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If you feel that the effect of VIAGRA is too strong or too weak, talk to your doctor or pharmacist. You should take VIAGRA about one hour before you plan to have sex. You should be aware of how you react to VIAGRA before you drive or use machinery. Our doctors review all orders and issue new or repeat prescriptions online direct to our pharmacy.

Physicians should consider whether their patients with underlying NAION risk factors could be adversely affected by use of PDE5 inhibitors. Individuals who have already experienced NAION are at increased risk of NAION recurrence. Therefore, PDE5 inhibitors, including VIAGRA, should be used with caution in these patients and only when the anticipated benefits outweigh the risks. VIAGRA can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines.

After taking a dose of Viagra, the drug’s level in your body will gradually decrease over a period of a few hours. You’ll have low levels of the drug in your body after about 4 hours. (And at this point, the drug won’t be working any longer.) But it can actually take about 24 hours for Viagra to be completely removed from your body. Even though Viagra keeps working in your body for several hours, your erection shouldn’t last this long. In fact, in rare cases, Viagra can cause priapism (a long-lasting and sometimes painful erection). Remember, you should not change your dosage of Viagra without your doctor’s recommendation.

The NHS states that there’s no clear evidence that taking Viagra affects fertility of men or women. Further studies need to be carried out to determine a link between Viagra and fertility. While a beer or a couple of glasses of wine won’t affect how Viagra works, any more than this can make it harder to get an erection. It’s advised to not drink heavily before taking Viagra if you would like the best results.

There is an over-the-counter Viagra – Viagra Connect which is available without a prescription. Viagra Connect contains the same active ingredient as Viagra - sildenafil citrate. You still need to answer a few simple questions, as this allows our clinicians to make sure the treatment is safe for you to take.

SILDENAFIL may cause low blood pressure leading to dizziness on standing. If you experience this, do not try to stand up suddenly or start walking