Description
Sildenafil was launched in Europe in 1998 and was the first truly effective oral treatment for erectile dysfunction.
It currently has the greatest body of evidence relating to its use.
When a man is sexually excited, the penis rapidly fills with more blood than usual. The penis then expands and hardens. After intercourse this extra blood flows out of the penis and back into the body.The erection goes away. When a man is sexually excited, Viagra helps the penis fill with enough blood to cause an erection. If Viagra directions are followed carefully, men suffering with erectile dysfunction can find a convenient solution in Viagra. As with any drug, effects should be monitored. Especially for men who have heart problems, consultation with a doctor is very important before considering Viagra as a solution to erectile dysfunction. Viagra received Food and Drug Administration approval in 1998. As many years have now passed since Viagra came on the scene much data has accummulated verifying that Viagra is generally safe for the majority of men who use it.
Original uses (on-label)
Viagra is approved for the treatment of
male impotence. It achieves this by relaxing the smooth muscle cells of the corpus cavernosum in the penis, which leads to penile erection.
Newly discovered uses (off-label)
Anal fissure, dyspareunia, esophageal motility disorders, female orgasmic disorder secondary to SSRI use, pulmonary hypertension
Potential side effects
Headache, flushing, dyspepsia, nasal congestion and altered visual perception of color hue or brightness, potentially severe hypotension and cardiovascular effect (if used with nitrates).
Cautions
Viagra should never be used when a man is taking medicines that contain nitrates. This includes nitroglycerin.
Nitrates are found in some medications that treat angina. Some recreational drugs also contain nitrates. Taking Viagra while using such medications or drugs can cause a sudden drop in blood pressure that may even result in a stroke or heart attack.
Men taking protease inhibitors may need to have the dosage of Viagra adjusted.
Be aware that alpha-blocker medications for high blood pressure or prostate problems can react with Viagra causing a sudden drop in blood pressure resulting in a feeling of faintness or dizziness.
Drug interactions
Erytromycin, ketoconazole, and itraconazole increase serum levels. Hypotension and severe cardiovascular effects when used with nitrates.
Food interactions
Grapefruit juice, high fat meal. Avoid substantial alcohol intake.
Buy Viagra online
Where can I buy Sildenafil without prescription?
Sildenafil is a prescription drug that comes in 25 mg, 50 mg, 100 mg pills.
It is available on prescription only as tablets for oral use, but the online pharmacy, will sell Viagra without prescription.
You may be able to order Viagra from them online and save the local pharmacy markup.
Most online pharmacies offer discounted prices when you buy Viagra in large quantities.
If I'm buying Viagra online for the first time?
If you are buying Sildenafil without prescription for the first time, start with a small amount to make sure that Viagra works for you and then order more later.
Remember to consider the total cost of your Viagra order when you compare prices, including any doctor consultation fees and delivery charges.
Usage Instructions
Take Viagra one hour before intercourse.
If Viagra is taken after a meal with high fat volume allow a little more time.
As Viagra comes in various doses, 25, 50 or 100 mg, it is necessary to consult with a doctor as to which dose is suitable for you. If you have other health or age related concerns, he may decide to start you on a smaller dose and monitor the results.
It is necessary to be sexually stimulated for Viagra to work. Viagra in itself does not cause an erection but helps men battling with impotence to get and maintain an erection when sexually stimulated.
Only take Viagra before sexual activity.
Keep Viagra in the container it comes in.
Make sure Viagra is stored in a place inaccessible to children.
Special information
Men should try to time intercourse one hour after taking Viagra.
Viagra Review
Patient Score
87
out of 100
Current rating
- based on 548 votes
What is Sildenafil?
Viagra is used to treat male sexual function problems (impotence or erectile dysfunction) by blocking a certain enzyme in the body.
Brands & Classes
Brand name
Viagra
Generic name
Sildenafil
Chemical class
CGMP specific phosphodiesterase inhibitor
Therapeutic class
Anti-impotence agent
Avail forms
Tablets - Oral 25 mg, 50 mg, 100 mg.
Dosage
ADULT
25-100 mg PO 60 min before sexual intercourse. Max recommended use once/day. Start with 25 mg in patients with cirrhosis, severe renal impairment, or age >65 and in those undergoing concomitant treatment with erythromycin, ketoconazole, or itraconazole.