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Generic Cialis 20 mg 360 pills
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Generic Viagra Oral Jelly 100 mg 60 sachets
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Characteristics:
- SKU: 638469011550369951
- Availability: In Stock
- dosage mg 100 mg
- Ingredient Sildenafil
- sachets 60 sachets
Select product:
Description
Viagra Jelly is an innovative oral jelly formulation of sildenafil citrate designed for:
- Rapid treatment of erectile dysfunction (ED)
- Faster absorption compared to traditional tablets
- Convenient administration without water
Key Features:
- Onset of action: Typically within 15-30 minutes
- Duration: Effective for 4-6 hours
- Various flavors available for improved palatability
Dosage & Administration
Standard Dosing:
- Recommended dose: One sachet (typically 50mg or 100mg) as needed
- Maximum frequency: Once daily
- Optimal timing: 15-30 minutes before sexual activity
Special Populations:
- HIV patients on protease inhibitors: Max 25mg every 48 hours
- Elderly patients: Consider lower starting dose (25mg)
- Hepatic impairment: Dose adjustment may be necessary
Administration:
- Squeeze contents directly into mouth
- May be taken with or without food
- Avoid high-fat meals (may delay absorption)
- Grapefruit products should be avoided
Important Safety Information
Absolute Contraindications:
- Nitrate therapy (including recreational "poppers")
- Concurrent use with other PDE5 inhibitors
- Hypersensitivity to sildenafil
- Severe cardiovascular disease
- Recent MI/stroke (<6 months)
- Hereditary retinal disorders
Special Precautions:
- Cardiovascular evaluation recommended before use
- Caution required in patients with:
- Anatomical penile abnormalities
- Conditions predisposing to priapism
- Severe hepatic/renal impairment
- Hypotension (<90/50 mmHg)
- Left ventricular outflow obstruction
Potential Adverse Effects
Common (≥1% incidence):
- Headache (16%)
- Flushing (10%)
- Dyspepsia (7%)
- Nasal congestion (4%)
- Visual disturbances (3%)
- Dizziness (2%)
Serious (require immediate medical attention):
- Priapism (>4 hours duration)
- Sudden hearing/vision loss
- Cardiovascular events
- Severe hypotension
- Allergic reactions
Drug Interactions
Contraindicated Combinations:
- All nitrate preparations
- Riociguat
- Other PDE5 inhibitors
Use with Caution:
- Alpha-blockers
- Strong CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
- Moderate CYP3A4 inducers (e.g., rifampin)
- Antihypertensives
- HIV protease inhibitors
Storage & Handling
- Store at room temperature (15-30°C/59-86°F)
- Protect from moisture and heat
- Keep sachets in original packaging
- Ensure proper sealing after opening
- Keep out of reach of children
Patient Counseling Points
- Sexual stimulation required for effect
- Does not protect against STDs
- Avoid excessive alcohol consumption
- Report any erection >4 hours immediately
- Discontinue use and seek medical attention for:
- Sudden vision/hearing changes
- Chest pain during activity
- Severe dizziness
- Allergic reactions
Note: This medication should only be used under medical supervision. Not approved for use in women or pediatric populations. Regular cardiovascular assessment recommended for high-risk patients.
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