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Read the drug information contained in the package from the drug manufacturer. If you don’t understand the instruction on how to take Viagra, ask your healthcare provider or pharmacist to explain. For this reason, a person who is 65 years of age or older may be started on a lower Viagra dose, typically 25 mg. In contrast, a young man with no significant health conditions is usually prescribed Viagra 50 mg as a starting dose. Also, men taking certain medications called alpha-blockers may need to take a lower dose of Viagra. Alpha-blockers are used to lower blood pressure and treat prostate disease (e.g., tamsulosin (Flomax), prazosin (Minipress), and doxazosin (Cardura)).

Once you’ve completed a short online assessment, if your practitioner believes that sildenafil is right for you (based on your health and medical history), they’ll be able to provide a prescription. Sildenafil is primarily used as a treatment for men with erectile dysfunction, who are having trouble getting or maintaining an erection that lasts long enough to perform sexual activities. Erectile dysfunction is when a man continues to be unable to achieve and/or maintain an erection that allows sexual activity with penetration. This isn’t a good idea, as you can’t be sure whether these pills contain the medicine or are counterfeit.

This can cause unpleasant side effects, including dizziness, headache and feeling sick. If you have taken more than 100mg of sildenafil in one day, seek medical attention. It is important to note that higher strength tablets will not work any quicker than the lower strengths, nor will it last for longer.

If you’ve been prescribed ED medication in the past, or if you are looking for a prescription now, you will undoubtedly be asked whether you take nitrates. Nitrates like nitroglycerin can cause a sudden drop in blood pressure and even lead to heart attack or stroke. Patients on nitroglycerin typically have serious cardiovascular issues that make taking ED medication risky in the first place. Patients taking recreational "poppers," including amyl nitrate, amyl nitrite, and butyl nitrate, should not take ED medication.

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. 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.

The pharmacokinetics of sildenafil in patients with severely impaired hepatic function (Child-Pugh Class C) have not been studied. A starting dose of 25 mg should be considered in patients with any degree of hepatic impairment [see Dosage and Administration (2.5) and Clinical Pharmacology (12.3)]. Co-administration of ritonavir, a strong CYP3A4 inhibitor, greatly increased the systemic exposure of sildenafil (11-fold increase in AUC). It is therefore recommended not to exceed a maximum single dose of 25 mg of VIAGRA in a 48 hour period [see Dosage and Administration (2.4), Warnings and Precautions (5.6), Clinical Pharmacology (12.3)]. Use caution when co-administering alpha-blockers with VIAGRA because of potential additive blood pressure-lowering effects. Prolonged erection greater than 4 hours and priapism (painful erections greater than 6 hours in duration) have been reported infrequently since market approval of VIAGRA.

Peak concentration in the blood is reached after two hours for tadalafil and about one hour for sildenafil. As such, we always suggest taking medication about an hour or two before sexual activity. The time it takes for the drug to function will vary between patients, so use prior experience as a guide.

You can take Sildenafil every day if you need to – or keep it on hand for the occasions when you need assistance. The most common dosage is 50mg, and this has sufficient effect for the huge majority of men who take Sildenafil for ED. On the rare occasion that 50mg is insufficient or inappropriate, Sildenafil can also be taken in 25mg or 100mg doses. Consult a Manual clinician if you’re in doubt about which dose suits you. One of the most common questions is about how often you can take Sildenafil.

There is a type of Viagra called Viagra Connect which is available without a prescription from a doctor, but you will still need to go through an assessment with a pharmacist before you can get it. If you think Viagra can help you deal with your ED, start an online consultation now for our doctors to review. If treatment is suitable, they can prescribe it, and we can deliver it so you can deliver in bed. We can provide rapid next-day delivery options, or you can arrange to collect your treatment from your nearest Superdrug pharmacy within just 2 hours of our doctors’ approval.

Just be aware that taking the drug could lower your blood pressure. A generic medication is an exact copy of the active drug in a brand-name medication. With Viagra, you’ll take the drug between 30 minutes and 4 hours before you plan to have sex. The medication can help you get an erection up to 4 hours after you’ve taken a dose.

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