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Keep a list of your medicines and show it to your doctor and pharmacist when you get a new medicine. Withholding or providing inaccurate information about your health and medical history in order to obtain treatment may result in harm, including, in some cases, death. How should I take sildenafil 20 mg tablets (Revatio)?

Sildenafil may be prescribed to you as tablets or an oral suspension Take sildenafil tablet or oral suspension 3 times a day about 4 to 6 hours apart Take sildenafil tablets or oral suspension at the same times every day. Sildenafil oral suspension will be mixed for you by your pharmacist. Do not mix sildenafil oral suspension with other medicine or flavoring.

Shake well for at least 10 seconds before each dose.

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decreased eyesight or loss of sight in one or both eyes (NAION). If you notice a sudden decrease or loss of eyesight, talk to your doctor right away. If you notice a sudden decrease or loss of hearing, talk to your doctor right away. It is not possible to determine whether these events are related directly to this class of oral viagra online stores medicines, including REVATIO, or to other diseases or medicines, to other factors, or to a combination of factors.

heart attack, stroke, irregular heartbeats, and death. Most of these happened in men who already had heart problems.

Tell your doctor right away if you have an erection that lasts more than 4 hours.

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For more information, ask your doctor or pharmacist.

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Store tablets at controlled room temperature, between 20°C -25°C (68°F to 77°F).

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About sildenafil Key facts Who can and can't take sildenafil Where to get sildenafil How and when to take it Side effects Pregnancy and breastfeeding Cautions with other medicines Common questions.

Sildenafil is a medicine used to treat erectile dysfunction. It increases blood flow to the online generic viagra penis to help men get an erection.

At least two-thirds of men have improved erections after taking it. Sildenafil is also sometimes used to treat pulmonary hypertension (high blood pressure in the blood vessels that supply the lungs). This medicine is available on prescription and can also be bought from most pharmacies. It comes as tablets that you swallow, chewable tablets, and online generic viagra as a liquid that you drink.

It usually takes 30 to 60 minutes for sildenafil to work for erectile dysfunction.

You can take it up to 4 hours before you want to have sex. Taking sildenafil alone will not cause an erection. The most common side effects are headaches, feeling sick, hot flushes and dizziness.

It can be dangerous to take sildenafil if you also take medicines called nitrates (often given for chest pain).

The combination can cause a dangerous fall in your blood pressure. If you're not sure if you're taking a nitrate, ask your doctor or pharmacist.

Sildenafil is called by the brand names Viagra (for erectile dysfunction) and Revatio (for pulmonary hypertension). Sildenafil for erectile dysfunction (Viagra) can be taken by men aged 18 and over.

Sildenafil for pulmonary hypertension (Revatio) can be taken by adults and children aged 1 and over.

Do not take sildenafil if you: have had an allergic reaction to sildenafil (Viagra) or any other medicines in the past are taking medicines called nitrates for chest pain have a serious heart or liver problem have recently had a stroke or a heart attack have low blood pressure have a rare inherited eye disease, such as retinitis pigmentosa. Check with your doctor before taking sildenafil if you: have sickle cell anaemia (an abnormality of red blood cells), leukaemia (cancer of blood cells) or multiple myeloma (cancer of bone marrow) have a deformity of your penis or Peyronie's disease (curved penis) have a heart problem.

Your doctor should carefully check whether your heart can take the additional strain of having sex.

have a stomach ulcer or a bleeding problem like haemophilia. You can get sildenafil on the NHS if you have erectile dysfunction or pulmonary hypertension. Branded versions of sildenafil such as Viagra are not available on the NHS, except in special circumstances. You can also get sildenafil on a private prescription from your doctor. This means you'll need to pay the full cost of the medicine.

Prices vary, but on average 4 tablets costs around ?20.

You can buy sildenafil from a pharmacy following a discussion with the pharmacist.

They'll ask you some questions about your general health to make sure sildenafil is safe for you to take.

If the pharmacist has any concerns about whether sildenafil is safe for you, they may advise you to see your doctor. Be very careful if you do this as many websites sell fake medicines.

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They know your medical history and can discuss whether you might benefit from treatment.

If you choose to buy sildenafil/Viagra over the internet, make sure: any online pharmacy is registered with the General Pharmaceutical Council (GPhC) any online doctor service is registered with the Care Quality Commission (CQC) all doctors are registered with the General Medical Council (GMC) 5.

It's important to take it as advised by your doctor or pharmacist. Sildenafil tablets for erectile dysfunction come in different strengths ranging from 25mg to 100mg. The usual dose is 50mg, when you need it (no more than once a day). The dose can be increased to 100mg or decreased to 25mg depending on its effect. Take sildenafil up to 4 hours before you want to have sex. For sildenafil to work properly, you'll need to be sexually excited.

Sildenafil tablets for pulmonary hypertension come in 10mg and 20mg tablets.

Doses for children can range from 10mg to 20mg taken 3 times a day, depending on their weight.

Swallow tablets whole with a glass of water or juice (but not grapefruit juice). For erectile dysfunction, it's best to take sildenafil on an empty stomach. It may take longer to work if you take it with food. If you or your child are taking sildenafil as a liquid, 1ml is usually the same as taking a 10mg tablet, but it's important to always check the medicine label. Liquid sildenafil will usually be made up for you by your pharmacist.

The medicine will come with a plastic syringe or spoon to help you take the right amount. If you do not have a plastic syringe or spoon, ask your pharmacist for one. Do not use a kitchen teaspoon as it will not give the right amount.

If you have pulmonary hypertension and you forget to take a dose of sildenafil, take it as soon as you remember and then continue as usual.

Never take an extra dose to make up for a forgotten one.

If you often forget doses, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine.

Taking too much sildenafil by accident can cause unpleasant side effects, such as: headaches dizziness indigestion blocked nose altered vision. Talk to your doctor if you have taken too much sildenafil and you're worried about these side effects.

Like all medicines, sildenafil can cause side effects in some people. Many people have no side effects or only minor ones.

Common side effects happen in more than 1 in 100 people.

If you get these side effects, keep taking the medicine, but tell your doctor or pharmacist if these side effects bother you or do not go away: headaches feeling sick hot flushes, including facial flushing indigestion a colour tinge to your vision or blurred vision stuffy nose dizziness.

Serious side effects are rare and happen in less than 1 in 1,000 people. Stop taking sildenafil and call a doctor straight away if you get : chest pains - if this happens during or after sex, get into a semi-sitting position and try to relax; do not use nitrates to treat your chest pain prolonged and sometimes painful erections - if you have an erection that lasts for more than 4 hours, contact a doctor immediately a sudden decrease or loss of vision a serious skin reaction - symptoms may include fever, severe peeling and swelling of

the

skin, blistering of the mouth, genitals and around the eyes seizures. In rare cases, it's possible to have viagra online walgreens a serious allergic reaction (anaphylaxis) to sildenafil.

Immediate action required: Call 999 or go to A&E if: you get a skin rash that may include itchy, red, swollen, blistered or peeling skin you're wheezing you get tightness in the chest or throat you have trouble breathing or talking your mouth, face, lips, tongue or throat start swelling. You could be having a serious allergic reaction and may need immediate treatment in hospital.

For a full list, see the leaflet inside your medicines packet.

You can report any suspected side effect to the UK safety scheme. Sildenafil is not recommended in pregnancy and while breastfeeding.

Non-urgent advice: Tell your doctor if you're: trying to get pregnant pregnant breastfeeding. Tell your doctor if you're taking these medicines before you start sildenafil : nitrates for chest pain riociguat for pulmonary hypertension recreational drugs called poppers, such as amyl nitrite.

Mixing sildenafil with herbal remedies and supplements.

Some complementary therapies may have ingredients that could interfere with sildenafil and cause side effects. Tell your doctor or pharmacist if you're taking any other medicines, including herbal remedies, vitamins or supplements.

Sildenafil belongs to a group of medicines called phosphodiesterase 5 (PDE5) inhibitors.

It works if you have erection problems by temporarily increasing blood flow to the penis when you get sexually excited. It works in pulmonary hypertension by relaxing blood vessels in the chest. This increases the blood supply to the lungs and reduces the workload of the heart.

In general, at least two-thirds of men say they have harder erections after taking it.

If sildenafil does not work for you, it may be because: you have not waited long enough after taking it before trying to have sex you have waited too long after taking it to

have

sex the dose is not high enough you're not sexually aroused enough.

Sildenafil usually starts to work within 30 to 60 minutes. It's triggered by sexual stimulation, so you need to be aroused for it to work. You should be able to get an erection at any time between 1 and 4 hours after taking sildenafil.

Your erection should go away after you have had sex.

If you're taking sildenafil for erectile dysfunction, do not take it more than once a day. If you're taking sildenafil (Revatio) for pulmonary hypertension, do not take it more than 3 times a day.

There do not seem to be any lasting harmful effects from taking it for many online generic viagra months and years. If sildenafil does not work, there are other tablets you could try that work in a similar way, such as: tadalafil (Cialis) - can be taken up to 36 hours before sex avanafil (Spedra) - can be taken up to around 4 hours before sex vardenafil (Levitra) - can be taken up to around 4 hours before sex. This is a man-made hormone that helps to stimulate blood flow to the penis. Alprostadil comes as: an injection directly into your penis a small pellet placed inside your urethra (the tube that carries urine from your bladder to the tip of your penis) If you cannot get erections because of a hormonal problem, your GP may refer you to an endocrinologist (who specialises in the treatment of hormonal problems).

You may benefit from treatment using injections of man-made hormones to restore your hormone levels to normal. Other treatments for erectile dysfunction include: a vacuum pump psychological treatments penile implants pelvic floor muscle exercises. Some complementary therapies, such as acupuncture, have claimed to treat erectile dysfunction.

There are lots of treatments that online viagra pills claim to be a "herbal Viagra".

A herbal Viagra has never been approved as a treatment for erectile dysfunction.

Women can use sildenafil for pulmonary hypertension.

There's no good evidence that sildenafil works for women with sexual problems.

There's no firm evidence to suggest that taking sildenafil will reduce fertility in either women or men. But speak to a pharmacist or your doctor before taking it if you're trying to get pregnant. Sildenafil does not affect any type of contraception, including the contraceptive pill and emergency contraception. A beer or a couple of glasses of wine are not likely to stop or delay sildenafil working.

But drinking lots of alcohol can make it more difficult to get an erection.

To get the most benefit from sildenafil, do not drink heavily before taking it.

Taking poppers (amyl nitrite) with sildenafil can have a dangerous effect on your heart. It can also be potentially dangerous to take sildenafil with: stimulants like MDMA (ecstasy) or cocaine hallucinogens like LSD novel psychoactive substances (which used to be known as legal highs) like mephedrone.

Sildenafil has not been online generic viagra properly tested with recreational drugs. Talk to your doctor if you think you might use any recreational drugs with sildenafil.

Do not drink grapefruit juice if you're taking sildenafil (Revatio) for pulmonary hypertension.

You can eat and drink normally while taking sildenafil (Viagra) to get an erection.

Erectile dysfunction can often be improved if you make changes to your lifestyle, such as: Related conditions. Ejaculation problems Erectile dysfunction (impotence) Male sexual problems Priapism (painful erections) Pulmonary hypertension.

Relate (sex therapy): charity Sexual Advice Association: charity Sildenafil: forum Viagra: forum.

Page last reviewed: 22 January 2019 Next review due: 22 January 2022.

Posted on 16 May 2016 24 October 2019 by Dr Tony Steele - Dr Fox is a CQC , GPhC , & MHRA regulated service. Both Viagra and sildenafil are widely used to treat erectile dysfunction.

Viagra is a brand name for the sildenafil produced and sold by the company Pfizer.

Sildenafil is also sold as a generic drug, which is medically identical to Viagra. Sildenafil citrate was created in 1989 by British scientists Albert Wood and Peter Dunn as a possible treatment for hypertension and angina; conditions associated with coronary heart disease.

Nicholas Terrett, now often referred to as the father of Viagra, was named in the British patent for the drug as a heart medication.

And though Pfizer’s early trials of the drug in the 1990s did not prove its efficacy as a heart medication, patients who took part in the clinical trials reported increased erections after taking sildenafil.

Separate studies provided more information on the biochemical process that causes erections, which helped scientists understand how sildenafil could enhance the effects of sexual stimulation and open up blood vessels in the penis. Sildenafil was then studied in men with erectile dysfunction, and in 1998 it was approved by the FDA specifically for treatment of ED. When Pfizer lost its UK patent for the drug in June 2013 it made way for generic manufacturers to produce sildenafil, or ‘generic Viagra’.

It costs a fraction of the price of Viagra, and has made the treatment more accessible to a wider range of patients.

You can now choose to buy Viagra, Pfizer’s branded drug, or sildenafil, the generic version. Branded Viagra comes in small diamond-shaped blue pills – Pfizer has also patented this pill design and appearance. Sildenafil is sold as white or blue tablets, with different characteristics depending on the brand.

Some have chalky finishes while others are smooth, and some are scored for easy division, while others are not. Both Viagra and the different brands of sildenafil can be purchased in 25mg, 50mg, and 100mg preparations, and there is no significant difference between them in terms of active ingredients.

Sildenafil tablets can come in many shapes, colours, and sizes – see comparing brands of sildenafil.

As a generic medicine, sildenafil is produced by a number of manufacturers, and competition among them helps to regulate its price and keep it affordable for consumers.



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