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This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. There is no difference between Sildenafil and Viagra, other than the branding. Both treatments include the same active ingredient, sildenafil citrate, and work to treat ED in the same way. You don't need to make an appointment or talk to anyone directly. You can get the advice and treatment you need without any awkwardness or embarrassment.
Medical Professionals
At doses above the recommended dose range, adverse reactions were similar to those detailed in Table 1 below but generally were reported more frequently. For most patients, the recommended dose is 50 mg taken, as needed, approximately 1 hour before sexual activity. However, VIAGRA may be taken anywhere from 30 minutes to 4 hours before sexual activity. Penile erection is caused by the engorgement of the penis with blood. This engorgement occurs when the blood vessels delivering blood to the penis increase the delivery of blood and BUY XANAX WITHOUT PRESCRITION the blood vessels carrying blood away from the penis decrease the removal of blood. Under normal conditions, sexual stimulation leads to the production and release of nitric oxide in the penis.
Related Conditions
The mean profiles of the change from baseline in standing systolic blood pressure in subjects treated with doxazosin in combination with 100 mg VIAGRA or matching placebo are shown in Figure 4. The mean profiles of the change from baseline in standing systolic blood pressure in subjects treated with doxazosin in combination with 50 mg VIAGRA or matching placebo are shown in Figure 3. The mean profiles of the change from baseline in standing systolic blood pressure in subjects treated with doxazosin in combination with 25 mg VIAGRA or matching placebo are shown in Figure 2. In studies with healthy volunteers of single doses up to 800 mg, adverse reactions were similar to those seen at lower doses but incidence rates and severities were increased. Physicians should advisepatients to stop taking PDE5 inhibitors, including VIAGRA, and seek promptmedical attention in the event of sudden decrease or loss of hearing. Theseevents, which may be accompanied by tinnitus and dizziness, have been reportedin temporal association to the intake of PDE5 inhibitors, including VIAGRA.

Be sure to tell your doctor about all of the medications you take and any other medical conditions as your dose may need to be adjusted. If you are taking sildenafil to treat erectile dysfunction, you should know that it does not cure erectile dysfunction or increase sexual desire. Sildenafil does not prevent pregnancy or the spread of sexually transmitted diseases such as human immunodeficiency virus (HIV). VIAGRA contains the active substance sildenafil which belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by helping to relax the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited.
It is not possible to determinewhether these events are related directly to the use of PDE5 inhibitors or toother factors [see ADVERSE REACTIONS]. In fixed-dose studies, the incidence of some adverse reactions increased with dose. The type of adverse reactions in flexible-dose studies, which reflect the recommended dosage regimen, was similar to that for fixed-dose studies.