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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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About

Sildenafil is a proven, FDA-approved medication that belongs to the class of phosphodiesterase type 5 (PDE5) inhibitors. It is also sold under the brand name, which is also used to treat pulmonary arterial hypertension (PAH) and diabetes.

Abstract

The use of sildenafil, the main ingredient in Viagra, is not only an effective remedy for erectile dysfunction but also a potential treatment for pulmonary hypertension (PH). The aim of this study was to investigate whether the use of sildenafil in combination with tadalafil and tamsulosin could increase the blood pressure and the efficacy of sildenafil treatment for PH. A retrospective study was conducted between December 2013 and December 2017 in the pulmonary hypertension management of patients using tadalafil, tamsulosin and sildenafil combination.

Methods

This was a retrospective study. Between December 2013 and December 2017, 740 patients were included in the study (with a mean age of 61 years, range from 35 to 89 years, with male gender 50%). The diagnosis of PH was made using the Pulmonary Hypertension (PH) Registry (Prelim).

The patients were randomly assigned to one of the three groups: group I, which received sildenafil, group II, which received tadalafil and tamsulosin combination, and group III, which received sildenafil, tadalafil and tamsulosin combination.

The results of the study were analyzed using Chi-square test and Wilcoxon rank sum test. The difference in the mean arterial blood pressure (MAP) between groups was estimated using the Mann-Whitney U test. P<0.05 was considered to be statistically significant.

Results

The mean age of patients was 57.6 years (range 13–82 years), with a male gender of 50%. The mean number of symptoms was 10.6 ± 3.6, with a mean arterial pressure (MAP) of 9.1 ± 3.6 mmHg, a mean diastolic pressure (MAP) of 4.9 ± 4.1 mmHg and a mean pulmonary pressure (MAP) of 4.5 ± 3.6 mmHg. The mean diastolic pressure (MAP) was 6.1 ± 3.2 mmHg and 5.3 ± 3.6 mmHg in the group I, group II and group III, respectively. The mean pulmonary pressure (MAP) was 3.9 ± 3.8 mmHg in the group I, 5.3 ± 3.6 mmHg and 6.1 ± 3.2 mmHg in the group II, and 5.3 ± 3.6 mmHg in the group III, respectively. The mean age of the patients was 67.6 years (range 13–82 years), with a male gender of 50%. The mean number of symptoms was 13.9 ± 3.2, with a mean arterial pressure (MAP) of 9.7 ± 3.5 mmHg, a mean diastolic pressure (MAP) of 4.4 ± 3.7 mmHg and a mean pulmonary pressure (MAP) of 3.8 ± 3.5 mmHg.

The average age of patients in the groups I, II and III was significantly different (P<0.001), with a mean age of 55.6 (range 18–88) years. The mean age of patients in the groups I, II and III was significantly different (P<0.001). The mean age of patients in the groups I, II and III was significantly different (P<0.001) and the mean age of patients in the groups I, II and III was significantly different (P<0.001).

Conclusion

The use of sildenafil, tadalafil and tamsulosin combination was more effective in the treatment of PH than sildenafil, tadalafil and tamsulosin combination alone.

Citation:Olejos J, Gao R, Chen Y, Zhou R, Zhang H, Wu H, Zhou D, et al. (2021) ‘Combination therapy with tadalafil and tamsulosin for the treatment of pulmonary hypertension’.oon.DOI: 10.13021/jc.2707-2633.20.20.636.742.1921.2021.28.2021.2021.2021.2021.2021.2021.2021.2021.2021.2021.2021.2021.2021.2021.2021.2021.2021.2021.2021.2021.2021.2021.

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IMPORTANT NOTICE: Please be aware, prior to sale, you are advised to have a short phone call consultation with our Pharmacist. Automatic purchase consents the Pharmacist to give you a quick call.

Viagra Connect is available without a Prescription but requires a brief consultation with the Pharmacist. It is available in a 4 pack or an 8 pack. Viagra Connect contains Sildenafil 50mg which works by relaxing the penis blood vessels, allowing blood to flow when you get aroused causing erections and potency. Viagra Connect will only help men become erect if you are aroused. Only for adult use, men 18 years plus.

How to be taken:

  • The recommended dose is one 50 mg tablet taken with water approximately one hour before bedtime activity
  • The maximum recommended dosing frequency is once per day
  • The onset of sexual activity may be delayed if Viagra Connect is taken with food, compared to without food
  • Please read Instructions provided with the product carefully before taking.

VIAGRA CONNECT is not to be taken if:

  • There is no problem with gaining erections.
  • Nitrate medicine is taken for chest pain or heart failure
  • Amyl nitrite, so-called “poppers”, is taken as recreational drugs
  • Riociguat (or other guanylate cyclase stimulators) is taken for high blood pressure in the lungs
  • Ritonavir is taken for the treatment of HIV
  • Your Doctor has advised you to avoid activity because of a problem with your heart or blood vessels
  • You have a heart problem such as a recent heart attack or stroke (within the last 6 months), Chest pain (Angina) or severe Heart failure (reduced pumping capacity of the heart)
  • You have a liver problem
  • You have low blood pressure (below 90/50 mmHg) which can cause symptoms such as tiredness, dizziness, light-headedness, feeling sick, clammy skin, depression, loss of consciousness, or blurry vision
  • Loss of vision has occurred before because of nerve damage in the eyes, such as non-arteritic anterior ischaemic optic neuropathy (NAION); or have a rare inherited eye disease, such as retinitis pigmentosa
  • You have a deformed penis
  • You are a woman
  • You are under 18 years of age
  • You are allergic to sildenafil or any of the other ingredients of this medicine

Please read instructions carefully provided.

Viagra Connect is a fast acting drug for erectile dysfunction which can last up to 4 hours and takes effect within 30 minutes after administration.

Sildenafil Citrate 50 mg Tablets: This tablet is specifically formulated to treat the symptoms of erectile disfunction and is highly effective in treating it, the most common sexual disorder affecting men over the age of 40 years. Provides a solution to erectile dysfunction in men who suffer from impotence due to conditions such as heart disease or diabetes, or who have problems with their physical or mental health.

Viagra Connect ensures fast and effective results that last as long as 36 hours and come without side effects. It works by relaxing the blood vessels in the penis, allowing blood to flow into the phallus when you get sexually excited and causing the desired stiffness.

IMPORTANT NOTICE: We require you to have a short phone call consultation with the Pharmacist. The Pharmacist is a qualified pharmacy provider who can provide a prescription for your convenience.

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