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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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Men in the UK will soon be able to buy Viagra over the counter for the first time after the erectile dysfunction drug was reclassified.

Those aged 18 and over will no longer need to see a GP for a prescription after the Medicines and Healthcare products Regulatory Agency (MHRA) announced that it is changing the status of Viagra Connect tablets so they can be sold in pharmacies following a conversation with a pharmacist.

US pharmaceutical company Pfizer said it is working on plans to launch the non-prescription version of the medicine in the UK in the spring of 2018. A four-pack of the sildenafil tablets will cost around £19.99 and an eight-pack £34.99. Men who buy it will be advised that they can take a 50 mg tablet an hour before having sex, but should not use more than one pill a day. Sildenafil is already available on NHS prescription free of charge.

The decision to reclassify the drug follows a public consultation, the MHRA said. Pharmacists will be able to determine whether treatment is appropriate for the patient and can give advice on erectile dysfunction, usage of the medicine, potential side effects and assess if further consultation with a general practitioner is required.

“The move to make Viagra Connect more widely accessible will encourage men to seek help within the healthcare system and increase awareness of erectile dysfunction.”

Mick Foy, Medicines and Healthcare products Regulatory Agency

But some men, including those with severe heart problems, those at high risk of heart problems, liver failure, kidney failure or those taking certain “interacting medicines”, will still need to be prescribed the drug under the supervision of a doctor.

It is hoped that making the drug more widely available will mean than men who may have not previously sought help will be more likely to do so. Health officials also hope the move will also help steer people away from buying drugs websites operating illegally.

‘Popular target’

The MHRA said that erectile dysfunction medicines are a “popular target” for criminals selling unlicensed and counterfeit medicines, over the past five years the Agency has seized more than £50m of unlicensed and counterfeit erectile dysfunction medicines.

“This decision is good news for men’s health,” said Mick Foy, MHRA’s group manager in vigilance and risk management of medicines. “The move to make Viagra Connect more widely accessible will encourage men to seek help within the healthcare system and increase awareness of erectile dysfunction.

“Erectile dysfunction can be a debilitating condition, so it’s important men feel they have fast access to quality and legitimate care, and do not feel they need to turn to counterfeit online supplies which could have potentially serious side effects.”

Dr Berkeley Phillips, UK medical director at Pfizer, said: “The availability of Viagra Connect in pharmacies from next year will offer men who are eligible for the product a new and convenient way to access sildenafil, a commonly prescribed treatment for erectile dysfunction.

“We understand some men may avoid seeking support and treatment for this condition, so we believe giving them the option to talk to a pharmacist and buy Viagra Connect could be a real step forward in encouraging more men into the healthcare system.

“As erectile dysfunction may be a sign of an underlying condition such as diabetes, high blood pressure, or heart disease, there could also be a wider benefit to public health in the long term. We hope that this forthcoming new opportunity to purchase a genuine treatment via pharmacy will also reduce the likelihood of men turning to potentially ineffective and dangerous counterfeits from illicit sources.”

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In the past, we were told that a man could only take Viagra if he took a single pill within the week. The truth is that if you take a single Viagra pill in the week, you can take it up to five times. This makes sense. But in fact, a man who takes a single pill a day should be able to take the ED drug Viagra if he can find one that works, and it works.

For example, a man who takes Viagra a day can take the drug once a week, and it works the same way. If a man who is on a fixed schedule for sex takes Viagra a day, that should work within the first two weeks, or even a full month after he takes it. The reason why we would like to see the practice of taking Viagra a day is that we would like to see a man who has sex for a longer period of time to have erections, and it would be nice to have that sex again.

In the past we have all been told that men can take Viagra a day, but in fact, we are told that Viagra works a lot longer than we would like. Why? Because we do not want men to be able to take Viagra a day, which is why we have this rule to ensure that a man who takes a single Viagra pill a day can take it as long as he wants, and to ensure that he can get the ED drug Viagra within the next week or so.

If we look at a large sample of Viagra, and the results we get, we see that men who take a single Viagra pill in the first week, but only once a week are able to take it a day. In fact, it is a good idea to take the drug for a longer period of time, so you can get the ED drug Viagra within a week.

This is where we come in, as we all know, the ‘blue pill’. Viagra is a little bit of an over-the-counter medicine, and there are other drugs that are available that you can take with the Viagra, including Cialis and Levitra. But we are told that it works for up to six months, and then it works for a couple of years. It is not a hard pill to swallow. Viagra is an important medication for the ED and for the relationship, and it is good to have it in your daily routine, and it is good to have a good time with it.

As far as what is ‘normal’ for men to take, it is not the same thing as ‘normal’, and there is no ‘normal’. What is normal for men to take with Viagra is that it is not something that you should take with Viagra, because the drug is not a drug that is available for men to take with Viagra, and it is not a drug that is available for women to take with the drug. In fact, there is not a drug that is available for women to take with Viagra.

If you take a single Viagra pill a day, the chances are that you will be able to take the ED drug Viagra within a week, and that is the reason why we have this rule. You are also likely to be able to take it on a date, and that is because Viagra is a great drug for men, but is not the same thing as Cialis. If you do not have a date to take the ED drug, then you can get a couple of other drugs for you, and the likelihood of that happening is very low.

We have a rule about the timing of the drug, and it is not a strict rule, but it is one of the rules that is important to us, and we have to keep in mind that there are other rules that are important to us, and we have to keep in mind that we are all trying to be as good as we can be. For example, there is a rule that we have to keep in mind that men who are on the same schedule for sex should not take Viagra a day.

This is where we come in, as we all know, the ‘blue pill’, and it is not a hard pill to swallow. Viagra is a great drug for men, and is not an important medication to take with a blue pill, because it is not an important medication for men to take with a blue pill. Viagra is a great drug to take with a blue pill, because it is not an important medication to take with a blue pill. It is not the same thing as Cialis.

A federal judge in Philadelphia, Pennsylvania, today ordered Pfizer Inc. to pay $1 billion to settle a lawsuit over the sale of its erectile dysfunction drug, Viagra, in Europe. The court ordered Pfizer to pay $5 billion to resolve the suit. The case was filed in Philadelphia federal court by a class of people who claimed that the drugs sold on the Internet were "counterfeit" substances and that Viagra was a "pharmaceutical" drug. The drug was sold in four different countries, including France, Germany, Italy, Spain, and the United Kingdom. The court said that Pfizer had violated several laws and regulations when it sold its drug to individuals and had failed to adequately disclose the risks associated with the sale. The drug's manufacturer did not adequately warn patients about the risks of using the drug. The court also found that Pfizer knew or should have known of the risks of buying the drugs without a valid prescription, but it did not "take the necessary steps" to warn patients about Viagra's dangers.

The suit claims that Pfizer had failed to adequately warn patients about the drug's risks and had not adequately informed them of these risks. In the suit, Pfizer claimed that in 2000, it purchased Viagra for $35 per pill. In the United States, Pfizer purchased the drug for $4.25 per pill. The suit also claimed that in 2004, the drug was sold in the United States for $1.60 per pill. In 2005, Pfizer purchased the drug for $8.45 per pill. In 2006, Pfizer bought the drug for $10.75 per pill.

The court ordered Pfizer to pay $1 billion to settle the lawsuit. In 2004, the company said that the suit "is not appropriate because there is a lack of evidence that Pfizer was aware of the potential risks associated with the sale of the drugs and did not adequately warn patients of these risks." Pfizer, however, continued to sell the drug and to buy it in Europe. The suit alleged that Pfizer's failure to adequately warn about the drug's risks was deliberate, and that it was the company's "sole and actual intention" to sell the drug to patients in Europe.

The suit seeks to hold Pfizer accountable for its failure to adequately warn about the risks of the use of Viagra and for failing to adequately warn patients about the risks of using the drug.