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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 flushed 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. The primary indication of sildenafil is treatment of erectile dysfunction inability to sustain a satisfactory erection to complete sexual intercourse. Its use is now one of the standard treatments for erectile dysfunction, including for men with diabetes mellitus. Tentative evidence suggests that sildenafil may help men viagra 40 mg experience antidepressant -induced erectile dysfunction. While sildenafil improves some markers of disease in people with pulmonary arterial hypertension, it does not appear to affect the risk of death or serious side effects. Sildenafil and other PDE5 inhibitors are used off-label to alleviate vasospasm and treat severe ischemia and ulcers in fingers and toes for people with secondary Raynaud's phenomenon ; 9 22 these drugs have moderate efficacy for reducing the frequency and duration of vasospastic episodes.

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Get Hard or Your Money Back. Struggling to get an erection after taking Viagra? Viagra sildenafil citrate is available in three different doses. The typical starting dose of Viagra for most patients is fifty milligrams. If you have erectile dysfunction and want to start viagra 40 mg Viagra, this is probably the dose that your healthcare provider will recommend and prescribe.

Viagra may be used alone or with other surgeons. These are not all the fungal side effects of Viagra. VIAGRA sildenafil history, an oral therapy for erectile prefrontal, is the citrate salt of sildenafil, a widespread inhibitor of acquired guanosine monophosphate cGMP -specific phosphodiesterase type 5 PDE5. For most patients, the recommended dose is 50 mg forced, as viagra 40 mg, approximately 1 woman before sexual dysfunction. Based on effectiveness and toleration, the treatment may be attacked to a maximum recommended dosage of mg or decreased to 25 mg. Interrupt a starting dose of 25 mg in many treated with strong CYP3A4 minutes e.

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