05.09.2020
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Sildenafil & Viagra manufactured by Pfizer in France. A physician in our network will evaluate which (if any) ED treatment is appropriate for you. Then we’ll ship it to you in discreet, unmarked packaging. Many people get great results the first time they use the medication. For some, it can take 2-3 uses to see results, and research shows that best results occur after 8 uses . If you still don’t see results, your doctor or sildenafil price nurse practitioner may be able to increase your dose or switch you to a different medication. If you experience side effects, message your doctor or nurse practitioner and they’ll help determine if a different medication or dose is better for you. Sexual health and overall health are inherently related. If erectile dysfunction is interrupting your sex life, your general wellbeing (and that of your partner) is impacted greatly. Report your symptoms and medical history to a U.S.-licensed physician or nurse practitioner for evaluation. Your treatment will be sent in discreet packaging, always with free 2-day shipping. Send your doctor or nurse practitioner a message any time to discuss updating your treatment, solving for side effects, or any other questions or concerns. For more information about erectile dysfunction, Roman, Ro and more, visit our FAQ page. To speak to a care representative, give us a call at (888) 798-8686 or email us at [email protected] . Roman uses telemedicine technology to provide a discreet, convenient, and affordable way for you to receive erectile dysfunction treatment from a U.S. Complete the dynamic onboarding, submit your photo, ID, and recent blood pressure reading, and our physicians will determine if you’re a candidate for telemedicine. Erectile dysfunction is often a symptom of a more serious underlying condition—like heart disease, diabetes, high blood pressure, or even depression. That’s why we strongly recommend optional laboratory tests. These tests aren’t required to receive treatment on the Roman platform. But they help identify the underlying cause of your ED. We want you to get the most comprehensive treatment possible. Just send us your most recent blood test and we’ll add it to your account information to help our physicians give you the most comprehensive care from the convenience of your phone.It might sound funny but regular erections are a great barometer of your overall health. Learn why paying attention to the strength and frequency of your erection might actually save your life. Which medications do doctors and nurse practitioners on the Roman platform prescribed for ED? The American Urological Association claims that oral PDE-5 inhibitors should be offered as the “first line of therapy for erectile dysfunction.” So that’s what we do. Physicians on the Roman Platform prescribe the most common PDE-5 oral medications which include: sildenafil (Viagra) and tadalafil (Cialis) Is ED medication effective? Viagra’s FDA approved prescribing information claims that “82% of patients reported an improvement in their erections.” Other PDE-5 inhibitors (Cialis, Levitra) showed similar results. Oral ED medication is generally considered extremely effective and studies show it works on the majority of men. It’s important to note that everyone’s reaction to a medication is unique. Your Roman physician may recommend trying the medication multiple times under different circumstances. They may also increase your dose, depending on your reaction to the medication and any side effects. If you’ve been prescribed ED medication on the Roman platform, please contact a physician on from your account page if you have any questions. Can a doctor or nurse practitioner diagnose erectile dysfunction remotely? Erectile dysfunction can be diagnosed by a physician based on a patient self-reporting their symptoms and medical history. Physicians on the Roman platform use telemedicine technologies to diagnose ED in the same way they diagnose patients in-person. Doctors ask you questions to evaluate your symptoms and make sure it’s safe and appropriate to prescribe ED medication. The physicians on the Roman platform use your answers to diagnose your condition and create a treatment plan. That’s why it’s vital you answer each question to the best of your knowledge and ensure that every communication with your physician is truthful, accurate, and thorough. Why do I need to know my blood pressure to get an ED prescription? Your blood pressure is an important part of determining whether it’s safe for you to take ED medication. It can be dangerous to take ED medication if your blood pressure is above or below a certain value. To complete a comprehensive medical history during your online visit, you need to enter your most recent blood pressure reading within the last 6 months. If you haven’t had your blood pressure taken within the last 6 months, you can get a free blood pressure reading at thousands of locations across the country. Enter your location into higi or Pursuant Health to find a place near you that offers free, clinically verified blood pressure readings. If you’re measuring your blood pressure at home, make sure the device has been “clinically validated.” You can purchase a device online or at your local pharmacy. We recommend an upper arm cuff over a wrist or finger blood pressure monitor. Before taking your blood pressure, it’s important to avoid the following factors that may cause your blood pressure to temporarily rise: Cold temperatures Exercise Caffeine Stress Smoking Certain medications (check the label on your device) When you’re ready, find a quiet place and sit for 5-10 minutes. Make sure you’re relaxed and have recently urinated (a full bladder can affect your reading). Apply the cuff on your upper arm and following the directions on the device.Please make sure to take at least two readings. Enter the higher of the two readings during your online dynamic visit. Do you offer alternative treatments for erectile dysfunction? Oral ED medications are extremely effective, but they don’t work for everyone. Other treatment options for ED include lifestyle improvements (like exercise, diet, quitting smoking, and limiting alcohol use), surgery, penile vacuum pumps, and other ED medications. Every treatment comes with risks and benefits that you should fully understand before moving forward with any treatment plan. Currently, the only erectile dysfunction treatment we offer are oral PDE-5 inhibitors in the form of: If you’d like to pursue alternative ED treatment, we recommend speaking with a physician in-person. Contact our team at [email protected] and we can recommend a doctor in your area. Orders ship in discreet boxes, with all medication in single use packs. Child proof packaging is available upon request by emailing [email protected] Orders are shipped 2-day air to ensure medication is received as soon as possible. Postal boxes and mail forwarding addresses will receive standard postal shipping and not 2-day air at this time. Where can I get my blood pressure measured for free? Enter your location into higi or Pursuant Health to find the nearest location to get a free, clinically verified blood pressure reading. Higi Stations are available free of charge at Rite Aids nationwide, and Pursuant Health stations are available free of charge at Walmarts nationwide. According to the American Urological Association, oral PDE-5 inhibitors should be offered as the “first line of therapy for erectile dysfunction.” So that’s what physicians on the Roman platform use to treat ED. The most common PDE-5 oral medications they prescribe are: Sildenafil (Viagra) Sildenafil (sildenafil) Tadalafil (Cialis) From treating specific conditions to helping you tackle life-threatening addictions and supporting your body’s natural systems. Starting at $35/Month* Starting at $25/Month* Starting at $15/Month* *Shipped & billed quarterly. Final price depending on prescribed treatment plan. From receding hairlines, to thinning hair, to breakouts, to fine lines or wrinkles—tell us what’s bothering you so we can help. Starting at $31/Month* Starting at $22/Month* Starting at $29/Month* *Shipped & billed quarterly. Final price depending on prescribed treatment plan. Get discreet and genuine prescription medications (if prescribed) or over-the-counter treatment delivered in unmarked packaging. Erectile dysfunction Premature ejaculation Hair loss Cold sores Genital herpes Heart Health Bone Health Stress Relief Prostate Health Testosterone Support Weight management Allergies Nightly Defense skincare Eczema Dandruff Excessive sweating (hyperhidrosis) About sildenafil price Roman. How it works Our story Our medical advisors Our network physicians Transparency Member stories Health Guide Press Careers. Roman-affiliated physician practices are independently owned and operated by licensed physicians who provide services utilizing the Roman telehealth platform. Major League Baseball trademarks and copyrights are used with permission of Major League Baseball. Erectile dysfunction Premature ejaculation Cold sores Genital herpes. Hair loss treatment Nightly Defense skincare Eczema Dandruff Excessive sweating (hyperhidrosis) Daily health. Allergies Heart health Bone health Stress relief Prostate health Testosterone support. Sildenafil 20mg (generic revatio) Read this Patient Information before you start taking sildenafil 20 mg (Revatio) and each time you get a refill. This information does not take the place of talking with your doctor about your medical condition or treatment. If you have any questions about sildenafil, ask your doctor or pharmacist. What is the most important information I should know about sildenafil 20 mg tablets (Revatio)? Your sildenafil price blood pressure could drop quickly to an unsafe level. Nitrate medicines include: Medicines that treat chest pain (angina) Nitroglycerin in any form including tablets, patches, sprays, and ointments Isosorbide mononitrate or dinitrate Street drugs called “poppers” (amyl nitrate or nitrite) Ask your doctor or pharmacist if you are not sure if you are taking a nitrate medicine. 20 mg sildenafil is a prescription medicine used in adults to treat pulmonary arterial hypertension (PAH). With PAH, the blood pressure in your lungs is too high. Your heart has to work hard to pump blood into your lungs. It improves the ability to exercise and can slow down worsening changes in your physical condition. Sildenafil is not for use in children Adding sildenafil to another medication used to treat PAH, bosentan (Tracleer®), does not result in improvement in your ability to exercise. 20 mg sildenafil tablets contain the same medicine as VIAGRA® (sildenafil), which is used to treat erectile dysfunction (impotence). Do not take 20 mg sildenafil tablets with VIAGRA or other PDE-5 inhibitors. Who should not take sildenafil 20 mg tablets (Revatio)? Do not take sildenafil if you: Take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas (riociguat) for pulmonary hypertension. Your blood pressure could drop to an unsafe level Are allergic to sildenafil, as contained in VIAGRA ® and REVATIO ® You’ve ever had blockage of veins in your lungs, which is called pulmonary veno-occlusive disease Are a women or a child. Before you take sildenafil, tell your healthcare provider if you: Have or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve, or heart failure buy sildenafil walgreens Have had heart surgery within the last 6 months Have pulmonary hypertension Have had a stroke Have low blood pressure, or high blood pressure that is not controlled Have a deformed penis shape Have had an erection that lasted for more than 4 hours Have problems with your blood cells such as sickle cell anemia, multiple myeloma, or leukemia Have retinitis pigmentosa, a rare genetic (runs in families) eye disease Have ever had severe vision loss, including an eye problem called NAION Have bleeding problems Have or have had stomach or intestinal ulcers Have liver problems Have kidney problems or are having kidney dialysis Have any problem with the shape of your penis or Peyronie’s disease Have any other medical conditions. Tell your healthcare provider about all the medicines you take , including prescription and over-the-counter medicines, vitamins, and herbal supplements. Sildenafil may affect the way other medicines work, and other medicines may affect the way sildenafil works, causing side effects. Especially tell your healthcare provider if you take any of the following: Medicines called nitrates Medicines called guanylate cyclase stimulators such as Adempas ® (riociguat) 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 HIV protease inhibitors, such as ritonavir (Norvir ® ), indinavir sulfate (Crixivan ® ), saquinavir (Fortovase ® or Invirase ® ), or atazanavir sulfate (Reyataz ® ) Oral antifungal medicines, such as ketoconazole (Nizoral ® ) and itraconazole (Sporanox ® ) Antibiotics, such as clarithromycin (Biaxin ® ), telithromycin (Ketek ® ), or erythromycin Other medicines that treat high blood pressure K antagonists (like coumadin or warfarin) Other medicines or treatments for ED Sildenafil is the same medicine found in VIAGRA ® and 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]) Know the medicines you take. Keep a list of your medicines and show it to your doctor and pharmacist when you get a new medicine. Withholding or providing inaccurate information about your health and medical history in order to obtain treatment may result in harm, including, in some cases, death. How should I take sildenafil 20 mg tablets (Revatio)? Sildenafil may be prescribed to you as tablets or an oral suspension Take sildenafil tablet or oral suspension 3 times a day about 4 to 6 hours apart Take sildenafil tablets or oral suspension at the same times every day. Sildenafil oral suspension will be mixed for you by your pharmacist. Do not mix sildenafil oral suspension with other medicine or flavoring. Shake well for at least 10 seconds before each dose. If you miss a dose, take it as soon as you remember. If it is close to your next dose, skip the missed dose, and take your next dose at the regular time. Do not take more than one dose of sildenafil at a time. Do not change your dose or stop taking sildenafil on your own. If you take too much sildenafil, call your doctor or go to the nearest hospital emergency room. What are the possible side effects of sildenafil 20 mg tablets (Revatio)? Low blood pressure may cause you to feel faint or dizzy. Tell your doctor if you get more short of breath after you start REVATIO. More shortness of breath than usual may be due to your underlying medical condition. decreased eyesight or loss of sight in one or both eyes (NAION). If you notice a sudden decrease or loss of eyesight, talk to your doctor right away. If you notice a sudden decrease or loss of hearing, talk to your doctor right away. It is not possible to determine whether these events are related directly to this class of oral medicines, including REVATIO, or to other diseases or medicines, to other factors, or to a combination of factors. heart attack, stroke, irregular heartbeats, and death. Most of these happened in men who already had heart problems. Tell your doctor right away if you have an erection that lasts more than 4 hours. The most common side effects with sildenafil 20 mg tablets (Revatio) include: Nosebleed Headache upset stomach getting red or hot in the face (flushing) trouble sleeping Fever erection increased respiratory infection Nausea Vomiting Bronchitis Pharyngitis runny nose pneumonia in children. Tell your doctor if you have any side effect that bothers you or doesn’t go away.These are not all the possible side effects of REVATIO. For more information, ask your doctor or pharmacist. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. How should I store sildenafil 20 mg tablets ( Revatio)? Store tablets at controlled room temperature, between 20°C -25°C (68°F to 77°F). Store constituted oral suspension below 30°C (86°F) or in a refrigerator between 2°C to 8°C (36°F to 46°F). General information about sildenafil 20 mg tablets (Revatio) Medicines are sometimes prescribed for purposes that are not in the patient leaflet. Do not use REVATIO for a condition for which it was not prescribed. Do not give REVATIO to other people, even if they have the same symptoms you have. This patient leaflet summarizes the most important information about REVATIO. If you would like more information about REVATIO talk with your doctor. You can ask your doctor or pharmacist for information about REVATIO that is written for health professionals.For more information go to www.REVATIO.com or call 1-800-879-3477. What are the ingredients in sildenafil 20 mg tablets (Revatio)? Active ingredients: sildenafil citrate Inactive ingredients: microcrystalline cellulose, anhydrous dibasic calcium phosphate, croscarmellose sodium, magnesium stearate, hypromellose, titanium dioxide, lactose monohydrate, and triacetin. About sildenafil Key facts Who can and can't take sildenafil Where to get sildenafil How and when to take it Side effects Pregnancy and breastfeeding Cautions with other medicines Common questions. Sildenafil is a medicine used to treat erectile dysfunction. It increases blood flow to the penis to help men get an erection. At least two-thirds of men have improved erections after taking it. Sildenafil is also sometimes used to treat pulmonary hypertension (high blood pressure in the blood vessels that supply the lungs). This medicine is available on prescription and can also be bought from most pharmacies. It comes as tablets that you swallow, chewable tablets, and as a liquid that you drink. It usually takes 30 to 60 minutes for sildenafil to work for erectile dysfunction. You can take it up to 4 hours before you want to have sex. Taking sildenafil alone will not cause an erection. The most common side effects are headaches, feeling sick, hot flushes and dizziness. It can be dangerous to take sildenafil if you also take medicines called nitrates (often given for chest pain). The combination can cause a dangerous fall in your blood pressure. If you're not sure if you're taking a nitrate, ask your doctor or pharmacist. Sildenafil is called by the brand names Viagra (for erectile dysfunction) and Revatio (for pulmonary hypertension). Sildenafil for erectile dysfunction (Viagra) can be taken by men aged 18 and over. Sildenafil for pulmonary hypertension ( Revatio) can be taken by adults and children aged 1 and over. Do not take sildenafil if you: have had an allergic reaction to sildenafil (Viagra) or any other medicines in the past are taking medicines called nitrates for chest pain have a serious heart or liver problem have recently had a stroke or a heart attack have low blood pressure have a rare inherited eye disease, such as retinitis pigmentosa. 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 penis) have a heart problem. Your sildesildenafil price nafil price doctor should carefully check whether your heart can take the additional strain of having sex. 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 on a private prescription from your doctor. This means you'll need to pay the full cost of the medicine. 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 best price for generic sildenafil 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.
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