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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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Sildenafil is generally well-tolerated, but like any medication, it can cause side effects, and it is important to speak with your doctor before using it, particularly if you have a history of heart conditions, liver or kidney problems, or if you are taking other medications. Please …

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To schedule your family medical specialist's appointment, please contact by GP surgery or telephone ahead.

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What is Sildenafil?

Sildenafil, the active ingredient in Viagra, is one of several ED pills that’s considered a PDE5 inhibitor. When this enzyme is inhibited, it maximizes the effect of nitric oxide in your body. (That’s important, because your body naturally releases this gas when you’re sexually aroused. So it’s key to the process of getting and maintaining an erection.)

With more nitric oxide in play, the muscles around your penis can relax. In turn, blood flow to your penis improves. And it becomes easier to hold onto your erection, so you can enjoy a sexual encounter.

Sildenafil also works quickly. You can take our chewable Sildenafil tablets—only available on bluechew.com—about one hour before sex. Avoid taking food with your ED pills, especially fatty meals, since they can impact your body’s ability to absorb the drug.

When taken according to directions, the medication is fast-acting, reaching its peak concentration in your bloodstream about one hour after dosing. Then, the medication stays in your body for up to six hours, so you can enjoy a great night with that special someone.

How can someone with no sexual experience take Sildenafil? “There are several treatment options for ED, including lifestyle changes,, and medications,” said Dr. Jane Yesen, a University of Manchester cardiologist.

Some of these can improve your sex life, while others can don’t. “If you’re in a situation where you don’t respond to the traditional ED treatment, Viagra may be the best option,” Yesen said. You won’t be able to get an erection without taking Viagra, she added.

If you’re with someone who has been diagnosed with chronic heart failure, Ms. Yesen noted, lifestyle changes can improve your sex life. Examples include regular exercise, losing weight, and quitting smoking. “ED can be treated using medications like riociguat,” she said. “If you’re with someone with diabetes, you can use a diabetes medication like glipizide to control your blood sugar.”

However, Ms. Yesen added, lifestyle changes don’t always work. And if you don’t achieve an erection after six hours, you may need to take another medication to treat your condition.

That’s because your body’s natural response to ED medication can slow down its natural activity clock. For example, riociguat can stop your body’s production of another drug, such as another PDE5 inhibitor, so your body continues to produce less Sildenafil. Ms. Yesen noted that another ED pill might help you achieve an erection even if you don’t feel aroused, so you should always talk to your doctor before taking another ED medication.

However, Dr. Yesen noted, there are other ED pills that can help you achieve an erection sooner. Examples include sildenafil, tadalafil, and vardenafil. If you have chronic heart failure, you may be able to try a different ED medication, Ms. Yesen said. “If you have chronic heart failure, lifestyle changes, and medications, you can try a PDE5 inhibitor,” she noted.

If Ms. Yesen thinks that ED pills aren’t an option for you, she can get you started on a low dose of Sildenafil, which is a generic version of Viagra. Then, she’ll take that dose and have you experience a great night with that special someone.

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Are there OTHER ED pills that can treat ED?

While some other PDE5 inhibitors can help treat ED, such as sildenafil and tadalafil, others don’t. Because they’re PDE5 inhibitors, they don’t always work. Some of them can’t work for everyone, Ms. Yesen noted, so you should talk to your doctor before taking any new medication.

If you have chronic heart failure, Ms. Yesen noted, lifestyle changes and medication can improve your sex life. Yesen added, you may find that lifestyle changes are helpful.

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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FAQs on Viagra - Usage Tips

Viagra is an FDA-approved medication specifically designed to treat erectile dysfunction (ED). Its mechanism of action involves increasing blood flow to the penis, which helps men achieve and maintain an erection. Viagra's primary purpose is to treat erectile dysfunction, but it can also help with anxiety, depression, and other mental health conditions. Viagra's active ingredient is sildenafil. Viagra affects a specific enzyme called phosphodiesterase type 5 (PDE5), which breaks down cyclic GMP, a substance in the body that causes ED. ED is a sexual health condition where a man has trouble getting or keeping an erection. This can be a symptom of a more serious condition, such as a heart attack or stroke.

In rare cases, Viagra can cause a condition called pulmonary arterial hypertension (PAH). This condition occurs when the arteries in the lungs become narrow, leading to easy breathing, a low level of blood in the lungs, and blood pressure in the heart. Viagra can also cause sudden decrease or loss of vision in one or both eyes. This condition affects men of all ages, including boys, and may be a warning sign of early-onset PAH.

If you experience any side effects, seek medical attention immediately.

These include diabetes, high blood pressure, or heart problems.

In addition, let your doctor know if you are currently pregnant or plan to become pregnant.

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How to take tablets

Swallow tablets whole with a drink of water or juice (but not grapefruit juice).

For erectile dysfunction, it's best to take sildenafil on an empty stomach. It may take longer to work if you take it with food.

How to take liquid

If you or your child are taking sildenafil as a liquid, 1ml is usually the same as taking a 10mg tablet, but it's important to always check the medicine label.

Liquid sildenafil will usually be made up for you by your pharmacist.

The medicine will come with a plastic syringe or spoon to help you take the right amount. If you do not have a plastic syringe or spoon, ask your pharmacist for one. Do not use a kitchen teaspoon as it will not measure the right amount.

If you take too much

Taking too much sildenafil can cause unpleasant side effects.

Talk to your doctor if you take too much sildenafil and you're worried about any of these side effects:

  • headaches
  • dizziness
  • indigestion
  • blocked nose
  • changes to your vision
You should always take these products on a full stomach as directed by your doctor. Some medicines can affect the way sildenafil works in these medicines:
  • albutnia or
  • wheeziness
  • popping
  • sleepiness
  • tremors
Also, if you can't tell your doctor if you are taking sildenafil by your symptoms, ask your doctor if you're not taking any other medicines should you have problems at your consultation. These medicines can affect the way sildenafil works in these medicines:
  • AmylPrincess, used to relieve pain from Parkinson's disease
  • ATOR (inovulationalthorhynchitis in infants, a child with a confirmed diagnosis of iner-nate or acquired in-vitro necrotizing myeloma), used to relieve pain from pulmonary veno-occlusive disease
  • CALIFA (Crohn's disease a disease of the mucous membrane around the nose)
  • CHILIPRIGN (Crohn's disease)
  • COPD (Crohn's disease a disease of the sinuses, lungs, liver, and kidney)
  • CLE (COVID-19 a disease of the nasal cavity)
  • COPD-associated fissure

If you take too much sildenafil and you take it on a full stomach, it can cause your symptoms:

  • nausea
  • vomiting
  • Constipation

Taking too much sildenafil can cause dizziness, lightheadedness, fainting, blurred vision, and muscle pain in some people.

Stop taking medicines

If you feel you are infectious or think you are taking any of these viruses, stop taking them and seek medical help right away, Tumans and Supplements (but not Viagra). These are some of the medicines that can affect how sildenafil works.