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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.

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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.

Slightly over 1% of men taking Viagra notice a bluish or yellowish discolouration of their vision. This is not in itself a cause for concern, and usually does not interfere with normal activity. It wears off after a few hours.

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.

In November 2017 the UKs medicines regulator, the MHRA, approved an application by Pfizer to reclassify its sildenafil 50mg to a 'P' medicine (available over the counter without a prescription) which is sold as a new product called Viagra Connect.

Men suffering from erectile dysfunction should inform their GPs who will undertake an assessment, possibly perform tests, and provide advice. GPs are trained to deal with ED and are sympathetic to any embarrassment it may cause.

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 their duration of action: Viagra (sildenafil) works for about 4 hours; Levitra (vardenafil) for 4-5 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.

Most doctors will be able to prescribe Viagra privately, although they may sometimes make a charge for this. Online pharmacies are nearly always lower cost. Since April 2018 Viagra Connect (sildenafil 50mg) has been available from pharmacies over the counter (without prescription).

Viagra tablets are scored and can be broken in two. This may be a more cost effective way of using the treatment as the cost of the tablets is not proportional to the amount of active ingredient. A 100mg tablet does not usually cost twice as much as a 50mg tablet. If you find a 50mg tablet is effective, then half a 100mg will be just as good, as will two 25mg tablets. It is the overall amount of active ingredient which matters. 25mg tablets (the lowest dose available) should not be cut in half. The remaining half-tablet should be wrapped in eg clingfilm to prevent it drying out, if not used within a few days.

Yes, particularly stress in a relationship or around sexual activity can cause erections to fail. Erections are usually stronger in men who are relaxed, rested, and comfortable with their partners. Counselling can be effective for some men who have ED, particularly younger men who have no underlying physical cause of their ED.

Men taking ED tablets and drugs at the same time are open to numerous risks, from impulsive unsafe behaviour, excessive dosing, and increased side effects, to the serious and potentially irreversible damage caused by the rare condition of priapism. Priapism is a painful erection lasting more than 2 hours which can cause permanent damage to your penis if not treated quickly. There is an increased risk of priapism when Viagra is taken with cocaine.

Yes, Viagra is obtained legally in the UK only if a doctor writes a prescription for it and a registered pharmacy dispenses it. When it is ordered online an electronic prescription is involved. The only exception applies where a specialist pharmacist supplies Viagra on a pharmacist written prescription or using a 'patient group direction'. In November 2017 Pfizer was granted an application to reclassify sildenafil 50mg as a separate 'P' medicine which is available without prescription (OTC) and is called Viagra Connect. In all cases only registered pharmacies are permitted to supply it.

Viagra tablets will usually take around 30-45 minutes to take effect when taken on an empty stomach, and up to 60-90 minutes if taken within 30 minutes after a meal. High-fat meals will delay absorption longer than lower-fat ones.

The shelf life of most medicine tablets is 5 years. This means they will stay in-date for 5 years after the manufactured date written on the packet. It should be stored at below 30C, which means keeping tablets out of direct sunlight. Packets will be printed with expiry dates and you should always read the information leaflet enclosed in packs.

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You do have to register your card online, however, with a working email address. This may become more restrictive over time, as these cards are a favorite tool of financial criminals and are becoming subject to more regulation.

Some online facilitators that sell ED drugs like Viagra accept money orders, which can be purchased at any post office with cash. However, the money order will need to be processed before the product ships, so there may be a slower turnaround than you want.

An erection occurs when the penis fills with blood. The blood vessels that bring blood to the penis dilate, increasing the blood supply. Blood accumulates in the penis, causing an erection. Taking Viagra tablets allows better blood flow to the penis by relaxing the blood vessels.

During arousal, the body releases a chemical known as 'cGMP nucleotide'. It plays an important part in achieving an erection as the cGMP nucleotide causes the muscles in the walls of the penis to relax which allows more blood to flow. Men who are suffering with impotence have an imbalance between the cGMP nucleotide and the PDE-5 enzyme. This imbalance makes erections more difficult to achieve and maintain. Sildenafil is the active ingredient of Viagra. It works by inhibiting the effects of the PDE-5 enzyme which breaks down the cGMP nucleotide. With the PDE-5 enzyme inhibited, impotent men should be able to achieve and enjoy longer lasting erections.

Do not take Viagra if you are allergic to sildenafil or any of the other ingredients of the tablet. Viagra is not suitable for use by those with serious heart or liver problems, those who have had recently had a stroke or a heart attack, those with low blood pressure, or those with some rare inherited eye diseases. Viagra is also not suitable for women, or men under 18.

You must let your doctor know if you are taking any other medications, whether prescribed or purchased over the counter, especially if you take nitrates for chest pain, riociguat for pulmonary hypertension or any recreational drugs called 'poppers'. Some herbal remedies and supplements may interfere with Viagra. It is also important to let us know if you use, or have used, other erectile dysfunction medications. 041b061a72


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