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VIAGRA is supplied as blue, film-coated, rounded-diamond-shaped tablets containing sildenafil citrate equivalent to 25 mg, 50 mg, or 100 mg of sildenafil. Tablets are debossed with PFIZER on one side and VGR25, VGR50 or VGR100 on the other to indicate the dosage strengths. Based on effectiveness and toleration, the dose may be increased to a maximum recommended dose of 100 mg or decreased to 25 mg. Sildenafil is a phosphodiesterase type 5 (PDE-5) inhibitor. It blocks the action of the enzyme PDE-5, which destroys cyclic guanosine monophosphate (cGMP). An increase in cGMP levels leads to relaxation of the smooth muscles in the penis and increased blood flow, which contributes to an erection.

No, studies haven’t shown that Viagra makes sex last longer. However, the drug can help you to get and keep an erection. And studies have shown that Viagra can increase satisfaction from sex. The use of Viagra and Levitra in treating ED has been directly compared in several clinical studies and compared in several reviews of studies.

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.

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.

The cost is $10 for the first month—no matter which medication you are prescribed. After the first month, the cost is $9.95 plus the cost of the prescription medication. You can choose between deliveries every 30, 60, or 90 days and can pause or cancel your Blink Health subscription anytime through the account settings.

The main measure of effectiveness was based on the ability of the men to get and maintain an erection. This was recorded in a special questionnaire completed at home using a scoring system on a five-point scale, where a score of 5 represents the best result. Viagra is used to treat adult men with erectile dysfunction (sometimes called impotence), when they cannot get or keep a sufficiently hard penis (erection) for satisfactory sexual activity. For Viagra to be effective, sexual stimulation is required.

And there isn’t enough evidence to show that Viagra works for treating sexual problems in females. It hasn’t been studied in people younger than 18 years of age. If you have questions about using Viagra for Raynaud’s disease, talk with your doctor. With Raynaud’s disease, the blood vessels in your hands and feet spasm and temporarily become narrowed. These narrowed blood vessels restrict blood supply to your fingers or toes. This can cause your fingers and toes to look white and feel cold, painful, or numb.

If pills fail, there are vacuum devices, Muse, injections, bypass surgery and implants. Let’s be honest, ED pills earned the nickname "boner pills" a long time ago, but that’s not exactly accurate. Some men worry that taking Sildenafil will cause a spontaneous erection, but that is not actually true. The active ingredient only makes it easier for blood to flow to your penis and remain there while erect. So if you are not aroused, you will not get an unwanted erection.

Viagra works 30 to 60 minutes after it is taken and usually remains active for 4 hours. Men should have an erectile dysfunction diagnosis from a GP before buying medication online. This is especially true if you are taking an alpha-blocker antihypertensive like doxazosin. Tamsulosin (brand name Flomax), an alpha-blocker also used to treat prostate issues (like benign prostatic hyperplasia), can have the same low blood pressure effect if taken with Viagra. The total price includes shipping fees which typically cover an entire order, making it more economical to purchase multiple medications in the same order.

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.

The amount of time VIAGRA takes to work varies from person to person, but it normally takes between half an hour and one hour. You may find that VIAGRA takes longer to work if you take it with a heavy meal. If you are taking medicines known as protease inhibitors, such as for the treatment of HIV, your doctor may start you on the lowest dose (25 mg) of VIAGRA. You should not take VIAGRA if you are using any of the medicines known as nitric oxide donors such as amyl nitrite ("poppers") as the combination may also lead to a dangerous fall in your blood pressure. You should not use VIAGRA with treatments for pulmonary arterial hypertension (PAH) containing sildenafil or any other PDE5 inhibitors.

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