The most common medications used to treat erectile dysfunction (ED) are Viagra, Cialis, Sildenafil, and Levitra. They belong to a class of drugs called phosphodiesterase 5 inhibitors (PDE5 inhibitors), which will be explained below. An erection occurs when someone is stimulated by an erotic thought or sexual contact. That leads to a series of chemical reactions in the blood vessels of the penis that results in 6 times the blood flow getting trapped in the penis. An erection might last indefinitely if it weren’t for chemicals called phosphodiesterases. They work at reversing the process that keeps the penis erect. Usually there is a balance between the chemicals that cause an erection and those that would return the penis to being flaccid. They pull in opposite directions with one dominating over the other in a perfect sequence that lets a man have an erection as long as it is needed. tamoxifen for 10 years Viagra, Cialis, Levitra, and generic sildenafil are all part of a family of drugs called PDE-5 inhibitors. These drugs are used to treat erectile dysfunction (ED). Erectile dysfunction medication works by preventing the chemical process that lets blood leave an erect penis. Basically, PDE-5 inhibitors tip the chemical balance in the penis to favor getting and maintaining an erection. The biggest difference between Viagra and generic sildenafil is the amount of active ingredient in each pill. The other main difference is that generic sildenafil is FDA approved to treat Pulmonary Hypertension (that’s high blood pressure between the heart and lungs) while Viagra is FDA approved to treat erectile dysfunction. It’s a little confusing since both medications use the same active ingredient, but Viagra and sildenafil work in the same way. Inderal 5mg Each film-coated tablet contains 25 mg Sildenafil as sildenafil citrate. Excipient with known effect Each 25 mg film-coated tablet contains 1.8 mg lactose. can u buy viagra over the counter in usa Sildenafil is used to treat male sexual function problems impotence or erectile dysfunction-ED. In combination with sexual stimulation, sildenafil works by. Buy Viagra 25mg and Sildenafil 25mg at the cheapest price guaranteed. As medically identical medicines, Viagra 25mg and sildenafil 25mg have the same. The recommended dose is 50 mg taken as needed approximately one hour before sexual activity. Based on efficacy and tolerability, the dose may be increased to 100 mg or decreased to 25 mg. The maximum recommended dosing frequency is once per day. If Sildenafil is taken with food, the onset of activity may be delayed compared to the fasted state (see section 5.2). Since sildenafil clearance is reduced in patients with hepatic impairment (e.g. Based on efficacy and tolerability, the dose may be increased step-wise to 50 mg up to 100 mg as necessary. With the exception of ritonavir for which co-administration with sildenafil is not advised (see section 4.4) a starting dose of 25 mg should be considered in patients receiving concomitant treatment with CYP3A4 inhibitors (see section 4.5). In order to minimise the potential of developing postural hypotension in patients receiving alpha-blocker treatment, patients should be stabilised on alpha-blocker therapy prior to initiating sildenafil treatment. In addition, initiation of sildenafil at a dose of 25 mg should be considered (see sections 4.4 and 4.5). Sildenafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, sildenafil works by increasing blood flow to the penis to help a man get and keep an erection. This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). Consult your doctor or pharmacist for more details. Read the Patient Information Leaflet provided by your pharmacist before you start taking sildenafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist. To treat erectile dysfunction-ED, take this drug by mouth as directed by your doctor, usually as needed. Take sildenafil at least 30 minutes, but no more than 4 hours, before sexual activity (1 hour before is the most effective). A high-fat meal may delay how quickly the drug begins to work. 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