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How to use
  • Always take this medicine exactly as your pharmacist or doctor has told you.
  • The usual recommended dose is 50mg taken as needed, approximately one hour before sexual activity.
  • Swallow the tablet whole with a glass of water.
  • Viagra Connect 50mg can be taken with or without food. However, the medicine may take longer to start working if you take it with a heavy meal.
  • It is best not to drink high amounts of alcohol before taking Viagra Connect 50mg as it may limit its effectiveness.
  • You should not take more than one tablet in any 24-hour period, and only use it when sexual activity is anticipated.
  • Remember to talk to your pharmacist if you are unsure on how to take this medicine. Consult your doctor or a pharmacist immediately if you experience any serious side effects.
Main Ingredients
  • Sildenafil citrate, microcrystalline cellulose, calcium hydrogen phosphate (anhydrous), croscarmellose sodium, magnesium stearate, hypromellose, titanium dioxide (E171), lactose monohydrate, triacetin, indigo carmine aluminium lake (E132)
Side Effects & CautionsSide Effects:
  • Can cause headaches, dizziness, and blurred vision. Avoid activities like driving until you know how it affects you.
  • Can lead to upset stomach or nausea. Take the medication with food to prevent these effects.
  • May cause flushed skin or rash.
  • It can cause a drop in blood pressure, leading to feelings of lightheadedness.
  • It can trigger a serious skin reaction, symptoms include skin rashes, blisters, or peeling.
  • It can rarely cause prolonged, painful erections. Seek medical help immediately if this occurs.
  • If you have heart problems, using this drug may increase your risk of heart attack or stroke. Discuss the risks with your doctor.
  • Do not use if you are also taking nitrates or recreational drugs containing nitrates.
  • Avoid using with other medications for erectile dysfunction.
  • Do not drink excessive amounts of alcohol while using this drug.
  • Note: This list is not exhaustive. Always consult your doctor for complete information.
Cautions:
  • Do not take Viagra Connect if you are allergic to any of its ingredients.
  • It is not suitable for men under the age of 18 or women.
  • Avoid taking it if you have serious heart or liver problems or if you've recently had a stroke or heart attack.
  • Combining Viagra Connect with other medications containing nitrates can considerably lower the blood pressure.
  • Do not take Viagra Connect if you suffer from a rare inherited eye disease like retinitis pigmentosa.
  • Possible side effects include headaches, nausea, hot flushes and dizziness.
  • If an erection lasts for more than 4 hours, seek medical help immediately.
  • Consult your doctor if you have conditions like Peyronie’s disease or any other deformation of the penis.
  • Do not exceed the recommended dosage.
  • Taking Viagra Connect will not prevent pregnancy or the spread of sexually transmitted diseases.
Patient Information LeafletShare:Share:>SPF link:_apx.nlearn.linkID:_apx.nlearn.link_apx.nlearn.link_app.nlearn.link_doxygen_injector_start.doxygen_injector_open_all.doxygen_injector_close_all.doxygen_injector_free_open_all.doxygen_injector_injector_injection_free_open.

Sildenafil citrate, commonly known by the brand name, is a prescription-only medicine used to treat erectile dysfunction (ED) in adult men. It works by improving blood flow to the penis, helping to achieve and maintain an erection during sexual activity.

Dosage and Administration

Sildenafil is available in 25mg, 50mg, and 100mg strengths.

  • The usual starting dose is 50mg, taken approximately one hour before sexual activity.
  • Dosage can be adjusted depending on individual response and tolerability.
  • Take only one tablet in 24 hours, with or without food.
  • Avoid grapefruit juice, as it can increase the risk of side effects.
  • A high-fat meal may delay onset of action.

Effectiveness

Sildenafil has been shown to be effective in up to 80% of men with ED, with effects typically noticeable within 30 to 60 minutes, and lasting for up to 4–5 hours.

Side Effects

Common side effects include:

  • Headache
  • Flushing
  • Nasal congestion
  • Indigestion

Less common but serious effects include visual disturbances, hearing changes, or prolonged erections. Seek medical attention if severe or persistent side effects occur.

Contraindications

Sildenafil should not be used by those:

  • Taking nitrates for chest pain
  • With severe heart or liver conditions
  • Under 18 years of age
  • With certain medication interactions (e.g. alpha-blockers, antifungals, antibiotics)

Interactions

Inform your doctor of all medications and supplements before use. Interactions may occur with:

  • Nitrates
  • Alpha-blockers
  • Some antibiotics and antifungal medicines

Alcohol and Heart Conditions

Avoid excessive alcohol while taking sildenafil, as it can lower blood pressure and increase side effect risk. Use with caution if you have any heart-related conditions.

Availability and Cost

Sildenafil is available by prescription only in the UK.

  • Generic versions are more affordable than branded Viagra.
  • Supplied by licensed UK pharmacies such as Online Chemist.
  • Avoid counterfeit products from unregulated websites.

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Erectile dysfunction is a common condition that affects millions of men worldwide. It is commonly found in men of all ages, with some leading experts saying ED is the leading cause of ED. However, it may also occur at any age, with some men reporting difficulties in achieving and maintaining an erection.

Interactions

A. Top Drug-Drug Interactions:

1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).

2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.

3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.

Other Drug-Drug interactions:

  • Ketoconazole, itraconazole (used to manage fungal infection)
  • Protease inhibitors (used to manage HIV infection) Ex. ritonavir, lopinavir
  • Phenobarbital, phenytoin, carbamazepine (medicines used for fits)
  • Rifampicin, erythromycin, clarithromycin (medicines used for bacterial infections)
  • Other medicines used to improve blood flow to the penis (Ex. sildenafil)

B. Drug-Food Interactions:

Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:

  1. Grapefruit and Grapefruit Juice: Grapefruit can increase the levels of tadalafil in your blood by interfering with its metabolism. This may amplify side effects, such as headaches, dizziness, or low blood pressure. Avoid consuming grapefruit or grapefruit juice while taking Cialis.
  2. Alcohol: Drinking alcohol with Cialis can enhance the blood pressure-lowering effects of the medication, leading to symptoms like dizziness, lightheadedness, or fainting. Limiting alcohol intake is recommended while using Cialis.
  3. High-Fat Meals: While Cialis can be taken with or without food, consuming it with a high-fat meal may delay its onset of action. Opt for lighter meals if rapid effectiveness is needed.
  4. Caffeine: Though not a direct interaction, combining Cialis with high caffeine intake might worsen side effects like headaches or increase heart rate in sensitive individuals.
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C.

You can take Cialis with or without food. While drinking alcohol with Cialis can improve results, your doctor should not stop your intake of alcohol while taking it. You should avoid consuming alcohol while taking Cialis.

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What is Viagra?

Viagra is an erectile dysfunction medication used for treating erectile dysfunction (ED). Viagra is the generic version of Viagra. Viagra is taken orally and is taken daily for up to six hours. The duration of Viagra's effect can last up to 4 hours. Viagra is usually taken as a tablet and is known as a "Sig" because it contains sildenafil, the same active ingredient as the brand name brand of Viagra.

How does Viagra work?

Viagra works by relaxing the blood vessels in your penis, allowing blood to flow into your penis when you are sexually excited. It will only help you to get and maintain an erection when you are sexually stimulated. Viagra will only help you to achieve and maintain an erection for the desired duration.

Viagra increases blood flow to the penis. This helps you achieve and maintain an erection.

How long does Viagra last?

Viagra can last for up to 4 hours. However, it is important to note that Viagra may start working within 30 minutes of taking it. It is important to speak with your doctor or pharmacist if you are unsure of the timeframe.

How long does Viagra last for?

The effect of Viagra lasts for up to 4 hours. This means that you will notice some of the effects, like increased sensitivity, and a more noticeable sexual side effect, like decreased libido.

Does Viagra affect blood flow?

Yes, Viagra does not affect blood flow or blood flow to the penis. However, Viagra may increase blood flow to the penis to help achieve and maintain an erection.

How long does Viagra take to work?

Viagra will start working within 30 minutes of taking it. It will not last longer than 4 hours. However, it is important to note that Viagra may take longer to work if you take the medication for longer than 4 hours.

Viagra increases blood flow to the penis when you are sexually excited. Viagra is a prescription medication and should not be used by anyone under the age of 18.

However, Viagra may take longer to work if you take the medication for longer than 4 hours.

What happens if I miss a dose?

If you miss a dose of Viagra, take it as soon as you remember.