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If your blood pressure drops, symptoms like dizziness, lightheadedness, and headache could also hinder your hard-on and mood. You can try masturbating or other methods of sexual stimulation to see whether it helps. If it still does not work, talk with your doctor about adjusting your dose. The dose could be increased to 100 mg depending on how effective it is and how well it’s tolerated.

Manufacture and sale of sildenafil citrate drugs is common in China, where Pfizer's patent claim is not widely enforced. Sildenafil protects cyclic guanosine monophosphate (cGMP) from degradation by cGMP-specific phosphodiesterase type 5 (PDE5) in the corpus cavernosum. The pharmacokinetics of sildenafil in patients with severely impaired hepatic function have not been studied. Maximum observed plasma concentrations are reached within 30 to 120 minutes (median 60 minutes) of oral dosing in the fasted state.

However, if a male partner is using Viagra, it is generally considered safe for couples trying to conceive. Get a prescription online from a Qualified New Zealand Doctor. If you are taking alpha-blockers (such as doxazosin or tamsulosin), you should wait at least 6 hours between taking those and taking Viagra. It’s not advised to take out of date Viagra or any medication past its use by date.

Speak to your doctor or pharmacist about other drug interactions to ensure safety when taking your ED meds. It is difficult to name the average cost of Viagra generics due to their wide variety, as well as a wide variety of manufacturing companies. Let's consider the cost of one pill of generic Viagra with a dosage of 150 mg of sildenafil. It is this dosage that is the most popular and most effective. If you pay attention to finding the most attractive deals when buying an average number of tablets, say 50 pieces, then you can conclude that it is not difficult to get generics at a price of about $3 per pill.

Numerous studies of sildenafil have been conducted to study its effectiveness, safety and interaction with other drugs. Sildenafil is contraindicated in case of allergy to the drug, as well as when taking nitrates (for example, nitroglycerin) or other drugs that affect blood flow. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution and an adjustment in the dose for patients receiving sildenafil. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label.

Viagra is best taken on an empty stomach one hour before sex. Eating food directly before taking Viagra will delay its absorption. This can delay the onset of action and reduce the effectiveness of the drug. Swallow the tablet whole with a glass of water, and if you have consumed a heavy meal, wait a couple of hours. You may be disappointed that Viagra hasn’t worked the first time but try to remain patient. Give yourself time to become more comfortable and mentally adjust to the idea of taking a pill before sex.

The actual price you’ll pay depends on your insurance plan, your location, and the pharmacy you use. To learn more about the cost of Viagra, refer to this article. Using more than the recommended dosage of Viagra can lead to serious side effects. How long a medication remains good (also called shelf-life) can depend on many factors.

Doctors typically start with the lowest dose that is effective in treating erectile dysfunction. One important drug class to keep in mind is the nitrates