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If pills fail, there are vacuum devices, Muse, injections, bypass surgery and implants. Let’s be honest, ED pills earned the nickname "boner pills" a long time ago, but that’s not exactly accurate. Some men worry that taking Sildenafil will cause a spontaneous erection, but that is not actually true. The active ingredient only makes it easier for blood to flow to your penis and remain there while erect. So if you are not aroused, you will not get an unwanted erection.

It’s important to note that sexual stimulation is still needed for Sildenafil to function. Keep all your medications out of the reach of children and pets and return any unused or expired medications to the pharmacy for proper disposal. When recommending a phosphodiesterase-5 inhibitor, it is essential to discuss the likely effects as patients can have unrealistic expectations.

And for more information about taking Viagra if you have heart or blood pressure problems, see the "Viagra precautions" section below. If you have a heart problem or low blood pressure, talk with your doctor about whether Viagra is safe for you. Most of these side effects may go away within a few days or a couple of weeks. But if they become more severe or don’t go away, talk with your doctor or pharmacist. It’s important to remember that Viagra only works if you’re already sexually aroused. Arousal may involve having sexual thoughts, looking at sexual images, masturbating, or engaging in foreplay.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements. If you experience a sudden loss of vision in one or both eyes, contact your doctor immediately. It is important that you tell all of your doctors that you take sildenafil.

Even though generic sildenafil is unbranded, it is still an effective treatment for ED and works in the same way as Viagra. If you are interested in using this popular ED treatment, you can buy Spedra from The Independent Pharmacy. In clinical trials, Viagra provides effective treatment for erectile dysfunction in about 80% of men, whereas Spedra only provides effective treatment to about 60% of men. As with all ED medication, there is a small chance that there will be little or no effect. This is particularly true if it is one of the first times you are using this medicine, so we generally advise that you try your Spedra dose at least eight times before switching to another dosage or medicine. It is usually recommended that you start by taking the 100mg tablets.

Yes, age is something doctors keep in mind when deciding on the appropriate sildenafil dosage. Older people are generally prescribed Viagra at a lower dose because of their reduced kidney and liver function. As a result, drug metabolism slows down with age