11 DESCRIPTION

You may take this medicine with or without food.

• Sildenafil is a phosphodiesterase type 5 (PDE5) inhibitor.
• Its primary function is to improve blood flow to the penis.
• The medication does not protect against sexually transmitted infections.
• Use condoms for protection regardless of medication use.

Place the film on top of your tongue. It will dissolve in your mouth and can be swallowed with saliva without using water or other liquids.

Proper Use

Do not use more of it and do not use it more often than your doctor ordered. If too much is used, the chance of side effects is increased. This medicine comes with a patient information leaflet. Read and follow these instructions carefully before you start using sildenafil and each time you get a refill of your medicine. Ask your doctor if you have any questions. Shake the bottle well for at least 10 seconds before each use. Remove the cap by pushing it down and twisting it counter-clockwise.

• Common side effects include headaches, flushing, and nasal congestion.
• Serious side effects are rare but may involve vision changes or priapism.
• Alcohol can reduce the effectiveness of sildenafil and increase side effects.
• Keep the medication out of reach of children and store in a cool, dry place.

Push the plunger of the syringe, then insert the tip into the bottle while holding the bottle upright on a flat surface. Slowly pull back the plunger until the required dose.

Brand Name	Manufacturer	Dosage Forms	Price Range (USD)	Available Regions
Viagra	Pfizer	25, 50, 100 mg	30-50 per tablet	Worldwide
Revatio	Pfizer	20 mg tablets	40+ per tablet	Mainly for pulmonary hypertension
Kamagra	Ajanta Pharma	50, 100 mg	0.5-2 per tablet	Asia, Middle East
Generic Sildenafil	Multiple manufacturers	25, 50, 100 mg	0.3-3 per tablet	Global

If you see air bubbles in the syringe, repeat the steps. Place the tip of the syringe into you or your child's mouth and point it towards the cheek.

Product	Dosage	Quantity + Bonus	Price
Kamagra Soft Tabs	100mg	272 + 12 Pills	593.42€ 565.16€	Buy
Viagra Generic	100mg	10 Pills	28.91€ 27.53€	Buy
Viagra Generic	150mg	10 Pills	36.73€ 34.98€	Buy
Viagra Generic	25mg	20 Pills	37.74€ 35.94€	Buy
Kamagra Polo	100mg	180 + 8 Pills	446.52€ 425.26€	Buy
Viagra Generic	150mg	270 + 10 Pills	326.61€ 311.06€	Buy
Kamagra	100mg	20 Pills	86.09€ 81.99€	Buy
Kamagra Oral Jelly	100mg	110 + 9 Sachets	334.87€ 318.92€	Buy
Kamagra Polo	100mg	84 + 4 Pills	244.49€ 232.85€	Buy
Kamagra	100mg	180 + 6 Pills	436.79€ 415.99€	Buy
Viagra Generic	100mg	360 + 10 Pills	330.21€ 314.49€	Buy
Viagra Generic	50mg	10 Pills	26.87€ 25.59€	Buy
Viagra Generic	25mg	60 + 4 Pills	71.99€ 68.56€	Buy
Viagra Generic	50mg	90 + 6 Pills	107.37€ 102.26€	Buy
Kamagra Oral Jelly	100mg	90 + 8 Sachets	303.56€ 289.10€	Buy

This medicine usually begins to work for erectile dysfunction within 30 minutes after taking it.

Written By

By controlling the enzyme, sildenafil helps to maintain an erection after the penis is stroked. Without physical action to the penis, such as that occurring during sexual intercourse, sildenafil will not work to cause an erection. Sildenafil is also used in both men and women to treat the symptoms of pulmonary arterial hypertension. This is a type of high blood pressure that occurs between the heart and the lungs. When hypertension occurs in the lungs, the heart must work harder to pump enough blood through the lungs.

Does Viagra prevent ejaculation?

Sildenafil works on the PDE5 enzyme in the lungs to relax the blood vessels. This will increase the supply of blood to the lungs and reduce the workload of the heart. This medicine is available only with your doctor's prescription. This product is available in the following dosage forms: In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make.

Clinical monitoring

For this medicine, the following should be considered: Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. Appropriate studies have not been performed on the relationship of age to the effects of sildenafil in children younger than 1 year of age. Safety and efficacy have not been established. It continues to work for up to 4 hours, although its action is usually less after 2 hours.

2.1 Dosage Information

Sildenafil is the active ingredient in Viagra, so both work the same way and have the same strength when taken at the same dose. The main difference is that sildenafil is often sold as a generic version, which is usually more affordable. Most men feel the effects within 30–60 minutes of taking sildenafil. For best results, take it on an empty stomach or after a light meal, as heavy, fatty foods can slow down absorption. Sildenafil’s main job is to help you get and keep an erection; it doesn’t directly make you last longer in bed.

Red Viagra

However, some men find that better erection quality boosts their sexual confidence, which can reduce performance anxiety and help them last longer. The effects usually last 4–6 hours, but this varies between individuals. It doesn’t mean you’ll have an erection the whole time; it means you can get an erection more easily during that period if you’re aroused. Oral Sildenafil in the Treatment of Erectile Dysfunction Sildenafil (Viagra) for male erectile dysfunction: a meta-analysis of clinical trial reports Efficacy and safety of oral phosphodiesterase 5 inhibitors for erectile dysfunction: a network meta-analysis and multicriteria decision analysis VIAGRA® (sildenafil citrate) tablets, for oral use Initial U.S. Approval: 1998 Drug-Drug Interactions in the Management of Patients With Pulmonary Arterial Hypertension Sildenafil is used to treat erectile dysfunction (also called sexual impotence).

Who can use Sildenafil Citrate Tablets?

Sildenafil belongs to a group of medicines called phosphodiesterase 5 (PDE5) inhibitors. These medicines prevent an enzyme called phosphodiesterase type-5 from working too quickly. The penis is one of the areas where this enzyme works. Erectile dysfunction is a condition where the penis does not harden and expand when a man is sexually excited, or when he cannot keep an erection. When a man is sexually stimulated, his body's normal response is to increase blood flow to his penis to produce an erection. Use only the brand of this medicine that your doctor prescribed.

• Sildenafil was first approved by the FDA in 1998.
• It revolutionized erectile dysfunction treatment worldwide.
• Research is ongoing into new potential uses of PDE5 inhibitors.
• The drug has helped millions improve their quality of life.

Different brands may not work the same way.

Dosage (mg)	Tablet Color	Shape	Typical Usage
25	Pink	Round	Mild erectile dysfunction
50	Blue	Diamond	Moderate ED
100	Blue	Diamond	Severe ED

The dose of this medicine will be different for different patients.

Dosing & Uses

Sildenafil should never be used in children for erectile dysfunction. In general, sildenafil should not be used for pulmonary arterial hypertension in children, especially for chronic use. Use of sildenafil oral film is not indicated for use in the pediatric population. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of sildenafil in the elderly. However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution and an adjustment in the dose for patients receiving sildenafil.

Mécanisme d'action

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below.

Sildenafil: what you need to know

The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Using this medicine with any of the sildenafil softgel capsule following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Follow your doctor's orders or the directions on the label.

What special precautions should I follow?

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

What can I do to make Viagra work faster?

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially: Abnormal penis, including a curved penis or birth defects of the penis—Chance of problems occurring may be increased and this medicine should be used with caution in these patients. Arrhythmia (irregular heartbeat, within the last 6 months) or Blood vessel problems (eg, aortic stenosis, idiopathic subaortic stenosis) or Heart attack (within the last 6 months) or Retinitis pigmentosa (an inherited eye disorder) or Stroke (within the last 6 months)—Should not be used in patients with these conditions. Crowded disc or low cup to disc ratio in the eye (an eye disorder) or Hyperlipidemia (high fats in the blood) or Non-arteritic anterior ischemic optic neuropathy or NAION (serious eye condition), history of or Retinitis pigmentosa (an inherited eye disorder) or Smoking—May increase the chance for a serious side effect in the eye called NAION. Stomach ulcer, or history of or—Chance of problems occurring may be increased.

Cialis Black

It is not known if the medicine is safe for use in these patients. The effects may be increased because of slower removal of the medicine from the body. Sickle-cell anemia (blood disorder)—Sildenafil should be used with caution in these patients as problems with prolonged erection of the penis may occur. Pulmonary arterial hypertension (high blood pressure in the lungs) or Pulmonary veno-occlusive disease or PVOD (a type of lung disease)—Use with caution. Use sildenafil exactly as directed by your doctor. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

Condition	Requirement	Reason
Temperature	Store below 30°C (86°F)	Maintain tablet stability
Humidity	Keep in a dry place	Prevent tablet degradation
Light exposure	Store in original container	Protect from light
Shelf life	Typically 2-3 years	Ensure efficacy

For treatment of erectile dysfunction:For oral dosage form (tablets):Adults up to 65 years of age—50 milligrams (mg) as a single dose no more than once a day, 1 hour before sexual intercourse. Alternatively, the medicine may be taken 30 minutes to 4 hours before sexual intercourse. Your doctor may adjust your dose if needed.Adults 65 years of age and older—25 mg as a single dose no more than once a day, 1 hour before sexual intercourse. Your doctor may adjust your dose if needed.Children—Use is not recommended.For oral dosage form (film):Adults up to 65 years of age—50 milligrams (mg) as a single dose no more than once a day, 1 hour before sexual intercourse.