More serious side effects, although rare, can occur, particularly in individuals with pre-existing cardiovascular conditions.

Drug Interactions

Pfizer also offers a more expensive branded version of the 20mg pill called Revatio. The generic 20mg pills provide an affordable option for treating erectile dysfunction. Additionally, Pfizer offers Viagra-branded and generic versions of 25mg, 50mg and 100mg sildenafil pills. The FDA has granted approval for the use of 25mg, 50mg, and 100mg sildenafil pills for the treatment of erectile dysfunction. However, the FDA has not approved the use of 20mg pills for this purpose, only for the treatment of pulmonary hypertension.

Less common

Therefore, if you take 20mg pills to treat erectile dysfunction, you are using it in a manner that is not authorized by the FDA. We offer prescription medications clinically proven to help improve erections. Most common PDE5 drug that lasts in your system for 4 - 6 hours. Most common fast-acting PDE5 drug that lasts in your system for up to 18 hours. Fast-acting PDE5 drug that lasts in your system for up to 18 hours. Therefore, a thorough medical history and discussion of current medications with a healthcare provider are crucial before starting sildenafil. This ensures that the benefits outweigh any potential risks and that the patient is monitored appropriately throughout their treatment journey.

Product Dosage Quantity + Bonus Price
Kamagra100mg180 + 6 Pills436.79€ 415.99€
Kamagra100mg120 + 6 Pills330.74€ 314.99€
Viagra Generic200mg270 + 10 Pills379.76€ 361.68€
Viagra Generic150mg60 + 4 Pills111.25€ 105.95€
Viagra Generic25mg20 Pills37.74€ 35.94€
Kamagra Polo100mg60 + 4 Pills189.39€ 180.37€
Viagra Generic150mg120 + 8 Pills177.58€ 169.12€
Viagra Generic150mg90 + 6 Pills147.18€ 140.17€
Viagra Generic100mg270 + 10 Pills270.47€ 257.59€
Viagra Generic100mg10 Pills28.91€ 27.53€
Kamagra Oral Jelly100mg110 + 9 Sachets334.87€ 318.92€
Viagra Generic200mg120 + 8 Pills204.80€ 195.05€
Viagra Generic150mg30 + 2 Pills72.32€ 68.88€
Viagra Generic50mg270 + 8 Pills198.48€ 189.03€
Viagra Generic25mg180 + 6 Pills154.93€ 147.55€
Kamagra Oral Jelly100mg63 + 7 Sachets224.18€ 213.50€
Viagra Generic150mg270 + 10 Pills326.61€ 311.06€

The typical starting dose for sildenafil in treating erectile dysfunction is 50 mg taken about one hour before sexual activity.

Which Makes You Harder?

Never take more than one dose in 24 hours. Do not eat grapefruit or drink grapefruit juice on the same day you take sildenafil because it increases the chance of side effects. Common side effects include headache, flushing, upset stomach, minor changes in vision, nasal congestion, back and muscle pain, nausea, mild dizziness, and rash. These side effects will often go away on their own, but you should seek treatment if they persist. At GoMDUSA, you can purchase authentic sildenafil by completing an online consultation with a licensed medical professional in your state.

Sildenafil may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

The prescription can then be sent to our partnered mail-order pharmacy for free delivery. To begin, you can utilize our service for treating erectile dysfunction. If a GoMDUSA doctor or sildenafil film tablet nurse practitioner deems it appropriate, they may prescribe generic 20mg sildenafil tablets in doses of 1, 3, or 5 pills at a time, depending on the individual's needs. These doses (20mg, 60mg, and 100mg) are similar to the more costly 25mg, 50mg, and 100mg doses of sildenafil. A typical starting dose for those who have not taken these medications before is 60mg, which is equivalent to 3 of the 20mg tablets. Depending on effectiveness and tolerance, the dose can be adjusted to 25 mg or increased to a maximum of 100 mg.

  • Sildenafil is not a cure but a treatment option.
  • Lifestyle changes can improve erectile health.
  • Regular exercise and balanced diet are beneficial.
  • Communicate openly with your healthcare provider.

It should not be taken more than once per day. Sildenafil works best when taken on an empty stomach, as food can delay its onset.

HOW SUPPLIED

It is not recommended to take this drug more than once a day. This medication can cause your blood pressure to unsafely drop suddenly if it is taken with certain other medicines. Stop sexual activity and seek medical attention if you experience symptoms such as chest pain, dizziness, or nausea during sex, or if you have any side effect that bothers you or does not go away. Use protective measures to guard against sexually transmitted diseases, including the Human Immunodeficiency Virus (HIV). Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Other Medical Problems

Sildenafil is sold under the brand name Viagra, among others, is a medication used to treat erectile dysfunction and pulmonary arterial hypertension. It is unclear if it is effective for treating sexual dysfunction in women. It is taken by mouth or by injection into a vein. Your GoMDUSA doctor or nurse practitioner will recommend the appropriate starting dose based on all the information you provide. Typically our doctors or nurse practitioners prescribe the 60mg as a starting dose, which means taking 3 of the 20mg pills at a time. Sexual stimulation is required for the medication to be effective.

Side Effects

Its effectiveness has made it a popular choice since its introduction, and it is often the first medication prescribed for this condition. Beyond its use in erectile dysfunction, sildenafil has also gained attention for its role in treating pulmonary arterial hypertension, a serious condition characterized by high blood pressure in the lungs. By relaxing the blood vessels in the lungs, it helps improve exercise capacity and overall quality of life for those affected. It is important to note that while sildenafil is effective, it is not suitable for everyone. Patients should be aware of potential side effects, which can include headaches, flushing, and gastrointestinal discomfort. For PAH, sildenafil is usually prescribed at a dose of 20 mg three times daily.

How should this medicine be used?

Known hypersensitivity to either the active component or to any of the ingredients of the tablet, injection, or oral suspension; hypersensitivity reactions have been reported, including anaphylactic reaction, anaphylactic shock, and anaphylactoid reaction Safety and efficacy have not been established in patients with ED younger than 18 years. Safety and efficacy have not been established in patients with PAH younger than 1 year. Due to high plasma protein binding and poor elimination in urine, removal via hemodialysis is unlikely. Tablets: Administer orally with or without food. Reconstitute product before oral administration, and shake well before use.

Special Populations

An oral syringe is recommended for dose measurement (and delivery). Use within 60 days after reconstitution; discard any remainder after expiration. The liquid suspension is premixed and may contain flavoring. Shake well before oral administration and use a calibrated measuring device for accurate dosing. IV: Administer as an IV bolus injection; the supplied product is ready for use. This helps relax blood vessels in the lungs, improving blood flow and reducing blood pressure. Unlike ED treatment, PAH dosing is consistent throughout the day and should be taken at evenly spaced intervals to maintain steady blood levels.

  • Take sildenafil on an empty stomach for faster effect.
  • It typically takes about 30-60 minutes to work.
  • Its effects can last for up to 4-6 hours.
  • Proper hydration can enhance its effectiveness.

What is the Typical Sildenafil Dose for Adults? Adults using sildenafil for erectile dysfunction generally start at 50 mg per dose.

  • Do not drive or operate machinery after taking sildenafil.
  • Sexual activity with underlying health risks should be discussed.
  • Be aware of potential dizziness or vision changes.
  • Follow your healthcare provider’s dosage instructions closely.

Based on response and side effects, doctors may adjust this dose. The maximum recommended dose for ED is 100 mg per day. For pulmonary arterial hypertension, adults typically take 20 mg three times daily.

Region Approximate Cost per Tablet Notes
USA $10 - $15 Generic options available
Europe €8 - €12 Varies by pharmacy
Australia AUD 15 - 20 Usually prescription-based
India $1 - $3 Generic widely available

This regimen is designed to provide continuous relief from symptoms. What is the Typical Sildenafil Dose for Children? Sildenafil is less commonly used in children, but it may be prescribed for pediatric pulmonary arterial hypertension under close medical supervision. Dosages vary significantly based on weight and condition severity.

What other information should I know?

Sildenafil is commonly prescribed for erectile dysfunction and pulmonary arterial hypertension, with dosage varying by condition and patient needs. Typical adult doses range from 25 mg to 100 mg for erectile dysfunction, taken about an hour before sexual activity. For pulmonary arterial hypertension, sildenafil is often given in lower doses multiple times a day. Dosage adjustments may be necessary for patients with liver or kidney issues, or when taken with certain medications. Missing a dose or overdosing requires specific steps to avoid side effects and complications.

Available at Melrose Pharmacy

Consulting a healthcare provider, especially through telehealth services like Doctronic.ai, ensures personalized and safe dosing guidance. Sildenafil is a widely used medication best known for treating sildenafil citrate chewable tablets erectile dysfunction (ED) and pulmonary arterial hypertension (PAH). Understanding the right dosage is key to maximizing benefits while minimizing risks. This guide breaks down typical doses, timing, and adjustments to help you use sildenafil safely and effectively. Sildenafil, a phosphodiesterase type 5 (PDE5) inhibitor, works by increasing blood flow to the penis, which helps achieve and maintain an erection in men experiencing erectile dysfunction. It is critical to follow a healthcare provider’s guidance. If you forget to take a dose of sildenafil prescribed for PAH, take it as soon as you remember, unless it is almost time for your next dose.

Brand names

Tablets/IV solution: Store at 20C to 25C (68F to 77F); excursions permitted to 15C to 30C (59F to 86F). Oral suspension (liquid): Store at 20C to 25C (68F to 77F); excursions permitted to 15C to 30C (59F to 86F). Oral suspension (powder): Store below 30C (86F) in the original package in order to protect from moisture. After reconstitution, store below 30C (86F) or in refrigerator at 2C to 8C (36F to 46F); do not freeze. Oral suspension (powder): Reconstitute with water (total 90 mL) in separate additions; shake vigorously after each addition.

Patient resources

Do not mix with other medications or flavoring; insert adaptor into bottle neck. Consult the manufacturer product information for detailed instructions. Cardiovascular: Cardiac status/risk factors (prior to initiation); blood pressure (periodically during treatment in patients with PAH on concomitant anti-hypertensive agents) Drug Interactions: For concomitant use of medications that may be contraindicated or for dose adjustment (at baseline and during treatment) Ocular: NAION risk factors (prior to initiation) Read the US FDA-approved patient labeling (Patient Information and/or Instructions for Use). Tell your healthcare provider about all of the medicines you (or your child take). Regular and/or intermittent use of nitric oxide donors (e.g., organic nitrates or nitrites) in any form Other PDE5 inhibitors or products containing sildenafil Seek immediate medical attention in the event of: Sudden loss of vision in one or both eyes Sudden decrease or loss of hearing; may be accompanied by tinnitus and dizziness An erection that persists longer than 4 hours. Do not double up to make up for a missed dose. For ED, sildenafil is typically taken as needed, so missing a dose usually does not apply.

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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