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Other drugs are available that can treat erectile dysfunction (ED). If you’re interested in finding an alternative to Viagra, talk with your doctor. They can tell you about other medications that may work well for you. For example, people ages 65 years and older tend to get higher levels of Viagra in their blood after taking a dose.

Viagra Connect is a type of ED treatment known as a PDE5 inhibitor. It works by blocking the action of an enzyme which causes erections to soften. As a result, there’s more blood flow into the penis, encouraging a harder erection that lasts longer. If you continue to experience erection problems even after taking sildenafil 100mg on multiple occasions, you should consult your doctor as it may be a sign of an underlying health condition.

If you would like to take a daily medication for ED, talk to your doctor about other options for ED medication called Cialis (tadalafil). There are also other alternatives such as pumps and implants. Ask your pharmacist any questions you have about refilling your prescription. Keep this medication in the container it came in, tightly closed, and out of reach of children. Store the tablets at room temperature and away from excess heat and moisture (not in the bathroom).

At 24 hours the plasma levels of sildenafil were still approximately 200 ng/mL, compared to approximately 5 ng/mL when sildenafil was dosed alone. VIAGRA had no effect on ritonavir pharmacokinetics [see Dosage and Administration (2.4) and Drug Interactions (7.4)]. It is not possible to determine whether these events are related directly to the use of PDE5 inhibitors or to other factors [see Adverse Reactions (6.1, 6.2)]. After patients have taken VIAGRA, it is unknown when nitrates, if necessary, can be safely administered. The effectiveness of sildenafil has been confirmed in numerous clinical studies. It helps most men achieve and maintain an erection sufficient for sexual intercourse.

One of these chemicals, called cyclic GMP, relaxes and widens certain blood vessels in your penis. Cyclic GMP also relaxes the muscles around the erectile tissue in your penis that’s called the corpus cavernosum. These actions allow blood to flow into the corpus cavernosum, which causes your penis to get hard and become erect. This means that if you’re aroused, you should still be able to get an erection up to 4 hours after taking a dose of Viagra. Regardless of your age, you’ll take your prescribed dose about an hour before sex.

Other drugs may interact with sildenafil, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide. Do not take Viagra if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking sildenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure. Sildenafil is also used in both men and women to treat the symptoms of pulmonary arterial hypertension. This is a type of high blood pressure that occurs between the heart and the lungs.

There are no controlled clinical data on the safety or efficacy of VIAGRA in the following groups