But that doesn’t mean there wouldn’t be an interaction.

8.4 Pediatric Use

If you have questions about using Viagra after you’ve had your prostate removed, talk with your doctor. Yes, it can be used for this purpose. In fact, one study found that Viagra was effective in more than half of males with erectile dysfunction (ED) that was thought to be related to diabetes. Some studies found that Viagra can help people with PE to delay ejaculation longer than they could without treatment. However, other studies didn’t show that Viagra had a significant effect in treating PE.

How Sildenafil Works to Treat ED

More research is needed to know for sure whether or not Viagra is effective for treating PE. Keep in mind that Viagra isn’t approved in the United States to treat PE. And it’s not recommended in current PE treatment guidelines from the American Urological Association. However, Viagra is recommended in similar guidelines from the European Association of Urology. If you’re interested in taking Viagra to treat PE, talk with your doctor. Adderall, which contains amphetamine salts, is approved to treat attention deficit hyperactivity disorder (ADHD). Adderall has stimulant effects in your body, and it could cause serious heart-related side effects. Viagra, on the other hand, may cause low blood pressure. So it’s possible that taking it with Adderall could have dangerous effects on your heart or blood pressure.

  • Sildenafil 100 mg is part of a class of drugs called PDE5 inhibitors.
  • It can be used in combination with other ED treatments if prescribed.
  • Avoid using medications or supplements not approved by your doctor.
  • The effect of sildenafil can be reduced by certain foods and medications.
  • Be aware of your health conditions and discuss them with your doctor.
  • Use the medication responsibly to minimize potential risks.
  • Sildenafil should be used with caution in people with hepatic impairment.
  • Check with your doctor if you experience persistent side effects.
  • Never take medication that is not prescribed for you.

If you take Adderall, ask your doctor if it’s safe for you to take Viagra as well. Viagra hasn’t been tested for use with Xanax, so it’s not known what effects the drugs would have if taken together. Xanax, which is a benzodiazepine, contains the active drug alprazolam. Xanax can sildenafil white sometimes cause low blood pressure, dizziness, and fainting. Viagra may also lower your blood pressure.

Condition Details Rationale
Temperature Store below 25°C (77°F) Preserves chemical stability
Humidity Keep in a dry place Prevents clumping and degradation
Light Protect from direct sunlight Prevents breakdown of active ingredient
Container Original blister or tightly closed bottle Maintains stability and prevents contamination

So it’s possible that taking it with Xanax could have dangerous effects on your heart or blood pressure. If you take Xanax, ask your doctor if it’s safe for you to take Viagra as well. It’s usually fine to take Viagra with antidepressants. It’s important to note that erectile dysfunction (ED) is a common side effect of certain antidepressants. This is particularly true for selective serotonin reuptake inhibitors (SSRIs), such as sertraline (Zoloft).

Product Dosage Quantity + Bonus Price
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Viagra Generic25mg120 + 6 Pills125.56€ 119.58€
Viagra Generic150mg20 Pills55.02€ 52.40€
Kamagra Oral Jelly100mg10 Sachets54.55€ 51.95€
Viagra Generic150mg10 Pills36.73€ 34.98€
Viagra Generic150mg30 + 2 Pills72.32€ 68.88€
Kamagra100mg84 + 6 Pills264.44€ 251.85€
Viagra Generic150mg120 + 8 Pills177.58€ 169.12€
Viagra Generic50mg60 + 4 Pills83.93€ 79.93€
Viagra Generic100mg270 + 10 Pills270.47€ 257.59€
Kamagra Polo100mg120 + 6 Pills327.15€ 311.57€
Kamagra Soft Tabs100mg272 + 12 Pills593.42€ 565.16€
Viagra Generic200mg90 + 6 Pills170.79€ 162.66€
Viagra Generic100mg120 + 6 Pills149.50€ 142.38€
Viagra Generic100mg90 + 6 Pills129.02€ 122.88€
Viagra Generic200mg120 + 8 Pills204.80€ 195.05€
Kamagra Soft Tabs100mg20 Pills79.79€ 75.99€

And Viagra is sometimes prescribed to treat ED that’s caused by antidepressants.

7.4 Ritonavir and Other CYP3A4 Inhibitors

Taking Viagra with these medications can cause your blood pressure to drop too low. Examples of drugs used to treat PAH that should not be taken with Viagra include: Viagra can sometimes cause low blood pressure. Taking Viagra with drugs used to treat high blood pressure can cause your blood pressure to drop even lower. Examples of drugs used to treat high blood pressure include: calcium channel blockers, such as amlodipine (Norvasc) beta-blockers, such as metoprolol (Lopressor, Toprol-XL) ACE inhibitors, such as lisinopril (Zestril, Prinivil) angiotensin II receptor blockers, such as losartan (Cozaar) If you take a drug for high blood pressure, your doctor might prescribe a dose of Viagra for you that’s lower than the typical dose. If you’re taking a type of blood pressure drug called an alpha-blocker, the extra drop in blood pressure from Viagra could make you feel dizzy or lightheaded.

What should I tell my healthcare provider before taking sildenafil?

If you’re taking an alpha-blocker, your doctor will recommend a starting dose of 25 milligrams (mg) of Viagra, which is lower than the usual starting dose. Examples of alpha-blocker drugs used for high blood pressure include: If you take one of the drugs listed above, tell your doctor if you feel dizzy or lightheaded, or faint after taking Viagra. You shouldn’t take Viagra with illegal drugs called poppers. Poppers contain nitrate drugs such as amyl nitrate, alkyl nitrate, and butyl nitrate. Taking Viagra with poppers can cause a dangerous drop in your blood pressure that can lead to heart attack or stroke. If you have questions about whether you can take Viagra with an antidepressant, talk with your doctor.

  • The medication is generally well tolerated when used correctly.
  • Erectile response to sildenafil varies among individuals.
  • Avoid heavy or greasy foods before taking the pill.
  • Some side effects are more common in first-time users.
  • Notify your doctor if your condition worsens or persists.
  • Sildenafil 100 mg may also be prescribed for other health issues.
  • Do not take sildenafil if you have recent history of stroke or heart attack.
  • Confirm your allergies with your healthcare provider before use.
  • Always store medication in a secure location away from children.

Taking Viagra with certain antimicrobials (drugs used to treat infection) can slow the breakdown of Viagra in your body. This can cause Viagra to build up inside your body, which may increase your risk of side effects from the drug. Examples of antimicrobial drugs that can increase the risk of side effects from Viagra include: certain antifungals, such as: ketoconazole (Nizoral)itraconazole (Sporanox)posaconazole (Noxafil)voriconazole (Vfend) certain antivirals used for HIV, such as: atazanavir (Reyataz)cobicistat (Tybost)ritonavir (Norvir)indinavir sulfate (Crixivan)nelfinavir mesylate (Viracept)saquinavir mesylate (Invirase) If you take one of the drugs listed above, your doctor will recommend you take a starting dose of 25 mg for Viagra.

5.4 Hearing Loss

Other interactions can increase side effects or make them more severe. See this article for more information about Viagra’s interactions. Below are lists of medications that can interact with Viagra. These lists don’t contain all the drugs that may interact with Viagra. Before taking Viagra, talk with your doctor and pharmacist.

Factors That Influence the Right Dosage for You

Tell them about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions. If you have questions about drug interactions that may affect you, ask over the counter drugs containing sildenafil your doctor or pharmacist. You shouldn’t take Viagra with any other medications for erectile dysfunction (ED). (This is lower than the typical starting dose of Viagra.) And if you take ritonavir, you should not take more than one 25-mg dose of Viagra within a 48-hour period. There aren’t any herbs or supplements that have been specifically reported to interact with Viagra. However, you should still check with your doctor or pharmacist before using any of these products while taking Viagra. There aren’t any foods that have been specifically reported to interact with Viagra. If you have any questions about eating certain foods with Viagra, talk with your doctor. Grapefruit juice can affect the levels of some medications in your body.

Mechanism of action

It also includes natural or over-the-counter ED treatments, such as l-arginine and yohimbine. Taking Viagra with other ED medications increases your risk of certain side effects, such as low blood pressure and priapism. Priapism refers to a long-lasting and sometimes painful erection that doesn’t go away. This is a medical emergency that needs to be treated right away. If you’re using Viagra, don’t use any other medications for ED without talking with your doctor.

Is 20 or 25mg Sildenafil Enough for ED?

You shouldn’t take Viagra with nitrate drugs. This includes certain prescription drugs, such as nitroglycerin, used to treat angina (a type of chest pain). It also includes certain illegal drugs called poppers, such as amyl nitrate. Taking Viagra with nitrates can cause a dangerous drop in your blood pressure that can lead to heart attack or stroke. Examples of nitrate drugs that should not be taken with Viagra include: nitroglycerin (Nitromist, Nitro-Dur, Nitrolingual Pumpspray, Gonitro, others) You shouldn’t take Viagra if you’re taking the pulmonary arterial hypertension (PAH) drugs listed below. But there’s not much evidence to show that the fruit or its juice can affect Viagra levels.

Condition Risk Recommendations
Use of Nitrates Severe hypotension risk Do not co-administer
Severe Liver Impairment Altered drug metabolism Consult healthcare provider
Retinitis Pigmentosa Potential risk of vision issues Use with caution
Recent Stroke or Heart Attack Cardiac stress Medical evaluation required
Hypotension (Low Blood Pressure) Worsening symptoms Monitor blood pressure during use

If you want to drink grapefruit juice or eat grapefruit while you’re taking Viagra, talk with your doctor. They can recommend whether this is safe for you to do.

3. How to use and dosage of Welgra 100

Viagra hasn’t been tested for use with illegal drugs other than poppers. But it’s possible that taking Viagra with certain other illegal drugs could also have dangerous effects on your heart and blood pressure. Examples of illegal drugs that could have dangerous effects if taken with Viagra include: stimulants, such as cocaine, ecstasy, amphetamines, and speed If you’re thinking of taking illegal drugs with Viagra, talk with your doctor about whether this is safe for you to do. Viagra can sometimes cause low blood pressure. Certain drugs used to treat benign prostatic hyperplasia (BPH) can also cause low blood pressure.

What causes an erection?

Taking Viagra with alpha-blockers can cause your blood pressure to drop even lower. This could make you feel dizzy or lightheaded, or even cause you to faint. Examples of alpha-blockers that are used to treat BPH include: If you’re taking an alpha-blocker, your doctor will recommend a starting dose of 25 mg of Viagra, which is lower than the usual starting dose. And if you take one of the drugs listed above, tell your doctor if you feel very dizzy, lightheaded, or faint after taking Viagra. Viagra hasn’t been tested for use with Adderall or Adderall XR, so it’s not known what effects the drugs would have if taken together. If you do have increased side effects with this combination, try avoiding grapefruit while you’re taking Viagra. You should take Viagra according to your doctor or healthcare professional’s instructions.

Parameter Value Description
Absorption Time 30-60 minutes Time to reach peak plasma concentration
Bioavailability 40% Percentage of dose that reaches systemic circulation
Half-life 4-5 hours Time for plasma concentration to reduce by half
Metabolism Liver (primarily CYP3A4) Enzymes responsible for breakdown
Excretion Feces and urine Routes of elimination

For most people, it’s recommended that you take Viagra as needed, about 1 hour before you plan to have sex. But Viagra can actually be taken anywhere from 30 minutes to 4 hours before sexual activity. It’s important to remember that you should not take the medication more than once a day. You can take Viagra either with or without food.

Other uses for this medicine

Viagra is approved for use in males ages 18 years and older. You shouldn’t take Viagra if you’re younger than 18 years. The safety and effectiveness of Viagra haven’t been studied in people of this age group. The manufacturer of Viagra doesn’t give any specific warnings about drinking alcohol while using this drug. But in general, it’s best to avoid drinking lots of alcohol with the medication.

Vybrique Oral Film

This is because certain side effects of Viagra may be worsened by alcohol, including headaches, flushing, and dizziness. And drinking lots of alcohol can also make it more difficult to get an erection. If you drink alcohol, talk with your doctor about how much is safe for you to drink while you’re taking Viagra. Viagra can interact with several other medications. For instance, some interactions can interfere with how well a drug works. But if you take it with a meal, the drug may take about an hour longer than usual to start working.

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Dr. med. Fabienne Gretener

Werdegang

Januar 2024 bis heute
Oberärztin SenoMed AG
Schwerpunktsweiterbildung gynäkologische Senology

März 2023 – Dezember 2023
Oberärztin, SenoMed AG Bern 20%

Januar 2023 – November 2023
Assistenzärztin Psychiatrie, Klinik Meissenberg Zug

Januar 2021 – November 2022
Assistenzärztin Gynecology und Geburtshilfe, Bürgerspital Solothurn

November 2019 – Oktober 2020
Assistenzärztin Gynecology und Geburtshilfe, Kantonsspital Aarau

Januar 2017 – Juli 2019
Assistenzärztin Gynecology und Geburtshilfe, Kantonsspital Olten

Paul Laszlo Bernhard

Werdegang

Jan 2024 bis heute
Facharzt SenoMed AG – Brustzentrum Bern Biel

Aug 2019 – Dez 2023
Oberarzt Frauenklinik und Brustzentrum Bürgerspital, Solothurn, Schwerpunktweiterbildung operative Gynecology und Geburtshilfe sowie Senology

Mai 2019 Facharzttitel Gynecology & Geburtshilfe

Apr 2016 – Jul 2019
Arzt in Weiterbildung, Inselspital Bern, Universitätsklinik für Frauenheilkunde

Dez 2014 – Apr 2016
Arzt in Weiterbildung, Kantonsspital Baden

Sep 2012 – Sep 2014
Arzt in Weiterbildung, Universitätsklinikum Carl Gustav Carus, Dresden

Feb 2012 – Sep 2012
Arzt in Weiterbildung, Universitätsfrauenklinik Leipzig

Nov 2011 Approbation zum Arzt

2005 – 2011
Studium der Humanmedizin an der Charité, Universitätsmedizin Berlin

Dr. med. Patrizia Sager

Werdegang

Okt 2023 bis heute
Leiterin Weiterbildungsstätte gynäkologische Senology

Feb 2018 – bis heute
Leiterin Brustzentrum Bern Biel
Practiceinhaberin SenoMed AG

Nov 2017 – bis heute
Belegärztin Salem-Spital Bern

Jan 2013 – Okt 2017
Leitung Senology Brustzentrum Frauenklinik Universitätsspital Insel, Bern

Jan 2012 – Dez 2012
Oberärztin Gynecology / Geburtshilfe, Frauenklinik Universitätsspital Insel, Bern

Nov 2010 – Dez 2011
Leitende Ärztin Gynecology und Geburtshilfe, Frauenklinik Rheinfelden (DE)

Nov 2009 – Okt 2010
Oberärztin Gynecology und Geburtshilfe, Kantonsspital Liestal

Jan 2009 – Okt 2009
Oberärztin i.V. Gynecology und Geburtshilfe, Regionalspital Interlaken

Jun 2008 – Dez 2008
Assistenzärztin Gynecology und Geburtshilfe, Regionalspital Interlaken

Aug 2007 – Mai 2008
Assistenzärztin Gynecology und Geburtshilfe, Universitätsspital Zürich

Feb 2007 – Jun 2007
Oberärztin Gynecology und Geburtshilfe, Universitätsspital Groote Schuur, Kapstadt, Südafrika

Jan 2004 – Dez 2006
Assistenzärztin Gynecology und Geburtshilfe, Regionalspital Thun

Jan 2003 – Dez 2003
Assistenzärztin Chirurgie und Orthopädie, Regionalspital Thun

Schulen, Studium & Diplome

2023
Schwerpunkt gynäkologische Senology

2014
Diplom Senology SGGG

2013
Diplom Senology: European Academy of Senology

2010
FMH Gynecology und Geburtshilfe inkl. Schwerpunkt operative Gynecology

2003
Promotion

2002
Staatsexamen in Humanmedizin

1996 – 2002
Humanmedizinstudium Universitätsspital Basel

Mitglied- und Partnerschaften

  • Schweizerische Gesellschaft für Gynecology und Geburtshilfe SGGG
  • Schweizerische Gesellschaft für Senology SGS
  • Mitglieder Arbeitsgemeinschaft Gynäkologische Onkologie AGO, Schweiz
  • European Academy of Senology EAoS
  • SAKK Project-Group breast cancer
  • Schweizerische Gesellschaft für Ultraschall in der Medizin SGUM
  • Verbindung der Schweizer Ärzte und Ärztinnen FMH
  • Society of women in senology SWIS
  • Vorstandsmitglied Ärztenetzwerk Bern