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Generic Name: sildenafil citrate, dosage Form: tablet, film coated, medically reviewed on November 1, 2017, show On This Page. View All, indications and Usage for, viagra. Viagra is viagra 100mg indicated for the treatment of viagra 100mg erectile dysfunction. Viagra, dosage and Administration, dosage Information, for most patients, the recommended dose is 50 mg taken, as needed, approximately 1 hour before sexual viagra 100mg activity. However, Viagra may be taken anywhere from 30 minutes to 4 hours before sexual activity. The maximum recommended dosing frequency is once per day. Based on effectiveness and toleration, the dose may be increased to a maximum recommended dose of 100 mg or decreased to. Viagra may be taken with or without food. Dosage Adjustments in Specific Situations, viagra was viagra 100mg shown to potentiate the hypotensive effects of nitrates and its administration in patients viagra 100mg who use nitric oxide donors such as organic nitrates or organic nitrites in any form is therefore contraindicated see. Contraindications (4.1), Drug Interactions (7.1), and, clinical Pharmacology (12.2). When, viagra is co-administered with an alpha-blocker, patients viagra 100mg should be stable on alpha-blocker therapy prior to initiating. Viagra treatment and, viagra should be initiated at 25 viagra 100mg mg see. Warnings and Precautions (5.5), Drug Interactions (7.2), and, clinical Pharmacology (12.2). Dosage Adjustments Due to Drug Interactions. Ritonavir, the recommended dose for ritonavir-treated patients is 25 mg prior to sexual activity and the recommended maximum dose is 25 mg within a 48 hour period because concomitant administration increased the blood levels of sildenafil by 11-fold see. Warnings and Precautions (5.6), Drug Interactions (7.4), and Clinical Pharmacology (12.3). CYP3A4 Inhibitors Consider a starting dose of 25 mg in patients treated with strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, or saquinavir) or erythromycin. Clinical data have shown that co-administration with saquinavir or erythromycin increased plasma levels of sildenafil by about 3 fold see Drug Interactions (7.4) and Clinical Pharmacology (12.3). Dosage Adjustments in Special Populations Consider a starting dose of 25 mg in patients 65 years, patients with hepatic impairment (e.g., cirrhosis and patients with severe renal impairment (creatinine clearance 30 mL/minute) because administration of Viagra in these patients resulted in higher plasma levels. Dosage Forms and Strengths Viagra is supplied as blue, film-coated, rounded-diamond-shaped tablets containing sildenafil citrate equivalent to 25 mg, 50 mg, or 100 mg of sildenafil. Tablets are debossed with pfizer on one side and VGR25, VGR50 or VGR100 on the other to indicate the dosage strengths. Contraindications Nitrates Consistent with its known effects on the nitric oxide/cGMP pathway see Clinical Pharmacology (12.1,.2), Viagra was shown to potentiate the hypotensive effects of nitrates, and its administration to patients who are using nitric oxide donors such as organic nitrates or organic nitrites. After patients have taken Viagra, it is unknown when nitrates, if necessary, can be safely administered. Although plasma levels of sildenafil at 24 hours post dose are much lower than at peak concentration, it is unknown whether nitrates can be safely co-administered at this time point see Dosage and Administration (2.3), Drug Interactions (7.1), and Clinical Pharmacology (12.2). Hypersensitivity Reactions Viagra is contraindicated in patients with a known hypersensitivity to sildenafil, as contained in Viagra and revatio, or any component of the tablet. Hypersensitivity reactions have been reported, including rash and urticaria see Adverse Reactions (6.1). Concomitant Guanylate Cyclase (GC) Stimulators Do not use Viagra in patients who are using a GC stimulator, such as riociguat. PDE5 inhibitors, including Viagra, may potentiate the hypotensive effects of GC stimulators. Warnings and Precautions Cardiovascular There is a potential for cardiac risk of sexual activity in patients with preexisting cardiovascular disease. Therefore, treatments for erectile dysfunction, including Viagra, should not be generally used in men for whom sexual activity is inadvisable because of their underlying cardiovascular status. The evaluation of erectile dysfunction should include a determination of potential underlying causes and the identification of appropriate treatment following a complete medical assessment.
Image: Thinkstock, there are some potentially helpful differences between these medications, but price can limit your choices. About half of men ages 40 to 70 have erectile dysfunction (ED) to some degree, although only one in 10 report a complete inability to have erections. Taking an ED drug produces an erection sufficient to start intercourse in about 70 of otherwise healthy men. Does it make any difference which of the four drugs for erectile dysfunction you take? "Yes, there can be differences says. Louis Liou, chief of urology at Harvard-affiliated Cambridge Health Alliance in Boston. "For viagra replacement new patients, viagra replacement I have them try different ones to see what works best.". Sildenafil (Viagra) is often the first drug your doctor offers. It's been on the market longest and its side effects and the medications and foods it interacts with are well known. The latest drug to be approved, avanafil (Stendra may have fewer side effects than the other drugs. But the main challenge to finding the best ED drug for you may turn out to be health insurance rulesnot biochemistry. It's a common practice among insurers to limit the number of pills you can obtain per month. After you hit your limit, the out-of-pocket cost for a single pill can be as high. "The main obstacle in my practice is the cost. You'll need to work with your doctor to get the pill you need at a price you can afford. In addition to Viagra and Stendra, the two other ED drugs available in the United States are tadalafil (Cialis) and vardenafil (Levitra). These all improve blood supply to the penis. In combination with sexual stimulation, the drugs can produce an erection sufficient to initiate and complete intercourse. There is also a fast-dissolving form of Levitra, called Staxyn, that you put under your tongue. One ED drug, Cialis, is FDA-approved for use daily in a dose.5 or 5 milligrams. This helps to produce erections on demand viagra replacement and may also help relieve urinary problems, like difficulty starting urination, that result from an enlarged prostate. How to control the cost, the cost to you for ED drug therapy varies considerably, depending on the pharmacy price, prescription co-pays, and your level of health plan coverage. Nationally, the out-of-pocket cost per pill ranges from approximately 15. Even if private insurance covers it, you may be limited to four doses per month. Here are a few things you can do to contain costs: Shop around, because pharmacy prices vary. Various web-based tools can help you compare prices easily. One of them. Ask your doctor about pill splitting, where you get the pills at a higher dose than you need and divide them. Explore manufacturer discount programs.
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