Sildenafil is a drug that is used for treating ED, maintain a penile erection, or inability to attain a penile erection. It is also in a class of drugs known as phosphodiesterase inhibitors (PDE-5 inhibitors). That class also include vardenafil (Staxyn ODT, Levitra), avanafil (stendra), or tadalafil (Cialis). Over 140 million men worldwide are estimated to be impotent, while half of that astonishing number is said to be as a result of physical cause. The other half are believed to be as a result of psychogenic. Some of the medical reasons for impotence include urological, neurological conditions, diabetes and circulatory.
The main causal agent of penile erection is engorgement of the male penis with blood. The engorgement is as a result of blood vessels delivering blood to the penis increase the volume of blood flowing through the blood vessels while decreasing the removal of blood. Generally, under normal circumstances, sexual stimulation leads to the production and overall release of nitric oxide. The nitric oxide then activates the guanylate cyclase, enzyme, which are known to cause the production of cyclic guanosine monophosphate (cGMP).
Sildenafil citrate’s main purpose is to relax the muscles of the blood vessels while also increasing blood flow to some part of the body. In scientific form, Sildenafil Citrate is the citrate salt of a pyrazolopyrimidinone derivative which is structurally related to zaprinast, it selectively inhibits cyclic guanosine monophosphate (cGMP). cGMP is a specific type 5 phosphodiesterase, resulting in vasodilation in the corpus cavernosum of the male penile erection. In simple terms, Sildenafil citrate also called Vizarsin, Viagra, or Nipatra is a type of drug that helps to treat erectile dysfunction.
The drug works by simply preventing the action of a chemical known as phosphodiesterase type – 5 in the patient’s body. it also widens the blood vessels while increasing the flow of blood through to the penis thanks to effective sexual stimulation. In simpler terms, it is used to maintain the penile erection. You can by Sildenafil Citrate online from reputable platforms.
Where can I Sildenafil Citrate over the counter? Well, the drug can be gotten over the counter in some circumstances. All you have to do is ask your pharmacist for medical adv ices on the option that’s best suited for you.
If you get a prescription from your doctor for ED treatment, there is a very high probability that you will be prescribed generic Sildenafil Citrate. According to NHS guideline, generic Sildenafil Citrate is available on an NHS prescription all men that are tagged to be eligible (men who have ED). Whereas, Viagra which is a branded Sildenafil should only be used or prescribed on a privately. It may also be prescribed by NHS to a few men who’s got specific health problems.
Before Consuming Sildenafil Citrate
There some medicines that are not suitable for patients with some certain conditions. When taking some medicine, one has to take caution and be extra careful. So, before taking Sildenafil Citrate, make sure the medical professional attending to you knows if:
- You’ve got any injury, disease of any type of deformity of your penis.
- You have had a heart attack or a stroke.
- You have ever had leukaemia or bone marrow.
- You are currently using any medicine.
- You have a blood vessel disease or a heart condition.
- You have low blood pressure or angina.
- You have sickle cell disease.
- You have a condition known to cause bleeding, for instance, stomach ulcer.
- You have any problems with the way your liver works or with the way your kidneys work.
- You’ve had an eye condition that could have caused the loss of vision.
- In case you are using a nitrate drug to alleviate heart problems or chest pain. Some of these problems include isosorbide mononitrate, nitroglycerin, and isosorbide mononitrate.
What are the side effects of Sildenafil Citrate?
In case things go sideways; you should get emergency help as soon as possible. Sometimes, patients show signs of an allergic reaction to Sildenafil Citrate, so, when you start seeing the signs listed below, you should stop taking the drug and see your medical professional.
- Heart attack signs – when the pain starts to spread to your jaw or shoulder chest pressure or pain, sweating, and nausea.
- Irregular heartbeat.
- Sudden vision loss or vision changes.
- Sudden hearing loss, or ringing in your ears.
- Shortness of breath.
- When the erection is painful or lasts hours – meanwhile, prolonged erection can damage the penis.
- A light-headed feeling that makes you feel like passing out.
- Irregular heartbeats.
- Swelling in your feet, ankles, or hands.
- However, there are common Sildenafil Citrate side effects may include some of the signs listed below.
- Back pain, muscle pain.
- Dizziness, headache.
- Stuffy or runny nose, nosebleeds.
- Flushing – warmth, redness, or tingly feeling.
- Nausea, upset stomach, or heartburn.
- Blurred vision or changes in colour vision.
Sildenafil Citrate Dosage
For the usual adult dose for ED, the initial dose is 50mg orally once every 24 hours. Reiteratively, this should be 1 hour before sexual intercourse.
For maintenance dosage, you should take 25 to 100 mg orally daily, as needed. But should be an hour before sexual activity.
This drug may be taken 30 minutes to 4 hours before the sexual acts. It should only be used as a treatment for ED.
Sildenafil Citrate may also be used to treat pulmonary hypertension – in this case, Revatio ® when taken orally should be:
The initial dose of 5 or 20mg orally three times every day and 4 to 6 hours apart. The maximum dose should be 20mg orally three times daily.
Meanwhile, the injections should be an initial dose of 2.5 or 10mg IV bolus three times daily.
How to take Sildenafil Citrate / Precautions.
You need to follow the directions on the prescription label and read the guides. You should use the medicine as directed. While Viagra is usually taken only when it’s needed. Take it 30 minutes to 60 minutes before sex. But,
Before taking Sildenafil Citrate, you have to read the printed information on the leaflet. This will give you detailed information about the drug and will also provide you with the list of side effects which you are likely to experience when you consume the tablet.
Take the drug exactly as your doctor instructs you to. It should be taken before sexual activity. Also, the drug is not meant to be used daily. Take one tablet approximately 60 minutes before sex. The drug is said to still stay active for 5 hours after sex. The volume of food taken also affects the effectiveness of the drug. The more the meal, the longer it takes to work effectively.
Some types of Sildenafil Citrate are meant to be chewed. For instance, a brand of Sildenafil Citrate known as Nipatra is meant to be chewed before swallowing it.
Remember, you must not take more than one table within 24 hours.
The tablet comes in three different packages. We have the Sildenafil Citrate 100mg, Sildenafil Citrate50mg, and Sildenafil Citrate 20mg. At the beginning of the medication process, the doctor may prescribe 50 mg for a start. However, this may change subsequently depending on how your body reacts to the first set of treatment. To be aware of the strength of drug taken, always endeavour to read the instruction properly.
How to get the most of your treatment
Even after taking Sildenafil Citrate, you and your sexual partner will still need to engage in foreplay; this is same as not taking any drug for ED. The drug will not cause trigger an erection unless you are aroused sexually. So, to get the most from the drug, you need to work at it.
You have to keep your regular appointment with your doctor’; this will ensure that your progress is perfectly monitored. However, if the tablets are causing unusual side effects and seem too strong for you, talk to your doctor about the dose to know if you will need to reduce the dosage. Alternatively, if the drug doesn’t work as expected and you couldn’t get any erection after taking the drug or the erection didn’t last long enough, you should also talk to your doctor about it – however, it will be ill-advised to take more tablets than the prescribed amount.
It is recommended that you avoid grapefruit juice when before and after taking Sildenafil. This is because grapefruit has a chemical that is capable of increasing the amount of Sildenafil Citrate in your bloodstream and will at this point make the side effects unavoidable.
Taking a large amount of alcohol before you plan to use the tablet is a bad choice. When you drink too much alcohol, it will reduce your ability to get an erection; this may prevent you from getting the best out of the tablets.
Sildenafil Citrate should not be taken if you are using any other product or taking any other drugs to treat the condition.
Understanding the side effects of Sildenafil Citrate
There are things you can do when you experience some common Sildenafil Citrate side effects. The Sildenafil Citrate side effects are known to affect 1 in every 10 men. So, if peradventure you happen to be that 1 man, here are some of the things you can do.
Having a headache is one of the common side effects of taking Sildenafil Citrate. So, what do you do when you experience it? all you have to do is drink plenty of water. if the headache continues, you should let your doctor know.
Flushing, Indigestion, blocked nose or feeling sick
When this happens, you need not fret, all of these should pass in no time.
Visual Changes, Feeling Dizzy
When you start experiencing dizziness or visual changes such as colour distortion or blurry vision, your best bet is to avoid driving, using machines and tools until these side effects subside. Avoid doing anything strenuous till all of these subsidies.
Sildenafil Citrate Interactions
Drug interaction is bound to alter how effective and workable the medication is. It could also increase your risk for some serious side effects. We don’t know some of the possible drug interactions. But, you can help yourself by keeping all the products you take (this should include nonprescription and prescription drug as well as herbal drugs). You shouldn’t change, start, stop the dosage of any drug without the knowledge of your doctor. However, one product that tends to react with this drug is riociguat.
When Sildenafil Citrate is used with nitrates it tends to cause a drastic drop in blood pressure. Blood pressure can lead to fainting, dizziness, stroke, or heart attack. The drug should not be used with other drugs that made to help treat angina or chest pains. Such drugs include amyl nitrite, butyl nitrite, or amyl nitrate.
Sildenafil Citrate – Buyer Reviews
Viagra (sildenafil) for Erectile Dysfunction: “I have been taking Viagra for about 15 years. It works great for me with minimal side effects. One 50 mg tablet turns me into a raging bull for about 18 hours. The key is to always take it on an empty stomach. I discovered that if my body is low in salt, the Viagra does not work as well. I exercise daily and sweat heavily, which depletes salt from the body, so I make sure to add some extra salt to my diet.”
For Erectile Dysfunction: “I never would of thought I would need this medication. After dealing with a lot of stress between work and home it makes my life a whole lot easier. I first had the problem 5 months ago and I didn’t know what to do. I would sometimes not be able to get a erection and my partner was patient with me but I didn’t want to disappoint her. So I talked to my doctor and he prescribed 100mg viagra best decision of my life. My erections are very long lasting and my partner is well satisfied. It helps me with my anxiety and makes me feel more of a man. I would recommend this drug to anyone.”
For Erectile Dysfunction: “Viagra (the brand) worked just fine (100mg). This sildenafil generic drug has all the effect of taking chalk. AM, PM, before meal, after meal, has absolutely no effect. I’ve considered sending it for pharmacologic testing. Absolutely worthless, and bottoms out my glucose as well, so not only may it be ineffective, it may be dangerous to diabetics. “
Viagra (sildenafil) for Erectile Dysfunction: “I’m a 29-year-old male. I have been using Viagra for a while to treat erectile dysfunction. I use the 50mg pills. I find Viagra to be extremely effective. The only side effect for me is a mild hot flush after taking one which I actually find to be mildly pleasant. It’s usually the first sign that the drug is taking effect. I get a very strong and long-lasting erection from it. I also find that I last longer before ejaculation and it gives me a shorter refractory period. It has been a miracle drug for me. I would highly recommend getting Viagra instead of generic sildenafil if you can get it for a similar price.”