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By | March 6, 2021

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Although they work in similar ways, each oral medication has a slightly different chemical makeup. These minor differences affect the way each medication works, such as how quickly it takes effect and wears off, and the potential side effects. Your doctor will consider these factors as well as other conditions you have and possible interactions with other medications you take. If other conditions and medications aren’t the culprit, consider nondrug treatments. “Regular exercise and a healthy diet to lose weight are good first steps,” says Anawalt. “Most patients benefit from taking a 50 to 100 mg dose,” explains Anawalt. If you’re looking for a less costly Viagra, you might want to ask your doctor about sildenafil.

The safety and efficacy of VIAGRA with other PDE5 inhibitors, including REVATIO, have not been studied . In those patients already taking an optimized dose of a PDE5 inhibitor, alpha-blocker therapy should be initiated at the lowest dose. Stepwise increase in alpha-blocker dose may be associated with further lowering of blood pressure when taking a PDE5 inhibitor. Clinical data have shown that co-administration with saquinavir or erythromycin increased plasma levels of sildenafil by about 3 fold .

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These can include an erection that will not go away , sudden vision loss in one or both eyes, and sudden hearing decrease or hearing loss. Some men have also experienced heart attack, stroke, irregular heartbeats and even death after taking Viagra.

You don’t have to put your health or your partners health at risk, to get your sex life back. If our online doctors find that you may benefit from Viagra they will electronically send a prescription for it to the pharmacy of your choice. Do not take Viagra with similar medications such as avanafil , tadalafil or vardenafil . CYP3A4 inhibitors, when taken in conjunction with Viagra, have also been shown to increase blood concentration levels of sildenafil. These findings were therefore required by the FDA to be added to a new drug label for Revatio.

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The AUC of the active metabolite, N-desmethyl sildenafil, was increased 62% by loop and potassium-sparing diuretics and 102% by nonspecific beta-blockers. These effects on the metabolite are not expected to be of clinical consequence. Sildenafil is also marketed as REVATIO for the treatment of PAH.

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Most, but not all, of these men were found to have had heart problems prior to taking Viagra. Two long chambers inside the penis called the corpora cavernosa contain spongy tissue that collects blood flowing into the chambers, creating pressure that results in the expansion of the penis. If you are taking sildenafil for erectile dysfunction, you are unlikely to miss a dose since this medication is taken as needed, not on a regular dosing schedule. do not take sildenafil if you are taking or have recently taken riociguat or nitrates such as isosorbide dinitrate , isosorbide mononitrate , and nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat, others).

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It’s the active ingredient in both branded Viagra and the drug Revatio, which is a lower dose than Viagra and approved to treat pulmonary arterial hypertension. Generic Viagra can be purchased online for home delivery with a prescription. It’s essential to do your research when searching for Viagra online. In a study done by Pfizer Global Security, around 80% of sites claiming to sell Viagra were actually selling counterfeit pills.

  • Roman also offers sildenafil citrate in 20 mg tablets, which can be prescribed by doctors off-label to treat ED in doses ranging between 20 mg and 100 mg if they find it medically appropriate to do so.
  • Never take more than the amount prescribed to you by your doctor.
  • To start with, there are often prominent side-effects ranging from headaches to stomach pain.
  • Men with diabetes, high blood pressure, high cholesterol, or heart disease often take nitrates.
  • For patients with the most severe forms of erectile dysfunction, often resulting from nerve damage due to diabetes or prostate cancer surgery, Viagra typically doesn’t work at all.

Ask your doctor if you are not sure whether any of your medications contain nitrates. tell your doctor and pharmacist if you are allergic to sildenafil, any other medications, or any of the ingredients in sildenafil products. Don’t be fooled into buying ‘herbal viagra.’ Never take any medications that claim to be the “herbal” or nonprescription equivalent of an oral medication for erectile dysfunction. These aren’t an effective alternative, and some contain harmful substances. Never order medications from an online pharmacy if there’s no way to contact the pharmacy by phone, if prices seem too good to be true or if you’re told no prescription is necessary.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. “The hope is that will reduce the cost, and patients will have greater access to Viagra, which has been an important medication for healthy men with erectile dysfunction,” he added. Others are packed with huge, unsafe doses that are often twice as high as the strongest Viagra tablet. Over the years, countless supplements marketed as “Viagra substitutes” have been tested by the FDA. If you’re in your 20s or 30s and are concerned about erectile dysfunction, Viagra and other ED drugs can be an excellent treatment option. The first is to meet with your regular doctor and talk about your symptoms. Many doctors are open to prescribing medications like Viagra if you have persistent erectile dysfunction symptoms that are affecting your sex life.