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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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Permanent Changes in Erectile Function

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Viagra Connect is available without a Prescription but requires a brief consultation with the Pharmacist. It is available in a 4 pack or an 8 pack. Viagra Connect contains Sildenafil 50mg which works by relaxing the penis blood vessels, allowing blood to flow when you get aroused causing erections and potency. Viagra Connect will only help men become erect if you are aroused. Only for adult use, men 18 years plus.

How to be taken:

  • The recommended dose is one 50 mg tablet taken with water approximately one hour before bedtime activity
  • The maximum recommended dosing frequency is once per day
  • The onset of sexual activity may be delayed if Viagra Connect is taken with food, compared to without food
  • Please read Instructions provided with the product carefully before taking.

VIAGRA CONNECT is not to be taken if:

  • There is no problem with gaining erections.
  • Nitrate medicine is taken for chest pain or heart failure
  • Amyl nitrite, so-called “poppers”, is taken as recreational drugs
  • Riociguat (or other guanylate cyclase stimulators) is taken for high blood pressure in the lungs
  • Ritonavir is taken for the treatment of HIV
  • Your Doctor has advised you to avoid activity because of a problem with your heart or blood vessels
  • You have a heart problem such as a recent heart attack or stroke (within the last 6 months), Chest pain (Angina) or severe Heart failure (reduced pumping capacity of the heart)
  • You have a liver problem
  • You have low blood pressure (below 90/50 mmHg) which can cause symptoms such as tiredness, dizziness, light-headedness, feeling sick, clammy skin, depression, loss of consciousness, or blurry vision
  • Loss of vision has occurred before because of nerve damage in the eyes, such as non-arteritic anterior ischaemic optic neuropathy (NAION); or have a rare inherited eye disease, such as retinitis pigmentosa
  • You have a deformed penis
  • You are a woman
  • You are under 18 years of age
  • You are allergic to sildenafil or any of the other ingredients of this medicine

Please read instructions carefully provided.

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Adults (over the age of 18):

Take a tablet one to three hours before sexual activity (120mg daily). The effects can last up to four hours and are what most men do not have and therefore do not need to take a daily tablet.

This tablet is for use by men only and should not be taken more than once a day.

The doctor of a new study is being urged to start the clinical trial to try to determine how long it will take for the study to start. The study will include all of the patients who have been prescribed Viagra and other drugs for erectile dysfunction and other conditions, the study has said.

It is thought the drugs should be used only for treating erectile dysfunction and other conditions.

The clinical trial is being run by a team led by a urologist and urologist, the team, said in an interview.

It is planned to run its own clinical trial to see how long it will take for the trial to run.

The study is the latest in a series of studies to investigate the efficacy of Viagra and other drugs for erectile dysfunction.

The study has been running in the Chinese market for more than a year.

A team of Chinese researchers have been studying how long they can run the clinical trial.

Dr. Xiaohao Zhao, from the department of urology, University of Medicine and Pharmacy of China, said the team was looking into it.

"The study will also be run to determine how long it is going to take for it to take, and we will conduct other studies to see how long it is going to take," he said.

A team of Chinese researchers has been studying how long they can run the clinical trial.

The clinical trial is the latest in a series of studies to investigate the efficacy of Viagra and other drugs for erectile dysfunction.

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Sildenafil is a prescription medication used to treat erectile dysfunction (ED). Sildenafil belongs to a class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing blood vessels and increasing blood flow to the penis during sexual stimulation. This medication does not protect against sexually transmitted diseases, such as HIV/ AIDS or hepatitis C. Cialis is also used to treat pulmonary hypertension and high blood pressure. Levitra is a PDE5 inhibitor medication. It works by relaxing the blood vessels in the penis, allowing blood to flow into the penis, during sexual stimulation.

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