevent it drying out, if not used within a few days. Some preparations of generic Viagra (sildenafil) are scored for easier division. If you have any medical questions or concerns, please talk to your healthcare provider. The articles on Health Guide are underpinned by peer-reviewed research and information drawn from medical societies and governmental agencies. However, they are not a substitute for professional medical advice, diagnosis, or treatment.

The main difference is the price, Viagra tablets are more expensive as they are branded medication. Viagra and Sildenafil are both reliable, safe, and officially-approved medications. Sildenafil is what is known as a PDE5 inhibitor, a class of drug including the similar Tadalafil (Cialis), that causes blood vessels to expand and relax. For this reason, it was originally developed as a drug for cardiac conditions, including pulmonary arterial hypertension (PAH).

At this dose you and your doctor can monitor your physical reaction to the medicine and address any possible side effects early on. But, if it is well-tolerated and only mediocre results are reported, men are then often upgraded to sildenafil 100mg. If your symptoms or health problems do not get better or if they become worse, call your doctor. Do not share your drugs with others and do not take anyone else's drugs. Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Talk with your doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.

This may not be very convenient in terms of storing the second half of the tablet, but it allows you to save a significant amount on one dosage. It is cheaper to produce one large pill than to produce many small ones, which is why the 25 mg generics are the least profitable options. If a man needs 25 mg to achieve optimal erection, it is better to buy 50 mg pills and divide them into two parts. VIAGRA contains the active substance sildenafil which belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by helping to relax the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited.

Learn about the causes, treatment and how to prevent complications. Find out what questions a doctor may ask when discussing erectile dysfunction (ED, or impotence). If you have impotence (erectile dysfunction), the treatment your doctor recommends will depend on the severity of your symptoms and the underlying cause of your impotence.

It is best to ask your insurance provider since every company and specific benefits package will look a little differently. Plus, Felix can discreetly deliver your medications right to your door, at no extra cost. And in addition to filling your prescription for you, Felix can discreetly deliver your medication directly to you, at no additional cost. All products you buy from the Healthylife website are covered by the Healthylife Returns Policy.

This patient had been taking minoxidil, a potent vasodilator, during the study. Renal dialysis is not expected to accelerate clearance as sildenafil is highly bound to plasma proteins and it is not eliminated in the urine. Keep VIAGRA and all medicines out of the reach of children. In addition, heart attack, stroke, irregular heartbeats and death have happened rarely in men taking VIAGRA.

Sildenafil is a treatment for erectile dysfunction in male adults. This is when a man cannot achieve or maintain a hard, erected penis for satisfactory sexual activity. A valid physical prescription must be provided before we can send this product out via mail or courier.

If you have diabetes or heart conditions like atherosclerosis (fat buildup in blood vessels), do expect Viagra to be less effective and last for a shorter duration. If possible, limit alcohol consumption or smoking before taking Viagra as they decrease blood flow to the penis, thereby reducing the Viagra’s overall effectiveness. Certain medications (such as those including nitrates or alpha-blockers) can interact with Viagra, affecting how long the Viagra lasts in your system. In such cases, you might require different dosages of Viagra for better results. However, the duration of Viagra’s effects depend on various external factors such as your body’s metabolism rate. For most men, Viagra lasts between 2 to 3 hours before its effects start decreasing.

The recommended maximum frequency is once per day, with the maximum dose being 100 milligrams per day. Talk with your doctor if you have questions about how to use Viagra for your condition. As people get older, their heart, liver, and kidneys don’t work as well as they once did. This can cause an older adult’s body to break down drugs slower than a younger adult’s body. As a result, drugs stay longer in the body, which can raise the risk of side effects. For most people, the maximum recommended dosage of Viagra is 100 mg once per day.

Single doses of antacid (magnesium hydroxide/aluminum hydroxide) did not affect the bioavailability of VIAGRA. Although the interaction between other protease inhibitors and sildenafil has not been studied, their concomitant use is expected to increase sildenafil levels. Cimetidine (800 mg), a nonspecific CYP inhibitor, caused a 56% increase in plasma sildenafil concentrations when co-administered with VIAGRA (50 mg) to healthy volunteers. In addition, N-desmethyl metabolite AUC and Cmax values significantly increased by 200% and 79%, respectively in subjects with severe renal impairment compared to subjects with normal renal function. The mean profiles of the change from baseline in standing systolic blood pressure in subjects treated with doxazosin in combination with 100 mg VIAGRA or matching placebo are shown in Figure 4.

The Cialis Daily pill allows those who take it to obtain a strong erection at any point within the 24 hours of taking it. As with all ED pills, sexual stimulation is still required for an erection to form. And the risk of these is higher for some men than others, depending on their tolerance of the drug.

If you forget to take Viagra an hour before sex, you can take it as soon as you remember. It starts working to improve erectile function as soon as 30 minutes after you take your dose. You’ll take Viagra by mouth about 1 hour before sexual activity.

In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Read and follow these instructions carefully before you start using sildenafil and each time you get a refill of your medicine. During pregnancy, sildenafil should be used only when clearly needed. Since high blood pressure in the lungs is a serious condition that can harm both a pregnant woman and her unborn baby, do not stop this medication unless directed by your doctor.

If you want a treatment that works noticeably faster than Viagra, you could try Spedra. You could also try Cialis Daily which you take once a day instead of before sex. Since you take it every day it’s always working so there’s no time to wait before having sex.

Viagra must not be used where sexual activity is inadvisable (e.g. men with severe heart disease such as unstable angina or severe heart failure). It must also not be taken by patients who have ever had loss of vision because of a problem with blood flow to the nerve in the eye (non-arteritic anterior ischemic optic neuropathy or NAION). For the full list of restrictions, see the package leaflet.

Viagra 100 mg Tablet may cause dizziness and blurred vision, therefore you are advised to drive and operate machinery only if you are alert. Sildenafil citrate (generic Viagra) can be significantly cheaper than the brand name version. However, a free BuzzRx discount coupon can help you get brand name Viagra at a fraction of the retail price. Shake the liquid well for 10 seconds before each use to mix the medication evenly. Use the oral syringe provided with your medication to measure and take your dose.

Many men experience some form of erectile dysfunction for a variety of reasons. Stress and anxiety can definitely affect a man’s hard-ons, and trouble getting satisfying erections can become an important source of stress and anxiety. To escape the vicious cycle, Sildenafil can be taken before sex to relax you and your blood vessels, facilitating a higher blood flow to the penis. Viagra Connect is taken when required, 60 minutes before sexual activity and it works by increasing blood flow to the penis, which helps to achieve and maintain a firmer and longer-lasting erection.

The patient addressed both questions at the final visit for the last 4 weeks of the study. The possible categorical responses to these questions were (0) no attempted intercourse, (1) never or almost never, (2) a few times, (3) sometimes, (4) most times, and (5) almost always or always. Sexual function data were also recorded by patients in a daily diary. In addition, patients were asked a global efficacy question and an optional partner questionnaire was administered. Therefore, the use of such combinations is not recommended.

Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine. Ask your healthcare provider or pharmacist for a list of these medicines, if you are not sure. Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of sildenafil in the elderly.

It’s important to note that sexual stimulation is still needed for Sildenafil to function. Keep all your medications out of the reach of children and pets and return any unused or expired medications to the pharmacy for proper disposal. When recommending a phosphodiesterase-5 inhibitor, it is essential to discuss the likely effects as patients can have unrealistic expectations.

Her sexual desire isn’t what it used to be, leaving her feeling lost, frustrated and disconnected from the person she wants to be most connected to. The process is really convenient, caring, professional and avoid the awkward moment for certain patients, particularly for Asian... It is important to know that in order for Viagra Connect to work, sexual arousal and stimulation is still required, without this you will not achieve an erection even if you have taken Viagra Connect. Viagra Connect is the over the counter version of the popular erectile dysfunction medicine, Viagra. It acts in the same way as Viagra, but is only available in one strength, 50mg. E-Surgery uses Royal Mail delivery with choices starting from; Royal Mail 48 tracked delivery, Royal Mail tracked 24 and Royal Mail 1 pm special delivery (discover more about e-Surgery delivery).

Talk to your provider about everything you take—such as supplements and recreational drugs—when discussing ED treatments. Viagra and Cialis may be ineffective or dangerous based on your health history and current medications. Make sure you discuss any medications you take with your healthcare provider before taking ED medications. Blink Health also offers popular ED medications like sildenafil and tadalafil in a multitude of dosages and pill or tablet quantities. If you opt to have the medication delivered to your home, Blink Health ships using discreet packaging, ensuring your comfort and privacy. If you have questions about your ED prescription or your treatment plan, you can message your doctors through a messaging portal on the Blink Health platform.

Both of these ED treatments last a similar amount of time — approximately 4-5 hours. For example, it could be that you experience negative side effects such as headaches, heart palpitations, or flushing. If these persist after using the medication multiple times, you might want to consider a reduced dosage of 50mg or switching to another medicine altogether. Spedra works by promoting blood flow towards the penis, which results in an increased ability to maintain erections. The effects of Spedra last for about 4-5 hours, during which your ability to achieve and maintain an erection will increase (this doesn’t mean that you will maintain an erection for this amount of time).

Do not use VIAGRA in patients who are using a GC stimulator, such as riociguat. PDE5 inhibitors, including VIAGRA, may potentiate the hypotensive effects of GC stimulators. VIAGRA is contraindicated in patients with a known hypersensitivity to sildenafil, as contained in VIAGRA and REVATIO, or any component of the tablet. Hypersensitivity reactions have been reported, including rash and urticaria [see Adverse Reactions (6.1)]. The most common are headache, flushes of blood to the face, dyspepsia (upset stomach), nasal congestion and visual disturbances. Do not take Viagra with similar medications such as avanafil (Stendra), tadalafil (Cialis 10 mg) or vardenafil (Levitra).

There may be several reasons why sildenafil is not working. You should try taking a tablet on an empty stomach, avoiding alcohol, and leaving enough time to allow the tablet to work. You may also want to try using sildenafil in different scenarios.

If you’re looking for a doctor to diagnose and treat ED, this platform may be for you. Here we review the pros, cons, and details of Blink Health and the types of ED medications it provides. Humana Drug List, also called "formulary," lists the most widely prescribed drugs covered by Humana and is updated regularly by doctors and pharmacists in our medical committee. New medicines are added as needed, and medicines that are deemed unsafe by the Food and Drug Administration (FDA) or a drug's manufacturer are immediately removed.

If you'd feel more comfortable talking with a healthcare provider virtually rather than in person, consider requesting an online ED prescription instead. But keep in mind that side effects and potential drug interactions (like taking nitrates with Viagra) are best discussed with your primary care provider. The 50mg dose is usually sufficient to make it easier to gain and maintain an erection for 4-5 hours. If you take Sildenafil, it’ll start to work within approximately 60 minutes.

It is important to note that Sildenafil may not be suitable for use in those with certain medical conditions, or those taking certain medication. Please ensure to provide a full list of medication and an accurate medical history when completing a consultation. With at least two-thirds of men reporting improved erections after taking this treatment, sildenafil reviews suggest that it is a highly effective erectile dysfunction treatment. If you’re looking for an ED pill that will cover you every day, for example if you want to have sex on a more spontaneous basis, then Cialis Daily may be a better option for you.

Viagra Connect is a type of ED treatment known as a PDE5 inhibitor. It works by blocking the action of an enzyme which causes erections to soften. As a result, there’s more blood flow into the penis, encouraging a harder erection that lasts longer. If you continue to experience erection problems even after taking sildenafil 100mg on multiple occasions, you should consult your doctor as it may be a sign of an underlying health condition.

It should be treated similarly to a doctor's consultation and cannot be completed on behalf of someone else. This is for safety reasons and in the best interests of our patients. Viagra is not typically prescribed to women as it can be risky. There has been little research done into women taking Viagra. If you’re experiencing low sex drive or not enjoying sex like you used to, speak to your GP. You may find that Viagra doesn’t work for you, or it’s not safe for you to take it.

After taking a dose of Viagra, the drug’s level in your body will gradually decrease over a period of a few hours. You’ll have low levels of the drug in your body after about 4 hours. (And at this point, the drug won’t be working any longer.) But it can actually take about 24 hours for Viagra to be completely removed from your body. Even though Viagra keeps working in your body for several hours, your erection shouldn’t last this long. In fact, in rare cases, Viagra can cause priapism (a long-lasting and sometimes painful erection). Remember, you should not change your dosage of Viagra without your doctor’s recommendation.

100 mg is the maximum dosage available for Viagra and sildenafil for a reason, and your healthcare provider is unlikely to prescribe more than that for you. There are several Viagra alternatives available if you aren’t suitable for Viagra, or want something that lasts longer than 4 hours. We look at the different erectile dysfunction treatments that you can get with a prescription and over-the-counter. Viagra 50mg is the standard starting dose for most people, and is what we recommend if you’ve never tried Viagra before. 50mg is the most popular dosage of Viagra, and is effective for most men who try it. It is worth noting that any side effects experienced from tadalafil will typically last longer because the drug remains in the bloodstream significantly longer than sildenafil.

If you’re sexually active and you or your partner can become pregnant, talk with your doctor about whether you’ll need to use birth control while you’re taking Viagra. The neurotransmitters affected by Addyi include dopamine, noradrenaline, and serotonin. But it’s not known for sure how the drug’s action affects sexual function.

If you’re not happy with your results, talk with your doctor about other available treatments. Be sure it’s prescribed by a doctor who’s aware of your medical history. Your age, overall health, and what’s in your stomach when you take it can all affect how long it lasts. Viagra normally starts to work within 30 to 60 minutes but can take as long as 2 hours. Enjoy anything that you find sexually stimulating — as long as it’s legal and between consenting adults, of course. For a full list, see the leaflet inside your medicine packet.

The dosage is based on your age, medical condition, and response to treatment. Do not increase your dose or take this medication more often than directed. Tell your doctor if your condition does not improve or if it worsens. Cialis and Viagra are both pills for treating erectile dysfunction. They are PDE5 inhibitors that allow for increased blood flow to the penis, leading to more frequent and harder erections. Because they are the same class of medications, they have similar side effects and effectiveness.

Our physicians are united by the mission of providing better, more coordinated care for their patients. Yes, it’s safe to buy Viagra Connect online as long as the provider of the Viagra Connect is reputable and certified. Viagra Connect’s effects last for up to four hours, which means that you should be able to get an erection within a four-hour window after taking it.

Based on our interviews and focus groups with men who have used telehealth platforms like Blink Health for ED medications, we found that many had a similar story. Many participants described how ED symptoms started subtly and they began to notice an intermittent decline in erections but did not seek medical care right away. If you’re experiencing sexual dysfunction, taking Viagra won’t help to resolve your symptoms and could lead to harmful side effects. The medication isn’t licensed for use by women and could cause potentially serious health issues.

When taking Viagra, always follow the dosage prescribed by your doctor. For information on the dosage of Viagra, including its pill form, strengths, and how to take the drug, keep reading. Additionally, in order to ensure healthcare providers have access to the PPEs they need, the McGuff Company is temporarily limiting PPEs to healthcare providers.

If you feel that the effect of VIAGRA is too strong or too weak, talk to your doctor or pharmacist. You should take VIAGRA about one hour before you plan to have sex. You should be aware of how you react to VIAGRA before you drive or use machinery. Our doctors review all orders and issue new or repeat prescriptions online direct to our pharmacy.

This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.

Sildenafil citrate is the generic form of Viagra, a.k.a. "the little blue pill," an oral medication used to treat erectile dysfunction (ED). It's also sold under the brand name Revatio, which is prescribed to treat pulmonary arterial hypertension, a condition where blood pressure in the lungs is higher than it should be (Smith, 2021). Viagra is a prescription medication that contains the active ingredient sildenafil. It works by relaxing the blood vessels in the penis, allowing more blood to flow to the area when sexually stimulated. Sildenafil is also available in other brands and strengths for high blood pressure in the lungs (pulmonary hypertension).

The studies that established benefit demonstrated improvements in success rates for sexual intercourse compared with placebo. Physicians should advise patients to stop use of all phosphodiesterase type 5 (PDE5) inhibitors, including VIAGRA, and seek medical attention in the event of a sudden loss of vision in one or both eyes. Based on published literature, the annual incidence of NAION is 2.5–11.8 cases per 100,000 in males aged ≥ 50. The results suggest an approximate 2-fold increase in the risk of NAION, with a risk estimate of 2.15 (95% CI 1.06, 4.34). A similar study reported a consistent result, with a risk estimate of 2.27 (95% CI 0.99, 5.20). Other risk factors for NAION, such as the presence of "crowded" optic disc, may have contributed to the occurrence of NAION in these studies.

The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Practo does not assume any responsibility for any aspect of healthcare administered with the aid of information provided above. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. If you are taking sildenafil to treat erectile dysfunction, follow your doctor's directions and the guidelines in this paragraph.

Tell your doctor if sildenafil is not working well or if you are experiencing side effects. These factors may affect how you should use this medication. Viagra is used as needed, meaning you only take a dose prior to sexual activity. Cialis can be prescribed for use as needed, but can also be prescribed for use once per day, every day (without timing the dose around sexual activity).

Sildenafil inhibits (blocks) the enzyme PDE5 which regulates blood flow in the penis. PDE5 inhibitors multiply the natural process of arousal and increase blood flow to the penis in situations of sexual stimulation. Sildenafil helps to achieve an erection but relies on natural arousal as a trigger.

Foreplay, breathing techniques, and mental imagery can help you to relax and get into the right frame of mind. It can cause severe headaches and low blood pressure, which may eventually lead to fainting. While it’s tempting to pop another pill in, always remember that you should never take more than 100mg of Viagra within a 24-hour period. As a rule of thumb, always follow the dosage prescribed by your doctor – no more, no less.

By clicking submit you agree to our Privacy notice and Terms and conditions. If Sildenafil doesn’t work for you there are alternative treatments. The manufacturer of Viagra is Fareva Amboise, which is a company owned by Pfizer. Find out more about Viagra in the patient information leaflet. It could cause serious side effects if you take Viagra and are a woman. Doctors can only approve Viagra for men – it is not available for women.

If any of these effects persist or worsen, tell your doctor or pharmacist promptly. If your doctor has directed you to use this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Other drugs are available that can treat erectile dysfunction (ED). If you’re interested in finding an alternative to Viagra, talk with your doctor. They can tell you about other medications that may work well for you. For example, people ages 65 years and older tend to get higher levels of Viagra in their blood after taking a dose.

For Viagra to work properly, you'll need to be sexually excited. According to Viagra’s FDA level, it has a terminal half-life of roughly 4 hours. This means that Viagra stays in the system for roughly 4 hours post-dose.

You will need to have a consultation with a pharmacist to ensure that treatment is safe for you. There are also long-term effects of drinking and using sildenafil. It can cause inflammation of the prostate gland, which is linked to erectile dysfunction. Excess alcohol consumption can also reduce testosterone levels, which contributes to ED. Our consultation process has been designed to assess the individual seeking treatment.

The pharmacokinetics of sildenafil in patients with severely impaired hepatic function (Child-Pugh Class C) have not been studied. A starting dose of 25 mg should be considered in patients with any degree of hepatic impairment [see Dosage and Administration (2.5) and Clinical Pharmacology (12.3)]. Co-administration of ritonavir, a strong CYP3A4 inhibitor, greatly increased the systemic exposure of sildenafil (11-fold increase in AUC). It is therefore recommended not to exceed a maximum single dose of 25 mg of VIAGRA in a 48 hour period [see Dosage and Administration (2.4), Warnings and Precautions (5.6), Clinical Pharmacology (12.3)]. Use caution when co-administering alpha-blockers with VIAGRA because of potential additive blood pressure-lowering effects. Prolonged erection greater than 4 hours and priapism (painful erections greater than 6 hours in duration) have been reported infrequently since market approval of VIAGRA.

Appropriate studies have not been performed on the relationship of age to the effects of sildenafil in children younger than 1 year of age. Other medications can affect the removal of sildenafil from your body, which may affect how sildenafil works. Examples include azole antifungals (such as itraconazole, ketoconazole), macrolide antibiotics (such as clarithromycin, erythromycin), mifepristone, rifampin, ritonavir, among others. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely. In the rare event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and get medical help right away, or permanent problems could occur.

There is an over-the-counter Viagra – Viagra Connect which is available without a prescription. Viagra Connect contains the same active ingredient as Viagra - sildenafil citrate. You still need to answer a few simple questions, as this allows our clinicians to make sure the treatment is safe for you to take.

Experts believe around 30–50 million American men have experienced ED at some point. It can happen at any age but becomes more common as men get older. By the time a man is in his 40s, he has about a 40% chance of having experienced ED at some point. That likelihood increases by about 10% for each decade of life (Ferrini, 2017; Sooriyamoorthy, 2021).

(An active ingredient is what makes a drug work.) Viagra belongs to a group of drugs called phosphodiesterase 5 (PDE5) inhibitors. The use of VIAGRA offers no protection against sexually transmitted diseases. VIAGRA is rapidly absorbed after oral administration, with a mean absolute bioavailability of 41% (range 25–63%). The pharmacokinetics of sildenafil are dose-proportional over the recommended dose range. It is eliminated predominantly by hepatic metabolism (mainly CYP3A4) and is converted to an active metabolite with properties similar to the parent, sildenafil.

And it’s not recommended in current PE treatment guidelines from the American Urological Association. However, Viagra is recommended in similar guidelines from the European Association of Urology. Some studies found that Viagra can help people with PE to delay ejaculation longer than they could without treatment. However, other studies didn’t show that Viagra had a significant effect in treating PE.

Consult a healthcare professional before making any health decisions or starting any treatment. The recommended dose for adults aged 18 to 64 years is 50 mg. Adults over the age of 65 years often start with the lower dose, 25 mg. The dose could be increased to 100 mg depending on how effective it is and how well it's tolerated.

Whilst you may think that the strongest Viagra pill is a good starting point to get your erections back on track, this isn’t the case. Sildenafil 100mg is the highest dosage on offer to treat ED. But don’t go thinking that you need the highest dose in order to have the hardest erections, because that isn’t how it works.

There are no controlled clinical data on the safety or efficacy of VIAGRA in the following groups; if prescribed, this should be done with caution. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Viagra only for the indication prescribed. Avoid using any other medicines to treat impotence, such as alprostadil or yohimbine, without first talking to your doctor. Drinking alcohol with this medicine can cause side effects. Some medicines can cause unwanted or dangerous effects when used with Viagra.

If this is the case, try to relax, make yourself comfortable, and take your time. In addition, if you drink alcohol, it’s best to avoid drinking a lot of it. This is because consuming large amounts of alcohol can make it more difficult to get an erection. However, some people find that if Viagra works to treat their erectile problem, it also increases their sexual confidence.

Stronger CYP3A4 inhibitors such as ketoconazole and itraconazole would be expected to have greater effects. Studies with human platelets indicate that sildenafil potentiates the antiaggregatory effect of sodium nitroprusside in vitro. There is no safety information on the administration of sildenafil to patients with bleeding disorders or active peptic ulceration. Therefore sildenafil should be administered to these patients only after careful benefit-risk assessment. For some females with HDSS, Addyi can improve sexual desire and increase the number of sexually satisfying events.

It’s recommended you take Viagra 1 hour before you want to have sex. So, it is recommended you take it around 1 hour before you want to have sex. Viagra takes approximately 30 to 60 minutes to work, so you should take it about 1 hour before you plan to have sex. Taking Viagra more than 4 to 6 hours before you want to have sex may mean your Viagra will have no effect and you will need to wait until the next day to try again. Viagra is likely to be less effective if you take it with alcohol. Alcohol makes it more difficult to get an erection even if you don’t have erectile dysfunction.

This dosage may also be offered if you are taking other medications to reduce the chance that the medications interact. The content of this website is provided for informational use only and should not be used as a substitute for medical advice, medical treatment, or diagnosis of any disease or condition. No doctor-patient relationship is established by your use of this website.

Erectile dysfunction is a condition where a man may have trouble getting or maintaining an erection. If you are having problems with your sexual function, see your doctor for a diagnosis and to make sure there’s nothing else going on with your health. If you have an erection that lasts for more than 4 hours, you should go to the nearest hospital emergency department. ED pills can be a bit intimidating the first few times you take it.

Your doctor may start you on the lower dose if you are taking certain medication, or you have a medical condition. More severely, overdosing can lead to priapism, a painful erection that lasts for over 4 hours. This is dangerous as it could potentially damage penis tissue since the blood stored in the penis isn’t receiving oxygen.

This section covers common questions about the dosage of Viagra. Across all trials, VIAGRA improved the erections of 43% of radical prostatectomy patients compared to 15% on placebo. One-third to one-half of the subjects in these studies reported successful intercourse at least once during a 4-week, treatment-free run-in period. There was no impairment of fertility in rats given sildenafil up to 60 mg/kg/day for 36 days to females and 102 days to males, a dose producing an AUC value of more than 25 times the human male AUC. In a study of healthy male volunteers, sildenafil (100 mg) did not affect the steady state pharmacokinetics of the HIV protease inhibitors, saquinavir and ritonavir, both of which are CYP3A4 substrates. In healthy male volunteers, there was no evidence of a clinically significant effect of azithromycin (500 mg daily for 3 days) on the systemic exposure of sildenafil or its major circulating metabolite.

If you have a history of liver disease or any liver-related concerns, it is vital to inform your healthcare provider before starting Viagra. They will evaluate your liver function and consider any potential risks before prescribing the medication. When successful the effects of Sildenafil 50mg should last for 4 to 6 hours. During this time, you should be able to get an erection whenever you become sexually aroused. Viagra isn't a magic pill—it won't give you an instant erection regardless of how you feel or where you are.

Viagra 100mg is the most effective dosage, but it also has the greatest risk of side effects. You may want to try Viagra 100mg if the standard 50mg dose didn’t work well enough for you, but you didn’t get any serious side effects. Other things like your age, any other medications you're taking, your overall health, and your mindset can also influence how long the effects of Sildenafil stay active. They may suggest trying it a few more times before switching treatments. It's usually recommended when the 50mg dose doesn't work well.

50mg is the standard starting dosage for sildenafil (Viagra). If 50mg does not produce the desired effect, or the effect does not last long enough, then taking two 50mg sildenafil tablets could be more effective. Doctors recommend trying the initial prescribed dose several times before deciding to change dosage. Higher doses increase the possibility of unwanted side effects.

Follow the manufacturer's directions to use and clean the oral syringe. Do not mix the liquid with other medications or add anything to flavor the medication. If you are taking sildenafil to treat PAH, you will probably take sildenafil three times a day with or without food.

Each oral medicine for ED has a slightly different chemical makeup. These small differences affect the way each medication works, such as how quickly it takes effect and wears off, and the possible side effects. Your doctor or other health care professional can recommend one for you based on these factors, other health conditions you have and any other medicines you take.

Yes, for most people, Viagra works the first time they use it. But for other people, it may take a few times of trying the drug to get the desired effect. Keep in mind that you should not take Viagra more than once every 24 hours. Viagra’s safety has been shown in several clinical studies. The drug does have a few serious side effects, but these rarely occur. For more information about the side effects of Viagra, see the section "Viagra side effects" above.

This could be useful if you have to see a health professional or need emergency care. Some people who don’t have problems with their erections misuse Viagra, believing it will help enhance sexual performance, confidence and erection quality. However, Viagra use in healthy men does not improve erections and it could have serious side-effects for your health.

Both sildenafil and the metabolite have terminal half lives of about 4 hours. Studies have produced relevant data on the effects of VIAGRA on cardiac output. In one small, open-label, uncontrolled, pilot study, eight patients with stable ischemic heart disease underwent Swan-Ganz catheterization. A total dose of 40 mg sildenafil was administered by four intravenous infusions.

For example, headaches, flushing, and dizziness can often be eased by lying down and resting. Headaches and sensitivity to light can also be improved by turning off any bright lights around you. If you have bothersome headaches with Viagra, ask your doctor or pharmacist to recommend a pain reliever that’s safe for you to use. For more information about taking Viagra with other medications, see the "Viagra interactions" section below.

Other drugs that operate by the same mechanism include tadalafil (Cialis 10 mg) and vardenafil (Levitra). Consider a starting dose of 25 mg in patients treated with strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, or saquinavir) or erythromycin. Clinical data have shown that co-administration with saquinavir or erythromycin increased plasma levels of sildenafil by about 3 fold [see Drug Interactions (7.4) and Clinical Pharmacology (12.3)]. Population pharmacokinetic analysis of clinical trial data indicated a reduction in sildenafil clearance when co-administered with CYP3A4 inhibitors (such as ketoconazole, erythromycin, cimetidine). Although no increased incidence of adverse events was observed in these patients, when sildenafil is administered concomitantly with CYP3A4 inhibitors, a starting dose of 25 mg should be considered. Most, but not all, of these patients had pre-existing cardiovascular risk factors.

However, as research into its effectiveness is still limited, and women taking Flibanserin may be at risk of potentially serious side effects, it’s not yet licensed for use in the UK. It is recommended that several attempts are made using the recommended starting dose before adjusting. Several factors can affect the efficacy of sildenafil citrate, including sexual stimulation, and what you eat and drink at the time. There are many oral therapies for erectile dysfunction, but the only approved medication in the US is the PDE 5 enzyme inhibitor sildenafil (Viagra).

Just be aware that taking the drug could lower your blood pressure. A generic medication is an exact copy of the active drug in a brand-name medication. With Viagra, you’ll take the drug between 30 minutes and 4 hours before you plan to have sex. The medication can help you get an erection up to 4 hours after you’ve taken a dose.

SILDENAFIL may cause low blood pressure leading to dizziness on standing. If you experience this, do not try to stand up suddenly or start walking; instead, lie down and get up slowly only when you feel better. Caution is advised if SILDENAFIL is taken with alpha-blockers or blood-pressure-lowering medicines. SILDENAFIL relaxes and widens the blood vessels; this causes a decrease in blood pressure. Therefore, if SILDENAFIL is taken along with blood-pressure-lowering medicines it might cause further lowering in blood pressure. Consult your doctor if you are taking alpha-blockers or anti-hypertensives.

Do not take more or less of it or take it more often than prescribed by your doctor. The products discussed in this site may have different product labeling in different countries. The information provided is for educational purposes only and is not intended to replace discussions with a healthcare provider. VIAGRA does not protect against sexually transmitted diseases, including HIV.

See "Dosage adjustments" just above for details about when a lower dose might be prescribed. Physicians should inform patients not to take VIAGRA with other PDE5 inhibitors including REVATIO or other pulmonary arterial hypertension (PAH) treatments containing sildenafil. Sildenafil is also marketed as REVATIO for the treatment of PAH. The safety and efficacy of VIAGRA with other PDE5 inhibitors, including REVATIO, have not been studied [see Warnings and Precautions (5.7)]. Physicians should warn patients that prolonged erections greater than 4 hours and priapism (painful erections greater than 6 hours in duration) have been reported infrequently since market approval of VIAGRA.

If VIAGRA does not help you to get an erection, or if your erection does not last long enough for you to complete sexual intercourse you should tell your doctor. Drinking alcohol can temporarily impair your ability to get an erection. To get the maximum benefit from your medicine, you are advised not to drink excessive amounts of alcohol before taking VIAGRA. Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. You should not use VIAGRA with any other oral or local treatments for erectile dysfunction. See comparison of erectile dysfunction tablets for further information.

Based on study information, the American Urological Association considers Viagra and Levitra to be similarly effective in improving the ability of males to get and maintain erections. The actual price you’ll pay for either drug depends on your insurance plan, your location, and your prescribed dosage. The American Urological Association doesn’t recommend using products that contain yohimbine, ginseng, and l-arginine for ED treatment. (This includes products that contain these ingredients either alone or in combination with other ingredients.) This is because there’s not enough evidence to say whether the products work.

They’re also both made by Pfizer, the original inventor of Viagra. Sted by the doctor and in doses and duration as prescribed. Inform the doctor about your detailed medical history, before starting the treatment with Vigore 100 Red tablet. You should not take VIAGRA if you are taking medicines called nitrates, as the combination of these medicines may lead to a dangerous fall in your blood pressure. Always tell your doctor, pharmacist or nurse if you are taking any of these medicines that are often used for the relief of angina pectoris (or "chest pain").

Please seek medical advice if you experience any symptoms after using this product. Access FDA-approved erectile dysfunction pills by filling out a 2 minute online form. Viagra Connect should only be taken to help achieve and/or maintain an erection.

It’s essential to consult a healthcare professional before considering any off-label use of medications, including Viagra or any other erectile dysfunction treatments. Many people stop taking drugs because they are experiencing side effects, they no longer have a partner, or they are worried about safety. Sexual activity is not a major contributor to the risk of a heart attack. Sexual activity, with or without sildenafil (Viagra) increases the chance of an MI during sexual activity by only 0.1%.

At least two-thirds of men have improved erections after taking it. For men with ED, their nerves aren’t properly stimulated, and so blood doesn’t flow properly into the penis. Viagra helps as it contains an active ingredient called sildenafil citrate, a PDE-5 inhibitor. This relaxes the walls of the blood vessels, allowing blood to flow more easily into the penis to cause an erection. When choosing one, tell your doctor or other health care professional what your preferences are, such as cost, ease of use, how long the drug's effects last and side effects. Generic versions of sildenafil, vardenafil and tadalafil are available.

While effectiveness and ease of use are paramount, the economic impact of a treatment must be considered. If you’re finding better prices than what your current pharmacy offers, you can ask your doctor to send your prescription to BlinkRx U.S. We held a focus group in 2023 to talk to men who have used ED medication after being hesitant to seek care. Blink Health is also a good option if you’re looking for medication delivery since you can have your prescription delivered right to your door in less than seven business days, in discreet packaging. This article is reviewed by Dr. Neil Paulvin, DO., a multiple board-certified physician, and Heather Morsellino who uses her seasoned experience in health care to fact-check for accuracy. If you have Medicare Advantage and/or a prescription drug plan, you can request a printed copy of your Prescription Drug Guide, or Drug List, by mail.

If you have an erection that lasts longer than 4 hours, go to the nearest emergency room or call 911. The sections above describe the typical dosages provided by the drug’s manufacturer. If you need help remembering to take your dose of Viagra before sex, try setting an alarm or downloading a reminder app. Or ask your partner to remind you to take your dose about an hour before sex. But the drug may not work as quickly if you take it with foods containing a lot of fat, such as fried foods. In this case, Viagra could take up to an hour longer to start working.

In several clinical studies, Viagra was effective in treating ED. In these studies, males who used the drug had an improved ability to have and keep erections that helped them have sex. The Food and Drug Administration (FDA) approves prescription drugs such as Viagra to treat certain conditions. Off-label use is when a drug that’s approved to treat one condition is used to treat a different condition. You should take Viagra according to your doctor or healthcare professional’s instructions. If you take one of the drugs listed above, your doctor will recommend you take a starting dose of 25 mg for Viagra.