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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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Viagra Connect is available in Ireland for erectile dysfunction treatment which does not require a prescription. The first of its kind, Viagra Connect is a safe and discreet over-the-counter medication that can legally be bought online or over the counter in your pharmacy, without a trip to your doctor.

We need to ensure that this medicine is suitable for the person it is intended for. Therefore, it should only be purchased by the person taking it.

You can select your convenient store to collect your product and fill in the online form required.APharmacist will contact you to let you know your product is ready for collection, or you can buy onlineand complete the questions included.

When purchased online, a pharmacist will contact you by phone if they have any further questions and to advise you on the safe use of this medicine. If they are unable to speak to you when required your order may be delayed or the pharmacy medicine part of your order cancelled.

Please ensure your contact details are correct before ordering this medicine.Suitable for

Viagra Connect is for men 18 years and older who have difficulty getting and/or keeping an erection hard enough for sex

Age RestrictionYou must be at least 18 years old to purchase this product.

Directions for use:

Please read the enclosed leaflet carefully before use.

• take 1 tablet approximately one hour before sexual activity• swallow tablet whole with water• do not take more than 1 tablet a dayViagra Connect starts to work within 30-60 minutes. You may take it up to 4 hours before sexual activity.

Hazards and Cautions

Do NOT take if you:

• do not have an erection problem
• take any nitrate medicine for chest pain or heart failure
• take riociguat (or other guanylate cyclase stimulators) for high blood pressure in the lungs
• take ritonavir for the treatment of HIV
• have been advised by your doctor to avoid sexual activity because of a problem with your heart or blood vessels
• have a severe heart or liver problem
• have low blood pressure
• have ever had severe vision loss or a rare inherited eye disease
• have a deformed penis
• have an allergy to any of the ingredients in this product

Talk to your pharmacist or doctor before taking if you:

• get very breathless or feel chest pain with light or moderate physical activities
• have a heart problem
• have high blood pressure that is not controlled
• take any other medicines listed in the package leaflet
• take any other treatment for erectile dysfunction
• ever had a persistent erection that lasted for more than 4 hours
• have a stomach ulcer or bleeding disorder
• have diagnosed mild to moderate liver problems
• have diagnosed severe kidney problems

This is a personal injury and product authorisation must be obtained before any talk into violence or claim for damages done to you.

There is no word whether this is service connected, past, or not called the author has mentioned the problem you have and what will happen if you do this. You should always read the enclosed leaflet before use.

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Viagra has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Viagra use include:

• Headache
• Heartburn
• Congestion
• Nasal bleeding (bloody nose)
• Nausea
• Diarrhea
• Muscle aches or pains
• Flushing
• Facial pain or tenderness
• Vision changes
• Light sensitivity

More severe side effects include:

• Painful erections or erections that last longer than 4 hours
• Sudden loss of vision
• Sudden loss of hearing
• Ringing in the ears
• Chest pain
• Shortness of breath
• Painful urination
• Increased urination frequency
• Fainting
• Dizziness
• Skin rash
• Hives
• Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any nitrate medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

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Viagra can interact with other medications, especially nitrates. It’s important to inform your health care provider of all medications you are taking.

In addition, inform your health care provider of any herbal products you’re using, especially St.

In response to these side effects, communicate with your health care provider about your medications, including herbal products you’ve taken, St. John’s wort, and lifestyle changes to keep this condition under control.

If you develop symptoms of an adverse reaction to this medication, contact your health care provider immediately.

Tell your health care provider that you use Viagra whenever you can. This will help reduce the severity of the side effect.

In addition, let your doctor know if you have recent heart surgery or experience chest pain during sex. If you experience changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

In addition, let your health care provider if you are pregnant, if you are breastfeeding, or if you have or have had a heart attack, stroke, liver or kidney disease, or kidney or heart disease. These conditions may affect your health.

Last updated 6 March 2024

Pfizer, the pharmaceutical company that developed Viagra (sildenafil), has (MHRA) to reclassify it’s erectile dysfunction (ED) drug from prescription-only to ‘P’ (Pharmacy). This would allow pharmacies to sell the generic equivalent of the branded drug at any pharmacy and without a prescription.

The application is for flow cytometry analysis of human prostate cells (DUHP6 and MDA-MB-Co-Cr-Cyp30 human prostate epithelial cells). Due to increased incidence of prostate cancer in men who have already been prescribed Viagra (sildenafil), the move to P will reduce the number of pharmacists in the country, and will also allow pharmacies to sell the generic equivalent of the branded drug at any pharmacy and without a prescription.

According to Pfizer, the application will be sent for review with the MHRA’s Central Drugs Control Authority (CDA). Once the application is approved, the department will carry out standard pharmacy assessments and make a final decision within the month of the final approval.

Pfizer

The CDA (cember) has passed a body of independent bodies in the area that have been monitoring the progress of the application (CDA 3). These bodies are the Central Drugs Control Authority (CDA), the Pfizer Medicines Authority, the National Library of Medicine (NLM) and the National Institute for Biomedical Research (NKI). The review decision is subject to independent approval by the department.

A major hurdle in reclassifying P will be the number of pharmacists in the country. As part of the withdrawal process (CDA 3), the government will be issuing a public alert for P (the generic equivalent of the branded drug) to all pharmacists who have registered an application.

This will also reduce the number of pharmacists in the country, and will reduce the number of pharmacy assessments made. A number of pharmacies, including Boots, have applied, and will be assessed within the next 48 hours.

A point of view

The application was originally submitted to the CDA in response to a review of the national status of Viagra (sildenafil). Pfizer has now applied to the CDA for its application to reclassify P, and will make a decision within the month of the final approval.

The MHRA (Methandael rheumatoid arthritis)

The application was initially submitted to the CDA in response to a review of the national status of Viagra (sildenafil). Pfizer has now applied to the CDA for its application to reclassify P. This application is for flow cytometry analysis of human prostate cells (DUHP6 and MDA-MB-Co-Cr-Cyp30 human prostate epithelial cells) and will be assessed within the next 48 hours.

Pfizer will continue to review the application and make a decision within the month of the final approval.

• A review of the application will be made of the health service systems in the country.
• The review will be made of the pharmacy assessments made by the department.
• A review will be made of the pharmacy assessments made by the department.

The review decision is subject to the independent approval of the department.

Pfizer is the Central Drugs Control Authority (CDA) with the following agency:

• National Library of Medicine (NLM) with the corresponding NLM Action Force.
• National Institutes of Health (NIH) with corresponding NIH Action Forces.
• National Clinical Research Centre (NRC) with corresponding National Clinical Research Centre (NRC) Action Force.
• National Health Research Council (NHRC) with corresponding NHPRC Action Force.

A review is made within the month of the final approval.

According to Pfizer, the application will be sent to Pfizer Central Drugs Control Authority (CDA) for a review process, with a decision to be made within the month of the final approval.

A review is made within 48 hours of the final approval. The department will make the decision within the month of the final approval.

The CDAwill continue to monitor the progress of the application and make a decision within the next 48 hours.