Generic Viagra

Our Price

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Viagra is a pill with the active ingredient sildenafil, which is intended for the treatment of erectile dysfunction in patients at different stages of the disease.

How does Viagra work?

The active ingredient sildenafil is a potent selective cGMP-specific phosphodiesterase type 5 (PDE5) inhibitor. The physiological mechanism of erection is associated with the release of nitric oxide (NO) in the cavernous body during sexual stimulation. This, in turn, leads to an increase in cGMP level, subsequent relaxation of the smooth muscle tissue of the cavernous body and an increase in blood flow. Sildenafil does not have a direct relaxing effect on the isolated cavernous body in humans but enhances the effect of NO by inhibiting PDE5, which is responsible for the breakdown of cGMP. Treatment of erectile dysfunction, characterized by the inability to achieve or maintain an erection, sufficient for satisfactory sexual intercourse. The drug is effective only in the presence of sexual stimulation.

How to take it?

The drug is taken orally. For most patients, the recommended dose is 50 mg; the drug is taken about 1 hour before sexual activity. Depending on the efficacy and tolerability, the dose may be increased to 100 mg or reduced to 25 mg. The maximum recommended dose is 100 mg. The maximum recommended frequency of use is 1 time per day.

The dosage varies for special groups of patients who have impaired renal function, liver, as well as those who take Viagra together with other drugs.

Side effects

  • Body as a whole: asthenia, pain, abdominal pain, back pain, infection, flu-like syndrome;
  • Digestive system: diarrhea, nausea;
  • Dermatological reactions: rash;
  • Central nervous system and peripheral nervous system: dizziness (a side effect recorded in clinical studies), increased muscle tone, insomnia;
  • Cardiovascular system: vasodilation (a side effect reported in clinical studies);
  • Musculoskeletal system: pain in the joints, muscle pain;
  • Senses: a change in vision (slight and transient), mainly a change in the color of objects, as well as enhanced perception of light and blurred vision (a side effect recorded in clinical studies), conjunctivitis;
  • Urinary system: urinary tract infections;
  • Respiratory system: nasal congestion, pharyngitis, rhinitis (a side effect recorded in clinical studies), sinusitis, respiratory tract infections, impaired respiratory function;
  • Reproductive system: dysfunction of the prostate gland.

Contraindications

Viagra has a number of contraindications. Tablets should not be used in the following cases:

  • hypersensitivity to sildenafil or additional elements of the drug;
  • use of nitrogen oxide donors or organic nitrates (sildenafil enhances their hypotensive effects);
  • use of other pills for erection;
  • lactose intolerance or its deficiency;
  • digestive problems;
  • severe forms of liver failure;
  • most cardiovascular diseases (arrhythmia, heart failure, angina, stroke or heart attack in the past six months, hypertension).
  • vision problems.

There are also a number of other predispositions in which the drug should be taken very carefully. Consult your doctor before using any medication.

Interactions

Viagra can interact with the following medications, so their joint use should be avoided:

  • amoxicillin / clarithromycin / lansoprazole (Prevpac);
  • amoxicillin / clarithromycin / omeprazole (Omeclamox-Pak);
  • amprenavir (Agenerase);
  • amyl nitrite;
  • amyl nitrite/sodium nitrite/sodium thiosulfate (Cyanide Antidote Kit);
  • atazanavir (Reyataz);
  • atazanavir/cobicistat (Evotaz);
  • boceprevir (Victrelis);
  • clarithromycin (Biaxin, Biaxin XL);
  • cobicistat (Tybost);
  • cobicistat/darunavir (Prezcobix);
  • cobicistat / darunavir / emtricitabine / tenofovir alafenamide (Symtuza);
  • darunavir (Prezista);
  • dasabuvir / ombitasvir /paritaprevir/ritonavir (Viekira Pak, Viekira XR);
  • delavirdine (Rescriptor);
  • emtricitabine / lopinavir / ritonavir / tenofovir (AccessPak for HIV PEP Expanded with Kaletra);
  • emtricitabine/nelfinavir/tenofovir (AccessPak for HIV PEP Expanded with Viracept);
  • erythromycin (Erythrocin, E-Mycin, EryPed, Ery-Tab, Ilosone, Eryc, Erythrocin Lactobionate, Erythrocin Stearate Filmtab, Robimycin, PCE Dispertab, Wyamycin S, E.E.S. Granules, E.E.S.-200, E.E.S.-400, E.E.S.-400 Filmtab, Erythrocot, MY-E);
  • erythromycin/sulfisoxazole (Pediazole, Eryzole, Sulfimycin, E S P);
  • fosamprenavir (Lexiva, Telzir);
  • hydralazine/isosorbide dinitrate (BiDil);
  • idelalisib (Zydelig)
  • indinavir (Crixivan)
  • isosorbide (Ismotic PB)
  • isosorbide dinitrate (Isordil, Isordil Titradose, Sorbitrate, IsoDitrate, Dilatrate-SR, ISDN, Isordil Tembids, Isochron)
  • isosorbide mononitrate (Imdur, Ismo, Monoket)
  • itraconazole (Sporanox, Tolsura, Onmel)
  • ketoconazole (Nizoral)
  • lopinavir/ritonavir (Kaletra)
  • nefazodone (Serzone)
  • nelfinavir (Viracept)
  • nitroglycerin (Nitrostat, Nitro-Bid, NitroQuick, Nitro-Dur, Tridil, Nitrolingual Pumpspray, Rectiv, Nitro TD Patch-A, Minitran, NitroMist, Nitroglyn E-R, Nitrogard, Nitrostat Tablets, Transderm-Nitro, Nitrol, Nitro-Time, Deponit, Nitrodisc, Nitro-Par, Nitrocot, Nitro-Bid IV, Nitrong, Nitrol Appli-Kit, Nitrek, GoNitro)
  • nitroprusside (Nitropress, Nipride RTU)
  • ombitasvir / paritaprevir / ritonavir (Technivie)
  • riociguat (Adempas)
  • ritonavir (Norvir)
  • saquinavir (Invirase, Fortovase)
  • telaprevir (Incivek)
  • telithromycin (Ketek, Ketek Pak)
  • troleandomycin (Tao)
  • voriconazole (Vfend)

Precautions

According to the registered indication, the drug is not intended for use in women.

An overdose can intensify adverse events. Treatment should be symptomatic.

It’s not recommended to take Viagra with alcohol, however, there are permissible doses of alcohol, the use of which will not harm your health. The acceptable dose of strong drinks is up to 50g, the dose of drinks with low alcohol content (beer, wine, etc.) can vary from 100 to 200g.

Before using any PDE-5 inhibitors, you should confirm the erectile dysfunction, determine its possible causes, undergo a thorough physical examination.

The medication should be used with caution in patients with anatomical deformation of the penis (angulation, cavernous fibrosis, Peyronie’s disease), or in patients with risk factors for priapism (sickle cell anemia, multiple myeloma, leukemia).

These tablets should not be used by men who are not recommended to have sexual activity. Sexual activity poses a certain risk in the presence of heart disease, so before starting treatment with this drug, check your cardiovascular system.

In very rare cases, patients reported prolonged erection and priapism after taking sildenafil pills. If an erection persists for more than 4 hours, you should immediately seek medical attention. If priapism therapy was not carried out immediately, it can cause damage to the tissues of the penis and irreversible loss of potency.

Viagra does not have a negative effect on the ability to drive a car or other technical means. However, since the use of the drug may reduce blood pressure, cause chromatopsia, blurred vision, you should be attentive at the beginning of treatment and when changing the dosage regimen.

Directions

Current location:

105 Main Street
Bar Harbor, ME 04609

Hours:

  • Mon-Fri:
    8:30am - 6pm
  • Sat:
    8:30am - 5pm
  • Sun:
    Closed

Contact Information:

Phone:
2072884425
2072886174
Fax:
2072884425
2072886174