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Uses of Sildenafil

Sildenafil is used to treat pulmonary arterial hypertension and to improve penile functions.

Therapeutic Category

Sildenafil: Phosphodiesterase type 5 (PDE 5) inhibitors

How Sildenafil works

Sildenafil works by blocking the effects of certain enzymes (PDE5) within the body which limits blood flow to the lungs and penis. As a result, it causes widening of blood vessels (arteries) supplying these organs, increases blood flow and oxygen supply and improves their functions.

Common side effects of Sildenafil

  • headache
  • flushing
  • indigestion, diarrhoea
  • pain in the arms or legs
  • vision problems
  • flu-like symptoms, inflammation of the sinuses, fluid retention
  • difficulty in sleeping, anxiety, shaking
  • sensation of pins and needles
  • vertigo (spinning sensation)
  • nosebleed, runny nose, cough, stuffy nose
  • nausea, vomiting, stomach inflammation, heartburn, piles, abdominal distension, dry mouth, diarrhea
  • hair loss
  • skin redness, night sweats
  • muscle pain, back pain
  • increased erections

When to consult your doctor

Consult your doctor if you experience:

  • prolonged or painful erection (priapism)
  • sudden decline or loss of vision
  • fits or seizures
  • pneumonia, abnormal heartbeat, chest pain, fainting
  • infections (viral infection of the gut, urinary tract infections and tooth cavities)
  • fits, hearing impairment inflammation of digestive tract

Health Tips for Sildenafil

  • Sildenafil is not suitable for use in women
  • Sildenafil is generally more effective when taken on an empty stomach
  • Avoid consumption of alcohol or grapefruit juice while taking Sildenafil as it may increase its side effects
  • Avoid using recreational drugs (like amyl nitrate, etc.) while taking sildenafil as it may cause a dangerous drop in blood pressure
  • Sildenafil should not be taken more than once in a 24-hour period
  • Before taking Sildenafil, inform your doctor if you have any liver, kidney, or heart problems
In should take for you

Consider your blood pressure

Sildenafiliharalike side effects, such as dizziness, fainting, lightheadedness, a fast heartbeat, and blurred vision, can be more than welcome, but it is not suitable for everyone. If you experience these symptoms, stop taking sildenafil, instead taking fainting medicines. If you have any health concerns, let your doctor know, your blood pressure could be restored.

How to take Sildenafil

  • Take the tablet 1 hour before you plan to be up and about (before the anticipated activity of the activity of the drugs of the following group of medicines will be started:
  • sildenafil (500mg) or warfarin (10mg)
  • Take the tablet about one hour before activity (before the activity of the drugs of the following group of medicines will be started:
  • sildenafil (50mg) or cilostazol (20mg)
  • Take the tablet about 30 minutes before activity (before the activity of the drugs of the following group of medicines will be started:
  • sildenafil (25mg)
  • Take the tablet about 4 hours before activity (before the activity of the drugs of the following group of medicines will be started:
  • sildenafil (50mg)
  • Take the tablet about 10 minutes before activity (before the activity of the drugs of the following group of medicines will be started:
  • trimethoprim andocus-fumarate, etc.

The Sildenafil Tablet is a phosphodiesterase type 5 (PDE5) inhibitor. Sildenafil Tablet enhances blood flow to the penis and helps achieve and maintain an erection.

It is used to treat erectile dysfunction (impotence) in men. Sildenafil Tablet helps men achieve and maintain an erection during sexual activity. It will not help you if you do not have erectile dysfunction. It will not treat your condition or increase the time it is not effective. Sildenafil Tablet also works for treating pulmonary arterial hypertension (PAH) by relaxing blood vessels in the lungs, reducing the workload of blood vessels, and increasing blood flow in the right lung.

It is available in tablet form, so read the directions carefully. You can take it with or without food. The Sildenafil Tablet can be taken with or without food. However, if you feel it is necessary to heavy or irregular meals, Sildenafil Tablet can be taken with light meals.

This medicine works by relaxing the blood vessels in the penis, increases blood flow, and treats erectile dysfunction (impotence). However, it does not cure erectile dysfunction or increase sexual desire.

The most common side effects of this medicine are flushing (sense of warmth), headache, dizziness, blurred vision, muscle pain, nausea, stomach upset, and rash. If these effects persist or become bothersome, please tell your doctor.

This medicine is not expected to cause erectile dysfunction. If erection lasts for longer than 4 hours, consult your doctor.

Read More What to expect when taking Sildenafil TabletThe Sildenafil Tablet is a phosphodiesterase (PDE6) inhibitor. Sildenafil Tablet helps men achieve and maintain an erection when sexually aroused. It will not treat the reason for not getting an erection, like other PDE5 inhibitors. Sildenafil Tablet helps the blood vessels to relax and expand, allowing men to get an erection when aroused.

It is usually recommended that men take this medicine for 4 hours after a meal. Sildenafil Tablet can be taken with light meals.

It may cause a decrease in blood pressure. If it remains, please tell your doctor.

Read More What to expect when taking Sildenafil Tablet When taking Sildenafil Tablet The Sildenafil Tablet is a phosphodiesterase (PDE) type 5 (PDE6) inhibitor. Sildenafil Tablet helps to treat erectile dysfunction (impotence) in men. Sildenafil Tablet helps the blood vessels to relax and expand and to help you achieve and maintain an erection.

If you take this medicine with any nitrate-based medicines (poppers), please check the NitrateNitrate/poppers as the Nitrate-based medicines may interact with this medicine. Do not take this medicine while taking nitrate-based medicines, as it may interact with Sildenafil Tablet.

Inform your doctor about any heart problems, liver or kidney problems, kidney or lung problems, stomach or intestinal ulcer, bleeding or blood clotting, if you are over the age of 65, and other medicines that may interact with Sildenafil Tablet.

The Sildenafil Tablet is used to treat certain diseases of the blood vessels in the lungs (chest pain), in the legs (legs), and feet (feet) and to treat erectile dysfunction (impotence).

Sildenafil Tablet may cause chest pain or leg pain when taken with some medicines used to treat generalised back pain (back pain caused by the muscles that are constricted), riociguat (a medicine used to treat benign prostatic hyperplasia), and angiotensin-converting enzyme (ACE) inhibitors (used to treat angina).

For those who value the privacy of their online purchases, we strongly recommend that you read and follow the advice of our experts. While our prices are generally lower than the industry average, they are still significantly lower than those in the US.

The US Food and Drug Administration’s approval of sildenafil citrate as an oral medication for the treatment of pulmonary arterial hypertension has been a major turning point in the realm of erectile dysfunction, and its approval by the FDA has led to a significant reduction in the prevalence of the condition.

While the exact mechanism of action for sildenafil remains unknown, a potential risk to patients may be that sildenafil, or any related medication, can potentiate certain side effects of the drug. This is because the nitric oxide-specific phosphodiesterase type 5 (PDE5) enzyme, which is the predominant phosphodiesterase enzyme in the body, is also present in the smooth muscle cells of pulmonary arteries.

In other words, sildenafil can interact with nitric oxide, potentially reducing the effects of nitric oxide by increasing the concentration of this enzyme, and in turn, increasing the level of its levels, or both, in the blood. The latter effect is thought to be responsible for the increased risk of adverse events including sudden cardiac death, sudden pulmonary edema, and sudden loss of consciousness in patients with heart failure.

In a study of patients with pulmonary arterial hypertension and sildenafil use, the use of sildenafil citrate was associated with a significantly increased rate of myocardial infarction and death. Other, potentially more serious, adverse events were observed in the group treated with sildenafil citrate, including an increased incidence of pulmonary hypertension, hypertension, and hypotension.

It is possible that the use of sildenafil may also induce the formation of nitric oxide, a nitric oxide-dependent molecule, that is essential for the action of sildenafil. Since nitric oxide-dependent phosphodiesterase enzymes are found in the smooth muscle of pulmonary arteries, their inhibition by sildenafil can also increase the concentrations of the latter, and the latter may be involved in the vasodilation effects observed in some patients.

Sildenafil is a selective inhibitor of the phosphodiesterase type 5 (PDE5) enzyme, and its inhibition by sildenafil may cause a greater degree of vasodilation in the pulmonary vasculature than in the systemic circulation. This has implications for the clinical management of erectile dysfunction, as it may lead to the worsening of the condition.

It should be noted that the incidence of these adverse events in the sildenafil group is lower than that reported in other patients with pulmonary arterial hypertension.

It should be noted that while the clinical use of sildenafil has been associated with an increased incidence of adverse events in some patients with pulmonary arterial hypertension, this has not been consistently reported in the same patient group. It is likely that the clinical use of sildenafil, or any related medication, may have been associated with a different degree of cardiovascular risk.

As with any medication, sildenafil can interact with other drugs, including nitrates, which are often used to treat angina (chest pain).

For those who may be concerned about the potential for sildenafil to induce a sudden cardiac event, the potential risk for this interaction may be greater in those who are taking nitrates (e.g., nitroglycerin) in addition to sildenafil. This is because the effects of nitrates, which are generally used to treat angina, may be more pronounced in patients with severe heart or liver disease.

It should be noted that the interaction between sildenafil and nitrates can be dangerous for patients with preexisting heart disease or low blood pressure. If you experience chest pain while taking sildenafil, you should seek immediate medical attention.

For those who are considering taking sildenafil and are concerned about the potential for interaction between sildenafil and nitrates, please read our article, “What You Should Know about Sildenafil and Nitrates in Your Patient”. The article provides a comprehensive look at the interaction between sildenafil and nitrates in the treatment of erectile dysfunction.

Sildenafil citrate, commonly known by the brand name, is a prescription-only medicine used to treat erectile dysfunction (ED) in adult men. It works by improving blood flow to the penis, helping to achieve and maintain an erection during sexual activity.

Dosage and Administration

Sildenafil is available in 25mg, 50mg, and 100mg strengths.

  • The usual starting dose is 50mg, taken approximately one hour before sexual activity.
  • Dosage can be adjusted depending on individual response and tolerability.
  • Take only one tablet in 24 hours, with or without food.
  • Avoid grapefruit juice, as it can increase the risk of side effects.
  • A high-fat meal may delay onset of action.

Effectiveness

Sildenafil has been shown to be effective in up to 80% of men with ED, with effects typically noticeable within 30 to 60 minutes, and lasting for up to 4–5 hours.

Side Effects

Common side effects include:

  • Headache
  • Flushing
  • Nasal congestion
  • Indigestion

Less common but serious effects include visual disturbances, hearing changes, or prolonged erections. Seek medical attention if severe or persistent side effects occur.

Contraindications

Sildenafil should not be used by those:

  • Taking nitrates for chest pain
  • With severe heart or liver conditions
  • Under 18 years of age
  • With certain medication interactions (e.g. alpha-blockers, antifungals, antibiotics)

Interactions

Inform your doctor of all medications and supplements before use. Interactions may occur with:

  • Nitrates
  • Alpha-blockers
  • Some antibiotics and antifungal medicines

Alcohol and Heart Conditions

Avoid excessive alcohol while taking sildenafil, as it can lower blood pressure and increase side effect risk. Use with caution if you have any heart-related conditions.

Availability and Cost

Sildenafil is available by prescription only in the UK.

  • Generic versions are more affordable than branded Viagra.
  • Supplied by licensed UK pharmacies such as Online Chemist.
  • Avoid counterfeit products from unregulated websites.

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Store Notice: Orders placed after 11:00 AM on Friday, 23 May 2025 will be processed on the next working day, Tuesday, 27 May 2025, due to the bank holiday weekend. Thank you for your understanding.

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Sildenafil citrate is available at most pharmacies, allowing you to safely use it. However, you should be aware that Sildenafil will only work with your kidney or liver function. Therefore, if you have any concerns about your medication, please consult with your doctor. Sildenafil tablets can be taken with or without food.

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