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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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LONDON – Two young men have been ordered to pay £150,000 to stop taking their Viagra tablets after it was found they were buying counterfeit or unlicensed medicines.

The court heard that one of the men, from the East London area, was on his way to a party where they found a Viagra bottle which they found was being bought without a prescription from a pharmacist. The other was selling it on a fake internet site. The men were found to have bought the tablets in the wrong packaging and not in a genuine product.

The court heard they were buying the fake Viagra and were taking it without a prescription from a pharmacist at the shop in the village of Wits in East London, north east London.

The court heard the men were buying the fake Viagra from a website in the hope that it would be shown to their customers to avoid any possible health risks.

The court heard that they had bought the tablets from a website in the UK on a fake internet site which was run by a pharmacist at the East London hospital.

The court heard a second man also had been charged with possession of Viagra and the first to have bought it on a fake internet site. The court heard that the second man had bought the tablets without a prescription and was at the party with a woman and a man in their early 20s, who were both from Wits and had been in a relationship for several years.

The court heard the two men had been arrested after they were seen buying fake Viagra, and one of them was arrested for possessing it in the hope of being charged with a criminal offence.

The court heard the court heard that the first man, who had not been arrested, had been seen at the same party at the same time as the second man.

The court heard the court heard that the first man had been arrested at the same time as the second man had been seen at the same time as the second man.

A court spokeswoman said: “We will take the case to the High Court for a decision on how to proceed.

“A number of people, including a friend of one of the men, are now being investigated by the Department of Justice. The Department of Justice has been asked to comment on this case and will be seeking the advice of the High Court, in the interest of national security.”

The first man, who has not yet been arrested, is also charged with possession of a counterfeit Viagra drug.

He is understood to have bought the fake Viagra from a website in the UK on a fake internet site and was charged with possessing it in the hope of being charged with a criminal offence.

He was arrested for possessing the counterfeit Viagra and was charged with possessing a fake Viagra drug.

The first man, who has not yet been arrested, is believed to have bought the counterfeit Viagra from a website in the UK on a fake internet site and was charged with possessing it in the hope of being charged with a criminal offence.

The second man, who has not yet been arrested, is believed to have bought the counterfeit Viagra from a website in the UK on a fake internet site and was charged with possessing it in the hope of being charged with a criminal offence.

A court spokeswoman said: “We are taking the case to the High Court for a decision on how to proceed.

Product description

Product name:Herbal Viagra

Company name:

DIN:022473633

Status:Marketed

Status date:2025-07-29

Active ingredient(s)Strength
SILDENAFIL20 MG/ML

Resources

Click on a resource to visit a page with more information. You may be taken away from this page to a different Government of Canada website.

For consumers
ResourceDescription

The Product Monograph is a scientific document that describes the properties, claims, indications and conditions of use of the product and contains any other information that may be required for optimal, safe and effective use.

The Product Monograph includes three sections:

  • Part I: Health Professional Information;
  • Part II: Scientific Information; and
  • Patient Medication Information

Side effects are troublesome symptoms or feelings that you may not expect that show up when you are taking a medicine.

All suspected side effects should be reported, especially those that are:

  • Unexpected, regardless of their severity, i.e., not consistent with product information or labelling; or
  • Serious, whether expected or not, i.e., that requires being admitted to the hospital, lengthened hospital stay, causes a birth defect, disability, is life-threatening or results in death;
  • Reactions to recently marketed health products (on the market for less than five years), regardless of their nature or severity.
For health care professionals

    Section C.01.020.1 of the Food and Drug Regulations and section 62 of the Medical Devices Regulations, require hospitals to report to Health Canada all serious adverse drug reactions (ADRs) and medical device incidents (MDIs) within 30 days of being documented within the hospital.

    This regulatory requirement only applies to hospitals.

    For researchers
      After Health Canada completes the regulatory review process for a product, the clinical information included in a submission is made publicly available for non-commercial purposes.
      All resources

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      We can take the medicine. If you are taking Viagra or other medicines, or you take Viagra and take Viagra and take Viagra and then you will need to take a small dose of the medicine, or the medicine, before the treatment. If you are taking Viagra and have not taken it before you should take the medicine again.

      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)
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      • Diarrhea
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      • 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
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      • Fainting
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      • Skin rash
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      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.

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      If you are experiencing a Viagra-related pain, sexual dysfunction, or anxiety, please discuss with your health care provider what prescription medications are available to take on these symptoms.

      Sildenafil citrate (Viagra) has become a popular medicine to treat erectile dysfunction (ED) in men. It has been found to be effective in treating ED in some patients. However, it's important to note that it is not a cure for ED. Viagra is not a cure for ED and can cause unwanted side effects. It's important to discuss the potential side effects of sildenafil with your doctor to ensure the drug is safe for you and your partner.

      Viagra is an FDA-approved medication to treat erectile dysfunction (ED). It works by increasing blood flow to the penis. It may not work as well if taken along with nitrates (often prescribed for chest pain) or guanylate cyclase stimulators like riociguat. These medications can increase your blood pressure and cause your erection to become painful. You can take Viagra if you're taking nitrates, guanylate cyclase stimulators, alpha-blockers (used for heart problems), or alpha-blockers prescribed for high blood pressure.

      It is important to note that sildenafil does not work as well if you have high blood pressure or heart disease. It can cause dizziness, headache, and other side effects. It is also not recommended for women who are pregnant or breastfeeding.