Viagra is the brand name of Sildenafil Citrate, an erectile dysfunction (ED) treatment medication developed, manufactured and distributed by Pfizer, Inc. Pfizer is the world's richest, multinational pharmaceutical company. Their subsidiaries include Parke-Davis, Warner Lambert and Wyeth.
Sildenafil is marketed under the brand names of Viagra and Revatio. It behaves as a muscle relaxant while increasing blood flow to specific areas of the anatomy. It's purpose is to treat erectile dysfunction (ED). Viagra is not to be confused with Revatio which is used to treat hypertension. These two drugs are contradictory and should not be taken together unless under the direct orders and supervision of a physician.
Viagra, blue and film-coated, is manufactured in tablet form. It has a diamond shape with rounded edges. The same color and shape apply to all of the Sildenafil tablets which includes the 25mg, 50mg and 100mg. The word 'Pfizer' is found on one side and 'VGR' + the dosage on the other side. For instance, 25mg would be marked as VGR25. Note that it's impossible to mistake Viagra for the round, white Revatio tablets.
Best taken on an empty stomach, it can be taken with a light meal if fatty foods are avoided; fats greatly slow down the effects of the medication. Viagra only works when the male is already sexually aroused. It isn't going to cause an immediate erection. The erection will end when the sexual activity ends. At the onset, it can take more than one or two tries to develop and sustain an erection. If there is no success by the fourth try, it's time to consult with the physician who can determine if a higher dosage is needed.
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Elevated plasma levels of Sildenafil can raise the efficacy and the possibility of adverse effects. 25mg is the preferred starting dose for patients with known liver and renal impairment, as well as those over 65. It's further recommended to limit the administration of this dosage to once every 48 hours for these patients. Viagra should not be prescribed to those who are already taking nitrates for cardiac issues. The combination would result in a severe drop in blood pressure. It also should not be given to anyone taking alpha-blockers until stabilization has taken place.
The typical recommended dosage is 50mg to be taken one hour prior to sexual activity. It can be taken anywhere from a half hour to 4 hours prior. The dosage can be adjusted to 25mg or 100mg to achieve the optimum effect and tolerance. The usual recommended frequency is one tablet per day. It's important to immediately report any instances of nausea, chest pain, weakness or shortness of breath. It's also crucial to seek professional treatment as quickly as possible if an erection does not subside after 4 hours.
It's possible to buy Viagra in generic form. Generic Viagra contains the exact same active ingredients as the name brand. It's available in 25mg, 50mg and 100mg, the same as the branded Viagra, but significantly cheaper. Also, the generic Viagra is known to be more potent and a lower dosage may be required to accomplish the same effect. Pfizer's patent claim is not recognized world-wide. In India, generic Viagra is manufactured and distributed by trade names such as Kamagra (Ajanta Pharma), Zenegra (Alkem Labs) and Endegra (Sun Pharmaceuticals).
The decision to buy Viagra of the original brand or to purchase generic Viagra is the secondary consideration. They all do the same and often look very similar. The first thing to keep in mind is that erectile dysfunction is debilitating in many ways. It can shatter self-confidences, sex drive and the willingness to try again. ED is nothing to be embarrassed about. It's common, understood and treatable.