When you think of male sexual dysfunction, concerns like erectile dysfunction (ED) or premature ejaculation (PE) probably come to mind first.
Get advice from one of our healthcare providers to learn more about your options. Don’t be tempted to use expired medicines. Gianmarco Troiano & Giacomo Lazzeri (2021) The potential toxic combination of grapefruit juice and sildenafil, Toxin Reviews, 40:3, 334-337. Sildenafil citrate induced retinal toxicity-electroretinogram, optical coherence tomography, and adaptive optics findings. Do food and dose timing affect the efficacy of sildenafil? But there’s another sex-related issue that’s more common in men than you might expect: difficulty orgasming.
DescriptionDosage FormTabletStrength20 mgIndicationPulmonary Arterial hypertensionBrand NameRevatio®TE CodeABLactoseNoGlutenNoColorWhiteShapeCircular,
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Kamagra Oral Jelly | 100mg | 63 + 7 Sachets | 224.18€ 213.50€ | |
| Kamagra Polo | 100mg | 60 + 4 Pills | 189.39€ 180.37€ | |
| Viagra Generic | 200mg | 360 + 10 Pills | 481.98€ 459.03€ | |
| Kamagra | 100mg | 120 + 6 Pills | 330.74€ 314.99€ | |
| Viagra Generic | 50mg | 180 + 8 Pills | 158.82€ 151.26€ | |
| Viagra Generic | 150mg | 20 Pills | 55.02€ 52.40€ | |
| Kamagra Soft Tabs | 100mg | 32 Pills | 120.11€ 114.39€ | |
| Kamagra Soft Tabs | 100mg | 12 Pills | 57.55€ 54.81€ | |
| Viagra Generic | 200mg | 90 + 6 Pills | 170.79€ 162.66€ | |
| Viagra Generic | 200mg | 270 + 10 Pills | 379.76€ 361.68€ | |
| Kamagra Oral Jelly | 100mg | 21 Sachets | 95.92€ 91.35€ |
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| Use Case | Description | Typical Dosage | Notes |
|---|---|---|---|
| Treatment of Erectile Dysfunction | Improves blood flow to the penis | 20 mg as needed | Taken 30-60 minutes before sexual activity |
| Pulmonary Hypertension | To reduce blood pressure in lungs | 20 mg thrice daily | Prescribed by doctor |
| Off-label Uses | Potential treatment for other conditions | Varies | Under medical supervision |
on other sideStorage ConditionStore at 20°C to 25°C (68°F to 77°F); excursions permitted to 15°C
to 30°C (59°F to 86°F) [see USP Controlled Room Temperature].Pack Size: 90sNDC#: 27241-0124-03Click to View
Premature ejaculation (PE) is a sexual dysfunction characterized by a short ejaculatory latency, a perceived lack of control about the timing of ejaculation, and distress and interpersonal difficulty related to ejaculating too quickly. Low testosterone or testosterone deficiency, also known as hypogonadism, is a condition in which patients develop symptoms such as low sex drive, erectile dysfunction (ED), and fatigue because the body doesn’t produce enough testosterone. Though many men don’t like to talk about it, ejaculation problems are very common. Some of the most common issues include premature, delayed, or retrograde ejaculation. Your pelvic floor is a lot like plumbing in your home: you never really think about it unless something goes wrong. Package Insert Click to View Material Data Safety Sheet Revatio ® is registered trademark of
That means you have to do a bit of sex planning when taking sildenafil. But you might be surprised at how sexy the anticipation can be—for you and your partner. Spend that time exploring new foreplay ideas or sharing your sexual fantasies. Avoid taking sildenafil if it’s expired. According to the FDA, you should skip taking any expired meds and safely dispose of them for the following reasons: Their chemical composition could be altered, making them unsafe to consume.
Their chemical composition could be altered, making them unsafe to consume. How can you tell if your medications are expired? Check the label for a date, likely next to the abbreviation “Exp.” Want more tips on how to get the most out of sildenafil? Read our guide on how to use Viagra for best results. It doesn’t really matter if you forget to take sildenafil because it’s designed for you to take it as you need it.
But be careful about accidentally doubling up on doses. Missing a dose before sex is no big deal, though doing so may impact the quality of your erection. However, forgetting you already took sildenafil and taking a subsequent dose within 24 hours can lead to complications, particularly if you go over 100 milligrams total. You should be aware of the potential side effects when taking any new drug. The most common side effects of sildenafil include: Most of these mild side effects will go away on their own as your body adapts to taking sildenafil. Pfizer Applies to the following strengths: 10 mg/mL; 10 mg/12.5 mL; 20 mg; 25 mg;
Aside from heart medications and other PDE5 inhibitors, taking sildenafil with ritonavir, ketoconazole, itraconazole, or clarithromycin (an antibiotic) can increase the concentration of sildenafil in your body and make you more likely to experience side effects. Talk with a healthcare professional before mixing sildenafil with over-the-counter supplements, which aren’t regulated in the same way as prescription drugs. Learn more about health and drug interactions in our sildenafil interactions guide. If you’re living with ED symptoms, you’re not alone. Sildenafil can make it easier to get and keep an erection so you can enjoy a fulfilling sex life.
Here’s what to remember when taking sildenafil for ED: Take it at least 30 to 60 minutes and no more than four hours before sexual stimulation. Also, avoid high-fat foods or meals that can slow absorption. Take it at least 30 to 60 minutes and no more than four hours before sexual stimulation. Don’t mix sildenafil with medications that can cause dangerous interactions. Unsure whether your meds are safe to combine with sildenafil?
Regular exercise, a balanced diet, and quality sleep can maximize your overall health and sexual well-being. Consider alternative treatments if sildenafil doesn’t work for you. Other oral erectile dysfunction medications include tadalafil (generic for Cialis), avanafil (Stendra), vardenafil, and chewable Hard Mints. Your healthcare provider might also recommend adjusting your sildenafil dosage. Ready to find an erectile dysfunction treatment that works for you? 50 mg; 100 mg; 75 mg TABLETS (Viagra) Initial dose: 50 mg orally once a
| Parameter | Description |
|---|---|
| Absorption | Rapid, within 30-60 minutes |
| Bioavailability | Approximately 40% |
| Metabolism | Mainly hepatic via CYP3A4 enzyme |
| Excretion | Mainly in feces, some in urine |
| Half-life | About 4 hours |
day, as needed, about 1 hour prior to sexual activity Maintenance dose: May increase to
But sildenafil also comes with some more rare but potentially serious side effects like: Sudden loss of vision (potentially a sign of non-arteritic anterior ischemic optic neuropathy or NAION) Sudden loss of vision (potentially a sign of non-arteritic anterior ischemic optic neuropathy or NAION) Priapism (a painful erection lasting longer than four hours) Priapism (a painful erection lasting longer than four hours) If you experience any of these symptoms after taking sildenafil, seek immediate medical attention. And FYI: Even mild side effects can impact your life. If you get an upset stomach every time you take sildenafil, talk with a healthcare professional. They may recommend changing your dose or switching medications altogether. Read more about potential sildenafil reactions in our sildenafil side effects guide.
It might be dangerous to use sildenafil if you have certain medical conditions or take specific drugs. If your healthcare provider told you not to engage in sexual activity because of a heart condition (like a history of heart attack; heart disease; heart failure; angina; or arrhythmia, also known as an irregular heartbeat), it’s probably best to abstain from having sex and taking sildenafil. Using sildenafil when you take medicines for high blood pressure or pulmonary arterial hypertension could cause a dangerous, potentially life-threatening dip in blood pressure. Avoid taking sildenafil with nitrates (medications for chest pain) such as isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, and alpha-blockers or other blood pressure medications like riociguat. If you have a condition that puts you at higher risk of priapism—like sickle cell anemia, leukemia, Peyronie’s disease, sildenafil citrate 100mg tablets or multiple myeloma—you should avoid sildenafil.
There isn’t enough data to say whether sildenafil is safe for people with this eye condition. Sildenafil can interact with the nitrites found in certain recreational drugs popularly known as “poppers,” causing a dangerous drop in blood pressure. Don’t mix sildenafil with other ED drugs, like Cialis®, Levitra®, Revatio® (another brand name for sildenafil) or Stendra®. This can put you at risk for low blood pressure. More of something isn’t always better! 100 mg or decrease to 25 mg once a day, based on efficacy and tolerability.
And, as is the case with taking any medication, following a professional’s medical advice is crucial. Unlike some other ED meds, you don’t take sildenafil every day. Sildenafil is an as-needed medication that should be taken at least about 30 minutes to an hour before sexual activity, and its effects should last up to four hours. You should never take more than one dose per day. You may be prescribed sildenafil or Viagra if you struggle with the following symptoms: Getting erections that aren't as firm as you'd like them to be Getting erections that aren't as firm as you'd like them to be Some medications can upset your stomach if you don’t take them with food.
You can take this ED medication with or without food. However, high-fat meals can impact the absorption of sildenafil, leading to lower peak plasma levels of the medication, which can translate to lower efficacy. Grapefruit juice can also interfere with how the body processes sildenafil, leading to more side effects. So, if you’re a half-grapefruit in the a.m. kind of guy, mention that to your healthcare provider before filling a sildenafil prescription.
Keep sildenafil out of the reach of children and pets, and store the medication at room temperature between 68°F to 77°F (20°C to 25°C). You should always follow your doctor’s instructions regarding sildenafil dosing, but your total daily dosage should never exceed 100 milligrams. Even if you’re not getting results from a 100-milligram dose of sildenafil, don’t try to take more. If sildenafil isn’t helping with your lackluster erections, there are a few possible reasons. Another kind of treatment altogether (like therapy for psychological ED) Another kind of treatment altogether (like therapy for psychological ED) Addressing underlying health conditions that can contribute to ED Addressing underlying health conditions that can contribute to ED Additionally, taking sildenafil too early (we’re talking more than a few hours before having sex) won’t produce the effects you’re looking for.