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They enhance the effects of a chemical the body makes that relaxes muscles in the penis, called nitric oxide. This boosts blood flow and helps you get an erection from sexual activity. Common side effects include chest pain, dizziness, and drowsiness. These drugs affect your circulation and thus impact your blood pressure, with excessive dosages potentially lowering your blood pressure dramatically.
She tests meal kits, meal delivery services, and fitness apps. When not writing or reading, Lauren enjoys paddle boarding on the Chesapeake Bay in Maryland, weightlifting, and gardening. Dr. Neil Paulvin, DO., is a multiple board-certified physician with certifications in Family Medicine, Osteopathic Manipulation, and Anti-Aging and Regenerative Medicine. His practice in Manhattan combines traditional and alternative medicine to help patients live a healthy lifestyle and perform at their best.
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It’s also important to remember that Viagra requires sexual arousal to work. Some suggestions include masturbation, reading erotica or engaging in foreplay. For Viagra to work faster, it’s important that you feel relaxed and comfortable. Facing huge stress at work or panicking over your bedroom performance could negatively affect Viagra’s effectiveness. If you feel your anxiety levels rising, take a long deep breath to calm yourself. We recommend that you allow a doctor to advise you on the best initial dosage for your current condition.
A doctor might prescribe Sildenafil 20mg for erectile dysfunction if they want to try you on a slightly lower dose. For example, if you’ve had a mild reaction to higher doses of sildenafil before, or if you’ve got a medical condition that means you’re more susceptible to side effects, you might be given the 20mg dose. Sildenafil 50mg is the middle dose and the one that most men will be introduced to. Starting here gives your clinician the opportunity to increase or decrease the dosage depending on how your body reacts to the treatment. It offers a great starting point, with 74% of patients in a fixed dose study reporting improved erections when using 50mg .
For example, you should not take Viagra if you take nitrate medications to treat chest pain. You should also avoid taking Viagra if you take a drug called riociguat (Adempas). Taking Viagra with these medications can cause a dangerous drop in your blood pressure that leads to heart attack or stroke. If you’re sexually aroused, Viagra should work to help you get or keep an erection within 30 minutes to 2 hours.
If you have to take it close to eating, make sure you avoid high-fat meals. Never take more than one tablet at a time or take more than one in a 24-hour period. Bear in mind that Sildenafil, and all other ED tablets, will only work if you become sexually aroused