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Viagra comes as a tablet containing sildenafil citrate, to take by mouth. For most men, the recommended dose is 50 mg. taken, as needed, approximately 1 hour before sexual activity. However, sildenafil citrate may be taken anywhere from 4 hours to 0.5 hour before sexual activity. Based on effectiveness and toleration, the dose may be increased to a maximum recommended dose of 100 mg or decreased to 25 mg. The maximum recommended dosing frequency is once per day.
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Ricardo Osei, USA
Ricardo, a 39 year old man, who lives in Melbourne, Australia, was prescribed sildenafil citrate. He had been taking it for about 2 months with Atorvastatin generic best price
no adverse events, but was stopped because of his sexual dysfunction. He now seeks medical advice as to whether he should begin taking another medication at this time. His GP also advises him to start taking the erectile dysfunction medication Cialis. What is the most important information you can give him in order to ensure the most appropriate treatment is taken?
A: The first and most important thing to tell your patient is understand it might take time for the side effects of his medication to be treated. This may cause him pain and discomfort during sex. Sildenafil citrate may seem to help him but it may take 12 months or longer in some cases. He needs to make sure viagra pills for sale nz
that he knows the signs of sildenafil-induced erectile dysfunction well in order for it to be recognized.
Other forms of sexual dysfunction such as low libido and a decreased (failure to experience an orgasm), are less severe and generally more easily treated. In short, it takes time for the side effects to disappear.
Having said this, if you have a patient that has had erectile dysfunction for some time and is now taking sildenafil, talk to him about making sure he takes the Cialis also.
Sildenafil citrate may occasionally cause a decrease in the amount of sperm that reaches the vagina, an increased loss of semen after sexual intercourse, and even an increased incidence of vaginal infections. These usually resolve on their own without taking further medication.
Read: What is the right dose of sildenafil for erectile dysfunction?
There are other medication forms of erectile dysfunction. If your patient is prescribed one, explain to him that this should Where to buy viagra from
be treated along with his medication until it has had time to fully wear off.
The following medications may be considered by your patient:
Cialis has been reported to help in some cases of ED (erectile dysfunction), with fewer side effects.
Propecia is commonly prescribed as a preventative.
Nexium is often used as a treatment for ED. This is the most well-known form of treatment.
Acetylcysteine is usually used at 10 mg daily to treat ED. See the Acetylcysteine page for more information.
What are the main side effects of sildenafil citrate?
Sildenafil citrate is a selective androgen receptor modulator. The most common side effects reported in those taking sildenafil citrate for erectile dysfunction are:
pain and discomfort in the genital area
enlargement of blood vessels in the penis
injections need to be avoided because of severe aching
decreased sexual desire
Increased incidence of urinary tract infection during treatment.
Additional side effects of this medication include:
coughing up of saliva
abnormal vaginal bleeding
temporary loss of libido
anxiety and depression
How is sex rated from 0 (no sexual desire) to 3?
0: Very rarely, there will be sexual difficulty during sex. This can be embarrassing, inconvenient, or annoying (it may become a problem for your patient and may need to take sildenafil keep feeling sexually active.) This effect usually goes away without treatment within one to two weeks.
1-3: Some people will experience occasional sexual urges that are mild to moderate in intensity but no longer than three times per month. The individual may experience these urges with or without sexual intercourse. Even though they are not usually severe or persistent, these urges may interfere with intimacy (conversation, kissing, etc) and sexual pleasure (lots of pressure/no pressure). There are Levitra 20mg tablets price
no known serious adverse effects associated with these urges, however they need to be taken seriously.
How is sex rated from 1 (normal desire) to 3 (complete impotence)?
0: There isn't any problem with sexual desire. If your patient tries to have erections with a partner, the partner may experience difficulties. However, your patient may have the same difficulty with any other partner.
1: There may often be a problem having intercourse. It might become too viagra over the counter in nz difficult for your patient to achieve an erection and ejaculation. If this happens, the patient needs to seek help of a physician. Sometimes the problem can be solved simply by taking less sildenafil. Your patient should also seek the help of a physician if.
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