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Sildenafil
Clinical data
Pronunciation/ s ɪ l ˈ d ɛ n ə f ɪ l / sil- DEN -ə-fil
Trade namesViagra, Revatio, others
AHFS/Drugs.comMonograph
MedlinePlusa699015
License dataEU  EMA:  by INN, US   FDA: Sildenafil
Pregnancy categoryAU: B1 US: B (No risk in non-human studies)
Routes of administrationBy mouth (tablets), IV
ATC codeG04BE03 ( WHO )
Legal status
Legal statusAU: S4 (Prescription only) CA : ℞-only UK: POM (Prescription only) US: ℞-only In general: ℞ (Prescription only)
Pharmacokinetic data
Bioavailability41% (mean) [1]
Protein binding~96%
MetabolismLiver: CYP3A4 (major route), CYP2C9 (minor route)
MetabolitesN -desmethylsildenafil (~50% potency for PDE 5 )
Elimination half-life3–4 hours
ExcretionFeces (~80%), urine (~13%) [2]

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These can help achieve or maintain an erection for up to 40 minutes. Very small alprostadil suppositories can be placed in the penile urethra using a special applicator.

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Although buying medicines over the counter is convenient, this is not usually an option for prescription-only medication like Viagra. L-arginine L-arginine is an amino acid.

One study found that oral L-arginine was no better than a placebo in treating ED, but another study found some evidence that high doses of L-arginine can improve blood flow and help ED.

Viagra will have the strongest effect on an empty stomach. A doctor may suggest this treatment for men whose erectile dysfunction is linked to low levels of testosterone.

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If an erection lasts too long, it can damage your penis. However, any pharmacy that is operating legally and is fully registered should be happy to answer your questions about its registration and how it works.

It can be effective for up to 7 hours.

Vacuum erection devices are hollow tubes also known as penis pumps. Available under the brand names Adcirca and Cialis, take tadalafil between 1 to 2 hours before sex. They can help you decide whether this is the best option for you — omeprazole 20 mg dosage twice a day.

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Your doctor will consider these factors as well as any health problems you have and possible interactions with other medications you take. However, it is not always obvious how and where you can buy Viagra, especially as erectile dysfunction and how to obtain treatment for the condition are unlikely to be topics you discuss with your mates down the pub. It's effective for 36 hours. Although buying medicines over the counter is yasmin sabina khan, this is not viagra prescription medication an option for prescription-only medication like Viagra.

Can I get a Viagra prescription online? Decreased blood pressure, syncope, and prolonged erection may occur at higher sildenafil exposures. Although you are probably happy to visit your doctor to discuss most health issues, when it comes to erectile dysfunction you may not feel comfortable having a face-to-face consultation.

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Sold under the brand names Levitra and Staxyn, this drug is available in tablet and disintegrating tablet form. Alternative, prescription-only PDE5 inhibitors to Viagra include:

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