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Your healthcare provider will discuss which dose is right for you. It should never be relied upon for specific medical advice. If you have any questions or concerns, please talk to your doctor. Sildenafil is a PDE5 inhibitor, expanding and relaxing blood vessels to make erections easier to achieve and maintain. It is the active ingredient in the branded ED medication Viagra, and works exactly the same way.
The studies that established benefit demonstrated improvements in success rates for sexual intercourse compared with placebo. Physicians should advise patients to stop use of all phosphodiesterase type 5 (PDE5) inhibitors, including VIAGRA, and seek medical attention in the event of a sudden loss of vision in one or both eyes. Based on published literature, the annual incidence of NAION is 2.5–11.8 cases per 100,000 in males aged ≥ 50. The results suggest an approximate 2-fold increase in the risk of NAION, with a risk estimate of 2.15 (95% CI 1.06, 4.34). A similar study reported a consistent result, with a risk estimate of 2.27 (95% CI 0.99, 5.20). Other risk factors for NAION, such as the presence of "crowded" optic disc, may have contributed to the occurrence of NAION in these studies.
So, aside from keeping your Sildenafil close by or in your bedside draw, you don’t need to plan very far in advance before sex. This should give you the flexibility and peace of mind you need