Instructions for use

How does it work?

Indian Viagra facilitates men’s struggle with bad erection in the bedroom. This drug is based on sildenafil (main active component). Many male persons don’t get the proper effect of taking the medication or experience side events due to the fact that they misuse Indian Viagra. In this article, we will provide detailed instructions for taking the drug to improve your intimate life. You will learn why you shouldn’t take too many sildenafil tablets. Also, you’ll find out some other interesting things.

indian-viagra

How to Take Indian Viagra?

Take Viagra India in strict accordance with your doctor’s prescriptions. Also follow the recommendations on the product application written on the packaging. The drug is usually consumed when a need occurs, approximately 30-60 min before the planned sexual activity. Some forms of generic Viagra from India (water-dissolving tabs, oral strips, jellies, etc.) are absorbed more quickly, so they can be taken 20-30 minutes before sex. You can take the medical remedy 4 hours before sex, since the effect of sildenafil usually lasts from 4 to 6 hours (sometimes even up to 10 hours). If you have eaten some very fatty food, the effect of sildenafil is delayed for a while, keep this in mind.

The drug will help you get good erection during sexual stimulation. The penis will not become hard unless there is such stimulation. If after taking the medication you feel dizzy, have a headache, experience heaviness and tingling in the chest, it means that you have side effects caused by sildenafil. Immediately contact a healthcare professional in this case. The enlarged risk of adverse events is usually observed at the early stage of treatment with the medicament or change of the recommended dose.

Remember, like similar anti-ED meds, sildenafil may stay in the blood current during approximately 24 hours. Due to this, healthcare experts advise to administer just one tablet of Indian sildenafil a day.

Warning: don’t combine the medicament with grapefruit, nitrate-containing medicaments, and some other meds (itraconazole, ketoconazole, erythromycin, etc.) as indicated in official instructions for use. Such combinations may lead to severe adverse events. Using Indian sildenafil in minimal dosage (25mg) along with meds like ketoconazole may be allowed, but treating with nitrates is an absolute counter indication for taking the medical remedy.

doctor-consultation

How to Choose the Right Dosage?

You and your healthcare professional have several options for choosing the dosage of sildenafil. After analyzing the state of your health, the healthcare professional will choose the dosage of the medicine that is most suitable for you.

The classical dosage of sildenafil is 50 milligrams. Then you and the doctor make an assessment of the effectiveness of the drug and its tolerability. If everything is OK, the dosage does not change. If the effect is mild or absent, the dosage may be increased to 100 milligrams. In the event you experience side effects, the dosage is reduced (to 25 milligrams) or the drug is withdrawn. Before starting treatment, tell the doctor about all the diseases you are suffering from, as well as about all the medications that you are taking. These factors can affect the dosage. For example, serious kidney ailments require a minimum dose (25mg sildenafil). If you take protease inhibitors used to fight against HIV infection, the healthcare expert may recommend a dose of 25mg and may limit the intake of sildenafil to 1 tablet during 48 hours.

Do not combine the drug with other meds designed to cure male impotence. Sildenafil does not affect attention rate or psychomotor reactions. For this reason, you are able to control the mechanisms and the car during sildenafil therapy.

How Does Indian Viagra Work?

The medicament is included in the group of PDE5i meds (inhibitors of PDE5). This means that it suppresses the functioning of the enzyme PDE5, which is contained mainly in the penile organ, in the lungs and some other organs. Therefore, the main effect of the drug is directed to the genital area, but it can be used for other purposes, as will be described below.

Part of the physiological process that occurs during erection involves nitric oxide release into the bloodstream of the cavernous bodies as a result of sex stimulation (physical, sensory or mental). Nitric oxide compound activates the guanylate cyclase enzyme, which is manifested in the increased rate of cyclic guanosine monophosphate (or cGMP), leading to a relaxation of smooth muscles inside the blood vessels that supply cavernous bodies in the penis, resulting in increased blood circulation and erection. Sildenafil suppresses the decomposition of cGMP induced by enzyme PDE5. Due to this, the medicament enlarges the blood current in the penis during sexual arousal. Additionally, the effectiveness of the action of nitric oxide, which physiologically dilates the blood vessels in the cavernous bodies, is enhanced.

sildenafil-mechanism

All of the above does not mean that sildenafil strengthens the male libido on the physiological level, because it only improves natural mechanisms that trigger an erection occurrence. Nevertheless, a study by Dording SM et al. (2013) showed that the use of sildenafil citrate for the treatment of ED caused by taking antidepressants led to an increase in sexual desire. Thus, it can be concluded that the drug can enhance libido, however, not at the physiological level, but at the psychological one (by increasing the satisfaction from sex and improving confidence).

It should also be noted that:

  • sildenafil citrate doesn’t fully cure ED. It is a remedy for symptomatic treatment of erectile problems;
  • the drug does not protect a man & his partner from sexually transmitted conditions, including HIV infection, a virus that causes the development of AIDS;
  • sildenafil is neither a hormone, nor an aphrodisiac.

Indian Viagra Overdose – What May Happen?

Do not exceed the dosage recommended by a healthcare professional. One of the reasons that sildenafil is a prescription drug is the possibility of serious side effects. If you adhere to the recommended dosage, the risk of these effects is low (so Viagra without a prescription is not available in most countries). However, if you take more pills (capsules, jellies, etc.), this risk is significantly increased. As you have already learned, sildenafil is a vasodilator which dilates the blood vessels in the body. An increased amount of the medication can dramatically increase blood pressure. In addition, an overdose can cause a prolonged penile erection that occurs for no reason, does not disappear on its own and causes pain to a man. Other possible consequences of an overdose include:

  1. blurred vision, impaired perception of green and blue hues;
  2. severe loss of hearing or its decrease;
  3. ringing in the ears, dizziness, fainting;
  4. intermittent heartbeat, breathing difficulty.

The most famous example of an overdose is the case of 35-year-old Briton Daniel Medforth. In 2015, the man took more than 35 tablets of the original sildenafil in the maximum dosage (100mg) while staying at his friend’s house. He did it “for laugh”. However, the fun did not last long, as the man began to experience hallucinations and severe dizziness. He saw all the things around him in green. He also had a massive erection that did not go away. A few hours later the man returned home and had to tell his wife about this situation. His wife called an ambulance and the poor fellow was hospitalized. Medforth stayed in hospital for a day and a half. According to him, the doctors showed high professionalism, but he saw that they could hardly restrain laughter. Then he was discharged from the hospital, however, for 5 days he periodically experienced an erection from minor factors. Daniel’s wife forgave him, and he said he was very happy.

In the case of Daniel, everything ended well. However, there were cases of amputation of the penile organ & even death due to an overdose of the highest dosage of sildenafil. So be smart and do not repeat mistakes that can lead to irreparable consequences. Take the medicament only as recommended by its manufacturers and healthcare professionals.

sildenafil

For What Else can Sildenafil be Used For?

Sildenafil is also officially approved as the medicament against pulmonary arterial hypertension (also known as PAH). This disease causes a narrowing of the pulmonary arteries. As a result, there is an increase in arterial pressure in the pulmonary artery, as well as an enlarging the load on the right ventricle of the heart, which leads to its hypertrophy and further decompensation (inability to cope with physical exercises). Clinical trials have shown that sildenafil reduces pressure in the pulmonary vessels, helps to eliminate the symptoms of the disease and slows its progressing. Besides, the medical remedy enhances stamina during exercising in males and females suffering from PAH. The usual dosage of sildenafil for the treatment of this ailment is 20 milligrams 3 times a day.

Sildenafil citrate was originally developed for curating heart diseases. However, the researchers found that its effect on penile erection was much stronger. Therefore, the drug is known primarily as anti-ED remedy. However, recently, scientists began again to investigate the effect of sildenafil on the functioning of the heart. A study by Blum A. (2009) showed that this medicament improved the quality of life and performance of men and women suffering from chronic heart failure. Scientists concluded that sildenafil could be used as an innovative approach in the treatment of this cardiac condition.

sildenafil

In addition, some scientists believe that sildenafil has anti-cancer action. For example, a study by Das A. (2010) showed that sildenafil enhanced the effect of doxorubicin, a drug that has an antitumor effect and is used in chemotherapy for malignant tumors. The study focused on the treatment of prostate cancer, also revealed that sildenafil provided heart protection (some of the side effects of doxorubicin are various cardiovascular ailments, such as heart failure). In a study by Xiao-Long Mei et al. (2010), it is indicated that colorectal cancer is characterized, in particular by an excessive amount of PDE5 enzyme. Therefore, sildenafil as a PDE5 inhibitor can potentially be used to treat this type of cancer in humans.