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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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FAQ

Can I take Sildenafil for pulmonary hypertension?

No, Sildenafil will not be prescribed to treat pulmonary hypertension... but it can be used if needed on...

What should I tell my healthcare provider before I take Sildenafil?

Your healthcare provider will ask you if you qualify for prescription...

How long does Sildenafil take to work?

Sildenafil works for about 40 minutes...

Is Sildenafil safe?

Sildenafil is not known to be...

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How does Viagra work?

Viagra works by blocking an enzyme called PDE5, which allows smooth muscle relaxation and blood flow to the penis. It also allows more blood flow to the penis.

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Viagra is available for free on prescription only. To get a free prescription, you will need to complete a short online consultation, which will include the information below:

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Viagra cost

The cost of Viagra depends on the dosage and the pharmacy. For example, a person can pay anywhere from $10 to $60 for a 100 milligram tablet. You can buy Viagra at the same pharmacy that costs $300.00.

How long does Viagra stay in your system?

Viagra will only work for erectile dysfunction. In men with low testosterone levels, Viagra helps to improve the quality of sexual function. It does not affect normal sexual function. Viagra helps men with erectile dysfunction achieve and maintain an erection.

Does Viagra help with erectile dysfunction?

Yes, Viagra is a helpful treatment for erectile dysfunction. It helps to improve the quality of sexual function. However, you will still need to be sexually aroused to have an erection. Viagra will not increase your sexual desire or make you feel less aroused. Viagra does not work in men with low testosterone levels, which may be because of other causes.

How long does Viagra last?

The effects of Viagra typically last for about four hours. Viagra can be taken up to four hours before having sexual activity. Viagra stays in your system for up to 36 hours.

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    Viagra side effects

    Viagra may cause side effects. These can include:

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    Viagra does not usually cause an allergic reaction. However, if you experience an allergic reaction, stop taking Viagra and tell your doctor right away.

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    Last updated 4 June 2024

    Sildenafilis the medical name for the active ingredient in tablets. The patent for Viagra held by the drug company Pfizer. Since then a number of UK licensed brands of sildenafil have become available from various pharmaceutical manufacturers. These companies often market sildenafil branded by their company names, e.g. Accord/Actavis, Ajanta, Amarox, Aurobindo, Bristol Labs, Dr Reddys, Mylan sildenafil, Pfizer, Relonchem, RxPharma, Sandoz sildenafil, Teva sildenafil, Torrent, Zentiva, etc.

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    As long as doctors write prescriptions using the medical name of the active ingredient,sildenafil, and not a brand name, pharmacists are free to supply any one of the available sildenafil brands. This sort of prescribing, using the medical name not the brand name, is calledgeneric prescribing. Sildenafil is sometimes calledgeneric ViagraIt is more accurate to say Viagra is a brand of sildenafil, and that sildenafil is the generic name.

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    Sildenafil is relatively cheap to produce, each tablet costing only a few pence to make. Pharmaceutical companies supplying sildenafil – since the patent of Viagra expired – now compete mainly on price and prices have come down dramatically. There is not much to choose in terms of wholesale price from one of the new producers of sildenafil to another, but compared with pre-patent expiry, prices have fallen a lot. The wholesale price is the price pharmacies pay. Patients pay a considerable mark-up, which varies from one pharmacy to another. Some online suppliers are much lower cost than others ().

    The original brand of sildenafil Viagra (originally Pfizer, now marketed and sold by Upjohn in the UK), is still available, but at the same high price as before, despite its market share shrinking. It remains popular only with men who can afford the original and who are reluctant to switch. Pfizer also produced a generic sildenafil product, but this is now discontinued in the UK.

    Levitra (), () and the newer tablet (avanafil) are alternatives to. Spedra is still under patent and considerably more expensive. Branded Levitra has now been discontinued – most men are now choosing the generic version (vardenafil).

    Benefits of low cost treatment

    (ED) treatment is now affordable to more men than before. The market in ED treatments from unregulated overseas websites has reduced and the NHS has. These are welcome changes for men with ED who previously faced high prices, or cheap and potentially dangerous supplies from illegal websites, or severe restriction and rationing on the NHS.

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