Sildenafil citrate or Viagra belongs to a group of medicines called phosphodiesterase type 5 inhibitors. It is used in the treatment of erectile dysfunction (sexual impotence). It helps to get and maintain an erection sufficient to engage in sexual activity. Its action increases the blood flow inside the penis of a man sexually excited at the time of taking the drug. It acts only as a result of sexual stimulation, it does not increase sexual desire.

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Each blue tablet contains sildenafil citrate equivalent to 25 mg, 50 mg or 100 mg of sildenafil. Non-medicinal ingredients: anhydrous calcium phosphate dibasic, croscarmellose sodium, aluminum alloy AD and C blue no. 2, hypromellose, lactose, magnesium stearate, microcrystalline cellulose, titanium dioxide and triacylglycerol.
The recommended dose is 50 mg to be taken as needed, about one hour before any sexual activity. Depending on efficacy and safety, the dose may be increased to 100 mg or reduced to 25 mg. The maximum recommended dose is 100 mg. The maximum frequency of use is once a day. Several factors can be considered in determining the dose that a person needs, weight, health, and other medications. If your doctor has recommended a dose other than those listed on the package leaflet, do not change the way you take the medication without first consulting it. If the drug is taken with food, the action of Viagra may be delayed compared to a fasting.
Effects on the ability to drive and use machines have not been studied, as dizziness and vision problems have been reported in clinical studies with sildenafil, patients should be aware of how They react to Viagra before driving a vehicle or handling machinery.
The most common side effect is headache, other fairly common side effects may include redness in the face, digestive disorders, difficulties in vision such as sensitivity to light, disturbance in color perception, decreased visual acuity, dramatic sensations, stuffy nose. Other serious but rare adverse effects have been reported like hypertension or hypotension with fainting, cerebral vascular accident, loss of hearing and cardiac arrhythmias.
Do not use sildenafil if you have, an allergy to sildenafil or to any of the ingredients of the medication; an history of visual problems associated with nerve damage to the retina caused by reduced blood flow; a medical opinion opposing sexual activity; taking riociguat; the taking of a type of nitrated derivative in any form (oral, sublingual, cutaneous patch or spraying). Nitrate derivatives include nitroglycerin and related medicinal products used in the relief of chest pain or angina pectoris. They also include pentyl nitrite in popularly referred to as “”poppers””. Simultaneous use of these medications and sildenafil may cause sudden drops in blood pressure, leading to dizziness, syncope, heart attack, or stroke. Nitrates are used in the treatment of angina pectoris. If you do not know if you are taking nitrates, ask your doctor or pharmacist.
Nitro derivatives should not be taken by anyone receiving sildenafil because they can cause your blood pressure to drop very low. Dizziness, syncope, heart attack or stroke may ensue.

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