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Ideally, you should take Viagra about 30–60 minutes before sex for maximum effect. Remember, it won't give you an erection if you are not already sexually aroused. The highest available dose of sildenafil is 100 mg, but that doesn't mean it's the right dose for you.
It's important to speak to your doctor or pharmacist before taking Viagra if you are taking any other medications, including prescription, over-the-counter, and herbal products. Some medications can interact with Viagra, which may affect its effectiveness or cause side effects. You should never take a higher dose of Viagra or more Viagra tablets than prescribed by your healthcare provider. If the doctor prescribes a 50 mg Viagra dose and it does not work, don’t increase the dose without talking to your doctor first. Let the doctor determine if you need a higher dose and whether it will be safe for you.
To get the maximum benefit from your medication, it is advisable not to drink excessive amounts of alcohol before taking this medication. A double-blind, placebo-controlled exercise stress trial evaluated 144 patients with erectile dysfunction and chronic stable angina who regularly received anti-anginal medicinal products (except nitrates). The results demonstrated no clinically relevant differences between sildenafil and placebo in time to limiting angina. Sildenafil is a potent and selective inhibitor of cGMP specific phosphodiesterase type 5 (PDE5) in the corpus cavernosum, where PDE5 is responsible for degradation of cGMP. Sildenafil has no direct relaxant effect on isolated human corpus cavernosum but potently enhances the relaxant effect of NO on this tissue. When the NO/cGMP pathway is activated, as occurs with sexual stimulation, inhibition of PDE5 by sildenafil results in increased corpus cavernosum levels of cGMP.
You can use Viagra daily, if that is how often you are having sex, so you should get all the spontaneity that you need. It might be a buzzword, but this one can help strengthen your erection and revitalise your sex life. Scott is one of the two founders of The Independent Pharmacy. He is a registered pharmacist and the registered manager of our service with the CQC. Drinking alcohol may also decrease your ability to get an erection — so drinking alcohol might undo the work you have done taking Spedra in the first place. If you are concerned about side effects, then using Viagra would be a simpler choice.
And for more information about taking Viagra if you have heart or blood pressure problems, see the "Viagra precautions" section below. If you have a heart problem or low blood pressure, talk with your doctor about whether Viagra is safe for you. Most of these side effects may go away within a few days or a couple of weeks. But if they become more severe or don’t go away, talk with your doctor or pharmacist. It’s important to remember that Viagra only works if you’re already sexually aroused. Arousal may involve having sexual thoughts, looking at sexual images, masturbating, or engaging in foreplay.
You should read the patient information leaflet supplied with your medication, for a full list of ingredients. If the 50mg tablets are not working well for you, your doctor or pharmacist may increase the dose to 100mg. Your doctor or pharmacist may also suggest that you try sildenafil 25mg tablets if you are experiencing side effects with the 50mg tablets. Very common &