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For most people, it’s recommended that you take Viagra as needed, about 1 hour before you plan to have sex. But Viagra can actually be taken anywhere from 30 minutes to 4 hours before sexual activity. You shouldn’t take Viagra if you’re taking the pulmonary arterial hypertension (PAH) drugs listed below. Taking Viagra with these medications can cause your blood pressure to drop too low. Low blood pressure from Viagra usually isn’t a problem for most people.
By inhibiting this enzyme, more blood can flow to where it is needed. And, with greater blood flow, the chances that you will achieve and maintain an erection increase, too. This is why medicines like Viagra – and its generic unbranded version, Sildenafil (or Sildenafil Citrate) – are both so popular and so little understood by the general population. Although ED is common, we don’t talk about it as much as we should – and if we come to need the treatments, we don’t really know what it all entails. As such, men usually have a lot of questions about the drug – and that’s perfectly normal.
It works by increasing the blood flow to your penis, which helps men with ED to get and keep an erection when they are sexually aroused. Viagra takes up to 60 minutes to start working after you take it, and the effects last for up to 4 hours. With generic prices as low as they are, Dr. Engel believes that there is no single erectile dysfunction drug that should be prescribed to every patient. As mentioned above, each drug has its unique benefit and risk profile, which should be discussed during your consultation.
If Viagra doesn’t work for you, you may need to try a different erectile dysfunction medication. Some lifestyle changes, like reducing alcohol intake and not smoking, can also help. If you have mental health concerns, you should speak to your GP for support or counselling. If you’re feeling self-conscious about your performance, talk with our medical team AND your partner. Opening up is a good way to alleviate your stress and reassure your partner, who could interpret your ED symptoms as a lack of attraction. Just having that conversation can improve your sex life immensely.
The mean absolute oral bioavailability is 41% (range 25-63%). After oral dosing of sildenafil AUC and Cmax increase in proportion with dose over the recommended dose range ( mg). No relevant adverse effects were found in reproduction studies in rats and rabbits following oral administration of sildenafil. Cimetidine (800 mg), a cytochrome P450 inhibitor and non-specific CYP3A4 inhibitor, caused a 56% increase in plasma sildenafil concentrations when co-administered with sildenafil (50 mg) to healthy volunteers. Since sildenafil clearance is reduced in patients with hepatic impairment (e.g. cirrhosis) a 25 mg dose should be considered. Based on efficacy and tolerability, the dose may be increased step-wise to 50 mg up to 100 mg as necessary.
Viagra does not protect against sexually transmitted infections. Always consult with a healthcare provider before starting or changing any medication regimen. Lastly, do not take Viagra if you also take riociguat for pulmonary hypertension because your blood pressure may drop too low. There may be other potential drug interactions with sildenafil 100 mg tablets. Seek medical advice from your pharmacist or healthcare professional if you have questions or concerns (DailyMed, 2021). Sildenafil belongs to a group of medications called phosphodiesterase type