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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).

Many interactions, however, may be dealt with by a dosage adjustment or a change in medication schedule. Check with your pharmacist before using this medication in combination with any other medications (including non-prescription products), vitamins or natural products. If you think this medication may be causing side effects (including those described here, or others), talk to your health care professional. He or she can help you to determine whether or not the medication is the source of the problem.

It contains sildenafil citrate, the same active ingredient as branded Viagra. Your overall health and any other medications you take can affect how well Sildenafil works and how safe it is for you. Please talk to a doctor to make sure the dosage is right for you and to avoid any problems with other medicines.

A doctor might prescribe Sildenafil 20mg for erectile dysfunction if they want to try you on a slightly lower dose. For example, if you’ve had a mild reaction to higher doses of sildenafil before, or if you’ve got a medical condition that means you’re more susceptible to side effects, you might be given the 20mg dose. Sildenafil 50mg is the middle dose and the one that most men will be introduced to. Starting here gives your clinician the opportunity to increase or decrease the dosage depending on how your body reacts to the treatment. It offers a great starting point, with 74% of patients in a fixed dose study reporting improved erections when using 50mg .

It’s also important to remember that Viagra requires sexual arousal to work. Some suggestions include masturbation, reading erotica or engaging in foreplay. For Viagra to work faster, it’s important that you feel relaxed and comfortable. Facing huge stress at work or panicking over your bedroom performance could negatively affect Viagra’s effectiveness. If you feel your anxiety levels rising, take a long deep breath to calm yourself. We recommend that you allow a doctor to advise you on the best initial dosage for your current condition.

This is most likely to happen within 4 hours after taking VIAGRA. To reduce the chance that these symptoms might happen, you should be on a regular daily dose of your alpha-blocker before you start VIAGRA. Your doctor may start you on a lower dose (25 mg) of viagra en mexico. Viagra tablets are not scored although they can be broken in two using a pill cutter.

If use of a nitrate-containing medication is considered medically necessary, you must wait 48 hours after the last dose of sildenafil before taking a nitrate, and only under close medical supervision. Other medical conditions you have can also affect your Viagra dosage. Specifically, you may have a lower starting dosage than usual if you’re over age 65. For example, a 30-year-old might start at a dose of 50 milligrams (mg), while a 70-year-old might have a starting dose of 25 mg.

The safety of VIAGRA is unknown in patients with bleeding disorders and patients with active peptic ulceration. VIAGRA is indicated for the treatment of erectile dysfunction. This is not a complete list of side effects and others may occur. Grapefruit and grapefruit juice may interact with sildenafil and lead to unwanted side effects.

If you’re taking Viagra and have an erection that lasts longer than four hours (priapism), you should get emergency medical help as soon as possible. If you’re experiencing prolonged erections regularly, it’s best to talk with your healthcare provider about whether or not continuing to take Viagra is right for you. Viagra has been popular for decades, and recently Pfizer’s patent for the drug expired – allowing a generic unbranded medication, Sildenafil, to be produced and sold by accredited online pharmacies. Sildenafil is the active ingredient in Viagra, so it’s exactly the same – aside from the brand name. This means it can be taken just as often as Viagra – every day, if you’re seeking the desired effects this often.

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.

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.

This applies particularly to chest pains (possible heart attack), loss of vision, and a prolonged and painful erection. If 50mg strength of tablet is highly effective subsequent doses may be reduced down to one 25mg tablet. If a 50mg tablet is ineffective, or the duration of activity is less than 4 hours, the dose can be increased to one 100mg tablet. Do not take Viagra more than once per day, or more than 100mg dose. Taking a higher dose has not been shown to improve results and increases your risk of severe side effects.

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.

Make sure that you inform them if you notice any side effects or if your treatment isn’t working like it should. There are four different Sildenafil dosages prescribed for the treatment of erectile dysfunction. The different Viagra strengths give the option to raise or lower the amount of active ingredient (sildenafil citrate), depending on how your body reacts to the treatment. Viagra has been studied in four main studies including 1,690 men aged 19 to 87 years, where it was compared with placebo (a dummy treatment) for between 12 and 26 weeks. Two of these studies used fixed doses (patients allocated to 25, 50 or 100 mg) and two studies were flexible (patients started on 25 mg and could be moved to 50 or 100 mg depending on their response). In addition, there were studies in patients with spinal cord injury and with diabetes.

This causes increased blood flow into the penis and improves erectile function when stimulated, reducing erectile dysfunction. You should take Viagra one hour before sexual activity for optimal results. Taking it too early doesn’t allow enough time for the drug to get into your bloodstream. Taking it too late means that the drug will have already reached its peak levels in the bloodstream. And may have a reduced effectiveness as levels start to drop. It increases blood flow to the penis to help men get an erection.

Studies show men usually find the same dose will be effective over a period of years. Erectile dysfunction tends to be a slowly progressive condition, increasing with age, however unless there is an underlying medical progression the same dose should produce the same effect. There is a very rare theoretical risk of abnormal heart rhythm if Viagra (sildenafil) is taken at the same time as some other medications - please check this list. Other causes of erectile dysfunction may require specialist treatment apart from tablets. Some men, whose erectile dysfunction has psychological causes, may benefit from counselling. Reduced dose recommended when 50mg starting dose is highly effective.

Hearing loss, indigestion, and vision loss are all possible side effects too – however, they are very uncommon. Always use this medicine exactly as per your doctor instruction or take advice from your pharmacist. Take the tablet, capsule, or liquid form by mouth&nbsp