In October 2007, the FDA announced that the labeling for all PDE5 inhibitors, including sildenafil, required a more prominent warning of the potential risk of sudden hearing loss. Some patients experienced a sudden decrease or loss of hearing after they took sildenafil or other medications that are similar to sildenafil. The hearing loss usually involved only one ear and did not always improve when the medication was stopped.
If you take sildenafil for pulmonary arterial hypertension, do not take Viagra® or other PDE5 inhibitors, such as tadalafil (Cialis®) or vardenafil (Levitra®). If you take too much sildenafil or take it together with these medicines, the chance for side effects will be higher. kamagra shop deutschland Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.
But, you can take it anytime between 30 minutes and 4 hours before sexual activity. Seek medical attention if the erection persists for more than 4 hours after sexual intercourse. It is important to note that this medicine will not work without sexual stimulation. Factors such as obesity, smoking, drinking, etc., could also contribute to erectile dysfunction.
Thus, the metabolite is responsible for about 20% of sildenafil’s action. Sildenafil is excreted as metabolites predominantly in the feces (about 80% of administered oral dose) and to a lesser extent in the urine (around 13% of the administered oral dose). If taken with a high-fat meal, absorption is reduced; the time taken to reach the maximum plasma concentration increases by around one hour, and the maximum concentration itself is decreased by nearly one-third.
Do not take any more doses of sildenafil or similar medications such as tadalafil or vardenafil until you talk to your doctor. Erectile dysfunction is a condition where the penis does not harden and expand when a man is sexually excited, or when he cannot keep an erection. When a man is sexually stimulated, his body’s normal response is to increase blood flow to his penis to produce an erection. By controlling the enzyme, sildenafil helps to maintain an erection after the penis is stroked. Without physical action to the penis, such as that occurring during sexual intercourse, sildenafil will not work to cause an erection. In 2000, Viagra sales accounted for 92% of the global market for prescribed erectile dysfunction pills.
If you are a woman and you are taking sildenafil to treat PAH, tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while taking sildenafil, call your doctor. Tell your doctor what herbal products you are taking or plan to take, especially St. John’s wort.
Kamagra Gold 100 MG Tablet is not recommended for use if you have medical conditions related to the retina where colour discrimination is impaired. The underlying cause of erectile dysfunction may be physical, psychological, or both. It is important to determine the underlying cause of erectile dysfunction to devise an appropriate plan of treatment.
Counselling and therapy can increase the effectiveness of Kamagra Gold 100 MG Tablet. With any time & anywhere access, you save time by avoiding busy times, queues and pharmacy visits comparing prices or experiencing stock-outs. MedTerms medical dictionary is the medical terminology for MedicineNet.com.
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. If you experience a prolonged or painful erection for 4 hours or more, contact your doctor immediately. This condition may require prompt medical treatment to prevent serious and permanent damage to your penis.