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Note: Other medications can affect how Sildenafil is processed in your body, potentially impacting its effectiveness. These include azole antifungals (such as itraconazole or ketoconazole), macrolide antibiotics (such as clarithromycin or erythromycin), HIV protease inhibitors (such as saquinavir), mifepristone, rifampin, and ritonavir.

Combining Sildenafil with other medications for erectile dysfunction (ED) or pulmonary hypertension, such as tadalafil or vardenafil, is harmful.

consultation with doctor

Did you get any side effects?

What else can you do?
  • do not take Sildenafil if you are taking nitrates.
  • do not take Sildenafil if you have chest pain or heart disease.
  • do not take Sildenafil if you are taking a MAO inhibitor, such as isocarboxazid, or if you have recent heart attack.
  • do not take Sildenafil if you are taking a proton pump inhibitor (PPI) such as doxazosin or tamsalosin.
  • do not take Sildenafil if you are pregnant.
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Are there PDE5 inhibitors on theilton

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Sildenafil can interact with these medications. It is rare for interactions to occur, but tell your doctor to change your dose of Sildenafil or stop taking it if you develops dizziness, dizziness, or headache. Remember, these drugs work by inhibiting the function of the enzyme PDE5, which allows the smooth muscles of the penis to enlarge.

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Some people take Sildenafil with theirand it is possible to have serious side effects. It is also possible to developorsymptoms of low blood pressure, especially if you have heart problems. You should not drive if you experience chest pain.

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Sildenafil should not be taken if you are taking nitrates, because it can lead to a dangerous drop in blood pressure, also known as dizziness or fainting. A lower dose of Sildenafil prescribed by the doctor may help.

Avoid taking Sildenafil with certain medications. Your doctor may recommend a lower dose of Sildenafil if you are on nitrates. Also, avoid taking Sildenafil with drugs that can interact with Sildenafil, such as riociguat and vericiguat.

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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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