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Viagra is the most popular medication for erectile dysfunction. The active ingredient in the drug is sildenafil, a selective inhibitor of cyclic guanosine monophosphate.
Indications
The medicine is designed for the treatment of sexual disorders, characterized by the inability to achieve or maintain an erection that is optimal for sexual intercourse. Erectile dysfunction can occur for various reasons – organic, psychogenic, mixed. Viagra is also used to treat impotence and pulmonary hypertension.
How does it work?
To use Viagra, you must understand the mechanism of action of sildenafil. The main condition for the effectiveness of sildenafil is sexual stimulation. The remedy begins to act only when a man has natural arousal.
After starting the natural mechanisms, the drug stimulates blood flow to the pelvic area and the penis. The increased blood flow promotes a natural erection. The stimulant will continue to work while the man is sexually aroused, and after sex is over, the penis returns to a relaxed state.
Take 1 tablet orally with water. Do not exceed the recommended daily dose. Although sildenafil is rapidly absorbed after oral administration, the drug should be taken some time before the intended sexual intercourse – about 40-50 minutes. This will allow the main component to be absorbed into the bloodstream and actively act before the start of sex.
Method of administration and dosage
The drug is taken orally.
For most patients, the recommended dose is 50 mg, the drug is taken about 1 hour before sexual activity. Taking into account the effectiveness and tolerability, the dose can be increased to 100 mg or decreased to 25 mg.
The maximum recommended dose is 100 mg.
The maximum recommended frequency of application is 1 time/day.
Contraindications
Before you take Viagra, you should carefully read the list of possible contraindications:
- Hypersensitivity to sildenafil or any component of the drug;
- Joint use of Viagra with nitrates or nitric oxide donors;
- Severe heart, liver or kidney disease;
- A history of a stroke or heart attack within the six months;
- Constantly lowered blood pressure;
- Hereditary eye diseases;
- Joint use of Viagra with other drugs for erectile dysfunction;
- Absence of erectile dysfunction;
- The drug should not be used by women, children and men under 18 years of age.
Side effects
Like any medication, Viagra can cause side effects that are mild/moderate and temporary. Common side effects are:
- allergic reaction;
- headache, dizziness;
- chest pain;
- nasal congestion;
- long and painful erection;
- a sharp decrease or loss of vision;
- digestive upset;
- skin rash, itching, flaking;
- surges in blood pressure.
If any of the side effects occur, you must stop using the stimulant and consult a doctor.
Overdose
An overdose of Viagra can cause intensified side effects related to various organs and systems. The higher the degree of overdose, the more pronounced the symptoms. In such cases, gastric and intestinal lavage and symptomatic therapy are indicated.
Pregnancy and breastfeeding
The drug is not intended for use in women.
Interaction with other drugs
Do not combine Viagra with nitrates or nitric oxide donors. Other forbidden duos include a complex of the oral stimulant with ketoconazole, erythromycin, cimetidine, beta-blockers, hypoglycemic agents, other drugs used to treat ED.
Special instructions
To diagnose erectile dysfunction, determine their possible causes and choose an adequate treatment, it is necessary to study a medical anamnesis and conduct a thorough physical examination. Erectile dysfunction medications should be used with caution in patients with anatomical deformity of the penis (angulation, cavernous fibrosis, Peyronie’s disease), or in patients with risk factors for priapism (sickle cell anemia, multiple myeloma, leukemia).
Drugs intended for the treatment of erectile dysfunction should not be used by men for whom sexual activity is undesirable.