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Cialis should be used in lower doses for people with mild liver disease or who are on renal dialysis. In some cases, low-dose Viagra may be an option for them instead. Be honest and truthful on your questionnaire, to minimise the risk of experiencing side effects from the medication. For lots of men in the UK, Sildenafil offers an important helping hand.

Viagra Connect contains sildenafil 50mg and is available over the counter from a pharmacist. Viagra tablets contain the active ingredient Sildenafil, which relaxes blood vessels in your penis, increasing blood flow when sexually stimulated. You can buy Viagra online from e-Surgery in 25mg, 50mg and 100mg. Viagra tablets are an effective way to improve Erectile Dysfunction and allow adult men to gain and maintain an erection. Viagra is a well-recognised brand name for the first-line medicine used to treat erectile dysfunction (ED).

Follow the steps below to help ensure you receive the brand name your doctor prescribed and, if eligible, save on your prescription. Grapefruit juice may increase the amounts of sildenafil in the blood. A high-fat meal may reduce the effectiveness of sildenafil.

If you already use medicine for high blood pressure (hypertension), sildenafil could make your blood pressure go too low. Call your doctor right away if you have blurred vision, confusion, dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly, sweating, or unusual tiredness or weakness. If you experience a prolonged or painful erection for 4 hours or more, contact your doctor immediately. This condition may require prompt medical treatment to prevent serious and permanent damage to your penis. If you take sildenafil for pulmonary arterial hypertension, do not take Viagra® or other PDE5 inhibitors, including tadalafil (Cialis®) or vardenafil (Levitra®).

Doses of 200 mg did not result in increased efficacy but the incidence of adverse reactions (headache, flushing, dizziness, dyspepsia, nasal congestion, altered vision) was increased. Caution is advised when sildenafil is administered to patients taking an alpha-blocker, as the co-administration may lead to symptomatic hypotension in a few susceptible individuals (see section 4.5). This is most likely to occur within 4 hours post sildenafil dosing.

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