All about Sildenafil Citrate

Sildenafil remains the most widely used medication for erectile dysfunction

Unfortunately, erectile dysfunction increases in prevalence with age. If you are over the age of 40, then you have a greater than 50% chance of experiencing erectile dysfunction, and the incidence gets greater with age. There are currently 40 million American men with some form of erectile dysfunction.

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Sildenafil Citrate


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The condition is common, and can be very frustrating. Erectile dysfunction can reduce your sexual abilities and your quality of life. Thankfully, erectile dysfunction is treatable, and if you experience any degree of erectile dysfunction, you should not tolerate it.

Prior to modern PDE5 inhibiting medications, there were no effective treatments available for erectile dysfunction, and men, for the most part, suffered in silence with the condition. When Viagra was released 9 years ago, it created an intense media and public interest in the first ever effective medication for erectile dysfunction. Viagra got a lot of men talking about erectile dysfunction, and prompted a lot of men to get the treatment they needed. Before Viagra, no one really knew just how prevalent the condition was.

If you have any degree of erectile dysfunction, speak with your doctor about safe and effective sildenafil.

What is erectile dysfunction, and why does it occur?

Erectile dysfunction is clinically defined as the inability to achieve an erection, an inability to achieve a hard enough erection for sexual intercourse, or an inability to achieve an erection for the duration of sexual intercourse.

There are a number of possible causes for erectile dysfunction, and these causes may originate through psychological processes or through a physiological lessening of blood flow to the penis. Certain conditions, such as diabetes, high cholesterol and high blood pressure can all reduce this available blood flow, and increase the prevalence of the dysfunction. These physiological causes are considered to be the most frequent reason for erectile dysfunction for most men.

Although the causes are normally physical in origin, psychological factors such as depression, stress and exhaustion can all also increase the probability of the disorder, as can certain medications used for other psychiatric conditions. There can also be interplay between the physiological and the mental. If you experience any degree of erectile dysfunction, this will likely erode some of your sexual confidence, and cause an increase in sexual anxiety. An increase in sexual anxiety, when coupled with a physiological reduction in blood flow to the penis, can compound and exacerbate the existing condition.

Lifestyle factors such as drinking to excess, smoking, not getting enough exercise and obesity can all lead to an increase in erectile dysfunction as well.

Thankfully, regardless of the cause of your erectile dysfunction, you should respond well to modern PDE5 inhibiting medications for erectile dysfunction. These medications are very safe, and will work well for almost everyone.

What is sildenafil?

Sildenafil is the generic name of Viagra, and also the name of the active ingredient in Viagra. Viagra was the first ever PDE5 inhibiting drug released for the treatment of erectile dysfunction, and has since helped hundreds of millions of men achieve better erections, and has an outstanding safety track record. Viagra is approved for use by the FDA and most other world regulatory drug boards, and will very likely work for you, without inducing any discernable side effects.

Viagra has been a very popular medication, and remains the most popular medication for the treatment of erectile dysfunction, because it works very well. Viagra will help the vast majority of men to achieve larger, harder, and longer lasting erections.

Users love Viagra, and the drug has a 96% approval rating from its satisfied customers. The only negative associated with Viagra is the price, and at more than $10 a pill, Viagra is a very expensive medication. Pfizer, the company that developed and markets Viagra, has made literally billions of dollars in profits off of this very expensive drug.

Thankfully, the period of sales monopoly has since ended, and now any licensed pharmaceutical company can develop and market their own generic versions of the drug. A generic sildenafil will contain the same proportion of the active ingredient as the original name brand medication, and is a chemical and molecular exact replica of the original. With sildenafil, you get all of the safe and effective action of Viagra, in a drug that retails for a fraction of the price. Sildenafil will work just as well as Viagra, but will save you a lot of money.

Viagra was the first ever effective medication for the treatment of erectile dysfunction. There have since been other drugs released, such as Levitra and Cialis, that also work through a method of PDE5 inhibition to create an erection. These newly released medications are simply slightly modified copies of the original medication for the treatment of erectile dysfunction and Viagra remains the most widely used medication by men world wide. More doctors continue to recommend and prescribe sildenafil containing Viagra than any other medication for erectile dysfunction.

Will sildenafil work for you?

A recent independent clinical study of sildenafil citrate shows that the drug will work very well for about 80% of the men that try it. 8 out of 10 men with erectile dysfunction will benefit with larger, harder and longer lasting erections after using sildenafil.

If you have complete nerve damage caused impotence, then Sildenafil may not work for you, otherwise it probably will.

If you have ever previously tried another drug, such as Cialis or Levitra, and had good success, then sildenafil will work for you. These drugs are simply slightly modified copies of the original, and still the best drug for erectile dysfunction.

If any one of these medications will work for you, then all other PDE5 inhibiting medications should also work.

In general, if you are ever able to achieve any degree of an erection, then you should benefit through the use of sildenafil. Your ability to ever achieve an erection indicates that the physiological processes at work in the creation of an erection are still viable, and should respond well to a medication like sildenafil, that simply increases the efficacy of these existing endogenous physiological processes.

Some men, who have been abstinent for a long period due to erectile dysfunction, may need to try sildenafil on more than one occasion before achieving a full erection. If you have not had sex for a long period, you should also first consult with your doctor, to make sure that you are fit enough to resume vigorous sexual activity.

There are a number of dosage strengths available. Most men will start with a lower dosage strength, but if this does not prove effective in the creation of an erection, speak with your doctor about trying the full strength dosage.

How sildenafil works

Sildenafil is the original PDE5 inhibitor medication. PDE5 is an erection regulating and limiting substance endogenous to the penis. Sildenafil will temporarily reduce the available quantity of this substance, allowing you to create a harder and longer lasting erection.

All erections are actually begun far removed from the penis, in the brain. The necessary first step to an erection is mental sexual arousal. This arousal will begin a biochemical cascade that will ultimately lead to an erection. Mental arousal causes the release of nitric oxide into the penis, and this nitric oxide will bind with another penile substance to form the enzyme, cyclical guanosine monophosphate (CGM). CGM is an erection creating enzyme and works to create an erection through a process of activity on the artery walls of the penis. CGM will loosen and relax the artery walls of the penis, and allow them to become engorged with blood. Once completely swollen with blood, an erection is created.

Without PDE5, during our sexual primes, we would all have near continual erections. PDE5 is a necessary and endogenous penile enzyme that works to reduce in available quantity the amount of created CGM through a process of CGM degradation. Sildenafil will, for about 4 hours, reduce the amount of the PDE5 from the penis, and allow for more of the created CGM to remain active on the artery walls of the penis. With more CGM, erections are easier to create, and will be harder, and longer lasting.

Since all erections must start with the mental sexual arousal creation of CGM, if you take sildenafil, and do not become aroused, an erection will not occur. There is no need to worry about inappropriate erections after using sildenafil.

Is sildenafil an aphrodisiac?

Many men have reported that sildenafil seems to work as an aphrodisiac, and also seems to improve their sexual prowess and abilities. These claims have yet to be clinically verified. After you take sildenafil, you will know that you have the ability to create a hard and full erection. This should increase your sexual confidence, and probably decrease any sexual anxiety that is often linked to erectile dysfunction. With an increase in sexual confidence, there is also an increase in the pleasurable anticipation of sexual activity, and this is likely what men refer to as the aphrodisiacal properties of sildenafil.

Sildenafil will help you to have better sex through the creation of a larger, harder and longer lasting erection. Sildenafil does not protect you from HIV or any other STD, and is not a form of birth control.

Is a prescription needed for sildenafil?

Internet pharmacies are now authorized to sell sildenafil without the need for a prescription. An internet pharmacy is a licensed and regulated pharmacy that is run under the supervision of a licensed pharmacist.

Although you no longer need to see a doctor prior to purchasing sildenafil, it may still be a good idea to first consult with a doctor if you have never previously used any form of PDE5 inhibiting medication. Although these medications are very safe, and the vast majority of men can use them without experiencing any side effects; there may be some men, due to some preexisting conditions, that should not use sildenafil.

Make sure that your doctor is made aware of any history of stroke or heat attack, any cardiac condition or condition that may influence blood flow, as well as any history of kidney, liver or prostate disease. You should also disclose fully any and all drugs that you are using, both over the counter and prescription.

Although you are no longer required to see a doctor, a consultation with a doctor is the best way to ensure that you can safely use the medication, and to minimize side effects, as well as to get the most out of your sildenafil therapy.

Erectile dysfunction is a very commonly experienced condition, and the vast majority of the time it does not indicate anything more than the fact that you are not as young as you once were. Erectile dysfunction can however be caused by a more serious condition, and such a condition might benefit if detected and treated early. If you are not sure what is causing your erectile dysfunction, it may be a good idea to discuss with your doctor whether further testing may be necessary.

If you believe that your behaviors (smoking, drinking, obesity) may be related to your erectile dysfunction, it may be time to modify your lifestyle, before these destructive behaviors cause a more serious medical condition.

There are a number of dosage strengths available, and if your doctor has any concerns about your ability to use the medication, your doctor will recommend that you start with a low dosage, and monitor your tolerance for the medication before potentially increasing the dosage. If you are over the age of 65, you should start with a lower dosage of the medication.

Sildenafil citrate Side effects

Sildenafil is a very well tolerated medication, and most men will not experience any side effects after taking the medication. A recent survey of sildenafil users reported that 96% of men using the drug were very satisfied with the effectiveness and usability of the medication, and planned to continue to take the medication. An approval rating of this magnitude would not occur if the drug induced many serious or uncomfortable side effects.

Side effects, if experienced, tend to be mild, and will disappear within a few hours of ingestion. Some possible side effects are a runny nose, a headache, an upset stomach and a reddening and flushing of the face.

If you ever experience any serious or unusual side effects, or any evidence of an allergic reaction, you should get immediate medical attention. If you ever experience chest pains while on sildenafil, you should get immediate medical attention, and make sure that all medical staff are made aware of your sildenafil consumption. Your doctor will want to know what dosage of the medication you took, and when you took it.

A very common treatment for a cardiac emergency is the administration of a nitrate based drug. This type of drug a can be fatal if taken concurrently with sildenafil.

The sex drug “poppers” is also a nitrate based medication, and as such may also never be used with sildenafil.

There have been some reports of men losing vision in one eye after using a PDE5 inhibiting medication. It has not been proven that the PDE5 medication was the cause of this condition, but should you ever experience any changes in vision, you should get immediate medical attention.

Very rarely, Sildenafil has created an erection that will not subside for a period of 4 or more hours. This erection may or may not be painful, but does require medical attention. This condition is not ultimately serious if treated, but if left untreated, can lead to penile tissue damage, and compromise your ability to achieve a future erection.

These more a serious side effects are very rare. Sildenafil is a very safe, and FDA approved medication. Most men will be able to use the drug without experiencing any noticeable side effects.

Sildenafil citrate dosage information

You should take sildenafil about an hour before initiating sexual activity. The medication can be taken with or without food, but if taken with a heavy meal, may take longer to become fully activated. You should take sildenafil with a full glass of water to minimize the occurrence of side effects.

You should never exceed the recommended dosage, and you should not use sildenafil more than once a day. Exceeding the recommended dosage of the medication can lead to an increase in adverse reactions. Drinking alcohol to excess with sildenafil is also not advised for the same reason.

Sildenafil is to be taken only as needed. If you do not anticipate sexual activity, there is no reason to take this medication.

An internet pharmacy

The best way to buy sildenafil is through an internet pharmacy. An internet pharmacy is authorized to sell sildenafil without a prescription, and is preferred by many men purchasing medications for sexual dysfunction due to the more anonymous ordering and receiving process. An internet pharmacy will also often offer the lowest available price on the medication. These internet pharmacies operate under a reduced overhead in comparison with a conventional drug store, and in the competitive online marketplace, will often pass these savings back to the consumer through lower priced medications.

An internet pharmacy offers confidential service, the convenience of ordering from home, and overnight delivery to your doorstep.

Sildenafil in summary

If you have any degree of erectile dysfunction, you should consider safe and effective sildenafil. Sildenafil is every bit as effective and safe as Viagra, but retails for a fraction of the price.

You should never let any feelings of embarrassment deter your from getting the treatment you need for your erectile dysfunction. A recent UK study on erectile dysfunction indicates that a staggering 85% of men with treatable erectile dysfunction are still not getting the help they need. Initiate a conversation with your doctor; your doctor will be very accustomed to advising men on the subject of erectile dysfunction, and will be able to answer any questions that you may have on the subject Sildenafil will improve your erections, improve your sex life, and raise your quality of life; and you should not let feelings of embarrassment keep you from getting it.

Sildenafil is very safe, and will work for almost all men, without inducing any appreciable side effects; and now that generic sildenafil is available without the need for a prescription through an internet pharmacy, it easier and cheaper than ever to get the medication.