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The best time to take sildenafil is about 1 hour before sexual activity, but you can take the medication any time from 4 hours to 30 minutes before sexual activity. If you have certain health conditions or are taking certain medications, your doctor may tell you to take sildenafil less often. However, if you take sildenafil with a high-fat meal, it will take longer for the medication to start to work. ED is the medical term for difficulties getting and keeping an erection. ED happens when not enough blood flows to the penis, preventing an erection. It is a sexual health problem that affects about 30 million men in the U.S.

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The exact price you pay for any drug will depend on your insurance plan and your pharmacy. Your doctor can prescribe VIAGRA if he or she thinks it’s right for you. Reviews may be moderated or edited before publication to correct grammar and spelling or to remove inappropriate language and content. Reviews that appear to be created by parties with a vested interest in the medication will not be published. However, the brand Revatio is indicated for pulmonary arterial hypertension, not for erectile dysfunction. Consumers who have their Viagra prescription filled at a participating pharmacy will have a $20 out-of-pocket co-pay through the first part of 2018.

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Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Do not take more or less of it or take it more often than prescribed by your doctor. If you are taking sildenafil to treat PAH, follow your doctor’s directions and the guidelines in this paragraph. You will probably take sildenafil three times a day with or without food. Take sildenafil at around the same times every day, and space your doses about 4 to 6 hours apart. In January, the drugmaker will offer two new discount programs and increase its copayment card discounts.

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Anyone with any kind of health condition should speak to a doctor before taking Stendra or any of these medications. All of these conditions may affect a doctor’s decision to prescribe Levitra. People who are taking drugs to treat an abnormal heartbeat should also avoid taking Levitra. If a doctor has told a person to avoid sexual activity due to health problems, they should avoid Levitra. A person takes the drug 30 minutes to 1 hour before sexual activity, and the effects typically last for 3-5 hours.

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If you have erectile dysfunction, you may be interested in herbal supplements such as L-arginine. Since PDE5 inhibitors work on the body in similar ways, Viagra, Cialis, Levitra, and Stendra lead to similar interactions.

  • Results with all doses have been pooled, but scores showed greater improvement at the 50 and 100 mg doses than at 25 mg.
  • Generic versions “will be of real benefit to the majority of men,” he said.
  • If you experience a sudden loss of hearing, sometimes with ringing in the ears or dizziness, while you are taking sildenafil, call your doctor immediately.
  • Sildenafil is available as a generic drug in the United States, labeled for pulmonary arterial hypertension.

If you think you may have a medical emergency, call your doctor or dial 911 immediately. Acetildenafil and other synthetic structural analogs of sildenafil which are PDE5 inhibitors have been found as adulterants in a number of “herbal” aphrodisiac products sold over-the-counter. However, at least one court case has resulted in a product being taken off the market.

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Based on published literature, the annual incidence of NAION is 2.5–11.8 cases per 100,000 in males aged ≥ 50. The results suggest an approximate 2-fold increase in the risk of NAION, with a risk estimate of 2.15 (95% CI 1.06, 4.34). A similar study reported a consistent result, with a risk estimate of 2.27 (95% CI 0.99, 5.20). Other risk factors for NAION, such as the presence of “crowded” optic disc, may have contributed to the occurrence of NAION in these studies. However, VIAGRA may be taken anywhere from 30 minutes to 4 hours before sexual activity. If you are taking sildenafil for erectile dysfunction, you are unlikely to miss a dose since this medication is taken as needed, not on a regular dosing schedule.