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Many events were reported to occur during or shortly after sexual intercourse and a few were reported to occur shortly after the use of VIAGRA without sexual activity. It is not possible to determine whether these events are related directly to these factors or to other factors. Your doctor may prescribe a different dosage of Viagra for you depending on several factors. These factors may include having liver or kidney problems, taking certain other medications, and being 65 years or older. If any of these factors apply to you, your starting dose might be 25 mg, which is lower than the typical recommended dose.

Caution is advised when PDE5 inhibitors are co-administered with alpha-blockers. PDE5 inhibitors, including VIAGRA, and alpha-adrenergic blocking agents are both vasodilators with blood pressure lowering effects. When vasodilators are used in combination, an additive effect on blood pressure may occur. Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you.

So, if you’re over 65 years of age, your doctor will usually recommend a starting dose of Viagra for you that’s lower than the typical starting dose. For example, they may recommend that you take 25 mg of the drug rather than 50 mg. Viagra typically starts to work between 30 and 60 minutes after you take a dose of the drug. You’ll need to be sexually aroused in order for the drug to work. During 3 to 6 months of double-blind treatment or longer-term (1 year), open-label studies, few patients withdrew from active treatment for any reason, including lack of effectiveness. At the end of the long-term study, 88% of patients reported that VIAGRA improved their erections.

Other drugs that operate by the same mechanism include tadalafil (Cialis) and vardenafil (Levitra). Consider a starting dose of 25 mg in patients treated with strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, or saquinavir) or erythromycin. Clinical data have shown that co-administration with saquinavir or erythromycin increased plasma levels of sildenafil by about 3 fold [see Drug Interactions (7.4) and Clinical Pharmacology (12.3)]. Population pharmacokinetic analysis of clinical trial data indicated a reduction in sildenafil clearance when co-administered with CYP3A4 inhibitors (such as ketoconazole, erythromycin, cimetidine). Although no increased incidence of adverse events was observed in these patients, when sildenafil is administered concomitantly with CYP3A4 inhibitors, a starting dose of 25 mg should be considered. Most, but not all, of these patients had pre-existing cardiovascular risk factors.

So aside from keeping your Sildenafil close by or in your bedside draw, you don’t need to plan very far in advance before sex – which gives you extra flexibility and peace of mind. Even if you’re a man with a very active sex life, you should be covered. While it’s possible to take Sildenafil every day, there is a restriction on the daily dosage. In any case, studies have shown that a higher dose than 100mg in one day doesn’t have any added benefit – and could increase the chances of side effects.

While Viagra is a safe and effective treatment for many men, it can cause serious side effects such as headaches, facial flushing, blurred vision, and an upset stomach. Additionally, Viagra may interact with certain medications, so it is important to speak with your doctor before taking it. SILDENAFIL belongs to the group of medicines called phosphodiesterase type-5 (PDE 5) inhibitors primarily used to treat erectile dysfunction (impotence) in adult men.

The following table features a few of the medications available for ED through a Blink Health prescription and the accompanying costs. Blink Health keeps costs low by negotiating special offers to lower your out-of-pocket prices. By taking treatment for erectile dysfunction you may experience