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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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Lilly’s new “Cialis: The Best Deal” campaign, in which the drugmaker is to sell its popular ED treatment in the United States, has been met with a sharp criticism from a number of health experts.

“Cialis is the best deal for erectile dysfunction,” said Dr. Albert Bourla, a urologist at New York University. He is the chairman and chief executive of a leading pharmaceutical company that sells the drug, which sells for about $1 billion.

The drug maker has been under fire for its lack of attention to health risks. The New York Times last week reported that it was looking into a possible lawsuit involving the drug maker’s alleged marketing of the impotence drug.

The issue, the Times reported, “remains the subject of heated debate,” and a panel of federal regulators voted unanimously Tuesday to recommend that Lilly sell the drug in the United States.

“It’s a big deal,” said Dr. Paul G. Dickson, a professor at the University of Maryland School of Medicine and one of the panel’s authors.

The company will launch the erectile dysfunction drug at least in the United States in January and, if approved by the FDA, in December. It will also seek to market the drug in other parts of the world.

In a statement, Lilly said that the company is “exhausted” in the market for the drug and will work with its partners to make it more affordable and to expand its market. It also said that it is “committed to keep Lilly healthy” and has made some progress with its “PDE-5 inhibitors.”

The FDA has said that it will approve Cialis “at least in the United States,” but that it will continue to market it there. The drugmaker is not expected to announce any new information or sales in the United States.

The company has not disclosed its sales figures for the week before the vote, though it did release a total of $7.5 billion to investors.

The company was founded by its original owner, Pfizer, in 1849, when he was an undergraduate at Harvard University.

Pfizer’s son, Charles, who died in 1876, was the company’s chief executive until his death in 1882. He was survived by seven sons, including Joseph, a carpenter, and two daughters, Mary Anne, a carpenter and Julia, a housewife.

In the early 1980s, Pfizer was one of the first pharmaceutical companies to launch a generic version of Viagra. Pfizer bought out the company in 1998 and changed its name to Lilly in 2003. But that change was only temporary. In 2001, the company sold its medical research arm, The Lilly Foundation, and merged with a new company, Lilly Research and Manufacturers of America.

In 1998, Pfizer had just $50 million in annual sales, compared to $100 million for Lilly in the same year.

In 2003, Lilly was losing billions in sales to generic versions of Viagra, which in turn caused the company to lose over $10 billion.

Pfizer sold its medical research arm, The Lilly Foundation, in 2004, and merged with another company, Lilly Research and Manufacturers of America, to become a new company that would sell the drug in the United States.

Pfizer and the company are still in a long-running battle to keep the company from losing billions in sales of its medical research and development arm. Lilly is still in talks with its shareholders.

The controversy over the news has been a source of irritation to the company, with analysts and investors complaining about the lack of growth in its stock and the company’s ability to “get it up to speed.”

“The public should feel they have heard what they are hearing on television,” said Dr. David Goldfarb, a professor at the University of Michigan’s School of Medicine.

Goldfarb also said that the debate over Lilly’s financial viability was “very intense” and that it was “a very complicated issue.

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.

asthma are preventer than end-diuretic therapy:
  • Proper timing of prothroraocting (the taking of urine, blood, or blood that has been separated by a line) is crucial; Viagra comes at a distinct risk
  • Pregnancy risks
  • Heart rate medicine
  • Increased heart rate
  • Mild to moderate diabetes
  • Stomach ulcers
  • Stomach or back pain
  • Stuffy or runny nose
COMPANY AND MEDICINE FOR VIAGRA

Get medical attention for any potentially serious adverse reactions that you should know before starting treatment.

Tell them if you have recently had heart surgery or experience chest pain during sex.

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PRODUCTewarned

Viagra is a prescription medication used to treat erectile dysfunction. Viagra works by increasing the amount of blood flow to the penis. This increases the size of the arteries that carry blood to the penis. This can affect a man’s ability to get or keep an erection.

Viagra comes in a variety of dosage forms, including tablets, oral jelly, and topical cream. The usual recommended starting dose is 50 mg. Viagra can be taken with or without food. Viagra should be taken about one hour before sexual activity.

If you miss a dose, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your normal time. Do not take a double dose to make up for a missed one.

If you are taking Viagra again, take the medication as directed by your healthcare provider.

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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Do not use vardenafil if:

  • You have heart failure with current or previous heart attack
  • You have other medical conditions, such as severe liver or kidney disease
  • You have uncontrolled high blood pressure
  • You have severe kidney problems
  • You have ever had an allergic reaction to vardenafil or any other ingredients in this medication.

If you are pregnant, may become pregnant, or think you may be pregnant or breast-feeding or planning to breast-feed, contact your health care provider. The provider will need to determine the best course of treatment for you. Viagra may cause or risk an increase in blood pressure. Increased blood pressure may be harmful if you have fainting, skin pain, or swelling. Contact your health care provider right away if you have any health concerns.

Viagra can cause your blood pressure to drop to a dangerous level if you have fainting, muscle aches, or flushing. Using nitrates can cause your blood pressure to drop to dangerous levels if you have muscle aches or swelling.