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Generic Viagra is a drug intended for the treatment of erectile dysfunction. This preparation is associated with extraordinary masculine power. After using this pill, it will help you not only get the body’s natural response to sexual excitement, but also keep an erection for a long time. You will feel an unprecedented amount of strength and energy. This drug has a high efficiency of its action, thanks to which it received recognition from men all over the world.
What does this tablet contain?
The tablets contain:
- active substance: sildenafil 50 or 100 mg;
- excipients: microcrystalline cellulose (E460), calcium hydrogen phosphate (anhydrous) (E341), croscarmellose sodium, magnesium stearate (E470), Opadry blue film coating OY-LS-20921 (hypromellose (E464), lactose monohydrate, titanium dioxide) (E171), triacetin (E1518), aluminum varnish based on indigo carmine (E132)) and Opadry transparent YS-2-19114-A (hypromellose (E464), triacetin (E1518)).
When is Viagra efficient?
This drug is efficient in all cases when there is a proven inability of the man to achieve or keep an erection sufficient to hold satisfactory sexual intercourse. This drug is released in the form of blue, diamond-shaped tablets with rounded ends that may contain the active ingredient in doses of 25, 50 or 100 mg. For the drug to take effect, the man must be sexually stimulated. This ED drug is not recommended in the absence of sexual excitement. Either Branded or Generic Viagra also cannot be considered an aphrodisiac, because, in principle, it does not increase sexual desire, but simply enhances the physiological erectile mechanism, if it has already been caused by an erotic stimulus. The “magic” blue pill is usually taken on demand, in doses of 25 to 100 mg one hour before sexual activity. The desired effect will appear within 30-60 minutes. It is not recommended to exceed the dose, and the drug can be taken no more than once a day.
What is the optimal dosage of this drug and when should it be reduced?
This drug is available in several dosages (50 mg and 100 mg). If you do not get the expected result after taking a dose, consult your doctor. Together with your doctor, you will determine the dose that will give you the best effect.
Do not take this medication in a dose higher than your doctor prescribed.If, in your opinion, you need to increase the dose, consult your doctor. Sildenafil should be taken no more than 1 time per day.
The doctor may prescribe a lower dose of Viagra, for example:
- if you have severe kidney or liver disease, your doctor will recommend starting with the lowest dose (25 mg).
- if you are taking protease inhibitors used to treat HIV infection, your doctor may recommend a dose of 25 mg and may limit the intake of generic analog to a maximum single dose of 25 mg for 48 hours.
- if you have problems with the prostate gland or high blood pressure, and you are taking alpha-blockers in this regard, your doctor may recommend starting with a lower dose of sildenafil.
- if you are taking CYP3A4 isoenzyme inhibitors, your doctor may recommend starting with a lower dose.
Side effects
The most common side effects associated with the use of this medication include:
- headache;
- face redness;
- hot flashes;
- dizziness;
- vision problems;
- sensitivity to light;
- nasal congestion;
- stomach upset.
To avoid side effects of any kind, prior medical consultation is recommended. This drug should not be used in combination with nitrates (medications used to treat angina pectoris), as this can lead to a severe decrease in blood pressure levels, which can contribute to shock and sometimes even death. Sildenafil is considered safe when prescribed correctly. In fact, there have been many reported deaths after taking the drug in patients at risk for heart disease.
About what to inform a doctor before taking the drug?
- Hypersensitivity to sildenafil or any excipients;
- Lactose intolerance, lactase deficiency, glucose-hapactose malabsorption;
- Severe hepatic impairment (Child-Pugh class C);
- Concomitant use of ritonavir;
- Severe cardiovascular diseases (severe heart failure, unstable angina pectoris, stroke or myocardial infarction within the last 6 months, life-threatening arrhythmias, hypertension (BP> 170/100 mm Hg) or arterial hypotension (BP <90/50 mm Hg);
- Patients with episodes of non-arteritic anterior ischemic neuropathy of the optic nerve with loss of vision in one eye;
- Hereditary retinitis pigmentosa;
- Not intended for use in women;
- It is not intended for use in children under 18 years of age.
Take the drug with care in the following cases:
- anatomical penile deformity (angulation, cavernous fibrosis or Peyronie’s disease;
- diseases predisposing to the priapism development (sickle cell anemia, multiple myeloma, leukemia, thrombocythemia);
- bleeding diseases;
- peptic ulcer of the stomach and duodenum in the acute stage;
- liver dysfunction;
- severe renal failure (Cl creatinine <30 ml / min);
- patients with an episode of development of anterior non-arteritis ischemic neuropathy of the optic nerve in history;
- simultaneous administration of blockers of α-adrenergic receptors.
Possible interactions
Some medications can change the way generic Viagra works. Tell your doctor about any medications you are taking. Do not start or stop taking any medication without consulting your doctor. This applies to both prescription and over-the-counter drugs.
Sildenafil can affect some medications, especially the drugs used to treat chest pain. If a medical emergency develops, you should inform your doctor, pharmacist or nurse that you took this drug and when you did it the last time. Do not take Viagra with other medicinal products, unless your doctor permits you to do so.
Remember that Viagra should never be taken together with preparations containing nitrates.
If you are taking an alpha-blocker drug for hypertension (high blood pressure) or prostate problems, your blood pressure can drop dramatically. You may feel faint or dizzy.
If you are taking protease inhibitors, inhibitors of CYP3A4 isoenzyme (eg erythromycin, ketoconazole, itraconazole), you may need to adjust the dose.
This drug should not be used in combination with any other drugs that induce an erection. These are pills or injections; medicines that are injected into the penis; implants or vacuum pumps.
If one pill did not help, you need to take the second one: true or not?
This utterance is not true. In no case do that unless you want to reach an intensive care unit. The fact is that the active substance of this medication affects the cardiovascular system, kidneys, and gastrointestinal tract. To abuse such drugs for the sake of the great effect means to put yourself into the risks of severe side effects. In addition, after taking 1 tablet of sildenafil, it is not recommended to use additional substances for the next 24 hours.
Can Viagra be taken to “enhance the sensation”?
Theoretically, you can. At the moment, there is no scientific evidence that the constant use of this generic drug in a healthy man can have problems with a natural erection. At the same time, the medical community does not recommend taking Viagra just in case. Take the drug only when necessary. The drug does not cause physical dependence, but it can cause psychological dependence.
Is an overdose possible?
The golden rule of using this medication is that you need to take no more than one pill a day. The main active ingredient of the drug is sildenafil. Tablets are available in different dosages: 25 mg, 50 mg, the maximum single dose is considered 100 mg. This drug begins to act on average within 30-90 minutes after intake and is effective for about 5-6 hours.
If the dosage is exceeded or individual intolerance, there are bowel disorders, headaches, dizziness, weakness. In addition, it can affect color perception: change the brightness and shades of colors. This must be taken into account if you intend to drive after taking.
What can replace sildenafil?
The most popular analogs of sildenafil are Cialis and Levitra. They are similar in action to sildenafil. The difference is in the active ingredients, the rate of absorption and the excretion speed from the body. The active ingredient of Cialis is tadalafil. Unlike the described ED drug, Cialis begins to act later – about 1.5-2 hours after ingestion. But at the same time, it lasts longer – up to 36 hours. In turn, Levitra is ahead of all in terms of absorption rate: the active ingredient vardenafil gives an effect within 20 minutes after entering the body. Its effect is also shorter – on average, 4-5 hours.
Don’t drink: how alcohol interacts with sildenafil?
Despite all the positive properties of sildenafil, it also has disadvantages.
Sildenafil is absorbed for a long time: it can take an hour, or even two from taking the pill to the onset of noticeable effects. In addition, if you take Viagra immediately after a meal, then less than 50% of the entire concentration of sildenafil (most often 100 mg in one tablet) will enter the blood flow. This is clearly not enough to improve an erection. It is recommended to refuse from meals a few hours before the planned sexual intercourse. In addition, it is not the best idea to have sex on a full stomach, but a light snack is unlikely to negatively affect the sildenafil effectiveness.
The fact is that alcohol and sildenafil do not react in any way. It would seem that this is the answer to the question that interests many men.
Unfortunately, things are much more complicated. The first reason this ED drug should not be taken along with alcohol: excessive stress on the cardiovascular system. Even a healthy body, in this case, is subjected to the health risk. In addition, sildenafil, like alcohol, is excreted from the body by the liver. By consuming alcohol along with sildenafil, you actually impose a double load on your liver.
But most importantly, alcohol slows down the sildenafil absorption, and also reduces its effectiveness, slowing down the reflex reactions responsible for an erection. In total, we have the following arguments against the combined use of Viagra and alcohol:
- increased stress on the heart and liver;
- decreased effectiveness of sildenafil;
- decreased quality of erection.