Viagra is an oral medicine used for treating male impotence (e.g., erectile dysfunction). Viagra's advantages are a great safety track record and proven side effects. The effect of Viagra starts in 30 minutes to 1 hour and lasts for about 4 hours.

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Sildenafil Citrate (Generic Viagra)

Viagra sales have recently gone up in the world because of this medicine targeting the actual reason for erectile dysfunction: insufficient amounts of blood filling the corpora cavernosa of the penis. No matter what the impotence was caused by, it's treatable in about 80% of all cases. In many countries these days, Viagra sales by far exceed those of any other medications, as this problem is affecting more males every year.

Viagra indications and use

Sildenafil is prescribed for males unable to achieve a hard erection or keep it for a period sufficient to complete sexual intercourse. Wide international use of the medicine has affected the volume of Viagra sales, making it more accessible to customers unable to afford costly treatment.

Successful Viagra sales in England demonstrate that more and more people are concerned about their sexual health and willing to carry on with their sex life. Erectile dysfunction is impossible to cure (unless it was caused by taking medications or being under a lot of emotional stress), but very easy to treat. Viagra sales are so impressive because of this drug efficiently solving potency problem by intensifying the blood flow to the tissues of the penis.

Dosage and administration

The right dose of Viagra is determined based on the patient's age and individual needs. Older patients may need a lower dose, as they tend to be more sensitive to the effects of sildenafil. The usual starting dose is 50 mg, although some patients may be started on the 25 mg dose to see if they benefit from it. If a certain dose is efficient, there is no need to go for a higher one.

Viagra is to be taken 30-60 minutes before having sex with a full glass of water. It is important to take the exact dose prescribed and wait for at least 24 hours before using another one. Viagra remains efficient for up to 4 hours, although it is generally recommended to have sex soon after taking it to enjoy more powerful effects. Sexual stimulation of any kind (visual, tactile or mental) is required for the patient to obtain an erection. Simply taking a sildenafil pill may not be enough for that.


Before you start looking for the best online pharmacy based on Viagra sales statistics available, certain things will need to be considered. You must never use Viagra if you are taking nitrates (usually prescribed for chest pain) or other erectile dysfunction treatments, such as yohimbine. The most typical examples of nitrate drugs include isosorbide dinitrate, isosorbide mononitrate and nitroglycerin. Street drugs can also contain nitrates and can cause very serious interactions with Viagra.

Safety precautions

No matter how high Viagra sales are, and how many people it works for, every patient intending to start the treatment, must first be examined by a doctor to make sure there are no contraindications or medical conditions requiring a dose adjustment or additional monitoring. If any particular medical conditions are present, it's very important to let the doctor know about them in advance.

Even though Viagra is intended for males only, it has been classified as FDA pregnancy category B. Sildenafil is not expected to harm an unborn child, but there is not enough information on whether it can pass into breast milk. Women are not expected to benefit from sildenafil treatment.

Grapefruit and grapefruit juice, as well as fatty meals or alcohol are likely to affect the efficiency of Viagra. You may need to discuss your diet with your doctor in advance to make sure the drug works well for your erectile dysfunction.

Other important information

In some rare cases, sildenafil treatment is associated with developing sudden vision loss that requires immediate treatment. The condition is scientifically referred to as non-arthritic anterior ischemic optic neuropathy (NAION). It is caused by insufficient blood flow to the optic nerve of the patient's eye or both eyes. This fact is unlikely to affect online Viagra sales, as it is not clear whether the symptom is caused by taking the medicine itself, or may be contributed to by some medical issues the patient already had. In a series of trials, even males who never took Viagra developed similar problems. It has been established so far that the risk of developing NAION is higher in patients with high cholesterol, diabetes, pre-existing eye problems, heart problems and high blood pressure. The risk is also higher for men over 50 and smokers.

If you experience sudden vision loss in one or both eyes, make sure you do not take more sildenafil until told so by your doctor. You will need to talk to your doctor about the problem and have it treated as soon as possible, as it is likely to get worse with time. If at any point of sexual intercourse you experience, dizziness, nausea, tingling in the jaw, chest, neck or arms, or chest pain, stop taking Viagra and seek emergency medical help, as those may be serious side effects of this medicine.

When Viagra is used, an erection occurs in response to sexual arousal and goes away after an ejaculation. If your erection does not go away for more than 4 hours and becomes painful, seek emergency medical assistance. Priapism is a prolonged and painful erection that may result in permanent damage of the tissues of the penis. Therefore, it requires immediate treatment.

Drug interactions

Viagra can interact with quite a few medications the patient may be taking, including:

  • other ED treatments, for instance, alprostadil (Muse, Caverject, Edex), or yohimbine (Yodoxin, Yocon);
  • certain antibiotics, such as erythromycin (Eryc, E-Mycin, Ery-Tab, etc), clarithromycin, and troleandomycin;
  • antifungals, for instance, Sporanox and Nizoral;
  • HIV medications, such as amprenavir, indinavir (Crixivan), delavirdine (Rescriptor), nelfinavir (Viracept), saquinavir (Fortovase, Invirase), and ritonavir (Norvir);
  • phenobarbital (Luminal);
  • cimetidine (Tagamet HB, Tagamet);
  • carbamazepine (Tegretol) and phenytoin (Dilantin);
  • rifabutin (Mycobutin), rifampin (Rifadin, Rifamate).

Before you get interested in medicinal treatment of your impotence and check out Viagra sales statistics, it's important to discuss all the drugs or other products you are taking at the moment. That way, you will be able to make sure no interactions are possible between Viagra and your other treatment.

However, there is another way out. Large online pharmacies, where Viagra sales are the highest, are most likely to provide the services of an experienced healthcare specialist. Based on the information you provide, the doctor will be able to determine the best dose of sildenafil that will not interact with any other treatments you are receiving. Your progress may need to be monitored for the first few weeks of the treatment to see if you are enjoying all the benefits sildenafil can offer.

Missing a dose

Sildenafil is usually taken as needed, with at least 24 hours between two doses. The patient using this medicine is therefore unlikely to be on a dosing schedule, and does not need to worry about missing a dose.


No information is available about overdose symptoms every individual patient may experience after taking too much, but the most common ones include vertigo, uneven heartbeat, chest pain and swelling in the legs. In case of taking too much of sildenafil, the patient must seek emergency medical assistance.


Keep your Viagra out of the reach of children and other people to whom it was not prescribed. It is best to store Viagra at a room temperature in some place cool, dry and dark. Viagra sales are usually quite steady, as most patients prefer buying it at certain amounts to make sure their drug does not expire. You may want to assess your Viagra needs before shopping to purchase the right amount of this medicine.

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