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If you'd feel more comfortable talking with a healthcare provider virtually rather than in person, consider requesting an online ED prescription instead. But keep in mind that side effects and potential drug interactions (like taking nitrates with Viagra) are best discussed with your primary care provider. The 50mg dose is usually sufficient to make it easier to gain and maintain an erection for 4-5 hours. If you take Sildenafil, it’ll start to work within approximately 60 minutes.

Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently. Do not take SILDENAFIL if you are allergic to any of the components or if you are taking nitrate medicines or riociguat (a drug used to treat pulmonary hypertension). Consult your doctor if you experience hearing or visual impairment.

If the sildenafil response is not reliably improving erection, the physician should first check if the patient is taking the pill correctly. The physician should also check the patient’s testosterone level. One investigator in Italy gave testosterone to patients with low testosterone who did not respond to sildenafil (Viagra). Check with your pharmacist about how to throw out unused drugs.

If you’re taking an alpha-blocker, your doctor will recommend a starting dose of 25 milligrams (mg) of Viagra, which is lower than the usual starting dose. Taking Viagra with other ED medications increases your risk of certain side effects, such as low blood pressure and priapism. Priapism refers to a long-lasting and sometimes painful erection that doesn’t go away. This is a medical emergency that needs to be treated right away. While you can take Cialis just as needed for ED treatment, another option is to take a low dose of the drug regularly each day. Doing this can help you to get an erection at any time when you’re sexually aroused.

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