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Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. This medicine does not protect you against sexually transmitted diseases (including HIV or AIDS). Use protective measures and ask your doctor if you have any questions about this. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur.
Performance anxiety is another factor that can negatively affect a man’s erections. With Sildenafil, you get a confidence boost from firmer erections, which relieves the pressure and makes sex more enjoyable. Sildenafil is for males at least 18 years of age looking for improved sexual activity. If you are having trouble getting erections, it’s important to consult a doctor first, as it could be a sign of a serious health issue. Its safety and effectiveness have not been established in any group other than men over the age of 18 years. See full Prescribing Information, including BOXED WARNING regarding severe low blood pressure and fainting in certain settings, and Medication Guide at addyi.com/pi.
It’s recommended you take Viagra 1 hour before you want to have sex. So, it is recommended you take it around 1 hour before you want to have sex. Viagra takes approximately 30 to 60 minutes to work, so you should take it about 1 hour before you plan to have sex. Taking Viagra more than 4 to 6 hours before you want to have sex may mean your Viagra will have no effect and you will need to wait until the next day to try again. Viagra is likely to be less effective if you take it with alcohol. Alcohol makes it more difficult to get an erection even if you don’t have erectile dysfunction.
Manufacture and sale of sildenafil citrate drugs is common in China, where Pfizer's patent claim is not widely enforced. Sildenafil protects cyclic guanosine monophosphate (cGMP) from degradation by cGMP-specific phosphodiesterase type 5 (PDE5) in the corpus cavernosum. The pharmacokinetics of sildenafil in patients with severely impaired hepatic function have not been studied. Maximum observed plasma concentrations are reached within 30 to 120 minutes (median 60 minutes) of oral dosing in the fasted state.
If these drugs are available without a prescription, that means that they haven’t been tested or approved by the FDA. And there’s no guarantee that the products actually contain sildenafil. If you’re 65 years or older, your doctor may start you on a lower dosage of Viagra.
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