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If you have questions about using Viagra after you’ve had your prostate removed, talk with your doctor. There aren’t any known ways to permanently increase the size of a penis. Viagra and Cialis both come as tablets that you take by mouth. Because the products aren’t regulated, there’s no way to be certain of what these products actually contain.

Your healthcare professional will obtain a medical history before prescribing Viagra to you. If the medication is deemed to be safe and effective, you can continue taking it as needed to treat erectile dysfunction under the supervision of your doctor. Viagra and Levitra are both approved to treat erectile dysfunction (ED) in males ages 18 years and older.

Remember to only take Viagra or Viagra Connect as your clinician advises. If you have any questions while you're taking it, just log into your account and send us a message. This has definitely made a difference to my life and with my treatment I am able to be more like my younger self, a heartfelt...

This is most likely to occur within 4 hours post sildenafil dosing (see sections 4.2 and 4.4). When sildenafil and doxazosin were administered simultaneously to patients stabilized on doxazosin therapy, there were infrequent reports of patients who experienced symptomatic postural hypotension. These reports included dizziness and light-headedness, but not syncope. With Viagra, you’ll take a dose between 30 minutes and 4 hours before you plan to have sex. With Levitra, you’ll take a dose about 1 hour before sexual activity. The medications can help you get an erection up to 4 hours after you take a dose.

The pharmacokinetics of sildenafil in patients with severely impaired hepatic function (Child-Pugh Class C) have not been studied. A starting dose of 25 mg should be considered in patients with any degree of hepatic impairment [see Dosage and Administration (2.5) and Clinical Pharmacology (12.3)]. Co-administration of ritonavir, a strong CYP3A4 inhibitor, greatly increased the systemic exposure of sildenafil (11-fold increase in AUC). It is therefore recommended not to exceed a maximum single dose of 25 mg of VIAGRA in a 48 hour period [see Dosage and Administration (2.4), Warnings and Precautions (5.6), Clinical Pharmacology (12.3)]. Use caution when co-administering alpha-blockers with VIAGRA because of potential additive blood pressure-lowering effects. Prolonged erection greater than 4 hours and priapism (painful erections greater than 6 hours in duration) have been reported infrequently since market approval of VIAGRA.

Physicians should advise patients of the potential for VIAGRA to augment the blood pressure lowering effect of alpha-blockers and anti-hypertensive medications. Concomitant administration of VIAGRA and an alpha-blocker may lead to symptomatic hypotension in some patients. The AUC of the active metabolite, N-desmethyl sildenafil, was increased 62% by loop and potassium-sparing diuretics and 102% by nonspecific beta-blockers. These effects on the metabolite are not expected to be of clinical consequence.

It’s also important to store Viagra correctly and to not take expired medication. Storing Viagra at room temperature and away from moisture, heat, and sunlight will help make sure the medicine has the most extended shelf-life possible. The prescribing information recommends a maximum of one dose per day.

Sildenafil at recommended doses has no effect in the absence of sexual stimulation. 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. At doses above the recommended dose range, adverse reactions were similar to those detailed in Table 1 below but generally were reported more frequently.

In some cases, it may be possible to buy these medications online. Sildenafil is a great option for those who want to take ED medications as-needed. The medication starts working in as little as 30 minutes and remains active for 4 to 6 hours. Alternative treatments for ED include tablets such as Cialis&nbsp