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And though Pfizer’s early trials of buy sildenafil reddit the drug in the 1990s did not prove its efficacy as a heart medication, patients who took part in the clinical trials reported increased erections after taking sildenafil.

Separate studies provided more information on the biochemical process that causes erections, which helped scientists understand how sildenafil could enhance the effects of sexual stimulation and open up blood vessels in the penis. Sildenafil was then studied in men with erectile dysfunction, and in 1998 it was approved by the FDA specifically for treatment of ED.

When Pfizer lost its UK patent for the drug in June 2013 it made way for generic manufacturers to produce sildenafil, or ‘generic Viagra’. It costs a fraction of the price of Viagra, and has made the treatment more accessible to a wider range of patients. You can now choose to buy Viagra, Pfizer’s branded drug, or sildenafil, the generic version. Branded Viagra comes in small diamond-shaped blue pills – Pfizer has also patented this pill design and appearance.

Sildenafil is sold as white or blue tablets, with different characteristics depending on the brand.

Some have chalky finishes while others are smooth, and some are scored for easy division, while others are not.

Both Viagra and the different brands of sildenafil can be purchased in 25mg, 50mg, and 100mg preparations, and there is no significant difference between them in terms of active ingredients. Sildenafil tablets can come in many shapes, colours, and sizes – see comparing brands of sildenafil.

As a generic medicine, sildenafil is produced by a number of manufacturers, and competition among them helps to regulate its price and keep it affordable for consumers. Branded Viagra is only produced by Pfizer, whose name recognition and customer loyalty allow it to charge a higher price for its renowned ‘little blue pills’.

It is a requirement for the generic version to contain the same levels of the active ingredient in the body as its branded alternative, which is known as bioequivalence. Before generic drugs are licensed for sale the manufacturer must demonstrate bioequivalence to the licensing authorities (the European Medicines Agency). If you have a private prescription for Viagra, the branded drug must be dispensed; but you may ask for sildenafil at the time that the prescription is

made

.

They are considered equally effective, however patients must follow proper protocol for optimum results. Also note that if the condition does not respond to the initial dose of Viagra or generic sildenafil, a higher dose may be required (after several unsuccessful attempts). Packaging differences: Viagra 100mg

tablets

and Mylan sildenafil 100mg tablets. Cialis (tadalafil) and Viagra (sildenafil) are phosphodiesterase-5 (PDE5) inhibitors used for treating impotence (erectile dysfunction, or ED).

Common side effects of Cialis include: flushing (redness or warmth of the face, neck, or chest), headaches, stomach upset, diarrhea, flu-like symptoms (such as stuffy nose, sneezing, or sore throat), memory problems, muscle or back pain, nausea, low blood pressure, dizziness, blurred vision and changes in color vision, abnormalejaculation, and prolonged erections (priapism). Common side effects of Viagra include: warmth or redness in the face, neck, or chest, stuffy

nose

, headaches, stomach pain, upset stomach, nausea, diarrhea, memory problems, back pain, an inability to differentiate between the colors green and blue, loss of hearing, ringing in the ears, and dizziness.

Cialis is a prescription medicine taken by mouth for the treatment of: men with erectile dysfunction (ED) men

with

symptoms of

benign

prostatic hyperplasia (BPH) men with both ED and BPH.

Viagra is a prescription medicine used to treat erectile dysfunction (ED). You will not get an erection just by taking this medicine.

Viagra helps a man with erectile dysfunction get and keep an erection only when he is sexually excited (stimulated).

It is not known if Viagra is safe and effective in women or children under 18 years of age. Do buy sildenafil citrate tablets 100mg not take Cialis if you: take any medicines called "nitrates". use recreational drugs called "poppers" like amyl nitrite and butyl nitrite.

take any medicines called guanylate cyclase stimulators, such as riociguat. are allergic to Cialis or Adcirca, or any of its ingredients. Call your healthcare provider or get help right away if you have any of the symptoms of an allergic reaction listed above. Do not take Viagra if you: take medicines called nitrates (such as nitroglycerin) use street drugs called "poppers" such as amyl nitrate or amyl nitrite, and butyl nitrate take any medicines called guanylate cyclase stimulators such as riociguat (Adempas) are allergic to sildenafil, as contained in Viagra and REVATIO, or any of the ingredients in Viagra.

See the end of this leaflet for a complete list of ingredients in Viagra.

Tell your healthcare provider about all the medicines you take1, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Viagra may affect the way other medicines work, and other medicines may affect the way Viagra works causing side effects.

Especially

tell your healthcare provider if you take any of the following: medicines called nitrates (see "What is the most important information I should know about Viagra?") medicines called guanylate cyclase stimulators, such as riociguat (Adempas) medicines called alpha blockers such as Hytrin (terazosin HCl), Flomax (tamsulosin HCl), Cardura (doxazosin mesylate), Minipress (prazosin

HCl

), Uroxatral (alfuzosin HCl), Jalyn (dutasteride and tamsulosin HCl), or Rapaflo (silodosin). Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. In some patients, the use of Viagra with alpha-blockers can lead to a drop in blood pressure or to fainting.

medicines called HIVprotease inhibitors, such as ritonavir (Norvir), indinavir sulfate (Crixivan), saquinavir (Fortovase or Invirase) or atazanavir sulfate (Reyataz) some types of oralantifungal medicines, such as ketoconazole (Nizoral), and itraconazole (Sporanox) some types of antibiotics, such as clarithromycin (Biaxin), telithromycin (Ketek), or erythromycin other medicines that treat high blood pressure other medicines or treatments for ED. Viagra contains sildenafil, which is the same medicine found in another drug called REVATIO. REVATIO is used to treat a rare disease called pulmonary arterial hypertension (PAH).

Viagra should not be used with REVATIO or with other PAH treatments containing sildenafil or any other PDE5 inhibitors (such as Adcirca [tadalafil]). Ask your healthcare provider or pharmacist for a list of these medicines, if you are not sure.

Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine.

Take Cialis exactly as your healthcare provider prescribes it. Your healthcare provider will prescribe the dose that is right for you. Some men can only take a low dose of Cialis or may have to take it less often, because of medical conditions or medicines they take. Do not change your dose or the way you take Cialis without talking to your healthcare provider. Your healthcare provider may lower or raise your dose, depending on how your body reacts to Cialis and your health condition. If you take too much Cialis, call your healthcare provider or emergency room right away.

Take Viagra exactly as your healthcare provider tells you to take it. Your healthcare provider will tell you how much Viagra to take and when to take it. Your healthcare provider may change your dose if needed.

You may take Viagra between 30 minutes to 4 hours before sexual activity if needed. If you take Viagra after a high fat meal (such as a cheeseburger and french fries), Viagra may take a little longer to start working. If you accidentally take too much Viagra, call your doctor or go to the nearest hospital emergency room right away.

Viagra (sildenafil) Viagra is a brand-name prescription drug that’s approved to treat erectile dysfunction (ED). With ED,

you’re

unable to have or maintain an erection.

Viagra is approved for this use in males ages 18 years and older. It belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors.

(A class of drugs is a group of medications that act in a similar way.) Viagra works by increasing blood flow to your penis, which helps you have and keep an erection. But this drug only works if you’re sexually aroused.

In most cases, it should be taken about an hour before sexual activity, but it can be taken 30 minutes to 4 hours beforehand.

Viagra is available in three strengths: 25 mg, 50 mg, and 100 mg. In several clinical studies, Viagra was effective in treating ED. In these studies, men who used the drug had an improved ability to have and keep erections that allowed for successful sex. Across the studies, between 43% and 83% of men who took Viagra had improved erections. (These rates varied depending on the cause of their ED and the dosage of

Viagra

being used.) In comparison, improved erections occurred in 10% to 24% of men who took a placebo (no active drug). To learn more about Viagra’s effectiveness, see the “Viagra uses” section below.

A generic drug is an exact copy of the active drug in a brand-name medication. The generic is considered to be as safe and effective as the original drug.

The following lists contain some of the key side effects that may occur while taking Viagra.

These lists don’t include all possible side effects. For more information on the possible side effects of Viagra, talk with your doctor or pharmacist.

They can give you tips on how to deal with any side effects that may be bothersome.

Note: The Food and Drug Administration (FDA) tracks side effects of drugs it has approved. If you would like to report to the FDA a side effect you’ve had with Viagra, you can do so through MedWatch. Mild side effects of Viagra can include:* headache flushing indigestion mild and temporary vision changes, such as a blue tinge in your vision, blurred vision, and sensitivity to light nasal congestion (stuffy nose) back pain muscle pain nausea dizziness rash.

Most of these side effects may go away within a few days or a couple of weeks.

But if they become more severe buy sildenafil 20 mg or don’t go away, talk with your doctor or pharmacist.

* This is a partial list of mild side effects from Viagra. To learn about other mild side effects, talk with your doctor or pharmacist, or view the drug’s patient information .

Serious

side

effects from Viagra aren’t common, but they can occur.

Call your doctor right away if you have serious side effects. Call 911 if your symptoms feel life threatening or if you think you’re having a medical emergency.

Serious side effects and their symptoms can include: Non-arteritic anterior ischemic optic neuropathy (NAION), which is an eye condition that causes damage to your optic nerve. Symptoms can include: sudden decrease in vision in one or both of your eyes sudden loss of vision in one or both of your eyes Sudden decrease or loss of hearing. This condition may also involve other symptoms, such as: tinnitus (ringing or buzzing in your ears) dizziness.

Other serious side effects, which are explained in more detail below in “Side effect details,” include: allergic reaction priapism (long-lasting and sometimes painful erection) low blood pressure, if Viagra is taken with certain other medications cardiovascular problems, such as heart attack,

irregular

heartbeat, or stroke, all of which occur mainly in people with heart disease.

You may wonder how often certain side effects occur with this drug .

Here’s some detail on several of the side effects this drug may cause. As with most drugs, some people can have an allergic reaction after taking Viagra.

In clinical studies, less than 2% of people who took Viagra had an allergic reaction. It’s not known how often allergic reactions occurred in people who took a placebo (no active drug). Symptoms of a mild allergic reaction can include: skin rash itchiness flushing (warmth and redness in your skin) A more severe allergic reaction is rare but possible. Symptoms of a severe allergic reaction can include: swelling under your skin, typically in your eyelids, lips, hands, or feet swelling of your tongue, mouth, or throat trouble breathing. Call your doctor right away if you have a severe allergic reaction to Viagra.

But call 911 if your symptoms feel life threatening or if you think you’re having a medical emergency. Rarely, Viagra can cause priapism, which sildenafil 100mg without prescription is a long-lasting and sometimes painful erection.

But it’s not known how often priapism occurs in men who take Viagra. Priapism is a medical emergency that needs to be treated right away. If it’s not treated, the condition can damage the tissues in your penis and cause irreversible erectile

dysfunction

(ED). If you have an

erection

that lasts longer than 4 hours, go to the nearest emergency room or call 911. Viagra can temporarily lower your blood pressure after you take the drug. In clinical studies, less than 2% of people who took Viagra had low blood pressure after taking the drug.

It’s not known how often low blood pressure occurred in people who took a placebo (no active drug).

But keep in mind that a sudden drop in your blood pressure could be dangerous if you have certain heart conditions. Sudden low blood pressure may also be dangerous if you’re taking certain other medications.

For example, you shouldn’t take Viagra if you take nitrate medications to treat chest pain.

You should also avoid taking Viagra if you take a drug called riociguat (Adempas). Taking Viagra with these medications can cause a dangerous drop in your blood pressure that leads to heart attack or stroke.

If you have low blood pressure, taking Viagra could make you feel dizzy or lightheaded, or cause you to faint.

You’re also more likely to have these problems if you take Viagra with certain drugs used to treat high blood pressure or enlarged prostate.

If you feel dizzy or faint after taking Viagra, lie down until this feeling passes. If you have a heart problem or low blood pressure, talk with your doctor about whether Viagra is safe for you. For more information about taking Viagra with other medications, see the “Viagra interactions” section below.

And for more information about taking Viagra if you have heart or blood pressure problems, see the “Viagra precautions” section below.

On rare occasions, some people taking Viagra have had heart attack, stroke, or irregular heartbeat.

These conditions mainly occurred in people who already had a heart problem. But

sometimes

these conditions occurred in people who didn’t have a heart problem. It’s not known for sure if Viagra caused the side effects. If you have chest pain after taking Viagra, you should stop having sexual activity right away. But call 911 if buy sildenafil citrate tablets 100mg your symptoms feel life threatening, or if you think you’re having a medical emergency. And if you have a heart problem, talk with your

doctor

before starting Viagra. They can discuss with you whether it’s safe for you to use this drug. For more information about taking Viagra if you have heart problems, see the “Viagra precautions” section below.

Headaches, as well as flushing and dizziness, occur because Viagra widens certain blood vessels in your body. (The drug doesn’t just affect the blood vessels buy sildenafil citrate tablets 100mg in your penis.) In clinical studies, headaches were reported in 16% to 28% of people who took Viagra. (This percentage varied depending on the dose of Viagra used and how often the drug was taken.) In comparison, headaches were reported in 4% to 7% of people who took a placebo (no active drug). If you have a headache after taking Viagra, it should go away fairly quickly. But if it’s bothersome, you can take a pain reliever containing acetaminophen or ibuprofen.

Ask your doctor or pharmacist to recommend a medication that’s safe for you to use.

If you have a severe headache or a headache that won’t go away, call your doctor. They’ll help determine the best treatment for your headache. Men ages 65 years and older tend to get higher levels of Viagra in their blood after taking a dose than younger men do.

Having a higher level of the drug in your body could increase your risk of side effects.

Because of this, older men are usually prescribed a dosage of Viagra that’s lower than the dosage given to younger men. In clinical studies of Viagra, there weren’t any differences in side effects seen in men ages 65 years and older compared with those in men younger than 65 years.

If you have concerns about using Viagra given your age, talk with your doctor. Erectile dysfunction (ED) Taking Viagra doesn’t cause new or worsening ED.

However, Viagra can sometimes cause priapism, which is a long-lasting and sometimes painful erection. Priapism is a medical emergency that needs to be treated right away.

If it’s not treated, priapism can damage the tissues in your penis and cause irreversible ED.



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