How to take Sildenafil Gel

number of pills		price per pill
360	-	$1.05
90	-	$1.61
30	-	$2.36

Sildenafil Citrate

Viagra (Sildenafil Citrate) is the most popular erection pill known to men.

Generic Viagra 100mg

more info…

Sildenafil Gel is also known under sildenafil jelly. It is a liquid substance which is consumed orally. The sachets are recommended to be torn in the corner to easily allow the extraction of the juice. This can be done by sucking-out the content of sachets until it drains. Once sildenafil jelly has been completely extracted from the sachet, then it will initiate its operation within the human body. The product is uncomplicated to consume, especially for elders who might have some mild troubles swallowing pills. Sildenafil Gel is, in fact, presented in 5 different flavors, thus people can choose their preferred savor.

Sildenafil jelly has a strong advantage in comparison to the tables. The consumption of sildenafil citrate pills can lead to gastric irritations. The sildenafil gel is an improved version, and it does actually treat gastric irritation. This means that the stomach pains previously encountered by sildenafil capsules might be reduced or avoided, to a certain extent. Sildenafil gel can be considered as a better option for people suffering from stomach dilemmas.

Additional precaution while taking Sildenafil Gel

The patients who are actually under the treatment of protease inhibitors (used to treat Aids/HIV) should limit their consumption per day, up to a maximum of only 25 mg of the jelly. This limit should be sustained for intervals of 48-hours per intake.

How Sildenafil Gel Works

Sildenafil Gel is consumed orally. Sildenafil jelly is less sensitive to the stomach in comparison to its forerunners. The functioning of the drug is indeed similar, to almost every erectile dysfunction medication. Sildenafil Gel increases the actual blood within the arteries of the penis. The increase in blood circulation enables the men to generate an erection. The male organ is enlarged and engorged when more blood enters the veins causing the erection itself. It does then return to its flaccid form once the circulation of blood is diminished. This is a natural phenomenon for man. It occurs only when a man is aroused by sexual activities. Sildenafil jelly will not provoke the erection; it will only enable the individual to perform the activity. It is not recommended to consume more than one sachet per day. There is really no strict time-table to follow while taking the drug unless specified by the doctor. The medication is supposed to be consumed prior to sexual activities.

Before using Sildenafil Gel

The general side effects of erectile dysfunction (ED) drugs are relatively similar. Sildenafil gel has parallel undesirable effect as the generic Viagra pills and soft tabs. The utmost important understanding about the ED drugs is not the symptoms of the illness itself. It is rather to establish a mindset towards precautionary action and an inquisitive attitude to learn about the conditions to avoid these vary side effects.

One of the most critical elements concerning ED drugs such as Sildenafil gel is compatibility. The jelly can provoke dreadfully side-effects when it is consumed together with nitrates (nitroglycerin). There are a range of products, especially medicine which contains this varied substance. It should be avoided at all cost to use such products concurrently with sildenafil gel. Similarly, fruits possessing a high level of acidity such as grapefruits and grape juice should also be avoided. Secondly, people suffering from HIV should have a low dosage of sildenafil gel. Other related illness and allergies are always a concern. There is a possibility of cross-reactions. Sildenafil gel can actually be bought without prescription. This raises the risk of imprudence. It is therefore, necessary to consult a doctor, although not compulsory. This is especially the case for people consuming sildenafil gel for their first time. A physician will be more knowledgeable in the field and can thus advise a proper therapy.

People who are old or suffering from any cardiac issues should take precautions. The ability to perform sex can cause pressure on the heart and increase blood pressure. Consultation is a requisite need for elders. The approval of a professional doctor reduces the risks of drawbacks.

Sildenafil gel should preferably be consumed an hour before any sexual intercourse to allow maximum efficacy with the absence of alcohol intake (15 minutes are habitually enough). Notice should indeed be highlighted; heavy meals can delay the activation of the drug within the body.

Possible side-effects of Sildenafil Gel/Viagra Jelly

Sildenafil Gel can have slightly acute side-effects. These adverse effects can easily be identified by both the doctor and consumer. The only important aspects to know are the symptoms that can prevail. A thorough list has thus been provided for ‘you’ to better spot the adversity of sildenafil gel. It is furthermore, crucial that emergency care is sought to treat the shortcomings marked.

• Muscle pains (present in ankles, hands and feet)
• Chest pain (irregular heart beat and breathing dilemmas)
• Abnormal sweating
• Stomach pain
• Rash and itching
• Dizziness provoking fainting
• Nasal congestion or stuffiness
• Priapism (prolonged erection for more than 4 hours)
• Vision problems (partial loss of vision or colour disparity)

This is a comprehensive list of side-effects which has been found related to sildenafil Gel and other erectile dysfunction treatments.

The basic reason behind the eruption of these side effects is often due to obliviousness and carelessness by users consuming the drug. People who consume loads of alcohol thus generally feel dizziness but with a combination of sildenafil gel together, the consequence is heightened. Other patients taking the drug even omit contacting a doctor to query about general health issues. Hence it is impossible to forecast compatibility of the drug to the body concerned. Moreover, some users over consume Viagra gel. This is definitely not advised and the effect can be related to the mentioned side-effect.

Health and safety measures are always important. It is better to be inquisitive rather than passive. It will play in your favor and can avoid several illnesses which can result to be unstoppable else wise.

Misconceptions about Sildenafil Gel

Sildenafil Gel is a medicine used to treat impotency for males. It is a PDE-5 inhibitor. This is absolutely not a medication which will protect you against any sexually transmittable diseases such as HIV. The users will still be prone to diseases. Safe sex can be achieved through the use of condoms. Sildenafil gel will not act as ‘safe sex’ medicine. It rather permits you to perform sexual activity.

Storage of Sildenafil Gel

The medication can be kept in normal room temperature ranging from 15 to 30 degrees. However, it can also be stored in colder places such as the refrigerator. The sachets of sildenafil gel must be placed away from the reach of children, pets and any electrical appliances which can emit heat. It is advised to properly verify expiry date of the sildenafil gel before consumption.

Sildenafil Citrate

number of pills		price per pill
360	-	$1.05
90	-	$1.61
30	-	$2.36

Sildenafil Citrate

Viagra (Sildenafil Citrate) is the most popular erection pill known to men.

Generic Viagra 100mg

more info…

Sildenafil acts as an inhibitor of the receptors in the enzyme guanylate cyclase found in the soft sponge like tissue in the penis. It releases nitric oxide, which attaches to the enzyme, which boosts the amount of guanosine monophosphate or [cGMP], the effect is relaxation of the muscle, a widening of the blood vessels leading to increased blood flow and an erection as the end result.

Sildenafil is both a strong and discerning drug, targeting a specific enzyme with a precise role. Because of this exact function within the body, it achieves its targeted objective of chemical reaction that results in an improved erection. This improvement arises in concurrence with sexual stimulus, which triggers the Nitric oxide and cGMP signaling system; in other words no stimulation, no reaction. Sildenafil and its two major competitor’s tadalafil and vardenafil each work the same way.

After metabolizing in the liver, the liver and kidneys expel the sildenafil. This means it is more effective if taken on an empty stomach or if eating is necessary, a light fat free meal as it will be absorbed quicker. When taken using this precaution the sildenafil can be up to one third more effective.

Sildenafil as a Treatment

Erectile Dysfunction

Otherwise known as ED, erectile dysfunction is a malady that affects men for various reasons. Before the sildenafil citrate is prescribed for this particular ailment, the clinician will have the patient undergo a number of tests to determine the exact cause of the ED. It can occur in adult men of any age and a physician will understand the proper functioning erection based on the patients age then determine the cause of the dysfunction. There may be nerve damage caused by an accident, a pre existing medical condition such as diabetes or alcoholism. There could be an undiagnosed circulatory problem or the patient could be clinically depressed.

If the individual is suffering from depression and treated with an anti depressant many of these can cause ED. Sildenafil has become a standard form of treatment. Interestingly enough this same research showed that women taking anti-depressants had an improved sexual experience as well.

Pulmonary Hypertension

Sildenafil citrate is proving to be a versatile drug after all. As well as treating men for erectile dysfunction, it has also been successful treating pulmonary arterial hypertension. Sildenafil relaxes the principal artery wall, which decreases the pressure. The heart ventricle’s workload is diminished and there is an improvement in symptoms of heart failure in the right heart. Because sildenafil is specifically targeted, the vasodilation reaction occurs only in the area of the lungs and penis. Pfizer applied for FDA approval for this specific action and approval was granted in 2005.

To avoid any confusion with the ED medication, the drug for PAH was called Revatio and the pill is round and white at 20 mg.

Altitude Sickness

Relatively new research backs up sildenafil citrate as a treatment for altitude sickness. French researchers ran a study that showed sildenafil relieved altitude sickness quicker when taken at the outset of a climb [in this case a helicopter ride 2.7 miles up] as opposed to a group who took a placebo at the same time at altitude. There was an adjustment period at the outset when symptoms were noticeable. However, there was a marked improvement in the sildenafil group in a day or two with relief of their altitude sickness symptoms when surveyed regularly while on the mountain.

Sildenafil is already becoming the normal remedy for this malady. Previously the standard treatment for altitude sickness was a speedy decline from altitude, calcium-channel blockers or steroids. Sildenafil is a useful alternative to these and when a quick descent is hindered by weather or other impediments. The men who took part in the study were all under 30 years old, healthy and had no previous mountaineering experience.

Sildenafil Citrate When Used in Sports

What about the use of sildenafil as a performance-enhancing drug? Many athletes test positive for Viagra when asked to test but currently there are no rules banning the use of sildenafil or its competitive brands when it comes to use in sports. Its use by athletes is becoming so commonplace that the world anti-doping agency is considering its inclusion on its list of substances banned from its global sports.

When drug seizures are made of banned performance enhancing drugs it is common for these ED drugs to be found amongst the other contraband. Since the activity of sildenafil in the subject means the dilation of the blood vessels, some experts believe this means an increase in oxygen levels in the blood and the delivery of that oxygen plus nutrients to the muscles. This can be quite helpful to athletes when competing at higher altitudes and when oxygen is minimized by pollution or other reasons.

Some seem to think that athletes may also be taking sildenafil to counter act the impotence experienced because of the use of other drugs such as steroids. There is little doubt that if the world anti doping agency can prove that sildenafil gives an unfair advantage to culpable athletes than it will go for a ban. That is, however only if it can be done safely from a legal and scientific perspective.

Non-clinical Use of Sildenafil Citrate

Sildenafil When Exploited Recreationally

Of course it was only a matter of time before sildenafil and its counterparts were abused by those who have no medical need for it. Many young adults are experimenting with sildenafil citrate, and why not since that 1 – 3% of twenty something’s that suffer from ED need something to improve their sex lives! Finally their elders have something they can call their own and it is wasted on the young so they can party even more hardy.

The real danger of this kind of use is when certain dangerous drugs such as ecstasy or methamphetamine are laced with sildenafil to counter the side effects of the host drugs such as erectile dysfunction. These combinations are known by such names as sextasy, trail mix or rockin and rollin to name just a few. This mixing of drugs can be extremely dangerous when amateur pharmacists also mix amylnitrite and sildenafil, the result can be deadly. There is much speculation about the use of sildenafil as an enhancer of sexual performance in older men not diagnosed with ED. They just want to perform like they were twenty years old again. Is this considered drug abuse or an accepted form of life improvement? The jury is still out on this. There is little doubt that sildenafil and other major ED drugs are being abused in some dangerous ways.
The use of sildenafil citrate for non medical reasons seems to be on the increase. There is some debate that sildenafil is being used as a lifestyle drug rather than a medical treatment. Insurance and benefits management companies are certainly looking into prescribing practices of clinicians. A recent survey showed that there was a dramatic increase in sildenafil prescriptions among men aged 18 to 45 – a 312 percent increase. While in men aged 46 to 55, the target age for sildenafil, the increase was a mere 216 percent over the same time frame. That said, men in the over 56 age bracket continued to receive the most prescriptions of sildenafil and its competitive brands.

When younger men or those who don’t really have a medical need take sildenafil, they may be disappointed in the results. The side effects most common such as headaches, facial flushing etc are a small price to pay for the determined. However they may simply notice a shorter period between erections rather than a prolonged stimulated period of erection. That may be enough for some who experiment with sildenafil as a lifestyle or recreational drug. More likely they will find the trade off not worth the effort. This is likely the reason why some prescription claims companies show a decrease in secondary refills on some younger patients.

Not all patients who receive sildenafil are suffering from a physical impairment concerning ED. There are various reason why some men are prescribed sildenafil citrate. For example emotional problems may cause some ED problems. One patient who was divorced needed the sildenafil so he could perform with a new partner. Others may have similar psychological needs for the little blue pill. In another case a young man was given a pill from a friend and anticipating an amorous evening soaked in a hot tub, had a glass of wine got out of the hot tub and promptly fainted! A physical examination showed the combined effect of wine, hot water soak and sildenafil increased the dilation of his blood vessels beyond his ability to handle and his romantic evening was a bust.

Wilting Plant Syndrome and Sildenafil

One wonders how far some people will go to achieve a green thumb. Apparently some very bored scientists in England thought that sildenafil might affect droopy flowers the same way it helps weary erections! When freshly cut flowers were placed in a vase with a diluted solution of sildenafil [all of 2% of the normal male erection cure], they lasted up to 2 weeks compared to 1 week with flowers in water alone. Not only did the sildenafil soaked flowers look fresher with longer lasting color, they appeared more vibrant in their erectness.
All joking aside, humans and plants share a common “ingredient” – nitric oxide, so it stands to reason that this testing would be worth the effort if it worked on a variety of different plants. No one is suggesting that sildenafil be sprayed on all vegetation but by fumigating certain plants and vegetables with nitric oxide they found the results rather astonishing. Clearly the results of this study had shown there was a use for nitric oxide in the food and fresh flower industries.

Sildenafil Citrate For Jet Lag

Researchers in Argentina found that hamsters recovered from jet lag quicker when given a hamster size dose of sildenafil when tested in conditions that simulated transatlantic air travel. The choice of hamsters for the study was because they have an activity pattern that is routine and strictly adhered to. The control group of hamsters took an average of 12 days to recover from the replicated jet lag while the sildenafil injected hamsters averaged 8 days to return to a normal rhythm.

The general consensus concerning jet lag is that each hour of travel time equals one day of jet lag upon arrival. Jet lag is more common in travelers heading east rather than west and prolonged bouts of jet lag can be costly in terms of personal efficiency. More seriously, severe time shifts have been found to have fatal consequences in aged mice so there would seem to be a need for some form of treatment for chronic jet lag. There was no indication that the test rodents had any formal complaints with the study.

Treatment Protocols for Sildenafil Citrate

Sildenafil is available in 25, 50 and 100 mg doses from the manufacturer Pfizer. When prescribed by a physician the general dosage for erectile dysfunction is 25 mg up to 100 mg, no more than once a day. It should be taken from 30 minutes to 4 hours before sexual activity. Most clinicians prefer to start a patient on a lower dose initially preferring to prudently administer the sildenafil and monitor a patients reaction to it.

Adverse Reactions To Sildenafil Citrate

There are predictably some contraindications where sildenafil is concerned.

• When taking sildenafil a patient should not take any nitric oxide, nitrites, nitrates such as nitroglycerine pills, sodium nitroprusside or amyl nitrite [known as poppers].
• Any men who have history of cardiovascular health problems and been advised against having sexual intercourse.
• If a patient has any diagnosed liver disease or impairment.
• If the patients renal system or kidneys are under functioning or impaired in some way.
• If the patient suffers from low blood pressure or hypotension.
• If there is a history of stroke or heart attack
• Should a patient have any history of retinal impairment or disease or a hereditary degenerative eye condition.

Sildenafil Citrate Side Effects

During the clinical trials for sildenafil citrate there were some side effects found in some of the study groups members, the most common included the following:

• Headaches
• Flushing
• Heartburn and indigestion
• Some nasal congestion
• Blurred vision
• Diarrhea
• Dizziness
• Rash

Some of those tested said they saw everything in a blue tint which is known as cyanopsia. Others complained of chronic eye blurring and a loss of their peripheral vision. The FDA announced a finding in 2005 that sildenafil might cause vision to become impaired and certain studies have shown sildenafil consumption connected to some very serious optical neuropathic problems.

After market surveys showed some serious but uncommon side effects such as priapism which is a painful long lasting erection beyond the four hours sildenafil citrate is known to work in the system. Some instances of severe low blood pressure, heart attack, heart arrhythmias, stroke, amplified pressure of fluid in the eye and hearing loss. Due to these after market surveys, the FDA called for more prominent labeling on sildenafil citrate containers regarding potential hearing loss.

Interactions with Sildenafil

A major interaction with sildenafil is with patients being medicated with protease inhibitors for HIV treatment. These protease inhibitors slow down the metabolizing sildenafil and multiply the plasma levels of sildenafil citrate which can escalate the harshness of the drug side effects. Recommended dosage for a patient with HIV taking the protease inhibitors is no more than 25 mg for each 48 hour period. Parallel use of sildenafil along with an alpha-blocker could cause low blood pressure in some but this reaction can be avoided if drugs are taken at least 4 hours apart.

Clinical trials of Sildenafil

Every drug goes through many pre trial tests inside the research lab before they are tested on the public. So to was sildenafil before it went to clinical trials of humans. Clinical trial are planned so that they will give the best possible results where accuracy is concerned. They do this by conducting double blind, placebo testing to measure the effect of the drug versus the effect of the placebo on trial subjects.

When it was ready for human testing for erectile dysfunction, some 3000 men between the ages of 19 and 87 years of age were tested in over 20 different studies with sildenafil. There was a marked improvement shown in those trial subjects who were taking the sildenafil citrate as opposed to the placebo. Sildenafil patients were given the medication and tested an hour or so later for the results of their erection. A questionnaire was also completed as part of the study to better understand the patient’s ability to have intercourse after taking sildenafil.

The placebo group was important to better understand the reaction of these participants simply receiving an identical pill without the active ingredient [the placebo effect] versus those taking the actual ingredient laced medication. The double blind study was also important to evaluate the difference and effectiveness of the sildenafil and placebo pills versus actual ED caused by psychological factors or some latent physical conditions.

Sildenafil Citrate

number of pills		price per pill
360	-	$1.05
90	-	$1.61
30	-	$2.36

Sildenafil Citrate

Sildenafil Citrate (Viagra) is the most popular “erection maker” all over the world.

Generic Viagra 100mg

more info…

Pfizer was the first company to produce a revolutionary product to treat erectile disorder. The prime introduction of Viagra (Sildenafil citrate) was a grand therapy for men’s erectile dysfunction. The company has further improved the product and introduced sildenafil citrate in forms of soft tabs instead of pills. The sildenafil soft tabs are as effective as the pills and are supposed to enhance sexual capability to approximately 85%. Sildenafil citrate Soft tabs are thus used to treat impotency problems for men and are sold under the drug name Viagra Soft Tabs, containing sildenafil Citrate.

How to take Sildenafil Soft Tabs

Viagra softTab is consumed orally. The sildenafil soft tab should be placed under the tongue once positioned in the mouth. A mint flavoring taste will be felt by the soft tab. Furthermore, the oral lozenge is made-up of dissolving compounds which will rapidly be absorbed by the body. This ensures that sildenafil citrate is properly injected to the bloodstream. This fast-track absorption of the chemicals (sildenafil) orally is approximately 400% more effective (in terms of time) than the regular Viagra pill. The sildenafil citrate soft tab will be active within 20 minutes.

How do Sildenafil Soft Tabs work?

Viagra Soft Tab consists of compounds which do swiftly dissolve orally. The medication has been improved compared to the standard Viagra. Its mechanism is basically similar to the generic sildenafil citrate pill. The penile muscles are relaxed. This enforces the blood circulation within the arteries of the penis and eventually permits the erectile process to take place. The sildenafil citrate soft tabs will not generate an erection. Sexual stimulation will be necessary to initiate the process. The male organ will be able to sustain a tedious and engorged erection for a reasonable time period, with merit to the sildenafil Soft tab. There is no danger of omitting the consumption of the drug as no specific schedule is to be instigated, but it is strictly proscribed to take more than one of the ED pills or soft tabs daily.

Possible side effects of Sildenafil Citrate Soft Tabs

Patients using Viagra soft tabs must be aware about its various shortcomings. Sildenafil citrate soft tabs are used to treat erectile dysfunction. It does thus carry all the minor and major negative implications associated with sildenafil citrate. Those who have consumed the sildeanfil citrate pills in the past will probably be familiar with the outcomes. The sildenafil Soft tabs can generate equal disasters.

A list of possible adverse symptoms that can be engendered by sildenafil soft Tabs have been enumerated below:

• Muscle pain (in various parts of the body; arms and legs)
• Chest pain
• Feeling of suffocation (breathing problems)
• Dizziness (discomfort and tiredness)
• Priapism (The penis does not return to its flaccid state)
• Headaches
• Stomach problems such as diarrhea
• Blurred vision
• Rash and continuous itching.

If any of these above symptoms are encountered while taking sildenafil citrate soft tabs, it would be preferable to contact a professional physician.

Further elaboration of Side-effects of Sildenafil soft tabs

It is certain that personal conditions do influence the reaction of the medication. People who are or have suffered from allergies should take precaution before trying drugs which treat erectile dysfunction. The major reason for this is that medicines for allergies can be counter-productive to substances constituting Viagra Soft tab. They can even contain nitrates. This is a substance which should certainly not be consumed together with sildenafil citrate. The joint combination of these chemicals can cause a drastic and detrimental decrease in the blood pressure. The user of the drug would become liable to damaging health conditions.

Furthermore, sildenafil citrate soft tabs shouldn’t be taken in case the patient is suffering or have suffered from heart/cardiac problems. People who have an unstable angina are also advised to avoid using the drug. There is a high risk that these users will encounter some of the mentioned symptoms. Heightening or lowering of blood pressure is the underling common factor for them.

The conditions that would account for a distinct reason to stop consuming the drug would be priapism. It is an erection sustained for more than 4 hours and can damage several cells in the body inflicting pain in the user. This is a serious injury and treatment should be opted as a first hand solution.

In case of emergency, contact a doctor to consult about the sildenafil Soft Tabs. It is critical to consider personal health prior to any aspect of human activities. There is a possibility that other related symptoms can be observed but those mentioned are the most prevalent ones.

Storage of Sildenafil Soft Tabs

The drug should be kept in its container. The box should remain closed to avoid humidity. It is also fundamental to keep the Viagra soft tabs away from the reach of children. A suitable temperature to keep the sildenafil soft tabs would be between 10-30 degrees Celsius.

Additional Information on Sildenafil SoftTabs

People who do suffer from acute illnesses such as ulcer, bleeding disorder, retinitis or any other health injuries must seek advice from a doctor. This is equally the case for men aged above 65 as the rate of side-effect tends to be more acute at this particular age range (The general solution for elders is to lower the dosage of the sildenafil citrate soft tabs).

Sildenafil Citrate