What You Should Know About Viagra
Viagra (sildenafil) is an oral medication that treats erectile malfunction in men. It works by blocking some naturally occurring enzymes, which cause blood vessels to dilate. This improves blood flow to the penis.
It takes about an hour to take effect — but it only helps with an erection if you’re sexually aroused and stimulated. It must be taken on an unfilled stomach as a fatty food can slow down the drug’s absorbtion.
Dosage
There are many medications used to treat erectile dysfunction (ED), but Viagra is unique among them because it works only when you’re sexually aroused. The medication helps with the muscle movements needed to create and sustain an erection by increasing blood flow through the penis, or corpora cavernosa.
It starts working about an hour after you take the tablet, but it can take less time or longer depending on how much you eat and whether you’re eating fatty foods. You typically only take Viagra once a day, and it works best when taken about an hour before sex.
Most likely, your doctor will start you out on 25mg Viagra. This is the lowest dosage that most people can tolerate. It’s the lowest dose that has been proven effective in clinical studies. The lower dose may help reduce the risk of side effects, such as visual disturbances and a blue haze. It’s also a safer option if you have health conditions or take drugs that interact with Viagra.
Side effects
Besides helping men get and keep an erection, Viagra also helps blood vessels around the body to relax. This can help with heart conditions like angina pectoris, a type of chest pain caused by cardiovascular problems.
In some cases, Viagra can cause mild side effects such as headache or a runny or blocked nose. You may also feel dizzy or lightheaded. If this happens, lie down or stay seated until you feel better.
If you have a history of Peyronie’s disease or blood cell disorders such as sickle cell or multiple myeloma, Viagra may not be right for you. It can also be dangerous if you take nitrate medications such as nitroglycerin for chest pain or high blood pressure. Taking the pill with a fatty meal can affect how well it works, and consuming alcohol can decrease how long the effect lasts. Talk to your doctor before you take this medication.
Precautions
Taking Viagra can cause a sudden drop in blood pressure that can make you feel dizzy or faint. This is more likely if you take it with certain drugs used to treat high blood pressure or enlarged prostate, or with alcohol. Talk to your doctor if you have these conditions before taking Viagra.
Avoid drinking alcohol when taking Viagra. It can make some of the side effects worse, including flushing and headache.
You should not take Viagra if you have a heart condition or a history of stroke, or if you are taking nitrate drugs (such as nitroglycerin or isosorbide dinitrate/mononitrate, used to treat chest pain). Nitrates may block Viagra’s action. This medication can also cause a long-lasting and painful erection, called priapism. Priapism may damage your penis, resulting in permanent ED.
Other Drugs
A person’s ability to achieve an erection may be affected if they take Viagra for a prolonged period of time. This may lead to a psychological dependency on Viagra and a desire to take it even when there is no sexual need. This can also lead to relational problems and distress.
Viagra should not be taken by people who have certain eye conditions such as non-arteritic anterior ischemic optic neuropathy (NAION) or hereditary retinitis pigmentosa because it can cause sudden loss of vision in one or both eyes. It should also be used with caution in people who have low blood pressure because it can decrease blood pressure to an unsafe level.
Other medications such as over-the-counter ibuprofen, alpha-blocker drugs such as Terazosin or doxazosin (used for high blood pressure treatment and benign prostatic hyperplasia), and alpha blocker medication like terazosin and the doxazosin can interact with Viagra. These interactions can decrease the effectiveness of the drug or cause side effects.