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Introduction: Sildenafil citrate has been used worldwide by men with erectile dysfunction. The clinical impact of coingestion of food and these factors has never been evaluated. Aim: To determine, using a naturalistic study design, whether sildenafil taken 1 hour before or during a meal compared with usual ingestion minutes before sexual activity affects efficacy or patient satisfaction. B placebo 1 hour before a meal and sildenafil minutes before coitus; and C sildenafil during a meal and placebo minutes before coitus vs.

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Sildenafil, sold under the brand name Viagra, among others, is a medication used to treat erectile dysfunction and pulmonary arterial hypertension. Common side effects include headaches, heartburn, and kamagra oral jelly 150 mg skin. Sildenafil acts by blocking phosphodiesterase 5 PDE 5, an enzyme that promotes breakdown of cGMP, which regulates blood flow in the penis. Pfizer originally discovered the medication in while looking for a treatment for angina.

A class of drugs is a group of medications that work in a similar way. These drugs are often used to treat similar conditions. Sildenafil can be used as early as 4 hours before sex and as late as 30 minutes before sex. However, it is recommended to use this drug within an hour before sex. Sildenafil should not be taken for ED more than once in a hour period.

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