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While many think its a simple process, sexual arousal for men is actually quite complex. It involves hormones, emotions, blood vessels, and the brain all working together. If any of these factors arent functioning appropriately, it can lead to erection problems.

Sildenafil Citrate Greenstone is prescribed to treat erectile dysfunction, a condition where you consistently struggle to keep an erection. Upon ingestion, this viagra pill helps you achieve a stronger erection, making sex more satisfying.

Consult a Doctor

• A prescription is required to ensure the correct dosage and effectiveness while minimizing side effects.
• One of our doctors can consult with you to provide directions on taking Sildenafil for optimal results.

Timing and Consumption

• Take Sildenafil pills at least an hour before you anticipate sexual activity.
• Consume the medication with water to prevent interaction with acids and fats.

Emergency Situations

• If you witness or suspect an overdose case, rush for emergency medical treatment instantly.
• Symptoms of an overdose include blurry vision, headaches, and an irregular heartbeat.

• Possible Side Effects:
  • Dizziness, headache, flushing, or stomach upset.
  • Vision irregularities such as increased sensitivity to light, blurred vision, or difficulty in distinguishing between certain colors.
  • Rarely, sudden vision loss (NAION) or sudden hearing loss with ringing and dizziness.
• Precautions:
  • Get up slowly from sitting or lying positions to reduce dizziness and lightheadedness.
  • Be aware that sexual activity can strain your heart, especially if you have heart problems.
• Do Not Panic If You Experience These Side Effects:
  • Stop using sildenafil and seek immediate medical help if you experience:
    • Chest/jaw/left arm pain, or nausea.
    • Sudden discomfort or loss of vision or hearing.
    • A painful or prolonged erection lasting 4 or more hours.
• Allergic Reactions:
  • Rarely, a serious allergic reaction can occur. Immediate medical attention is required if you experience:
    • Rash
    • Itching
    • Swelling (possibly occurs on face/tongue/throat)
    • Severe dizziness
    • Respiratory distress
• Contact Information:
  • In the US: For medical advice about side effects, call your doctor. Report any unfavorable responses to the FDA at 1-800-FDA-1088 or through www.fda.gov/medwatch.
  • In Canada: For medical advice about side effects, call your doctor. Report any unfavorable responses to Health Canada at 1-866-234-2345.
• Important Note: This is not a complete list of side effects. Contact your preferred doctor or a licensed pharmacist if you notice any other effects.

• Allergies:
  • This OTC ED pills medication might have inactive ingredients that could lead to allergic reactions. Always check with your healthcare attendant or preferred urologist before starting any form of sildenafil.
• Medical History:
  • Heart Conditions: Notify your healthcare provider if you have had a heart attack, irregular heartbeat, chest pain, heart failure, or other heart issues in the past 6 months.
  • Stroke: Inform your doctor if you have had a stroke in the past 6 months.
  • Kidney or Liver Disease: Let your doctor know if you have any kidney or liver problems.
  • Blood Pressure: Report any history of high or low blood pressure.
  • Dehydration: Mention if you have experienced dehydration.
  • Penis Conditions: Disclose any conditions such as angulation, fibrosis/scarring, or Peyronie’s disease.
  • Priapism: If you have a history of painful or prolonged erections (priapism), or conditions that increase the risk of priapism (e.g., sickle cell anemia, leukemia, multiple myeloma), inform your healthcare provider.
  • Eye Problems: Share any issues with your vision, including retinitis pigmentosa, sudden decreased vision, or NAION.
• Dizziness and Vision:
  • Sildenafil may cause dizziness or vision problems. Until you have a thorough understanding of how the medication affects you, it is wise to abstain from activities that necessitate clear vision or alertness.
• Substance Use:
  • Alcohol: Limit alcohol consumption, as it can enhance dizziness.
  • Marijuana: Discuss with your doctor if you use marijuana (cannabis) as it may also increase dizziness.
• Pregnancy:
  • Use sildenafil during pregnancy only if clearly needed. If you are pregnant, planning to conceive, or have any concerns about a possible health issue during the same, consult a gynecologist or any other specialist to discuss the possible advantages and drawbacks of this mens erection supplement.
• Breastfeeding:
  • Sildenafil has been observed to enter breast milk in small amounts. It is recommended to discuss this with your healthcare provider before breastfeeding.

• General Advice:
  • Drug interactions can affect the efficacy of your medications or elevate the risk of severe adverse effects.
  • Keep a record of all the products you use, including OTC ED pills and herbal products, and share it with your doctor and pharmacist.
  • Refrain from starting, halting, or modifying the dosage of any medication without first seeking advice from your physician.
• Drugs That May Interact:
  • Riociguat: Combining sildenafil with riociguat can lead to excessively low blood pressure due to their combined effects on nitric oxide.
  • Vericiguat: When taken with sildenafil, vericiguat can also result in dangerously low blood pressure.
  • Nitrate Interactions:
    • Sildenafil can cause a serious drop in blood pressure when used with nitrates.
    • This includes drugs used to treat chest pain/angina (e.g., nitroglycerin, isosorbide) and recreational drugs called "poppers" (e.g., amyl nitrate, amyl nitrite, butyl nitrite).
    • A profound decline in blood pressure may cause symptoms like vertigo and loss of consciousness, with rare instances potentially leading to myocardial infarction or stroke.
  • Alpha Blockers:
    • For individuals on alpha blockers (e.g., doxazosin, tamsulosin) for benign prostatic hyperplasia (BPH) or hypertension, a notable decrease in blood pressure may occur, which can result in dizziness or fainting.
    • Your doctor may adjust your sildenafil dose to reduce the risk of low blood pressure.
  • Other Medications Affecting Sildenafil:
    • Azole Antifungals: (e.g., itraconazole, ketoconazole)
    • Macrolide Antibiotics: (e.g., clarithromycin, erythromycin)
    • HIV Protease Inhibitors: (e.g., saquinavir, ritonavir)
    • Mifepristone, Rifampin
  • Avoid Concurrent Use with:
    • Other medications containing sildenafil or similar drugs for erectile dysfunction or pulmonary hypertension (e.g., tadalafil, vardenafil).

Emergency Situations:

If an overdose is suspected and symptoms include loss of consciousness or respiratory difficulties, seek emergency medical help immediately by calling 911.

Poison Control:

For non-urgent inquiries regarding overdose, the Poison Control Center in the United States can be contacted at 1-800-222-1222. In Canada, please reach out to your provincial poison control center for assistance.

Storage Recommendations:

For optimal preservation, keep the medication in a cool, dry place, protected from direct sunlight. Avoid storing it in moisture-prone areas like bathrooms.

Safety Measures

Store the medication in a secure location, inaccessible to children and pets, to avoid accidental ingestion.

Disposal Procedures

When the medication is no longer needed or has expired, dispose of it responsibly. Do not flush it down the toilet or discard it in the sink.