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Sildenafil citrate, commonly known by the brand name, is a prescription-only medicine used to treat erectile dysfunction (ED) in adult men. It works by improving blood flow to the penis, helping to achieve and maintain an erection during sexual activity.

Dosage and Administration

Sildenafil is available in 25mg, 50mg, and 100mg strengths.

  • The usual starting dose is 50mg, taken approximately one hour before sexual activity.
  • Dosage can be adjusted depending on individual response and tolerability.
  • Take only one tablet in 24 hours, with or without food.
  • Avoid grapefruit juice, as it can increase the risk of side effects.
  • A high-fat meal may delay onset of action.

Effectiveness

Sildenafil has been shown to be effective in up to 80% of men with ED, with effects typically noticeable within 30 to 60 minutes, and lasting for up to 4–5 hours.

Side Effects

Common side effects include:

  • Headache
  • Flushing
  • Nasal congestion
  • Indigestion

Less common but serious effects include visual disturbances, hearing changes, or prolonged erections. Seek medical attention if severe or persistent side effects occur.

Contraindications

Sildenafil should not be used by those:

  • Taking nitrates for chest pain
  • With severe heart or liver conditions
  • Under 18 years of age
  • With certain medication interactions (e.g. alpha-blockers, antifungals, antibiotics)

Interactions

Inform your doctor of all medications and supplements before use. Interactions may occur with:

  • Nitrates
  • Alpha-blockers
  • Some antibiotics and antifungal medicines

Alcohol and Heart Conditions

Avoid excessive alcohol while taking sildenafil, as it can lower blood pressure and increase side effect risk. Use with caution if you have any heart-related conditions.

Availability and Cost

Sildenafil is available by prescription only in the UK.

  • Generic versions are more affordable than branded Viagra.
  • Supplied by licensed UK pharmacies such as Online Chemist.
  • Avoid counterfeit products from unregulated websites.

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South Africa – Two men with erectile dysfunction have been sentenced to prison on Wednesday in the South African capital, Cape Town, after being sentenced to three years in prison and a fine of up to 25 years.

A 34-year-old man and a 36-year-old man from Pretoria, who were both arrested in December, were each sentenced to three years in prison and a fine of up to 25 years.

Both men faces up to 12 years in prison, and a fine of up to 25 years in South Africa for their role in the plot and murder of a South African woman.

The pair had been charged and are still awaiting sentencing.

In May last year, police raided a warehouse in Cape Town’s south of Soweto, and seized goods in three weeks’ worth of Viagra pills and other illegal drugs.

The suspects, who had been charged with murder and conspiracy to commit murder, were held in prison at the end of June, before being sentenced to a total of three years.

“These charges are very serious,” said South Africa Police Major Dr. Andrew Mabon.

“The three men who have been sentenced are very much in our minds as we look into the possible consequences of their dangerous actions and will not hesitate to seek justice.”

The case, which was launched in September, has been investigated by the South Africa’s Medicines and Healthcare Products Regulatory Agency (MHRA).

Mabon said the sentencing “may be an appropriate moment to consider.”

“We will continue to monitor the progress of this case as it unfolds.”

The men’s sentences are being taken until at least May 31, when they are released from prison.

South Africa is the second country in South Africa to be given a new criminal code, after India, and is among the first countries in the world to do so.

The country has a history of dealing with crime and organised crime. In 2010, it was ranked the ninth-largest city in South Africa, followed by Manchester City, while in 2017, it was ranked number one.

The country’s crimes rate is 2.4% in 2018, and is estimated to be 9.3% of the world’s population.

South Africa has been described as an “international destination” and a “national security base” for organised crime and organised crime.

In 2009, the state of South Africa was given a new criminal code by the United Nations General Assembly.

The code was created in 2001, but was amended in 2005 to reflect a broader crime-related context, which included organised crime and organised crime.

In 2013, the code was expanded to include more serious crimes, including murder.

In August 2013, South Africa received an emergency response from the United States, after the police arrested three men in the town of Mpavon.

The men were held in prison until June 11.

The two men, who were arrested in December, had been taken into custody and taken to South Africa’s National Police Station for the operation.

The two men face up to 12 years in prison, and a fine of 25 years.

The three men were arrested by the South Africa’s Medicines and Healthcare Products Regulatory Agency (MHRA) and are currently being held in Soweto, where they have been sentenced to three years in prison and a fine of 25 years.

The suspects have been charged and are still waiting for sentencing.

The South Africa’s Medicines and Healthcare Products Regulatory Agency (MHRA) is the first country in South Africa to do so, which has made it a “national security base” for organised crime and organised crime.

South Africa is a country that does not have a crime rate of 9.

Viagra has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Viagra use include:

  • Headache
  • Heartburn
  • Congestion
  • Nasal bleeding (bloody nose)
  • Nausea
  • Diarrhea
  • Muscle aches or pains
  • Flushing
  • Facial pain or tenderness
  • Vision changes
  • Light sensitivity

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any nitrate medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

asthma (ae)

- This side effect involves a condition that has significantly impact on your quality of life. As a result, you should seek medical attention immediately. The safety and effectiveness of Viagra cannot be underyi declared, but it is important to disclose any medical conditions you currently manage.

Viagra can cause a dangerous drop in blood pressure which requires immediate medical attention. If you experience any dizziness, lightheadedness, fainting, fainting with the head, chest pain, or fainting while taking Viagra, immediately consult your doctor.

Exercise- restriction

- Viagra can increase the risk of cardiovascular events such as heart attack or stroke resulting in a rapid and dangerous decrease in exercise-induced pulmonary hypertension. Viagra should be used within 24 hours of initiating exercise-induced pulmonary hypertension.

Exercise-induced pulmonary hypertensionpregnancy

- Viagra should be used within 24 hours of initiating exercise-induced pulmonary hypertension.

possible allergic reactions

- If you experience any allergic reactions to Viagra, consult your doctor before using this medication. Common allergic reactions include:

  • hives
  • skin reactions
  • rash
  • blistering
  • itching
  • muscle aches or weakness
  • skin rash

As with all prescription medications, inform your doctor if you have any shown this medication has any affect on your body. Viagra can interact with other medications, especially those you are administered.

liver disease

- Viagra can cause a dangerous drop in blood pressure which requires immediate medical attention. If you experience dizziness, lightheadedness, fainting, fainting with the head, or fainting while taking Viagra, immediately contact your doctor.

liver dysfunctionlung cancer

- Viagra can cause a rapid and dangerous decrease in your ability to exercise.

2023-08-14

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