Generic Viagra (Sildenafil Citrate )
Viagra
Viagra is one of the most well-known drugs in the world, used to treat erectile dysfunction, or ED, and impotence. Sildenafil is the active ingredient in Viagra. It relaxes muscles and blood vessels in the penis for better blood flow, making it easier for a man to develop an erection. Take Viagra within 60 minutes of sexual activity to make it easier to become erect. Note that common side effects include temporary changes in vision and flushing.
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Product Description
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Common use

Viagra with Dapoxetine is a combination of active ingredients which are used to treat erectile dysfunction and premature ejaculation. Thus it helps to maintain erection and prolong the intercourse. Sildenafil and dapoxetine are the main components of this drug. They are characterised by vasodilating and serotonin sustaining effects.



Dosage and direction

Note that the safe dose of the ED remedy is one tablet for a day. It becomes efficient within one hour. The effect can last for 4 or 6 hours. The pill must be swallowed with a big glass of water. Escape heavy meals if you intend to take the pills. It is better to refer to your physician in order to establish the most appropriate dosage.



Precautions

It is notable that alcohol interacts with the main components of the drug and leads to decreased blood pressure or enhances some other side effects. You should also escape grapefruit and its juice while treatment. The medication under consideration must be taken only by people who are older than 18.



Contraindications

If you have any problems listed below you must not be treated with Viagra with Dapoxetine pills. It is important to consult a doctor to find out all personal peculiarities of treatment. Heart or cardiovascular diseases, strokes, heart attacks, angina, blood pressure problems, retinitis pigmentosa, anaemia and HIV problems are regarded as main contraindications.



Possible side effect

There are a lot of side effects which can be observed during treatment. They depend on individual peculiarities. If you experience some of these symptoms you must visit a doctor immediately: facial flushing, severe headache, nausea, problems with vision of hearing, blocked nose, prolonged erections, pain in body and severe loss of vision and hearing.



Drug interaction

Viagra with Dapoxetine components interact with a number of other chemical substances. You should not take this medication with the special drugs listed below: Nitroprusside drugs, Amyl Nitrate, anti-depressants, serotonin elevating medicines, Tramadol, Linezolid, some HIV substances. Note that about 7 days must pass after Viagra with Dapoxetine therapy before you can take these drugs.



Missed dose

When missing a dose stick to your usual scheme of treatment and simply skip a missed portion. Never take a doubled dose because it can lead to overdose. Remember that the safe recommended dosage presupposes taking only one tablet per day.



Overdose

Severe symptoms of overdose can be dangerous for your life. That is why you must refer to a professional medical service if you suspect overdose. The influences of large portions can be characterised by severe side effects which last for a long time.



Storage

Store you pills away from little children and home pets. Dry, dark places with average home temperature are regarded as the best conditions for storage. It is reasonable to keep the pills in their original package.



Disclaimer

We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.


Cialis

Other names used:

  • CialisĀ®

Active Ingredients:

  • Tadalafil

How does Tadalafil work and what pharmaceutical group does it belong to?

Tadalafil is a reversable selective inhibitor of the specific phosphodiesterase type 5(PDE5) cGMP. When sexual excitement causes local release of NO, inhibiting of PDE5 by Tadalafil causes an increase of cGMP levels in the cavernous body of the penis. This causes smooth muscles to relax and increases blood flow to the penis. Tadalafil does not cause an erection without sexual stimulation.

Tadalafil acts within 36 hours and effect occurs in 16 minutes after the sexual excitement. Tadalafil does not cause changes in systolic and diastolic pressure and heart rate.

Tadalafil is availabla in the form of soft tablets that are dissolved directly under the tongue. This increases the bioavalability of the preparation.

Which conditions are treated with Tadalafil?

Tadalafil is indicated for the treatment of erectile dysfunction.

What should a patient know prior taking the medication?

Tadalafil is contraindicated in patients with hypersensitivity to any of the medication ingredients.

Tadalafil is not approved to treat females or children and adolescents under 18 years of age.

Tadalafil should not be taken in patients which take organic nitrates.

Tadalafil should be used with caution in:

  • Cardiovascular disease including recent heart attacks, strokes, high or low blood pressure, heart failure, abnormal heart rhythm
  • Liver and kidney diseases
  • Vision problems
  • Blood diseases including Sickle cell anemia, leukemia
  • Penis deformation
  • Multiple myeloma

Which adverse effects may manifest when using the medication?

The most common Tadalafil side effects are associated with blocking of PDE5. These are: headache, stuffy nose, nasal congestion, dizziness, drowsiness, upset stomach or dyspepsia, hot flushing, pain in the arms, legs and muscles.

In rare cases Tadalafil may cause: angina, high blood pressure, insomnia, blurred vision, migraines, problems with vision and hearing.

It is not necessary that the side effects will manifest in an individual but the possibility still exist. For more information please consult your health care provider.

Which groups of drugs or specific preparations may interact with Tadalafil?

The drug is affected by the following:

  • Alcoholic beverages
  • Alpha blockers
  • High blood pressure medicines
  • Antumycotics
  • Certain antibiotics
  • Grape fruit juice
  • Nitrates
  • Antivirals
  • Xantines(Theophylline)

Tell your doctor about all the herbal preparations as well as prescription drugs that you are currently taking even if they are not on the list.

Important information for the patient:

Tadalafil is supplied for individual use. Do not use it to treat other conditions not listed in the leaflet. Keep the product out of children reach. Do not reuse any disposable materials if supplied with the preparation.