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Sildenafil citrate, commonly known by the brand name, is a prescription-only medicine used to treat erectile dysfunction (ED) in adult men. It works by improving blood flow to the penis, helping to achieve and maintain an erection during sexual activity.

Dosage and Administration

Sildenafil is available in 25mg, 50mg, and 100mg strengths.

  • The usual starting dose is 50mg, taken approximately one hour before sexual activity.
  • Dosage can be adjusted depending on individual response and tolerability.
  • Take only one tablet in 24 hours, with or without food.
  • Avoid grapefruit juice, as it can increase the risk of side effects.
  • A high-fat meal may delay onset of action.

Effectiveness

Sildenafil has been shown to be effective in up to 80% of men with ED, with effects typically noticeable within 30 to 60 minutes, and lasting for up to 4–5 hours.

Side Effects

Common side effects include:

  • Headache
  • Flushing
  • Nasal congestion
  • Indigestion

Less common but serious effects include visual disturbances, hearing changes, or prolonged erections. Seek medical attention if severe or persistent side effects occur.

Contraindications

Sildenafil should not be used by those:

  • Taking nitrates for chest pain
  • With severe heart or liver conditions
  • Under 18 years of age
  • With certain medication interactions (e.g. alpha-blockers, antifungals, antibiotics)

Interactions

Inform your doctor of all medications and supplements before use. Interactions may occur with:

  • Nitrates
  • Alpha-blockers
  • Some antibiotics and antifungal medicines

Alcohol and Heart Conditions

Avoid excessive alcohol while taking sildenafil, as it can lower blood pressure and increase side effect risk. Use with caution if you have any heart-related conditions.

Availability and Cost

Sildenafil is available by prescription only in the UK.

  • Generic versions are more affordable than branded Viagra.
  • Supplied by licensed UK pharmacies such as Online Chemist.
  • Avoid counterfeit products from unregulated websites.

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Viagra has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Viagra use include:

  • Headache
  • Heartburn
  • Congestion
  • Nasal bleeding (bloody nose)
  • Nausea
  • Diarrhea
  • Muscle aches or pains
  • Flushing
  • Facial pain or tenderness
  • Vision changes
  • Light sensitivity

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any nitrate medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

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As with all prescription medications, inform your doctor of any medical conditions you used to* and if you'st take nitrates during sex* if you've ever had an allergic reaction to anyلwe to Viagra.

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Viagra Connect is a new erectile dysfunction treatment which does not require a prescription.

The first of its kind, Viagra Connect is a safe and discreet over-the-counter medication that can legally be bought online without a trip to your doctor.

We need to ensure that this medicine is suitable for the person it is intended for. Therefore, it should only be purchased by the person taking it.

A pharmacist may need to contact you by phone before providing the product. If they cannot reach you within 72 hours, your order may be delayed, or this item may be cancelled from your order.

Please ensure your contact details are correct before ordering this medicine.Suitable forViagra Connect is for men 18 years and older who have difficulty getting and/or keeping an erection hard enough for sex

Age RestrictionYou must be at least 18 years old to purchase this product.

Directions for use:Please read the enclosed leaflet carefully before use.

• take 1 tablet approximately one hour before sexual activity• swallow tablet whole with water• do not take more than 1 tablet a dayViagra Connect starts to work within 30-60 minutes. You may take it up to 4 hours before sexual activity.

Hazards and Cautions

Do NOT take if you:

  • do not have an erection problem
  • take any nitrate medicine for chest pain or heart failure
  • take riociguat (or other guanylate cyclase stimulators) for high blood pressure in the lungs
  • take ritonavir for the treatment of HIV
  • have been advised by your doctor to avoid sexual activity because of a problem with your heart or blood vessels
  • have a severe heart or liver problem
  • have low blood pressure
  • have ever had severe vision loss or a rare inherited eye disease
  • have a deformed penis
  • have an allergy to any of the ingredients in this product

Talk to your pharmacist or doctor before taking if you:

  • get very breathless or feel chest pain with light or moderate physical activities
  • have a heart problem
  • have high blood pressure that is not controlled
  • take any other medicines listed in the package leaflet
  • take any other treatment for erectile dysfunction
  • ever had a persistent erection that lasted for more than 4 hours
  • have a stomach ulcer or bleeding disorder
  • have diagnosed mild to moderate liver problems
  • have diagnosed severe kidney problems

As with all medicines, please ensure you read the patient information leaflet before taking this item.

repeats:If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, take it, if it is almost time for your next, and so on.

• take 1 tablet about one hour before sexual activity

• swallow tablet whole with water

Do not take more than 1 tablet a day, or if you have been advised by your doctor that sexual activity may be needed, take it. If you have low blood pressure, or heart problems, you may want to consider taking a blood pressure pill or a medicine to help lower your blood pressure.

Purchasing Viagra Connect

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What is Viagra Connect?

Viagra Connect is anover-the-countermedicationthat helps you get an erection by increasing blood flow to your penis.

How Viagra Connect Works

The main function of an erection occurs when blood flows into your penis.

Warnings for Pfizer Viagra

Cardiovascular Risk:

Liver damage, strokes, and heart failure can occur in patients receiving Pfizer Viagra, especially when they are already at high risk of cardiovascular events. Patients with known or suspected heart disease should not take Viagra. Patients with known heart disease who have taken Viagra should not take it.

Liver failure, especially if it occurs within the first 6 months of taking Viagra, may result from a condition in which the body is unable to produce the enzyme phosphodiesterase 5, or PDE5, which can cause a condition called PDE5 inhibitor.

The use of Viagra is not recommended in patients who are taking nitrates (e.g., nitroglycerin) or other medications for chest pain or heart failure, including sildenafil (Viagra), as it may cause a dangerous drop in blood pressure to dangerous levels. Patients should seek medical advice before taking Viagra if they have been diagnosed with a heart problem and have low blood pressure, or if they have taken other medications for heart disease, or are taking a blood pressure-lowering drug for high blood pressure.

Patients taking Viagra should be monitored regularly for changes in heart rate and blood pressure (hypertension), and for any changes in blood pressure or other cardiovascular symptoms. If any of these events occur, it is important that a patient follow the treatment. If they do not develop symptoms of heart failure, the patient should consult their physician.

Patients taking Viagra should be monitored for other signs of heart disease, including an increase in blood pressure, an increased heart rate, an irregular heartbeat, or chest pain.

Cardiovascular Symptoms:

Viagra may cause a dangerous drop in blood pressure to dangerous levels in patients taking nitrates (e.g., nitroglycerin). This may lead to serious health problems. If you experience any of these symptoms while taking Viagra, stop taking Viagra and seek emergency medical attention.

Preventing Heart Attack:

Patients with a history of heart attack or stroke should exercise caution when using Viagra to prevent or manage the development of heart disease. This medication should not be used in combination with other heart-preventative drugs, or in a situation where other heart-preventative drugs are being used by the patient. Viagra is not recommended in patients with known heart disease or who have low blood pressure, or who took a blood pressure-lowering drug for high blood pressure, or in those who have taken a nitrate drug for angina in the past 6 months.

Patients with pre-existing heart disease should talk to their physician before taking Viagra. Viagra can affect the functioning of the heart, leading to a decrease in its electrical activity.

Preventing Cardiovascular Disease:

Patients should be advised to exercise caution and be cautious when using Viagra to prevent or manage heart disease. This medication should not be used in a situation where other heart-preventative drugs are being used by the patient.

Preventing Stroke:

Patients with a history of stroke should be advised to be cautious when using Viagra to prevent or manage the development of heart failure.

Preventing Heart Failure:

Patients should be advised to exercise caution and be cautious when using Viagra to prevent heart failure.

Patients should be advised to exercise caution and be cautious when using Viagra to prevent or manage the development of heart failure.

Patients with a history of heart attack, coronary artery disease, or other heart trouble should talk to their physician before taking Viagra. Therefore, avoid using Viagra and other heart-preventative drugs together.