Erectile DYsfunction / viagra

Viagra / generic Viagra

Sildenafil citrate

Sildenafil is the generic form of the brand Viagra®. Both medications work similarly in the body.

Viagra® is a type of medication known as a PDE5 inhibitor that is used to treat erectile dysfunction. It comes in several different doses and is taken as-needed.

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Disclaimer: The information provided on this page is not a substitute for professional medical advice, diagnosis, or treatment. If you have any questions or concerns about your health, please talk to a doctor.

Overview

Viagra® should be taken without food 30-60 minutes before sex and its effects last up to 6-8 hours.

Serious side effects include an erection lasting more than 4 hours, sudden vision loss in one or both eyes, and sudden hearing decrease or loss. If these occur, seek medical attention immediately.

Talk to your doctor about your medical conditions and your medications before taking Viagra®. Do not take Viagra® if you are allergic to its ingredients or if you are already taking nitrates (such as nitroglycerin), street drugs called “poppers” (such as amyl nitrate, amyl nitrite, butyl nitrate), or guanylate cyclase stimulators (such as riociguat).

What is Viagra®?

Viagra® (nicknamed “the little blue pill”) is a drug that is used to treat erectile dysfunction (ED). It comes in three doses, 25 mg, 50 mg, and 100 mg. The 50 mg dose is the most commonly used dose, although some people may benefit from higher or lower doses. Viagra® is part of a “family” of medicines used to treat ED called phosphodiesterase-5 inhibitors (PDE5i). Other drugs in this family include Cialis (tadalafil), Levitra (vardenafil), and Stendra (avanafil). All of these drugs have the same mechanism of action, but there are subtle differences that may lead the doctor to recommend one drug over the other based on your treatment goals.

How does Viagra® work?

1. In order to understand how Viagra® works to treat ED, it’s important to first understand the basics of how erections work.


2. cGMP causes the corpora cavernosa to relax. Allowing blood to rush into the Cavernosal arteries.


3. While blood rushes into the penis, the veins that drain blood from the penis get compressed causing the increased blood to be trapped in the penis causing an erection.


4. An enzyme called phosphodiesterase-5 breaks down cGMP leading the penis to return to its flaccid state.


5. PDE5 inhibitors (PDE5i), like Viagra®, block this enzyme, leading to higher levels of cGMP and improving the ability to obtain and maintain an erection.

How long does Viagra® take to work?

Viagra® is a short acting medication with a rapid onset. It should be taken 30–60 minutes before sex, and it reaches peak blood levels in 60 minutes on average. Fat in a meal can delay the effects of Viagra® and also decrease the amount that is absorbed. Remember that Viagra® will not give you a spontaneous erection without sexual stimulation.

How long does Viagra® last?

Viagra® is a short acting drug with an average half-life of 4–5 hours, which means that half the medicine is gone from the body after 4–5 hours in healthy people. The time that it takes to eliminate Viagra® may be prolonged in older people and people with liver or kidney disease and the drug may work longer in these people.

Common side effects of Viagra®

The most common side effects of Viagra® include headaches, facial flushing, stuffy nose, and upset stomach. Serious side effects that are rare include an erection that will not resolve even after 3–4 hours (priapism), hearing loss, which can be sudden, and vision loss in one or both eyes. For more information about side effects, see Viagra® side effects here.

How to get Viagra®

The FDA requires a prescription for Viagra® and other ED medications, including their generic forms. It may be possible to buy Viagra® online without a prescription, but that’s not advisable because you don’t know exactly what the medication you are buying is. It’s also important for a healthcare provider to review your health history to see if medication is right for you. Getting a prescription from a licensed healthcare provider is the only safe and legal option to get the medication. Completing an online visit through Roman can connect you with a US-licensed healthcare professional who will review your information and prescribe medication if it is right for you.

Can I get Viagra® online?

Yes, you can get a prescription through a Roman online visit for Erectile Dysfunction or an online visit for Premature Ejaculation, if determined appropriate by a U.S. licensed physician.

Does Roman offer genuine Viagra®?

Roman offers genuine, branded Viagra® and generic Viagra® to treat erectile dysfunction (ED) in 25, 50, or 100 mg dosages. Roman also offers sildenafil citrate in 20 mg tablets, which can be prescribed by doctors off-label to treat ED in doses ranging between 20 mg and 100 mg if they find it medically appropriate to do so. The active ingredient, sildenafil citrate, is identical in both medications.

Important Safety Information

Important safety information

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