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Generic Cialis 20 mg 360 pills
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Generic Viagra Professional 100 mg 20 pills
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Characteristics:
- SKU: 638469011020360945
- Availability: In Stock
- dosage mg 100 mg
- Ingredient Sildenafil
- pills 20 pills
Select product:
Description
Viagra Professional is an enhanced formulation of sildenafil citrate specifically designed for:
- Rapid treatment of erectile dysfunction (ED)
- Improved onset of action compared to standard formulations
- Treatment of pulmonary arterial hypertension (PAH)
Mechanism of Action:
- Potent PDE5 inhibitor that enhances nitric oxide-mediated vasodilation
- Increases penile blood flow during sexual stimulation
- Requires sexual arousal for therapeutic effect
Dosage & Administration
Standard Protocol:
- Recommended dose: Take 15-20 minutes before sexual activity
- Dose range: 25-100mg (adjust based on individual response)
- Maximum frequency: Once per 24-hour period
Key Administration Notes:
- Faster absorption than conventional tablets
- May be taken with/without food (avoid high-fat meals)
- Grapefruit products should be avoided
- Tablet should be swallowed whole with water
Important Safety Information
Absolute Contraindications:
- Nitrate therapy (including recreational amyl/butyl nitrites)
- Concurrent use with other PDE5 inhibitors
- Hypersensitivity to sildenafil or excipients
- Severe cardiovascular disease
- Women and children
Special Precautions:
- Cardiovascular assessment recommended before use
- Caution required in:
- Elderly patients (increased sensitivity)
- Anatomical penile deformities
- Conditions predisposing to priapism
- Severe hepatic/renal impairment
- Hypotension (<90/50 mmHg)
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
- Severe cardiovascular events
- Hypotensive syncope
- Allergic reactions
Drug Interactions
Contraindicated Combinations:
- All nitrate preparations
- Other ED medications
- Riociguat
Use with Caution:
- Alpha-blockers
- Strong CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
- Antihypertensives
- HIV protease inhibitors
Storage & Handling
- Store at controlled room temperature (20-25°C)
- Brief excursions permitted (15-30°C)
- Protect from moisture and light
- Keep in original packaging
- Secure from children and pets
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/nausea
- Allergic reactions
Note: This enhanced formulation 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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