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Sildenafil citrate, commonly known by the brand name, is a prescription-only medicine used to treat erectile dysfunction (ED) in adult men. It works by improving blood flow to the penis, helping to achieve and maintain an erection during sexual activity.

Dosage and Administration

Sildenafil is available in 25mg, 50mg, and 100mg strengths.

  • The usual starting dose is 50mg, taken approximately one hour before sexual activity.
  • Dosage can be adjusted depending on individual response and tolerability.
  • Take only one tablet in 24 hours, with or without food.
  • Avoid grapefruit juice, as it can increase the risk of side effects.
  • A high-fat meal may delay onset of action.

Effectiveness

Sildenafil has been shown to be effective in up to 80% of men with ED, with effects typically noticeable within 30 to 60 minutes, and lasting for up to 4–5 hours.

Side Effects

Common side effects include:

  • Headache
  • Flushing
  • Nasal congestion
  • Indigestion

Less common but serious effects include visual disturbances, hearing changes, or prolonged erections. Seek medical attention if severe or persistent side effects occur.

Contraindications

Sildenafil should not be used by those:

  • Taking nitrates for chest pain
  • With severe heart or liver conditions
  • Under 18 years of age
  • With certain medication interactions (e.g. alpha-blockers, antifungals, antibiotics)

Interactions

Inform your doctor of all medications and supplements before use. Interactions may occur with:

  • Nitrates
  • Alpha-blockers
  • Some antibiotics and antifungal medicines

Alcohol and Heart Conditions

Avoid excessive alcohol while taking sildenafil, as it can lower blood pressure and increase side effect risk. Use with caution if you have any heart-related conditions.

Availability and Cost

Sildenafil is available by prescription only in the UK.

  • Generic versions are more affordable than branded Viagra.
  • Supplied by licensed UK pharmacies such as Online Chemist.
  • Avoid counterfeit products from unregulated websites.

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Last updated 17 November 2021

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Viagra has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Viagra use include:

  • Headache
  • Heartburn
  • Congestion
  • Nasal bleeding (bloody nose)
  • Nausea
  • Diarrhea
  • Muscle aches or pains
  • Flushing
  • Facial pain or tenderness
  • Vision changes
  • Light sensitivity

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any nitrate medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

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Priapism(PE) is the disorder in which a man experiences Peyard Burny Shoulder Syndrome (PBS) when his heart beats for an extended period of time. This condition occurs due to a combination of genetic factors and the physical effects of high blood pressure.

Show hidden medical conditions Viagra dosage Viagra time duration of symptoms Viagra Warnings Take thisif you have had a heart attack or stroke since the day you received your last Viagra. If you currently have a heart attack, consult your health care provider before taking Viagra. Viagra can interact with the enzyme PDE5 that restricts blood flow to the penis.

In addition, tell your health care provider if you are currently taking nitrates, amyl nitrate, or other medications for high blood pressure. This may result in a sudden drop in blood pressure.

In cases of hypotension, tell your health care provider who recently began men’s health services that you have been taking Viagra. This may increase your risk of low blood pressure.

If you experience sudden visual or hearing loss, contact your health care provider immediately. However, in some cases, extremely low blood pressure can occur.

As with all prescription medications, tell your health care provider if you are pregnant or plan to become pregnant. If you become pregnant, your health care provider may prescribe this medication during your treatment.

As with all prescription medications, inform your doctor of any medical conditions. If you have a stomach ulcer, Breitbart (a health condition that increase your risk of having a fits attack), or drink alcohol while taking Viagra, consult your health care provider. If you experience any of the following, you should seek medical attention immediately:

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If you have any doubts as to what is best for you, contact your health care provider. They may be able to (1) make an appointment and offer guidance, (2) modify your treatment, and (3) initiate treatment

Generics are produced every day and are subject to regulatory approval and testing.

A Canadian pharmacy has been accused of selling Viagra for sexual enhancement for more than a decade.

The Canadian pharmacy, based in Canada, has sold Viagra for more than a decade. The Food and Drug Administration has issued a warning to pharmacists about such an illegal transaction.

Canadian pharmacies that sell Viagra for sexual enhancement have been accused of selling prescription drugs for the same reason.

The Canadian Pharmacy Association of Canada (CPAC) has asked for a formal investigation, and is investigating the allegations.

The Canadian regulator is considering a criminal investigation into a pharmacy business and related allegations.

The association's legal representatives, including its executive director, Dr. Stephen McNeil, a pharmacist in Ontario, and an assistant professor of pharmacy at the University of British Columbia, are the first to report a case to the regulatory agency.

The CPAC and the Health and Human Services Agency (HHS), which has jurisdiction over the sale of prescription drugs in Canada, have been investigating allegations of illegal pharmacy sales.

The Health and Human Services Agency said it is concerned that Canadian pharmacies are selling drugs for the same reason.

Dr. McNeil, the association's chief investigator, said he has been following reports of pharmacists selling Viagra for sexual enhancement drugs over the last few years.

"We've had a lot of inquiries from pharmacists about this issue," Dr. McNeil said. "We've been monitoring and investigating this matter to ensure there is no breach of the law."

McNeil said he has been monitoring the situation and working with pharmacists to find a way to stop the illegal operation.

But he said the company is still working with the FDA to find a way to protect consumers and the public.

In April, the regulatory agency told Health Canada that it was aware of a pharmacy practice that could lead to an investigation and seizure of Viagra drugs for sexual enhancement.

The FDA has also asked for further clarification about the sale of prescription drugs for sexual enhancement.

The Canadian Pharmacy Association of Canada and the Health and Human Services Agency are investigating the allegations.

The association said the Canadian regulatory agency has asked for further information about the practice.

In April, the regulatory agency said it has sent a warning letter to Canadian pharmacies and related allegations.

In June, Health Canada issued a public advisory to pharmacists and related allegations in a related safety review.

Health Canada said that the regulatory agency was aware of the practice and is monitoring the matter closely.

The Canadian Pharmacy Association of Canada and the Health and Human Services Agency said they are in discussions with the regulatory agency and are taking further steps.

The association has requested a formal investigation and a recommendation from Health Canada.

The association has also asked for further information about the practice and related safety reviews.

The Association of Canadian Pharmacists of Canada and the Health and Human Services Agency said it is in discussions with the regulatory agency and is taking steps to help ensure the safety and effectiveness of the regulatory agency's recommendations.The Association of Canadian Pharmacists of Canada and the Health and Human Services Agency said it is in discussions with the regulatory agency and is taking steps to ensure the safety and effectiveness of the regulatory agency's recommendations.

The Association of Canadian Pharmacists of Canada and the Health and Human Services Agency said they are in discussions with the regulatory agency and are taking steps to ensure the safety and effectiveness of the regulatory agency's recommendations.