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Please consult with your doctor or nurse practitioner before taking anything marketed as an herbal supplement for erectile dysfunction since these aren’t FDA-approved treatments. It’s unlikely that this medication will increase the amount of time you can have sex. Once you’ve taken your meds, you can expect peak performance for 2-3 hours. After that, the effects will slowly start to dissipate in your system. There are many different factors that account for how long this medication lasts in any one person’s system.

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Some patients can’t afford $100 for a tube of generic estradiol vaginal cream, said Dr. Mary Jane Minkin, a clinical professor of obstetrics, gynecology and reproductive medicine at Yale University School of Medicine. In recent years, much more affordable generic versions of some of these medications have gone on the market. At one time, medications called nitrates, such as nitroglycerin, were a mainstay of CAD treatment. For the most part, this is no longer the case, thanks to procedures such as angioplasty and stenting. The counterfeit tablets only contained between 30% and 50% of the labeled amount of the active ingredient, sildenafil citrate. Goldstein said the drugs are largely made by “illicit narcotic labs.” Tell your doc­tor if you take nitrates, have chest pain, or suf­fer from low blood pres­sure, have had a heart attack, heart fail­ure, or stroke with­in the last year before start­ing this med­ica­tion.

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Some supplements are being marketed as “natural Viagra,” including something called horny goat weed, red ginseng, yohimbine, l-arginine, and DHEA. Some of these herbal remedies do show promise for helping to get and maintain erections, though.

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If you have erectile dysfunction symptoms, getting a prescription for Viagra isn’t as difficult—or as jarring—as you might think. Get discreet and genuine prescription medications or over-the-counter treatment delivered in unmarked packaging. Certain medical conditions also make it more likely that someone will experience erection problems, including high blood pressure and diabetes . Priapism, a painful and persistent erection unrelated to sexual stimulation, is also a possible adverse effect (FDA, 2014-b). In fact, the effects of delaying ejaculation can be seen within days of starting SSRI treatment, past studies have found .

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These are things like diet, the rate of your metabolism, your medical history, your dosage, as well as your environment. Our expert medical team will help you figure out which dosage makes the most sense for your needs. If you’ve never tried this med before, you might be wondering, “how much Viagra should I take the first time? ” The typical starting dosage is 50mg but varies on a case-by-case basis.

Sold online and in stores, counterfeit goods hurt the U.S. economy, cost Americans their jobs, threaten consumer health and safety, and fund criminal activity. Duration of action is another important difference between the drugs. Cialis is the longest acting, with a duration of up to 36 hours. Cialis’s long duration means that it can be taken once a day, eliminating the need to take a pill before each sexual encounter. Such once-a-day dosing has been reported to increase sexual self-confidence and spontaneity. Since all four drugs are similarly effective, the answer to which drug is best will depend on other attributes, such as side effects, drug interactions, speed of onset and duration of action. Once more, the blue pill could change the quality of life of millions of people.

If you have questions about your dosage or how to take this medication correctly, we’re always here to talk. Schedule an easy online appointment with one of our doctors or nurse practitioners today and we’ll help you find the right Viagra dosage for your unique situation. If you’re ready to make the first move today, caring Lemonaid doctors or nurse practitioners are standing by to talk with you about ED. After your discreet, easy, online video appointment, our doctors or nurse practitioners will write you a prescription for Viagra if it’s the right treatment option for your needs. We can send that prescription to our partner mail order pharmacy who will deliver it to your door. Viagra is a PDE-5 inhibitor approved by the FDA to treat erectile dysfunction. Viagra is the brand name of the specific drug made by Pfizer.

  • Sildenafil citrate is the chemical name of the active ingredient in Viagra®.
  • The active ingredient, sildenafil citrate, is identical in both medications.
  • It is up to the medical judgment of the doctor to decide if off-label treatment is appropriate for a patient based on his unique medical history, symptoms, and preferences.
  • When it is sold in a 20 mg dosage, it is called Revatio or it is the generic for Revatio.
  • When sildenafil is sold in 25, 50, or 100 mg dosages, it’s called Viagra or it is the generic for Viagra.

Below, we’ve explained the process of getting a prescription for Viagra and other ED medications. We’ve also looked at over-the-counter “Viagra substitutes” and why these are best avoided in favor of real, proven ED treatments.

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