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  • What is Sildenafil or Viagra?

    1. About sildenafil

    Sildenafil is a medicine used to treat erectile dysfunction. It increases blood flow to the penis to help men get an erection. At least two-thirds of men have improved erections after taking it.

    Sildenafil is also sometimes used to treat pulmonary hypertension (high blood pressure in the blood vessels that supply the lungs).

    viagra tablet

    This medicine is available on prescription and can also be bought from most pharmacies. It comes as tablets that you swallow, chewable tablets, and as a liquid that you drink.

    1. Key facts It usually takes 30 to 60 minutes for sildenafil to work for erectile dysfunction. You can take it up to 4 hours before you want to have sex.
      Taking sildenafil alone will not cause an erection. You need to be aroused for it to work.
      The most common side effects are headaches, feeling sick, hot flushes and dizziness. Many men have no side effects or only mild ones.
      It can be dangerous to take sildenafil if you also take medicines called nitrates (often given for chest pain). The combination can cause a dangerous fall in your blood pressure. If you’re not sure if you’re taking a nitrate, ask your doctor or pharmacist.
      Sildenafil is called by the brand names Viagra (for erectile dysfunction) and Revatio (for pulmonary hypertension).
    2. Who can and can’t take sildenafil

    Sildenafil for erectile dysfunction (Viagra) can be taken by men aged 18 and over. It’s not for women or children.

    Sildenafil for pulmonary hypertension (Revatio) can be taken by adults and children aged 1 and over.

    Sildenafil is not suitable for some people.

    Do not take sildenafil if you:

    have had an allergic reaction to sildenafil (Viagra) or any other medicines in the past
    are taking medicines called nitrates for chest pain
    have a serious heart or liver problem
    have recently had a stroke or a heart attack
    have low blood pressure
    have a rare inherited eye disease, such as retinitis pigmentosa

    Check with your doctor before taking sildenafil if you:

    have sickle cell anaemia (an abnormality of red blood cells), leukaemia (cancer of blood cells) or multiple myeloma (cancer of bone marrow)
    have a deformity of your penis or Peyronie's disease (curved penis)
    have a heart problem. Your doctor should carefully check whether your heart can take the additional strain of having sex.
    have a stomach ulcer or a bleeding problem like haemophilia
    1. Where to get sildenafil
      On the NHS

    You can get sildenafil on the NHS if you have erectile dysfunction or pulmonary hypertension.

    Branded versions of sildenafil such as Viagra are not available on the NHS, except in special circumstances.
    Private prescription

    You can also get sildenafil on a private prescription from your doctor. This means you’ll need to pay the full cost of the medicine.

    Prices vary, but on average 4 tablets costs around ?20.
    From a pharmacy

    You can buy sildenafil from a pharmacy following a discussion with the pharmacist.

    They’ll ask you some questions about your general health to make sure sildenafil is safe for you to take. You can also talk to them about side effects.

    If the pharmacist has any concerns about whether sildenafil is safe for you, they may advise you to see your doctor.
    Online

    You can buy sildenafil/Viagra over the internet. Be very careful if you do this as many websites sell fake medicines.

    Online medicines are not always regulated and the ingredients in them can vary from one pack to another. They can cause unpleasant side effects or may not be suitable for you.

    It’s best to see your doctor before buying medicines online. They know your medical history and can discuss whether you might benefit from treatment.

    If you choose to buy sildenafil/Viagra over the internet, make sure:

    any online pharmacy is registered with the General Pharmaceutical Council (GPhC)
    any online doctor service is registered with the Care Quality Commission (CQC)
    all doctors are registered with the General Medical Council (GMC)
    1. How and when to take it

    It’s important to take it as advised by your doctor or pharmacist.
    How much will I take for erectile dysfunction?

    Sildenafil tablets for erectile dysfunction come in different strengths ranging from 25mg to 100mg.

    The usual dose is 50mg, when you need it (no more than once a day).

    The dose can be increased to 100mg or decreased to 25mg depending on its effect.

    Take sildenafil up to 4 hours before you want to have sex. For sildenafil to work properly, you’ll need to be sexually excited.
    How much will I take for pulmonary hypertension?

    Sildenafil tablets for pulmonary hypertension come in 10mg and 20mg tablets.

    The usual adult dose is 20mg taken 3 times a day.

    Doses for children can range from 10mg to 20mg taken 3 times a day, depending on their weight.
    How to take it

    Swallow tablets whole with a glass of water or juice (but not grapefruit juice).

    For erectile dysfunction, it’s best to take sildenafil on an empty stomach. It may take longer to work if you take it with food.
    Liquid sildenafil

    If you or your child are taking sildenafil as a liquid, 1ml is usually the same as taking a 10mg tablet, but it’s important to always check the medicine label.

    Liquid sildenafil will usually be made up for you by your pharmacist.

    The medicine will come with a plastic syringe or spoon to help you take the right amount.

    If you do not have a plastic syringe or spoon, ask your pharmacist for one. Do not use a kitchen teaspoon as it will not give the right amount.
    What if I forget to take it?

    If you have pulmonary hypertension and you forget to take a dose of sildenafil, take it as soon as you remember and then continue as usual.

    Never take 2 doses at the same time. Never take an extra dose to make up for a forgotten one.

    If you often forget doses, it may help to set an alarm to remind you.

    You could also ask your pharmacist for advice on other ways to help you remember to take your medicine.
    What if I take too much?

    Taking too much sildenafil by accident can cause unpleasant side effects, such as:

    headaches
    dizziness
    indigestion
    blocked nose
    altered vision

    Talk to your doctor if you have taken too much sildenafil and you’re worried about these side effects.

    1. Side effects

    Like all medicines, sildenafil can cause side effects in some people. Many people have no side effects or only minor ones.
    Common side effects

    Common side effects happen in more than 1 in 100 people.

    If you get these side effects, keep taking the medicine, but tell your doctor or pharmacist if these side effects bother you or do not go away:

    headaches
    feeling sick
    hot flushes, including facial flushing
    indigestion
    a colour tinge to your vision or blurred vision
    stuffy nose
    dizziness

    Serious side effects

    Serious side effects are rare and happen in less than 1 in 1,000 people.

    Stop taking sildenafil and call a doctor straight away if you get:

    chest pains - if this happens during or after sex, get into a semi-sitting position and try to relax; do not use nitrates to treat your chest pain
    prolonged and sometimes painful erections - if you have an erection that lasts for more than 4 hours, contact a doctor immediately
    a sudden decrease or loss of vision
    a serious skin reaction - symptoms may include fever, severe peeling and swelling of the skin, blistering of the mouth, genitals and around the eyes
    seizures

    Serious allergic reaction

    In rare cases, it’s possible to have a serious allergic reaction (anaphylaxis) to sildenafil.

  • A Romantic Escape: The Italian Gentleman and the Young English Lady

    Cialis helping Man

    The warm Mediterranean sun kissed the golden sands of a secluded Italian beach. Anna, a 28-year-old Englishwoman with an adventurous spirit, was on her first solo holiday in Italy. She had chosen a quaint coastal town known for its serene beaches, delectable food, and lush valleys. Little did she know, this trip would lead to an unforgettable connection.

    warm mediterranean sea

    One breezy afternoon, as Anna walked along the shore, she noticed a distinguished man sitting under a striped parasol. His silver hair glistened in the sun, and his warm, confident smile caught her attention. His name was Lorenzo, a 58-year-old local who exuded the charm and elegance only Italian men seem to master effortlessly.

    The Connection

    Lorenzo, a retired art historian, struck up a conversation with Anna, curious about her travels. They quickly discovered a shared love for Italian cuisine, history, and the beauty of nature. As they talked, the sea breeze carried their laughter across the beach.

    Hot English Woman Anna

    Over the next few days, Lorenzo became Anna’s guide to the delights of his little town. Together, they strolled through cobblestone streets, visited family-owned trattorias, and indulged in freshly made pasta, local wines, and gelato. In the evenings, they sat on terraces overlooking the sun-dappled valley, sharing stories about their lives and dreams.

    A Spark Ignites

    As their connection deepened, Anna found herself captivated by Lorenzo’s charm and wisdom, while Lorenzo was enamored by Anna’s vitality and curiosity. One night, as the sun dipped below the horizon, painting the sky in hues of orange and pink, their hands brushed. It was a moment of unspoken promise.

    But Lorenzo, mindful of his age, felt a twinge of hesitation. Though his heart was willing, he worried whether his body could match Anna’s youthful energy. Quietly, he turned to a solution he trusted—Cialis, the “weekend pill” that had been his discreet ally. With its help, Lorenzo felt confident and assured that he could meet the occasion with the same passion he felt in his heart.

    A Night to Remember

    On their final evening together, Lorenzo and Anna shared a candlelit dinner at a cliffside restaurant overlooking the sea. The sound of waves crashing against the rocks below set the rhythm for their evening.

    Back in Lorenzo’s villa, nestled in the valley surrounded by olive trees, the chemistry between them unfolded naturally. Thanks to Cialis, Lorenzo felt liberated, fully present in the moment. Their intimacy was filled with laughter, tenderness, and a deep sense of connection that transcended their age difference.

    The Morning After

    Cialis Tadalafil

    As the sun rose, Anna and Lorenzo shared breakfast on the terrace, the scent of freshly brewed espresso mingling with the morning air. Though their paths would soon diverge, they knew this experience would remain etched in their hearts.

    Lorenzo had rediscovered his vitality and confidence, while Anna had found an unexpected romance in the embrace of the Italian countryside. Together, they had proven that love, passion, and connection know no boundaries—neither of age nor culture.

    The town, with its sunlit beaches and delicious cuisine, would forever remain their special place, where a chance encounter turned into a memory that would last a lifetime.

  • Impotence is not a sentence

    Impotence is not a sentence

    Probably, many of the stronger sex are painfully familiar with such a serious problem as impotence. Unfortunately, there are simply many reasons for the occurrence of this insidious ailment. Next, we will take a closer look at such an issue as treatment for impotence. What does it include?

    As a rule, the treatment for impotence can be very diverse. These are folk methods, various medicines, exercise, vacuum therapy and much more. It all depends directly on the individual characteristics of the organism and the disease itself.

    The most effective treatment for impotence
    Now we will consider what is the treatment of impotence in men. One of the most effective ways to get rid of an ailment is to have a regular daily routine. If personal and working hours are calculated correctly, then all body systems work exactly like a clock.

    An excellent recipe for treating impotence is constant walking in the fresh air. They, as has long been known, can not only help cope with an illness, but are also an excellent preventive measure. Also, do not forget about regular physical activity. You can do the exercise not only in the gym, but also at home. The main thing is regularity. You can name such exercise options as squats, walking with high knees, tension, as well as gradual relaxation of intimate muscles, running in one place and some others. By doing these simple exercises, you can be sure that you will notice improvements in the near future.

    One of the most demanded procedures is vacuum therapy. It was with her help that a huge number of men got rid of their illness.

    Do not forget about surgical methods of treatment. These are options such as penile revascularization, enlofalloprosthetics, and venous therapy. In each case, a specific treatment is always prescribed.

    As for medication, the following can be named. This is a drug called ViagRx, which is the best remedy for this unpleasant disease. Also popular are drugs such as Cialis, Viagra, Levitra and some others, the action of which has long been appreciated by many men.

    The most important thing is to do everything possible to ensure that the treatment for impotence brings positive results. That is why additional consultation with a doctor will not hurt you. There are many drugs and treatments for this disease. The main thing is to remember that you can cope with this ailment. If you really want to, then everything will come true for sure. Good luck everyone!