Sildenafil (C22H30N6O4S), 1 gram

Individuals with "crowded" optic disc are also considered at

Related/similar drugs

The recommended dose for ritonavir-treated patients is 25 mg prior to sexual activity and the recommended maximum dose is 25 mg within a 48 hour period because concomitant administration increased the blood levels of sildenafil by 11-fold [see Warnings and Precautions (5.6), Drug Interactions (7.4), and Clinical Pharmacology (12.3)]. Consider a starting dose of 25 mg in patients treated with strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, or saquinavir) or erythromycin. Clinical data have shown that co-administration with saquinavir or erythromycin increased plasma levels of sildenafil by about 3 fold [see Drug Interactions (7.4) and Clinical Pharmacology (12.3)]. Consider a starting dose of 25 mg in patients > 65 years, patients with hepatic impairment (e.g., cirrhosis), and patients with severe renal impairment (creatinine clearance <30 mL/minute) because administration sildenafil 200 mg of VIAGRA in these patients resulted in higher plasma levels of sildenafil [see Use in Specific Populations (8.5, 8.6, 8.7) and Clinical Pharmacology (12.3)]. VIAGRA is supplied as blue, film-coated, rounded-diamond-shaped tablets containing sildenafil citrate equivalent to 25 mg, 50 mg, or 100 mg of sildenafil.

How it works

Tablets are debossed with PFIZER on one side and VGR25, VGR50 or VGR100 on the other to indicate the dosage strengths. Consistent with its known effects on the nitric oxide/cGMP pathway [see Clinical Pharmacology (12.1, 12.2)], VIAGRA was shown to potentiate the hypotensive effects of nitrates, and its administration to patients who are using nitric oxide donors such as organic nitrates or organic nitrites in any form either regularly and/or intermittently is therefore contraindicated. After patients have taken VIAGRA, it is unknown when nitrates, if necessary, can be safely administered. Although plasma levels of sildenafil at 24 hours post dose are much lower than at peak concentration, it is unknown whether nitrates can be safely co-administered at this time point [see Dosage and Administration (2.3), Drug Interactions (7.1), and Clinical Pharmacology (12.2)]. VIAGRA is contraindicated in patients with a known hypersensitivity to sildenafil, as contained in VIAGRA and REVATIO, or any component of the tablet. greater risk for NAION compared to the general population,

however, evidence is insufficient to support screening of prospective

users of PDE5 inhibitors, including

In case of emergency/overdose

Such an event may be a sign of non-arteritic anterior ischemic optic neuropathy (NAION), a rare condition and a cause of decreased vision including permanent loss of vision, that has been reported rarely post-marketing in temporal association with the use of all PDE5 inhibitors. Based on published literature, the annual incidence of NAION is 2.5–11.8 cases per 100,000 in males aged ≥ 50. An observational case-crossover study evaluated the risk of NAION when PDE5 inhibitor use, as a class, occurred immediately before NAION onset (within 5 half-lives), compared to PDE5 inhibitor use in a prior time period. The results suggest an approximate 2-fold increase in the risk of NAION, with a risk estimate of 2.15 (95% CI 1.06, 4.34). A similar study reported a consistent result, with a risk estimate of 2.27 (95% CI 0.99, 5.20). VIAGRA, for this uncommon condition.

• Sildenafil can cause side effects such as dizziness, vision changes, or priapism.
• Priapism is a prolonged erection that requires urgent medical attention.
• Patients should avoid grapefruit juice while taking sildenafil due to interactions.
• The medication is contraindicated in those with severe cardiovascular conditions.
• Sildenafil is not recommended for use with certain antidepressants or blood pressure medicines.
• It is important to hydrate well and avoid excessive alcohol intake.
• In some cases, it can be used to treat pulmonary arterial hypertension.
• The medication can be prescribed even if erectile dysfunction is secondary to other conditions.
• Discontinue use and consult a doctor if side effects or allergic reactions occur.
• Sildenafil 50mg is a moderate dose suitable for many men with ED.
• Regular medical checkups are advised to monitor health while on sildenafil.

There are no controlled clinical data on the safety

Shipping Information

Other risk factors for NAION, such as the presence of "crowded" optic disc, may have contributed to the occurrence of NAION in these studies. Neither the rare post-marketing reports, nor the association of PDE5 inhibitor use and NAION in the observational studies, substantiate a causal relationship between PDE5 inhibitor use and NAION [see Adverse Reactions (6.2)]. Physicians should consider whether their patients with underlying NAION risk factors could be adversely affected by use of PDE5 inhibitors. Individuals who have already experienced NAION are at increased risk of NAION recurrence. Therefore, PDE5 inhibitors, including VIAGRA, should be used with caution in these patients and only when the anticipated benefits outweigh the risks. or efficacy of VIAGRA in patients with retinitis pigmentosa

(a minority of these patients have genetic disorders of

Other uses for this medicine

Sildenafil inhibits the enzyme phosphodiesterase type-5, which prevents the conversion of cyclic guanosine monophosphate to cycl.. Read More Prices are taking a little longer than expected to load Please fill out the below information before submitting your quotation request. Degree of labelling cannot be guaranteed or quantified unless part of a larger project. Not all antibodies will be suitable for labelling. Sildenafil inhibits the enzyme phosphodiesterase type-5, which prevents the conversion of cyclic guanosine monophosphate to cyclic adenosine monophosphate, and this results in relaxation of smooth muscle cells and increased blood flow to the corpus cavernosum.

Effectiveness and safety

The PDE-5 inhibitors are selective for human PDE-5 and do not inhibit PDEs 1, 2, 3, or 6. The inhibition of PDE-5 by sildenafil is reversible. Sildenafil has been shown to be a potent inhibitor of cyclase activity in vitro. br> The LC/MS/MS method was developed to measure the concentration of sildenafil in human serum. This analytical method provides a linear calibration curve with limits of quant 🛒 Prices shown are subject to product availability.🔥 Clearance items are limited in quantity and may sell out quickly.⚠️ Availability is not guaranteed at the time of purchase. retinal phosphodiesterases); if prescribed, this

Start your treatment journey

In the event of an erection that persists longer sildenafil citrates than 4 hours, the patient should seek immediate medical assistance. If priapism is not treated immediately, penile tissue damage and permanent loss of potency could result. VIAGRA should be used with caution in patients with anatomical deformation of the penis (such as angulation, cavernosal fibrosis or Peyronie's disease), or in patients who have conditions which may predispose them to priapism (such as sickle cell anemia, multiple myeloma, or leukemia). However, there are no controlled clinical data on the safety or efficacy of VIAGRA in patients with sickle cell or related anemias. Physicians should advise patients to stop use of all phosphodiesterase type 5 (PDE5) inhibitors, including VIAGRA, and seek medical attention in the event of a sudden loss of vision in one or both eyes. should be done with caution.

What special dietary instructions should I follow?

Hypersensitivity reactions have been reported, including rash and urticaria [see Adverse Reactions (6.1)]. There is a potential for cardiac risk of sexual activity in patients with preexisting cardiovascular disease. Therefore, treatments for erectile dysfunction, including VIAGRA, should not be generally used in men for whom sexual activity is inadvisable because of their underlying cardiovascular status. The evaluation of erectile dysfunction should include a determination of potential underlying causes and the identification of appropriate treatment following a complete medical assessment. VIAGRA has systemic vasodilatory properties that resulted in transient decreases in supine blood pressure in healthy volunteers (mean maximum decrease of 8.4/5.5 mmHg), [see Clinical Pharmacology (12.2)].

Viagra and other medications

While this normally would be expected to be of little consequence in most patients, prior to prescribing VIAGRA, physicians should carefully consider whether their patients with underlying cardiovascular disease could be affected adversely by such vasodilatory effects, especially in combination with sexual activity. Use with caution in patients with the following underlying conditions which can be particularly sensitive to the actions of vasodilators including VIAGRA – those with left ventricular outflow obstruction (e.g., aortic stenosis, idiopathic hypertrophic subaortic stenosis) and those with severely impaired autonomic control of blood pressure. There are no controlled clinical data on the safety or efficacy of VIAGRA in the following groups; if prescribed, this should be done with caution. Patients who have suffered a myocardial infarction, stroke, or life-threatening arrhythmia within the last 6 months; Patients with resting hypotension (BP <90/50 mmHg) or hypertension (BP >170/110 mmHg); Patients with cardiac failure or coronary artery disease causing unstable angina. 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. Physicians should advise patients to stop

• Sildenafil 50mg dosage is generally effective and well-tolerated.
• It is recommended to use sildenafil at the same time each day if needed regularly.
• Never share your medication with others; it is prescribed specifically for you.
• Persistent or severe side effects should be reported to a healthcare provider.
• Electronic and physical stores require a prescription for purchasing sildenafil.
• Proper use of sildenafil can improve confidence and quality of life.
• The medication may interact with certain antihypertensive drugs.
• Lifestyle factors like smoking cessation can improve erectile function.
• Sildenafil is not a hormone therapy; it acts locally in the blood vessels.
• It should not be used with recreational drugs containing nitrates or amyl nitrates.
• Medical history

taking PDE5 inhibitors, including VIAGRA, and seek

Treating Erectile Dysfunction

🔥 Clearance items are limited in quantity and may sell out quickly. ⚠️ Availability is not guaranteed at the time of purchase. Viagra is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, sildenafil works by increasing blood flow to the penis to help a man get and keep an erection. VIAGRA- sildenafil citrate tablet, film coated Pfizer Laboratories Div Pfizer Inc For most patients, the recommended dose is 50 mg taken, as needed, approximately 1 hour before sexual activity.

Sildenafil Oral Film for ED

However, VIAGRA may be taken anywhere from 30 minutes to 4 hours before sexual activity. The maximum recommended dosing frequency is once per day. Based on effectiveness and toleration, the dose may be increased to a maximum recommended dose of 100 mg or decreased to 25 mg. VIAGRA was shown to potentiate the hypotensive effects of nitrates and its administration in patients who use nitric oxide donors such as organic nitrates or organic nitrites in any form is therefore contraindicated [see Contraindications (4.1), Drug Interactions (7.1), and Clinical Pharmacology (12.2)]. When VIAGRA is co-administered with an alpha-blocker, patients should be stable on alpha-blocker therapy prior to initiating VIAGRA treatment and VIAGRA should be initiated at 25 mg [see Warnings and Precautions (5.5), Drug Interactions (7.2), and Clinical Pharmacology (12.2)]. prompt medical attention in the event

• Sildenafil 50mg is often preferred for first-time users to gauge effectiveness.
• It is important to follow the prescribed dosage for safety and efficacy.
• Overuse of sildenafil can lead to serious health risks and complications.
• The medication should be taken in the prescribed dose and not altered without medical advice.
• Some foods and medications can affect how sildenafil works in the body.
• Erectile dysfunction can have underlying health causes that require medical attention.
• Sildenafil does not cure erectile dysfunction; it only helps manage symptoms.
• Using sildenafil without a proper diagnosis can mask underlying health issues.
• It is essential to report any adverse reactions to a healthcare professional immediately.
• Men with heart conditions should consult a doctor before using sildenafil.
• Sildenafil 50mg is a common starting dose for many patients.

of sudden decrease or loss of hearing.