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Revatio is FDA approved for treating pulmonary hypertension. Both Viagra and Revatio contain the exact same ingredient i. Sildenafil citrate 20 mg tablets for ED is an off-label usage of the medication. It is up to the medical judgment of the doctor to decide if off-label treatment is appropriate for a patient based on his unique medical history, symptoms, and preferences.

The active ingredient, sildenafil citrate, is identical in both medications. It should be taken 30—60 minutes before sex, and it reaches peak blood levels in 60 minutes on average. Viagra does not have permanent effects on the body once it is broken down. It is only effective for as long as it is in the body. As you age, it is normal to see erectile function decrease. As a result, you may need more medication to see the same results.

In some cases, erectile function may also worsen due to progression of the underlying disease that is causing ED e. Viagra does not diminish in efficacy over time i. Serious side effects that are rare include an erection that will not resolve even after 3—4 hours priapism, hearing loss, which can be sudden, and vision loss in one or both eyes. Never take more than the amount prescribed to you by your doctor. If you have any severe side effects after taking more than the recommended amount, or even after taking the amount of medicine prescribed to you, seek out emergency medical attention immediately.

Buying medication online can have risks when the source is not reputable. In cases where the active ingredient is present in lower amounts than expected, this can mean lack of effectiveness even though the same dose of active drug may work well in a given individual. With Roman, you can always be sure you are getting genuine medication with active ingredients in the correct amount without harmful additives.

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