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Medications like sildenafil, vardenafil
Like other prescription medicines, the most commonly prescribed medications for ED work the best when they’re taken in the right conditions. From your mental state to your diet, a variety of factors can influence the effectiveness of drugs like Viagra and Cialis.
Understanding the optimal conditions for using ED medication can not only help you get better effects -- it could also reduce the risk of you experiencing side effects.
Below, we’ve shared five tips that you can use to take ED medication more effectively and get the best possible results from every tablet.
Take Your ED Medication 30-60 Minutes Before Sex
Most of the medications used to treat erectile dysfunction take 30 to 60 minutes to "kick in" and start producing a noticeable effect on your ability to develop and maintain an erection.
For example, sildenafil -- the active ingredient in Viagra and Revatio -- takes 20 to 60 minutes to become fully active in the body. The amount of time required for it to start taking action depends on a variety of factors, from your diet to your personal metabolism.
Tadalafil -- the active ingredient in Cialis -- also takes up to an hour to begin working, although most people notice the effects within 30 minutes.
If you take your ED medication too soon before sex, it might not become active quickly enough and you could be left with an awkward situation where the drug isn’t quite fully active when you need it most.
Simply put, it’s always best to be prepared. If you expect to have sex, make sure you take your sildenafil, vardenafil, tadalafil or other ED treatment ahead of time. This not only ensures it will be active and effective -- it can also act as a useful confidence boost.
Avoid Heavy, Fatty Meals Before Using ED Medication
Most ED medication manufacturers recommend waiting for two hours after eating a fat-heavy to take medication such as sildenafil. This is because the fats inside the meal can slow down your body’s digestive system and prevent the medication from being absorbed properly.
As a general rule, it’s best to avoid fatty meals entirely on the days you plan to take sildenafil or other ED medication. It’s okay to have some fat, but extremely fat-heavy meals such as a fatty steak, burger, lasagna or omelet are usually best avoided.
If you can’t resist a satisfying meal, try to make sure you have it for breakfast or lunch instead of dinner, assuming you plan to take your ED medication towards the end of the day.
This way, your body will have already metabolized the fat content of the meal before you take the sildenafil or other ED medication, making it quicker and easier to absorb the drug.
If It Doesn’t Work The First Time, Don’t Panic
Erectile dysfunction drugs come in many forms. They also come in several different doses. If you take sildenafil or another ED drug and don’t notice any effects, there’s no reason to panic and assume that your ED issues are permanent.
ED can occur for a variety of reasons. Sometimes, it’s physical, with your body just needing a little help to develop and sustain an erection. Sometimes, it’s psychological, with an issue such as sexual performance anxiety affecting your ability to develop an erection in the first place.
If you don’t see any improvement from using ED medication the first time, your doctor might be able to switch you to a different medication or adjust the dose to provide a stronger effect.
It can also take some time for your body to get used to the effects of ED medication. While the first one or two times taking sildenafil or any other ED drug might not be eventful, there’s a real chance you could notice a strong effect over time as your body gets used to the drug.
ED drugs are prescribed for a reason -- they work. If you don’t notice any effect the first time, don’t panic. More often than not, there is a solution available and your ED doctor can help you find it.
Before You Take ED Medication, Check for Drug Interactions
If you currently take medication for conditions like high blood pressure, it’s important that you talk to your doctor about any possible interactions before using ED medication.
ED medications like sildenafil usually don’t have many potential interactions. However, they can interact with some of
Some antiretroviral medications, such as efavirenz, can also prevent sildenafil and other ED medications from working as effectively as they normally would.
Before you start taking any ED medication, it’s best to speak to your doctor and disclose all of the prescription and non-prescription drugs you take on a regular basis.
With a Healthy Lifestyle, Not Just Medication
Erectile dysfunction medications like sildenafil, tadalafil, and others are safe when used responsibly. However, it’s also important to live a healthy lifestyle that reduces your ED risk factors and symptoms in the first place.
ED can be caused by health conditions such as high blood pressure, obesity, high cholesterol and diabetes. In some cases, ED can correspond with an unhealthy lifestyle or issues such as obesity.
By fixing these health problems with a healthy diet and lifestyle, you can often improve your ability to develop and sustain an erection, making ED drugs less necessary than they once were for normal sexual activity.
As always, it’s best to talk to your doctor about improving your health and fitness using diet and lifestyle choices. Sometimes, even a small improvement in your weight, blood pressure, general fitness level of diet can have a huge positive effect on your health and sexual performance.
Important Safety Information
IMPORTANT SAFETY INFORMATION
Do not take Sildenafil (sildenafil citrate) if you:
- take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas (riociguat) for pulmonary hypertension. Your blood pressure could drop to an unsafe level
are allergic to sildenafil, as contained in Sildenafil and REVATIO, or any of the ingredients in Sildenafil
Discuss your health with your doctor to ensure that you are healthy enough for sex. If you experience chest pain, dizziness, or nausea during sex, seek immediate medical help
Sildenafil can cause serious side effects. Rarely reported side effects include:
- an erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, get medical help right away. If it is not treated right away, priapism can permanently damage your penis
- sudden vision loss in one or both eyes. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). Stop taking Sildenafil and call your healthcare provider right away if you have any sudden vision loss
sudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have these symptoms, stop taking Sildenafil and contact a doctor right away
Before you take Sildenafil, tell your healthcare provider if you:
- have or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve, or heart failure
- have had heart surgery within the last 6 months
- have pulmonary hypertension
- have had a stroke
- have low blood pressure, or high blood pressure that is not controlled
- have a deformed penis shape
- have had an erection that lasted for more than 4 hours
- have problems with your blood cells such as sickle cell anemia, multiple myeloma, or leukemia
- have retinitis pigmentosa, a rare genetic (runs in families) eye disease
- have ever had severe vision loss, including an eye problem called NAION
- have bleeding problems
- have or have had stomach ulcers
- have liver problems
have kidney problems or are having kidney dialysis have any other medical conditions
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
Sildenafil may affect the way other medicines work, and other medicines may affect the way Sildenafil works, causing side effects. Especially tell your healthcare provider if you take any of the following:
- medicines called nitrates
- medicines called guanylate cyclase stimulators such as Adempas (riociguat)
- medicines called alpha-blockers such as Hytrin (terazosin HCl), Flomax (tamsulosin HCl), Cardura (doxazosin mesylate), Minipress (prazosin HCl), Uroxatral (alfuzosin HCl), Jalyn (dutasteride and tamsulosin HCl), or Rapaflo (silodosin). Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. In some patients, the use of Sildenafil with alpha-blockers can lead to a drop in blood pressure or to fainting
- medicines called HIV protease inhibitors, such as ritonavir (Norvir), indinavir sulfate (Crixivan), saquinavir (Fortovase or Invirase), or atazanavir sulfate (Reyataz)
- some types of oral antifungal medicines, such as ketoconazole (Nizoral) and itraconazole (Sporanox)
- some types of antibiotics, such as clarithromycin (Biaxin), telithromycin (Ketek), or erythromycin
- other medicines that treat high blood pressure
- other medicines or treatments for ED
Sildenafil contains sildenafil, which is the same medicine found in another drug called REVATIO. REVATIO is used to treat a rare disease called pulmonary arterial hypertension (PAH). Sildenafil should not be used with REVATIO or with other PAH treatments containing sildenafil or any other PDE5 inhibitors (such as Adcirca tadalafil)
Sildenafil does not protect against sexually transmitted diseases, including HIV.
The most common side effects of Sildenafil: headache; flushing; upset stomach; abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision; stuffy or runny nose; back pain; muscle pain; nausea; dizziness; rash.
Sildenafil (sildenafil citrate) is prescription medicine used to treat erectile dysfunction (ED).
Sildenafil is not for women or children.