No prescription ed

Check with your doctor before taking sildenafil if you: have sickle cell anaemia (an abnormality of red blood cells), leukaemia (cancer of blood cells) or multiple myeloma (cancer of bone marrow) have a deformity of your penis or Peyronie's disease (

curved

have a stomach ulcer or a bleeding problem like haemophilia.

You can get sildenafil on the NHS if you have erectile dysfunction or pulmonary hypertension. Branded versions of sildenafil such as Viagra are not available on the NHS, except in special circumstances. You can also get

sildenafil

They'll ask you some questions about your general health to make sure sildenafil is safe for you to take. If the pharmacist has any concerns about whether sildenafil is safe for you, they may advise you to see your doctor.

Be very careful if you do this as many websites sell fake medicines.

Online medicines are not always regulated and the ingredients in them can vary from one pack to another.

They can cause unpleasant side effects or may not be suitable for you.

It's best to see your doctor before buying medicines online.

They know your medical history and can discuss whether you might benefit from treatment.

If you choose to buy sildenafil/Viagra over the internet, make sure: any online pharmacy is registered with the General Pharmaceutical Council (GPhC) any online doctor service is registered with the Care Quality Commission (CQC) all doctors are registered with the General Medical Council (GMC) 5. It's important to take it as advised by your doctor or pharmacist. Sildenafil tablets for erectile dysfunction come in different strengths ranging from 25mg to 100mg. The usual dose is 50mg, when you need it (no more than once a day).

The dose can be increased to 100mg or decreased to 25mg depending on its effect.

Take sildenafil up to 4 hours before you want to have sex. For sildenafil to work properly, you'll need to be sexually excited. Sildenafil tablets for pulmonary hypertension come in 10mg and 20mg tablets. Doses for children can range from 10mg to 20mg taken 3 times a day, depending on their weight. Swallow tablets whole with a glass of water or juice (but not grapefruit juice).

For erectile dysfunction, it's best to take sildenafil on an empty stomach. It may take longer to work if you take it with food.

If you or your child are taking sildenafil as a liquid, 1ml is usually the same as taking a 10mg tablet, but it's important to always check the medicine label. Liquid sildenafil will usually be made up for you by your pharmacist.

The medicine will come with a plastic syringe or spoon to help you take the right amount. If you do not have a plastic syringe or spoon, ask your pharmacist for one.

Do not use a kitchen teaspoon as it will not give the right amount.

If you have pulmonary hypertension and you forget to take a dose of sildenafil, take it as soon as you remember and then continue as usual. Never take an extra dose to make up for a forgotten one.

If you often forget doses, it may help to set an alarm to remind you.

You could also ask your pharmacist for advice on other ways to help you remember to take your

medicine

Taking too much sildenafil by accident can cause unpleasant side effects, such as: headaches dizziness indigestion blocked nose altered vision. Talk to your doctor if you have taken too much sildenafil and you're worried about these side effects. Like all medicines, sildenafil can cause side effects in some people. Many people have no side effects or only minor ones. Common side effects happen in more than 1 in 100 people. If you get these side effects, keep taking the medicine, but tell your doctor or pharmacist if these side effects bother you or do not go away: headaches feeling sick hot flushes, including facial flushing indigestion a colour tinge to your vision or blurred vision stuffy nose dizziness.

Serious side effects are rare and happen in less than 1 in 1,000 people.

Stop taking sildenafil and call a doctor straight away if you get : chest pains - if this happens during or after sex, get into a semi-sitting position and try to relax; do not use nitrates to treat your chest pain prolonged and sometimes painful erections - if you have an

erection

blistering

In rare cases, it's possible to have a serious allergic reaction (anaphylaxis) to sildenafil. Immediate action required: Call 999 or go to A&E if: you get a skin rash that may include itchy, red, swollen, blistered or peeling skin you're wheezing you get tightness in the chest or throat you have trouble breathing or talking your

mouth

You could be having a serious allergic reaction and may need immediate treatment in hospital. For a full list, see the leaflet inside your medicines packet. You can report any suspected side effect to the UK safety scheme.

Sildenafil is not recommended in pregnancy and while breastfeeding. Non-urgent advice: Tell your doctor if you're: trying to get pregnant pregnant breastfeeding.

Tell your doctor if you're taking these medicines before you start sildenafil : nitrates for chest pain riociguat for pulmonary hypertension recreational drugs called poppers, such as amyl nitrite. Mixing sildenafil with herbal remedies and supplements.

Some complementary therapies may have ingredients that could interfere with sildenafil and cause side effects. Tell your doctor or pharmacist if you're taking any other medicines, including herbal remedies, vitamins or supplements.

Sildenafil belongs to a group of medicines called phosphodiesterase 5 (PDE5) inhibitors.

It works if you have erection problems by temporarily increasing blood flow to the penis when you get sexually excited. It works in pulmonary hypertension by relaxing blood vessels in the chest.

This increases the blood supply to the lungs and reduces the workload of the heart.

In general, at least two-thirds of men say they have harder erections after taking it.

If sildenafil does not work for you, it may be because: you have not waited long enough after taking it

before

Sildenafil usually starts to work within 30 to 60 minutes. It's triggered by sexual stimulation, so you need to be aroused for it to work. You should be able to get an erection at any time between 1 and 4 hours after taking sildenafil. Your erection should go away after you have had sex.

If you're taking sildenafil for erectile dysfunction, do not take it more than once a day.

If you're taking sildenafil (Revatio) for pulmonary hypertension, do not take it more than 3 times a day.

There do not seem to be any lasting harmful effects from taking it for many months and years.

If sildenafil does not work, there are other tablets you could try that work in a similar way, such as: tadalafil (Cialis) - can be taken up to 36 hours before sex avanafil (Spedra) - can be taken up to around 4 hours before sex vardenafil (Levitra) - can be taken up to around 4 hours before sex.

This is a man-made hormone that helps to stimulate blood flow to the penis.

Alprostadil comes as: an injection directly into your penis a small pellet placed inside your urethra (the tube that carries urine from your bladder to the tip of your penis) If you cannot get erections because of a

hormonal

Other treatments for erectile dysfunction include: a vacuum pump psychological treatments penile implants pelvic floor muscle exercises. Some complementary therapies, such as acupuncture, have claimed to treat erectile dysfunction.

There are lots of treatments that claim to be a "herbal Viagra".

A herbal Viagra has never been approved as a treatment for erectile dysfunction. Women can use sildenafil for pulmonary hypertension.

There's no good evidence that sildenafil works for women with sexual problems. There's no firm evidence to suggest that taking sildenafil will reduce fertility in either women or men.

But speak to a pharmacist or your doctor before taking it if you're trying to get pregnant. Sildenafil does not affect any type of contraception, including the contraceptive pill and emergency contraception.

A beer or a couple of glasses of wine are not likely to stop or delay sildenafil working.

But drinking lots of alcohol can make it more difficult to get an erection. To get the most benefit from sildenafil, do not drink heavily before taking it.

Taking poppers (amyl nitrite) with sildenafil can have a dangerous effect on your heart.

It can also be potentially dangerous to take sildenafil with: stimulants like MDMA (ecstasy) or cocaine hallucinogens like LSD novel psychoactive substances (which used to be known as legal highs) like mephedrone.

Sildenafil has not been properly tested with recreational drugs.

Talk to your doctor if you think you might use any recreational drugs with sildenafil. Do not drink grapefruit juice if you're taking sildenafil (Revatio) for pulmonary hypertension.

You can eat and drink normally while taking sildenafil (Viagra) to get an erection.

Erectile dysfunction can often be improved if you make changes to your lifestyle, such as: Related conditions. Ejaculation problems Erectile dysfunction (impotence) Male sexual problems Priapism (painful erections) Pulmonary hypertension. Relate (sex therapy): charity Sexual Advice Association: charity Sildenafil: forum Viagra: forum. Page last reviewed: 22 January 2019 Next review due: 22 January 2022. Sildenafil (Viagra) is used to treat erectile dysfunction (impotence; inability to get or keep an erection) in men.

Sildenafil (Revatio) is used to improve the ability to exercise in adults with pulmonary arterial hypertension (PAH; high blood pressure in the vessels carrying blood to the lungs, no prescription ed causing shortness of breath, dizziness, and tiredness). Children should not usually take sildenafil, but in some cases, a doctor may decide that sildenafil (Revatio) is the best medication to treat a child's condition. Sildenafil is in a class of medications called phosphodiesterase (PDE) inhibitors.

Sildenafil treats erectile dysfunction by increasing blood flow to the penis during sexual stimulation.

Sildenafil treats PAH by relaxing the blood vessels in the lungs to allow blood to flow easily.

If you are taking sildenafil to treat erectile dysfunction, you should know that it does not cure erectile dysfunction or increase sexual desire. Sildenafil does not prevent pregnancy or the spread of sexually transmitted diseases such as human immunodeficiency virus (HIV). Sildenafil comes as a tablet and suspension (liquid; Revatio only) to take by mouth. If you are taking sildenafil to treat erectile dysfunction, follow your doctor's directions and the guidelines in this paragraph.

The best time to take sildenafil is about 1 hour before sexual activity, but you can take the medication any time from 4 hours to 30 minutes before sexual activity. Sildenafil usually should not be taken more than once every 24 hours. If you have certain health conditions or are taking certain medications, your doctor may tell you to take sildenafil less often.

However, if you take sildenafil with a high-fat meal, it will take longer for the medication to start to work. If you are taking sildenafil to treat PAH, follow your doctor's directions and the guidelines in this paragraph. You will probably take sildenafil three times a day with or without food. Take sildenafil at around the same times every day, and space your doses about 4 to 6

hours

Do not take more or less of it or take it more often than prescribed by your doctor. Shake the liquid well for 10 seconds before each use to mix the medication

evenly

Use the oral syringe provided with your medication to measure and take your dose. Follow the manufacturer's directions to use and clean the oral syringe. Do not mix the liquid with other medications or add anything to flavor the medication. If you are taking sildenafil for erectile dysfunction, your doctor will probably start you on an average dose of sildenafil and no

prescription

Tell your doctor if sildenafil is not

working

If you are taking sildenafil for PAH, you should know that sildenafil controls PAH but does not cure it.

Do not stop taking sildenafil without talking to your doctor. Ask your pharmacist or doctor for a copy of the manufacturer's information for the patient. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information. Before taking sildenafil, tell your doctor and pharmacist if you are allergic to sildenafil, any other medications, or any of the ingredients in sildenafil products.

do not take sildenafil if you are taking or have recently taken riociguat (Adempas) or nitrates (medications for chest pain) such as isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket), and nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat, others). Nitrates come as tablets, sublingual (under the tongue) tablets, sprays, patches, pastes, and ointments. Ask your doctor if you are not sure whether any of your medications contain nitrates. do not take street drugs containing nitrates such as amyl nitrate and butyl nitrate ('poppers') while taking sildenafil.

tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, and nutritional supplements you are taking or plan to take. Be sure to mention any of

the

Jalyn

those

tell your doctor what herbal products you are taking or plan to take, especially St. tell your doctor if you smoke, if you have ever had an erection that lasted for several hours, and if you have recently lost a large amount of body fluids (dehydration). This can happen if you are sick with fever, diarrhea, or vomiting; sweat a lot; or do not drink enough liquids. Also tell your doctor if you have or have ever had pulmonary veno-occlusive disease (PVOD; blockage of veins in the lungs); a stomach ulcer; heart, kidney, or liver disease; a heart attack; an irregular heartbeat; a stroke; chest pain; high or low blood pressure; high cholesterol; a bleeding disorder; blood circulation problems;blood cell problems such as sickle cell anemia (a disease of the red blood cells), multiple myeloma (cancer of the plasma cells), or leukemia (cancer of the white blood cells); conditions affecting the shape of the penis (e.g., angulation, cavernosal fibrosis, or Peyronie's disease); or diabetes.

Also tell your doctor if you or any of your family members have or have ever had an eye disease such as retinitis pigmentosa (an inherited eye condition that causes loss of vision) or if you have ever had sudden severe vision loss, especially if you were told that the vision loss was caused by a blockage of blood flow to the nerves that help you see. if you are a woman and you are taking sildenafil to treat PAH, tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while taking sildenafil, call your doctor. if you are having surgery, including dental surgery, tell your doctor or dentist that you are taking sildenafil.

if you are taking sildenafil to treat erectile dysfunction, tell your doctor if you have ever been advised by a healthcare professional to avoid sexual activity for medical reasons or if you have ever experienced chest pain during sexual activity. Sexual activity may be a strain on your heart, especially if you have heart disease.

If you experience chest pain, dizziness, or nausea during sexual activity, call your doctor immediately and avoid sexual activity until your doctor tells you otherwise. tell all your healthcare providers that you are taking sildenafil.

If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took sildenafil.

Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine. If you are taking sildenafil for erectile dysfunction, you are unlikely to miss a dose since this medication is taken as needed, not on a regular dosing schedule.