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What to Know About Generic Viagra (Sildenafil)How long does Viagra take to work? In other people, it may take up to 4 hours to work. Questions for your doctor You may have questions about Viagra and your treatment plan. Here are a few tips that might help guide your discussion: Before your appointment, write down questions such as: How will Viagra affect my body, mood, or lifestyle? Bring someone with you to your appointment if doing so will help you feel more comfortable. Remember, your doctor and other healthcare professionals are available to help you. And they want you to get the best care possible. What should I know about Viagra vs. Cialis and other alternatives? In addition to Viagra, many other medications can be used to treat erectile dysfunction ED. Talk with your doctor about the best treatment option for you. Read on to learn about Viagra versus Cialis and other alternative drugs. Viagra vs. In addition, Cialis is also used to treat a prostate condition called benign prostatic hyperplasia BPH. With BPH, your prostate is enlarged. Cialis and Viagra both belong to the same group of drugs, and they work in very similar ways. Even though these drugs are similar, they do have some differences. This includes their recommended dosing and possible side effects. To learn more about how Viagra and Cialis are alike and different, check out this side-by-side comparison. Also, talk with your doctor about which drug is right for you. This active drug comes as a generic medication , too. Sildenafil and brand-name Viagra are both used to treat ED. Sometimes, sildenafil is also used to treat a condition called pulmonary arterial hypertension PAH. With PAH, you have high blood pressure inside your lungs. But Viagra is not approved to treat this condition. Talk with your doctor about which medication is better for your condition. Levitra Viagra and Levitra are very similar medications. But even though these drugs are very similar, they have differences. The dosing of Viagra and Levitra, as well as their side effects, may differ. To see a detailed breakdown of Viagra versus Levitra, view this article. Viagra should be taken at 25 mg per 48 hours in order to be used safely along with this drug, since ritonavir increases the concentration of Viagra. CYP3A4 inhibitors. Viagra should be taken at 25 mg doses with CYP3A4 inhibitors. CYP3A4 inhibitors also increase the concentration of Viagra. You should be stabilized on alpha-blocker therapy prior to using Viagra in order to use it safely, and it should be prescribed at the lowest dose. Otherwise, the two medications together could cause low blood pressure. Cardiovascular conditions. If you have cardiovascular issues, it may be best to steer clear of Viagra completely, since Viagra can make you more likely to go into cardiac arrest. For severe side effects such as prolonged erections and loss of vision or hearing, stop taking the drug and immediately seek medical attention. How often can you take it? Taking more than a single prescribed dose in the same day increases your chance of priapism, or a permanent erection, and other serious side effects. Stick to your prescribed dose to avoid any unpleasant and potentially serious effects. You should not use erectile dysfunction medicate recreationally, or if you have not been diagnosed with erectile dysfunction. Side effects are uncommon and generally mild, if you experience any serious pain or side effects which last longer than hours, seek medical attention immediately. What does Viagra do? Viagra works by inhibiting the PDE5 enzyme, which controls muscle contraction in the penis. Viagra allows the blood vessels in the penis to relax and expand, boosting the blood flow to the area and making it easier to maintain a lasting erection. Will Viagra make me instantly erect? There is a myth that taking Viagra or any other ED medication will give you an instant erection, but the truth is far from it. In fact, Viagra only works to give you an erection when you are both aroused and stimulated, and even then it may take up to an hour of stimulation with Viagra to achieve an erection strong enough for penetration. How can I maximise the effects of Viagra? While we've ensured that everything you read on the Health Centre is medically reviewed and approved, information presented here is not intended to be a substitute for professional medical advice, diagnosis, or treatment. It should never be relied upon for specific medical advice. If you have any questions or concerns, please talk to your doctor. 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