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Sildenafil is the active ingredient in Viagra, which is FDA approved to treat ED. It helps relax blood vessels and improves blood flow to your penis to allow for a harder and longer-lasting erection.

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In patients with severe renal impairment (creatinine clearance less than 30 mL/minute), the initial sildenafil dose for the treatment of ED should be decreased to 25 mg, since the drug’s effects may be prolonged and enhanced in such patients. Reported hearing loss was unilateral in most cases, and temporary in about one-third of the cases. In one case, a 44-year-old man experienced permanent, bilateral sensorineural deafness 15 days after initiating therapy with sildenafil 50 mg daily; this patient did not have any prior or current risk factors for ototoxicity.

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In Kansas, Lemonaid services are provided by LMND Medical Group, A Professional Association, with registered office 112 SW 7TH Street, Suite 3C, Topeka, KS 66603. In New Jersey, Lemonaid services are provided by LMND Medical Group Professional Corporation, with registered office 820 Bear Tavern Road, West Trenton, NJ 08628. In Texas, Lemonaid services are provided by LMND Medical Group, A Professional Association, with registered office 1999 Bryan Street, Suite 900, Dallas, TX 75201. Typically our doctors or nurse practitioners prescribe the 60mg as a starting dose, which means taking 3 of the 20mg pills at a time. Pfizer makes a Viagra-branded and generic version of the 25mg, 50mg and 100mg pills. Sildenafil is in the group of medicines that doctors call PDE-5 inhibitors. If you are interested in a prescription, Hims will match you with an independent physician who will evaluate whether or not you are an appropriate candidate for the prescription product and if appropriate, may write you a prescription for the product.

  • Free plasma drug concentrations in healthy geriatric adults are approximately 45% greater than those in healthy younger adults (18-45 years).
  • Avoid taking the drug together with HIV/AIDS treatments, high blood pressure medications, antifungal drugs, etc.
  • Taking Sildenafil with other ED drugs may activate devastating overdose reactions.
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Dietary sources of nitrites, nitrates, and l-arginine do not contribute to circulating concentrations of nitric oxide in humans, and are unlikely to interact with sildenafil. Sildenafil is likely to have little or no effect on platelet function in the absence of such donors. The safety and efficacy of sildenafil during labor and delivery have not been established. Sildenafil did not exhibit evidence of mutagenicity in vitro in bacterial and Chinese hamster ovary cell assays. Cardiac and metabolic expenditures during sexual intercourse will vary depending on the type of sexual activity. Evidence from dose-ranging studies indicates that erectile response is greater at 50- or 100-mg doses than at 25 mg. Sildenafil has been effective in a limited number of women for the management of sexual dysfunction induced by selective or nonselective serotonin-reuptake inhibitor antidepressants.

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Ultimately, the choice of therapy for ED should be individualized, taking into account differences in response, tolerability and safety, administration considerations, cost and patient reimbursement factors, experience and judgment of the clinician, and individual patient and partner preference, expectations, and satisfaction. The main side effects of Viagra include headache, nasal congestion, dizziness, change in color perception . Please allow 2-3 days additional for vet approval for orders that include prescription items, or items out of stock. Tell your healthcare provider if you have any side effect that bothers you or does not go away. Stop taking Viagra® and call your healthcare provider right away if you have sudden vision loss in one or both eyes.

Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine. Ask your healthcare provider or pharmacist for a list of these medicines, if you are not sure. are allergic to sildenafil, as contained in Viagra® and Revatio, or any of the ingredients in Viagra®. Tell your doctor if you have any problems with your heart, liver, kidneys, vision disorders, bleeding disorders, or penile deformities. Tell your doctor about all prescription medications, over the counter medications, and dietary supplements you are taking. Viagra® should be taken without food minutes before sex and its effects last up to 6-8 hours.

Author: wpadmin