Food, Drink and Viagra

The perfect night out usually consists of good food, good drink and even a good time. Indeed, it is these three components which usually constitute having an enjoyable night out but are they really all compatible? Can one affect the other? In terms of food and drink it can be safely assumed that both together are a safe enough combination, provided you don’t eat or drink too much but what about drugs, and specifically, what about Viagra?

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A group of friends eating at a restaurantViagra contains the active drug ingredient Sildenafil Citrate and is available in strengths of 25mg, 50mg and 100mg only. It appears as a blue hexagonal tablet and is solely available as a Prescription Only Medication meaning a valid prescription must be issued from an accredited healthcare professional before the supply of Viagra can be made form a pharmacy. Viagra is a phosphodiesterase inhibitor which exerts its effect by maintaining levels of cyclic guanosine monophosphate in the body. Guanosine monophosphate is responsible for the relaxation of smooth muscle in the body which is important for allowing a penis to become rigid during an erection. During an erection, signals are sent to the body to increase blood flow to the genital area which is what actually causes a penis to become hard.

Viagra has been involved in over 100 clinical trials since its approval and has been so successful that it is now commonly nicknamed the ‘little blue wonder pill’ and its high sales profits are well established especially from its loyal patient base of which are a testament to its high efficacy rating among users.
Furthermore, Viagra is also the first line of treatment for prescribers compared to its competitors such as tadalafil and vardenafil. The recommended starting dose of Viagra is a 50mg tablet, to be taken once a day. Viagra should be taken, ideally, thirty minutes before sexual intercourse.

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Viagra & Generic Sildenafil

4.96 out of 5
(51 product reviews)

£20.00£744.00 £16.00£539.99

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Viagra and Generic Sildenafil contain the same medically active ingredients

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Product Description

How does Viagra and Sildenafil work?

Viagra (Sildenafil) helps men to get and maintain an erection when sexually stimulated and/or excited. The medicine relaxes the blood vessels in the penis which results in more blood flowing to the penis when you are sexually excited.

How do I take it?

You should take Viagra (Sildenafil) approximately 1 hour before planning to have intercourse. Within a window of between 30 minutes and 4 hours after you take the medicine, it will be easier to keep and maintain an erection when you are sexually excited. If you take this medicine after a meal with a high fat content it may take a little longer to start working. This medicine will only work when you are sexually excited. You won’t get an erection just by taking Viagra (Sildenafil).

Dosage

The standard recommended dose for Viagra (Sildenafil) is 50mg and this will be suitable for most people.  If this dose is not effective, you can try 100mg and if 50mg gives you side effects you can also reduce the dose to 25mg tablets.

You must not take more than 100mg daily of Sildenafil/ Viagra. Clinical trials have been conducted in patients taking up to 200mg sildenafil and it was found that ‘doses of 200mg did not result in increased efficacy but did increase the incidence of adverse reactions (headache, flushing, dizziness, dyspepsia, nasal congestion, and altered vision).’

In addition, in patients taking more than 100mg daily, there have been reports of rhabdomyolysis (a breakdown in skeletal muscle tissue the byproducts of which can lead to kidney failure), visual perception changes, vertebral artery dissection (a tear in the artery supplying blood to the brain), heart attacks and aggressive behaviour.

If the 100mg strength doesn’t work for you, there may be alternatives you can try and we recommend that you call us for a free consultation with our pharmacist or doctor to discuss any underlying conditions you may have. We recommend that all men taking medicine for erectile dysfunction have regular tests for blood pressure, cholesterol, diabetes and hormone imbalances. For instance, it may be that by fixing a hormone imbalance such as testosterone, your Viagra medication will be even more effective.

In addition, drug manufacturers do not advise patients to split tablets in half to get the correct dosage as they cannot guarantee that the active ingredient will be distributed evenly throughout the tablet.  For instance, if you cut a 100mg tablet in two, you may find that you get 80mg in one half of the tablet and 20mg in the other half leading to either an overdose (increased risk of side effects) or a suboptimal dose (the medication may not work).

It is important that you choose the correct dose for you. If you wish to talk to our pharmacist or doctor about this, please contact us in the pharmacy on 01625 460621 or email [email protected]

Side Effects

Viagra (Sildenafil) is normally well tolerated, however, side effects can include:

  • Headache
  • Dizziness
  • Nausea

Side effects normally subside after a few hours, however, if you experience a prolonged or painful erection (longer than 4 hours), then you must contact your doctor immediately.

Drug interactions

There are a number of medicines which interact with Sildenafil/ Viagra. For an exhaustive list please see the patient information leaflet (see section below) or call us in the pharmacy to discuss your specific situation. The main drug interactions are listed here:

Recreational drugs such as ‘poppers’ or amyl nitrate
Alpha blockers used for urinary retention or blood pressure problems (eg Flomax or Cardura)
Anti- arrhythmic drugs such as disopyramide
Antibiotics such as erythromycin
Antifungals such as itraconazole
Antivirals such as drugs used to treat HIV
Bosentan
Cobicistat
Calcium channel blockers to treat blood pressure and angina such as amlodipine
Dapoxetine (Priligy – used to treat premature ejaculation)
Grapefruit juice**
Nicorandil
Nitrates
Riociguat
Cimetidine (to treat stomach ulcers)

Please do not take Sildenafil/Viagra if you have taken any of the above drugs within the last 60 days without first consulting with either us in the Pharmacy ([email protected] / 01625 460621) or via email with our doctor [email protected]

**We advise not to take Sildenafil/Viagra with grapefruit juice as the blood concentration of Sildenafil will possibly be increased resulting in side effects.

Patient Information Leaflets

Please click here for the patient information leaflet for Viagra.

For Actavis Sildenafil please see the following leaflets: 100mg, 50mg, 25mg.

Storing Medicines Safely

Please keep your medicine out of the reach of children and store at room temperature.  Unwanted medicine can be disposed of by returning it to any local pharmacy or indeed to us here for us to dispose of it for you.

51 reviews for Viagra & Generic Sildenafil

  1. robert
    5 out of 5

    robert:

    Great service & a great price the best online pharmacy I have used

    • Robbie Toan

      Robbie Toan:

      Thanks Robert for your kind comments, Robbie Toan

  2. David
    5 out of 5

    David:

    Super fast delivery great product great price will be ordering again . Thanks

  3. Philip
    5 out of 5

    Philip:

    Generic tablets work well, highly professional service.

  4. MELVIN
    5 out of 5

    MELVIN:

    This is my first order with Assuredpharmacy and I am very pleased with all processes involved with my purchase. I found the web site clear and easy to use, the prices very competitive, the prescription service very convenient and and efficient, and delivery was “super” quick. I will be using Assuredpharmacy again in the future.

  5. Doug
    5 out of 5

    Doug:

    Only used one as yet did the same as viagra, At last value for money

  6. Sherwan
    5 out of 5

    Sherwan:

    I will order from here in the future, discreet, friendly service and the cheapest on the internet. Also gave me a discount which I can use in the future when ever I want which I will and I’m happy about.

  7. David
    5 out of 5

    David:

    Professional service. Discreet packaging and speedy delivery.

  8. John
    5 out of 5

    John:

    fast service, generic worked a treat

  9. Christopher
    5 out of 5

    Christopher:

    impressed with the fast reliable service of AP – the generic worked perfectly – thanks

  10. frank
    5 out of 5

    frank:

    fast, efficient service and very cheap,,,,would recommend generic compared to branded as it worked completely the same and a lot cheaper.

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 Now, in relation to food; some drugs have a better efficacy with food such as ibuprofen and some are much better without such as thyroid medication such as levothyroxine, but what about Viagra? According to official product literature, Viagra is best taken along with a large glass of water. This implies that Viagra is best taken without food, but why?

Clinical TrialsResearch has shown that Viagra is best taken without food as food can dramatically slow down the rate of absorption in the body. The reason behind this delay is because upon eating a large meal which is followed by Viagra; the body must first break down the food and digest it before Viagra can be truly absorbed into the bloodstream where it will exert its effect. Clinical evidence has also shown that the larger the meal is, the longer it will take for Viagra to work. Furthermore, foods which are higher in fat and contain a lot of complex carbohydrates such as bread and pastas are among those which are hardest to break down and process thus prolongs the onset of Viagra’s action the most. In instances of research where volunteers have eaten a large heavy meal and taken Viagra, it has taken an average of approximately four hours for the effects of Viagra to be observed. Therefore, for users who do plan a meal before intercourse (which is completely understandable and regular), the best advice would be to either eat a lighter meal or alternatively leave a greater period of time before attempts at sexual intercourse are pursued.

In terms of alcohol, it is obvious that in many scenarios sex and alcohol do go hand in hand, but what should users of Viagra know before they hit the bar on a night out? Well, considering how alcohol affects the body is the best starting place for knowledge.

In low amounts alcohol acts as a stimulant, enhancing our senses and making us more hyperactive, however, at the other end of the spectrum too much alcohol Alcohol and viagraacts as a sedative, slowing our actions and thoughts and making us that little bit more ‘sloppy’. In instances where a smaller amount of alcohol has been consumed it is unlikely that the action or onset of Viagra is likely to be greatly affected but in men who have consumed that one beer too many the outcome isn’t quite so good. Indeed, excessive alcohol is more likely to cause more frequent urination and thus dilution of the blood and ergo dilution of drugs in the blood such as Viagra. Therefore, the time at which Viagra starts to work may not be massively delayed; the duration and quality of its action may be reduced.

Furthermore, taking regard of how a man achieves an maintains an erection, constant stimulation is needed in the central nervous system and because alcohol reduces these signals and dampens the response of the central nervous system, getting an erection will be even more challenging, with or without Viagra.

Moral of the story; a little alcohol is good but too much isn’t.

In conclusion, is food, drink, and Viagra a deadly mix? Not exactly…

Indeed, taking Viagra after food or in combination with alcohol produces no severe effects but, in excess, it is not the best idea. This is because food and alcohol can slow or reduce the effects of Viagra which can be useful to know prior to you ordering a big meal while out on a date, or perhaps before you choose the second bottle of wine. In summary, the take-home message, just like Grandmother always said; everything in moderation.

 

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References:

http://www.drugs.com/dosage/viagra.html
http://www.ncbi.nlm.nih.gov/pubmed/19817982
https://www.medicines.org.uk/emc/medicine/2367
https://www.medicines.org.uk/emc/medicine/1474
http://www.drugs.com/food-interactions/sildenafil,viagra.html

 

Assured Pharmacy is not liable for the currency or accuracy of the information contained in this blog post. For specific information about your personal medical condition, please contact our doctors or pharmacists for advice on [email protected].