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The European Medicines Agency has waived the obligation to submit the results of studies with VIAGRA in all subsets of the paediatric population for the treatment of erectile dysfunction. Sildenafil (50 mg) did not potentiate the hypotensive effects of alcohol in healthy volunteers with mean maximum blood alcohol levels of 80 mg/dl. A medical history and physical examination should be undertaken to diagnose erectile dysfunction and determine potential underlying causes, before pharmacological treatment is considered. In addition, initiation of sildenafil at a dose of 25 mg should be considered (see sections 4.4 and 4.5). VIAGRA is indicated in adult men with erectile dysfunction, which is the inability to achieve or maintain a penile erection sufficient for satisfactory sexual performance.
Since it isn’t sold under a brand name, sildenafil tends to be cheaper. Although you can drink alcohol, it isn’t a good idea as alcohol can make erectile dysfunction worse. It can also delay the effects of Viagra and increase the likelihood that you’ll experience side effects. If you experience Viagra side effects and you are concerned or find them challenging to manage, speak to your doctor for advice. They may be able to prescribe an alternative dose or medication. Viagra side effects are usually mild and should only last a few hours to a day.
Regarding how sildenafil and tadalafil work, they are very similar in that they are both PDE-5 inhibitors. This means they slow or stop the action of the phosphodiesterase type five enzyme in the body. This mechanism increases blood flow to the penis when a man is aroused.
In some cases, it may be possible to buy these medications online. Sildenafil is a great option for those who want to take ED medications as-needed. The medication starts working in as little as 30 minutes and remains active for 4 to 6 hours. Alternative treatments for ED include tablets such as Cialis 
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