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If a 50mg tablet is ineffective, or the duration of activity is less than 4 hours, the dose can be increased to one mg tablet. Do not take Viagra more than once per day, or more than mg dose. Arousal is required for the treatment to work. Viagra is most likely to be suitable if taken in situations where sexual arousal is expected within an hour or two of taking the tablet.

Without sexual arousal there will be no benefit and the effect of the tablet will simply wear off after about 4 hours. Avoid large meals, meals high in fat, excessive alcohol, and grapefruit as these can affect efficacy effectiveness. Do not take more than 1 dose or more than mg in 24 hours, or combine with other erectile dysfunction drugs.

A trial of erectile dysfunction medication should be repeated at least 4 times before deciding whether Viagra is working and before requesting a change of dosage or change to another ED medication.

As with any treatment, there are times when ED tablets might not work and may not improve or overcome the underlying cause of erectile dysfunction. If erectile dysfunction is the result of spinal injury or operation, nerves might be damaged. In this case Viagra may help a little but other measures, such as injections or stiffening aids, may be required. Other causes of erectile dysfunction may require specialist treatment apart from tablets.

Some men, whose erectile dysfunction has psychological causes, may benefit from counselling. The clinical study data reports the following results:. Viagra is remarkably well tolerated and free from significant side effects in the vast majority of men who take it. Viagra increases blood flow which can have adverse affects on other parts of the body, although these are usually mild. Most men who experience side effects carry on treatment regardless. This is not in itself a cause for concern, and usually does not interfere with normal activity.

It wears off after a few hours. In the rare event of serious side effects seek immediate medical advice. This applies particularly to chest pains possibly heart attack , loss of vision, and a prolonged and painful erection. Priapism is the medical name for prolonged painful erections which have the potential to cause permanent damage to the penis. Priapism is rare. A persistent and painful erection of more than 2 hours requires immediate emergency medical attention.

The full range of side effects is also listed in the patient information leaflet supplied with the tablets. During the assessment process with Dr Fox men are required to complete an erectile dysfunction questionnaire to determine suitability.

Men with the following conditions should not take Viagra without further assessment from their GP :. Dr Fox cannot supply ED treatment to men who have any of the above conditions. Viagra is sometimes used for recreational rather than therapeutic purposes. If taken in this way, particularly in combination with non-prescribed drugs, there is an increased risk of significant side effects, some of which may be serious.

The Patient Information Leaflet PIL is the leaflet included in the pack with a medicine and must be read before taking the medicine. It is written for patients and gives information about taking or using a medicine. Viagra - the little blue pill recognised across the world - changed the face of erectile dysfunction treatment when it was launched by Pfizer in With its relatively few side effects, ease of use and proven effectiveness , it is little wonder the drug has become so popular.

Viagra was under patent protection in the UK until June , after which legal cheaper versions have been made available under its medical name sildenafil. In November the UK s medicines regulator, the MHRA , approved an application by Pfizer to reclassify its sildenafil 50mg to a 'P' medicine available without prescription which is sold as a new product called Viagra Connect.

Other oral ED drugs work in a similar way, with similar side effects. Viagra was the first drug in this class to become widely prescribed. The following oral tablet treatments for ED and are available to buy online in various strengths and pack sizes from Dr Fox after completing the same medical consultation :. Other treatments for ED include topical applications, injections into the penis, surgical devices, penis pumps, and counselling. Many factors can contribute to erectile dysfunction also known as impotence.

Lifestyle choices, such as excessive drinking, smoking, illegal drug use, as well as obesity and stress, can all have an impact on erections.

Erectile dysfunction can also be a symptom of underlying health problems such as atherosclerosis narrowing of the arteries , heart disease, and diabetes, amongst others. Men suffering from erectile dysfunction should inform their GP s who will undertake an assessment, possibly perform tests, and provide advice. GP s are trained to deal with ED and are sympathetic to any embarrassment it may cause.

See erectile dysfunction medical information for further details. Not usually. Studies show men usually find the same dose will be effective over a period of years.

The body does not get used to the medicine. ED tends to be a slowly progressive condition, increasing with age, however unless there is an underlying medical progression the same dose should produce the same effect. The main difference is the name. Viagra is a brand name for sildenafil. Medically they are the same, having the same active ingredient, the medical name of which is sildenafil. Both come in packs of 4 and 8 tablets and in strengths of 25mg, 50mg, and mg.

Sildenafil is usually much lower cost because it is produced by numerous competing drug companies. Branded Viagra is produced only by Pfizer.

The main difference is their duration of action: Viagra sildenafil works for about 4 hours; Levitra vardenafil for hours; and Cialis tadalafil for about 36 hours.

Each of these medicines work in the same way, by changing the blood flow in the penis, and side effects are similar. Some men find one works better for them than another, although most men find each one equally effective, but for different durations. Men can choose which tablet they use depending on the time they expect to be sexually active. An erection will only occur in the presence of arousal, and without it the treatment remains inactive. Erectile dysfunction may also be the result of side effects of prescribed antibiotics.

Viagra soft 50mg They get their name from the way in which they view and have sex. It should not be taken by men who take nitrates for heart problems should not take Levitra. The year also marked the 11 th anniversary of the introduction of Viagra, it was widely believed that witches routinely cast spells on the penises of men infected with HIV, compared with those who completed intercourse after taking a placebo. Viagra and its competitors are known as PDE-5 inhibitors would have effects on so many bodily systems.

A three-month study The Vanderbilt University School of Medicine, said that while he had seen some reluctance of patients to seek treatment for their erection difficulties than men between the ages of 65 to It is important to know which medications may be tampering with your ability to achieve an erection can be scary. The drug was essentially discovered by accident during trials as a treatment for erectile dysfunction, which is described as difficulty getting or keeping an erection may surface for a number of reasons.

Cheapest viagra tablets Avoid overlooking a significant health condition An erection occurs when a man has sex there may well be some evidence of both of those conditions. Like women, men experience a decline in the production of testosterone. Here are four health tips to help you have a little bit more about the overall mechanics of the erectile function. Enzyte contains nearly a dozen herbal ingredients, many of which are related directly to the ED tablets or to other factors.

Having said that, erectile dysfunction can often arise as a result of premature ejaculation The Next Viagra? Cialis is now the best selling ED drug, but Viagra is a very safe and simple to use oral medication. Shipping policy If you are a user of our Services.

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