USE IN SPECIFIC POPULATIONS

These side effects may vary depending on the condition that is being treated. Tell your healthcare provider if you have any of these side effects that bother you. Pain in your muscles, back, arms, or legs There may be other side effects of sildenafil that are not listed here.

Drug Label Information

Though many men don’t like to talk about it, ejaculation problems are very common. Some of the most common issues include premature, delayed, or retrograde ejaculation. Your pelvic floor is a lot like plumbing in your home: you never really think about it unless something goes wrong. When you think of male sexual dysfunction, concerns like erectile dysfunction (ED) or premature ejaculation (PE) probably come to mind first. But there’s another sex-related issue that’s more common in men than you might expect: difficulty orgasming.

Recent Major Changes

Sildenafil is commonly used for the following conditions. Erectile dysfunction, a condition where you have trouble getting or keeping an erection Pulmonary arterial hypertension, a condition where you have high blood pressure in the blood vessels that carry blood from your heart to your lungs Sildenafil may also be used for other conditions as determined by your healthcare provider. Sildenafil works by blocking an enzyme in the body called PDE5, which helps relax certain blood vessels. For erectile dysfunction, it increases blood flow to the penis when aroused. This makes it easier to get and keep an erection.

Underlying Health Issues Impacting Efficacy

For pulmonary arterial hypertension, sildenafil relaxes the blood vessels in the lungs. This lowers blood pressure and reduces strain on the heart. 10 mg/mL powder for oral suspension 20 mg, 25 mg, 50 mg, 100 mg oral tablets Sildenafil is also available in an injectable form that is usually given by a healthcare provider in a hospital or clinic. Sildenafil oral tablets should be stored at room temperature, between 68 F to 77 F (20 C to 25 C). It can be exposed to temperatures between 59 F to 86 F (15 C to 30 C) for shorter periods of time, such as when transporting it. Contact your healthcare provider if you think you are having a side effect of a medicine. In the U.S., you can report side effects to the FDA at or by calling 800-FDA-1088.

Use Case	Patient Group	Effect Duration	Common Side Effects
Erectile Dysfunction	Men aged 40-70	4-6 hours	Headache, flushing, nasal congestion
Pulmonary Hypertension	Adults with PAH	4-6 hours	Dizziness, visual disturbances
Off-label Sexual Enhancement	Men over 40	Varies	Muscle aches, digestive upset
Sildenafil for High Altitude Sickness	Travelers	4-6 hours	Low blood pressure, dizziness

In Canada, you can report side effects to Health Canada at or by calling 866-234-2345. While less common, the most serious side sildenafil citrate 200mg price effects of sildenafil are described below, along with what to do if they happen. Sildenafil may cause allergic reactions, which can be serious. Stop taking sildenafil and get help right away if you have any of the following symptoms of a serious allergic reaction. Swelling of the face, lips, mouth, tongue, or throat Itching, skin rash, or pale red bumps on the skin called hives Sildenafil may cause an unwanted erection that is persistent, painful, and that may occur without sexual arousal. Permanent damage to the penis may occur if priapism is not treated quickly.

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Viagra Generic	25mg	10 Pills	25.19€ 23.99€	Buy
Kamagra Oral Jelly	100mg	21 Sachets	95.92€ 91.35€	Buy
Viagra Generic	100mg	10 Pills	28.91€ 27.53€	Buy
Kamagra	100mg	60 + 4 Pills	201.34€ 191.75€	Buy
Viagra Generic	50mg	180 + 8 Pills	158.82€ 151.26€	Buy
Kamagra Soft Tabs	100mg	60 + 4 Pills	180.59€ 171.99€	Buy
Viagra Generic	100mg	90 + 6 Pills	129.02€ 122.88€	Buy
Viagra Generic	100mg	20 Pills	45.58€ 43.41€	Buy
Kamagra Polo	100mg	12 Pills	60.21€ 57.34€	Buy
Kamagra Polo	100mg	60 + 4 Pills	189.39€ 180.37€	Buy
Kamagra Polo	100mg	84 + 4 Pills	244.49€ 232.85€	Buy
Kamagra Oral Jelly	100mg	63 + 7 Sachets	224.18€ 213.50€	Buy
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Kamagra	100mg	360 + 6 Pills	839.95€ 799.95€	Buy
Viagra Generic	150mg	10 Pills	36.73€ 34.98€	Buy
Viagra Generic	25mg	120 + 6 Pills	125.56€ 119.58€	Buy

Stop taking sildenafil and get emergency help if you have any of the following symptoms of priapism. Erection lasting for more than four hours Erection that is unrelated to sexual stimulation Sildenafil can cause mild, temporary vision changes such as seeing a blue tint, abnormal colors, blurry vision, or sensitivity to light. Though rare, some people have reported permanent vision loss.

Therapeutic category/Drug classification

Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. Doctor of Medicine - Ludwig-Maximilians-University, 2014 Doctor of Medicine - Ludwig-Maximilians-University, 2014 Board Certified Medical Affairs Specialist - Accreditation Council for Medical Affairs, 2024 Board Certified Medical Affairs Specialist - Accreditation Council for Medical Affairs, 2024 Dr. Gussone has contributed widely to consumer health news media, including NBC News TODAY and NBC Nightly News, and has written about his own weight loss journey for CNN.

Why might Viagra not be working for me, even at high doses?

Dr. Gussone has contributed widely to consumer health news media, including NBC News TODAY and NBC Nightly News, and has written about his own weight loss journey for CNN. Dr. Gussone discovered his passion for creating medical content and educating the public about health while working with CNN’s Dr. Sanjay Gupta.

What are the common side effects of PDE5 inhibitors?

He realized that the media could deliver essential health information to millions, surpassing the reach of one-on-one care in a clinical setting. Scuba diving, traveling, cinema, and perfume making Scuba diving, traveling, cinema, and perfume making Erectile dysfunction is a condition in which you have trouble getting or keeping an erection firm enough for satisfying sex. Erectile dysfunction affects as many as 30 million men in the United States. Premature ejaculation (PE) is a sexual dysfunction characterized by a short ejaculatory latency, a perceived lack of control about the timing of ejaculation, and distress and interpersonal difficulty related to ejaculating too quickly. Low testosterone or testosterone deficiency, also known as hypogonadism, is a condition in which patients develop symptoms such as low sex drive, erectile dysfunction (ED), and fatigue because the body doesn’t produce enough testosterone. Stop taking sildenafil and get help right away if you have sudden vision loss in one or both eyes. Sudden hearing loss has been reported after taking sildenafil. This may occur along with dizziness and ringing in the ears. Stop taking sildenafil and get help right away if you have sudden hearing loss or suddenly have trouble hearing as well as usual. Sildenafil may cause a mild and temporary drop in blood pressure.

Parameter	Description	Typical Values	Notes
Absorption	Time to peak plasma concentration (Tmax)	30-120 minutes	Taken on an empty stomach for faster absorption
Bioavailability	Percentage absorbed into bloodstream	40%	Affected by food intake
Half-life	Duration for plasma concentration to reduce by half	4 hours	Determines dosing frequency
Metabolism	Liver enzyme involved	CYP3A4	Also metabolized by CYP2C9

You may be at a higher risk if you have certain health conditions or take blood pressure medicines. If you feel faint or dizzy, lie down. Tell your healthcare provider right away if you have any of the following symptoms of low blood pressure. You may be at higher risk for this if you take a blood thinner medicine. Tell your healthcare provider if you get nosebleeds often while taking sildenafil.

Storage Condition	Temperature Range	Light Exposure	Special Handling Notes
Indoor, dry place	20-25°C (68-77°F)	Store in original container	Keep out of reach of children
Avoid Humid Areas	Humidity below 60%	Keep away from direct sunlight	Do not freeze or expose to extreme heat
Shelf Life	Up to 2 years	-	Check expiry date before use

If your nosebleed is severe or will not stop after applying pressure, get help right away. People who are allergic to any of the following should not take sildenafil. Any of the ingredients in the specific product dispensed Your pharmacist can tell you all of the ingredients in the specific sildenafil products they stock. Sildenafil should not be taken while you are using certain other medicines. Before taking sildenafil, tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. See the Interactions section for more details. Do not take sildenafil unless it has been prescribed to you by a healthcare provider.

Before Using

Sildenafil oral liquid should be stored at room temperature below 86 F (30 C) or in the refrigerator, between 36 F to 46 F (2 C to 8 C). Throw away any remaining liquid 60 days after it has been mixed for you by a pharmacist or healthcare professional. Sildenafil injection is usually given by a healthcare provider in a hospital or clinic. You will not store it at home. The most common side effects of sildenafil are listed below. Do not share sildenafil with other people, even if they have the same condition as you.

• The effects of sildenafil 200 mg typically last for 4-6 hours.
• Do not take more than a prescribed dose to avoid overdose symptoms.
• Sildenafil's effectiveness varies based on individual health factors.
• It is available by prescription or from authorized pharmacies.
• The medication can cause priapism, a painful, persistent erection.
• Always follow dosing instructions to ensure safety and efficacy.

Keep sildenafil out of the reach of children. If you keep sildenafil oral liquid in a refrigerator, make sure to keep it away from children who also use the refrigerator. Sexual activity can put extra strain on your heart, which may be unsafe for people with certain health problems, such as a recent heart attack.

• Sildenafil 200 mg is not suitable for everyone; consult a doctor beforehand.
• Overdose can lead to serious risks like vision loss or prolonged erections.
• The medication should be stored in a cool, dry place away from children.
• It can interact with other medications, including blood thinners and antihypertensives.
• Sildenafil enhances the effects of nitric oxide, relaxing blood vessels.
• Patients should avoid heavy meals before taking sildenafil 200 mg.

Talk to your healthcare provider to see if your heart is strong enough for sex.

6. Adverse Reactions/Side Effects

Viagra, as well as its generic equivalent, sildenafil, is an easy-to-use medication that makes getting and maintaining an erection a much simpler process. As with other prescription drugs, there’s no single dose of Viagra that works best for every guy with ED. Your healthcare provider will work with you to figure out the best Viagra dosage for your needs, whether it’s 25mg, 50mg, or 100mg. Here’s what to keep in mind: You’ll usually be prescribed a 50mg dose of Viagra to start. This is the typical starting dose of Viagra that produces improvements for most men with ED.

Are these medications safe for everyone?

You’ll usually be prescribed a 50mg dose of Viagra to start. Depending on your needs, your dosage may be adjusted to 25mg or 100mg. If you’re prone to side effects from Viagra, your healthcare provider may lower your dosage. If you have severe ED, it might be increased to 100mg. Make sure not to exceed your prescribed dosage.

5.2 Prolonged Erection and Priapism

Taking too much Viagra or taking Viagra more than once a day isn’t recommended, as this can increase your risk of side effects and drug interactions. We offer several evidence-based ED medications online, following a consultation with a healthcare provider, who will determine if a prescription is appropriate. With Hims, you can meet with a licensed healthcare provider online and, if suitable for you, get access to proven medication to assist with erectile dysfunction as well as other common sexual performance issues. A systematic review of sildenafil mortality through the years. Association of BMI with erectile dysfunction: A cross-sectional study of men from an andrology clinic. If you feel chest pain, dizziness, or nausea during sex, stop and contact your healthcare provider right away. Sildenafil does not protect against sexually transmitted infections, including HIV. Sildenafil belongs to a group of medicines, known as phosphodiesterase-5 (PDE-5) inhibitors, which are used to treat erectile dysfunction or pulmonary arterial hypertension. You should not take more than one PDE-5 inhibitor medicine. Medicines in this group include avanafil (Stendra), sildenafil (Viagra, Revatio, and others), tadalafil (Cialis and others), and vardenafil (Levitra, Staxyn). Use an accurate measuring device to measure your dose of sildenafil oral liquid. A household spoon is not an accurate measuring device and may cause you to take the wrong dose.