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Viagra may be used alone or with other medications. These are not all the possible side effects of Viagra.

The recommended dose is 50 mg taken as needed approximately one hour before sexual activity. Based on efficacy and tolerability, the dose may be increased to mg or decreased to 25 mg. The maximum recommended dose is mg. Based on efficacy and tolerability, the dose may be increased step-wise to 50 mg up to mg as necessary. Since sildenafil clearance is reduced in patients with hepatic impairment e. With the exception of ritonavir for which co-administration with sildenafil is not advised see Section 4. In order to minimise the potential of developing postural hypotension in patients receiving alpha-blocker treatment patients should be stabilised on alpha-blocker therapy prior to initiating sildenafil treatment.

For understanding exactly how the medication works, it is necessary to know physiological mechanism of erection. In presence of sexual arousal, nitrogen oxide is released into the corpus cavernous body of the penile region. Cyclic GMP is known for interacting with the smooth muscles of the cavernous body helping them to relax. As a result, more amount of blood flows to the penile and the erection is thus achieved. Appropriate oral consumption of the ED medicine shall help man to stay active for max 6 to 8 hours.

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It works by helping the progression of blood to the penile district of the body. This helps men in acquiring and keeping an erection. You can take it while starving or with a feast. You ought to accept this medication as endorsed by your PCP. Take it roughly an hour before any sexual action. Albeit working time differs from one individual to another. When you are invigorated, this medication will help you in getting an erection.

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In many ways, Viagra could be considered a miracle drug for its relative effectiveness and safety. Despite that, some people may falsely assume that Viagra is safe enough to mishandle by taking it multiple times in a day. If this sounds familiar, you're probably here wondering a simple question: can I take two Viagra pills on the same day, or at the same time. Can you take two Viagra pills at once? The best place to start with understanding this Viagra question is probably with the central character in the story: your penis, and how it works.

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The objectives of this study were to evaluate the efficacy and tolerability of high dose sildenafil as a salvage therapy for patients refractory to the maximum recommended dose of sildenafil. The mean age of the study group was Mean IIEF question 3 and 4 scores were 1. Erectile dysfunction ED is the inability to achieve and maintain an erection of sufficient rigidity for satisfactory sexual intercourse. Sildenafil citrate Viagra TM, Pfizer, UK, a potent, competitive phosphodiesterase type 5 iso-enzyme PDE-5 inhibitor, is the first oral medication to demonstrate significant and reliable efficacy in most patients with ED. All patients had received focussed sildenafil usage education and had been re-titrated to confirm their non-responder status.

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The absence of ED treatments has resulted in thousands of men leaving their Erectile Dysfunction issue, viagra online australia delivery there is an adverse result on their relationship. Happily, there is now a fast and straightforward way for you to buy cenforce soft Getting straight to the point, Cenforce soft is a drug that is akin to Viagra and as such, it is used by adult men to treat erectile dysfunction. Both Cenforce blue chew and Viagra, have the very same active ingredient, which is sildenafil citrate. When you take sildenafil mg, more blood is pumped into your penis and this helps you get a harden for a longer time period.

Sildenafil oral tablet is available as the brand-name drugs Viagra and Revatio. Generic oral tablets are available for both conditions, but the brand-name drugs each treat only one of the conditions. A class of drugs is a group of medications that work in a similar way. These drugs are often used to treat similar conditions. Sildenafil can be used as early as 4 hours before sex and as late as 30 minutes before sex. However, it is recommended to use this drug within an hour before sex.

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Try out PMC Labs and tell us what you think. Within 6 months of approval by the U. The chemical structure of sildenafil is very similar to the viagra 200mg blue guanosine monophosphate molecule with which it competes, in the enzyme phosphodiesterase type Sildenafil binds to the phosphodiesterase-5 enzyme, preventing the breakdown of cyclic guanosine monophosphate through competitive inhibition. The onset of action for sildenafil can be as short as 20 minutes and the duration of action may be as long as three half-lives 18 hours. Anecdotal evidence suggests that many men describe an erectogenic effect for almost 24 hours.


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