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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 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.

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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, 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.

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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.

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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 increase or decrease your dose depending on your response to the medication. Tell your doctor if sildenafil is not working well or if you are experiencing side effects. 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 costco pharmacy sildenafil (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.

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