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Only consider this option under the guidance of a doctor or pharmacist. Offers the same effectiveness in treating erectile dysfunction (ED) without paying a premium for the brand name. The choice between Sildenafil 100mg and 50mg depends on several factors, including the severity of your condition, medical advice, and your personal preferences. This is especially true when a woman is on the verge of menopause.

The results showed that sildenafil is effective in the treatment of erectile dysfunction in this group of patients. Tell your healthcare provider about all the medicines you take1, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex.

If any of these side effects become bothersome or persist, please contact your doctor. Rare side effects include an erection lasting more than four hours, sudden decrease or loss of hearing, and sudden decrease or loss of vision. If any of these rare side effects occur, seek immediate medical attention. Common side effects of Generic Viagra may include headache, indigestion, flushing, stuffy nose, muscle pain, blurred vision, and changes in color vision.

Studies in vitro have shown that sildenafil is selective for PDE5, which is involved in the erection process. Its effect is more potent on PDE5 than on other known phosphodiesterases. There is a 10-fold selectivity over PDE6 which is involved in the phototransduction pathway in the retina. At maximum recommended doses, there is an 80-fold selectivity over PDE1, and over 700-fold over PDE2, 3, 4, 7, 8, 9, 10 and 11. In particular, sildenafil has greater than 4,000-fold selectivity for PDE5 over PDE3, the cAMP-specific phosphodiesterase isoform involved in the control of cardiac contractility. As dizziness and altered vision were reported in clinical trials with sildenafil, patients should be aware of how they react to VIAGRA, before driving or operating machinery.

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