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If you order before our daily cut off time, you can receive your order the next day. If you are experiencing side effects which are bothering you, you should reduce the dose to 25mg. Dr. Kinnari Kennedy, MD is a urology specialist in Dulles, VA. She is affiliated with medical facilities Reston Hospital Center and Stonesprings Hospital Center.

Take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas (riociguat) for pulmonary hypertension. Our prescription medication products are available to patients who have been prescribed medication by their physician. We also offer prescription refill reminders and prescription delivery services to make it easier for our patients to manage their medication regimen. This is the usual starting dose for men treating erectile dysfunction. If you find this seems too strong or too weak, your clinical team could recommend either increasing or decreasing your dose.

Ideally, you should take Viagra about 30–60 minutes before sex for maximum effect. Remember, it won't give you an erection if you are not already sexually aroused. The highest available dose of sildenafil is 100 mg, but that doesn't mean it's the right dose for you.

If you have a history of liver disease or any liver-related concerns, it is vital to inform your healthcare provider before starting Viagra. They will evaluate your liver function and consider any potential risks before prescribing the medication. When successful the effects of Sildenafil 50mg should last for 4 to 6 hours. During this time, you should be able to get an erection whenever you become sexually aroused. Viagra isn't a magic pill—it won't give you an instant erection regardless of how you feel or where you are.

Store the suspension at room temperature or in a refrigerator, but do not freeze it. Patients should always ask their doctors for medical advice about adverse events. Your prescription may have been filled with a generic version instead of brand-name VIAGRA.

If Viagra doesn’t work for you, you may need to try a different erectile dysfunction medication. Some lifestyle changes, like reducing alcohol intake and not smoking, can also help. If you have mental health concerns, you should speak to your GP for support or counselling. If you’re feeling self-conscious about your performance, talk with our medical team AND your partner. Opening up is a good way to alleviate your stress and reassure your partner, who could interpret your ED symptoms as a lack of attraction. Just having that conversation can improve your sex life immensely.

Viagra must not be used where sexual activity is inadvisable (e.g. men with severe heart disease such as unstable angina or severe heart failure). It must also not be taken by patients who have ever had loss of vision because of a problem with blood flow to the nerve in the eye (non-arteritic anterior ischemic optic neuropathy or NAION). For the full list of restrictions, see the package leaflet.

Other treatments for ED include topical applications, injections into the penis, surgical devices, penis pumps, and counselling. Other oral ED drugs work in a similar way, with similar side effects. Female Viagra was the first drug in this class to become widely prescribed.

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.

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