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Doses of 200 mg did not result in increased efficacy but the incidence of adverse reactions (headache, flushing, dizziness, dyspepsia, nasal congestion, altered vision) was increased. Caution is advised when sildenafil is administered to patients taking an alpha-blocker, as the co-administration may lead to symptomatic hypotension in a few susceptible individuals (see section 4.5). This is most likely to occur within 4 hours post sildenafil dosing.

Sildenafil should not be used together with other treatments for ED. This can result in an overdose which can be harmful to your health. You should leave a 24-hour gap between taking sildenafil and trying another ED treatment. Whilst the active ingredient will remain the same, the inactive ingredients may differ amongst brands.

If you’re having trouble deciding which one’s right for you, this article might help you with your choice. Although it isn’t dangerous to do, drinking alcohol at the same time as taking Spedra may increase your heart rate and lower your blood pressure. You might also feel dizzy (especially when standing up), have a headache, or feel your heart beating particularly quickly or strongly in your chest (also known as heart palpitations). If you have tried the 100mg dosage without success (or other ED treatments), you can increase the dosage up to 200mg. Spedra 200mg tablets are the highest dosage available and should be strong enough to treat almost all cases of ED. In Canada, only a licensed healthcare practitioner can write a prescription, and only a registered pharmacist can fill that prescription.

Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine. Ask your healthcare provider or pharmacist for a list of these medicines, if you are not sure. Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of sildenafil in the elderly.

When it is ordered online an electronic prescription is involved. The only exception applies where a specialist pharmacist supplies Viagra on a pharmacist written prescription or using a 'patient group direction'. Other drug manufacturer's followed suit and also supply sildenafil 50mg OTC. In all cases only registered pharmacies are permitted to supply it. The commonly used erectile dysfunction (ED) oral treatments all work in the same way.

Take a look at our dedicated sildenafil reviews page to find out what our customers are saying about this effective erectile dysfunction treatment. It is important to always read the label, warnings, and instructions before purchase and before use. Vitamins &amp