Vigora® (Sildenafil Citrate)
The men’s health problems have recently become a huge problem. Male’s psychology has an impact on the development of many diseases associated with male impotence. With no regular potency, no representative of the stronger sex can feel like a real man. Potency is made up of certain rules, such as at the level of psychology, when desire arises and then erection. Physiological focus, when a man has an erection followed by ejaculation, which is the completion of the whole process. If these three things are missing, then a huge problem arises.
Disorders of sexual function, unfortunately, happen not only in older people, but also in younger people. Internal and external adverse factors cause erectile disorders even in the case of existing sexual arousal. How can men improve erections? For this purpose, there are many medications and dietary supplements exist. One of these pharmacological drugs is Vigora (Sildenafil Citrate). This remedy has long and firmly occupied a leading position in erectile dysfunction recovery.
It is a medical product that has a direct effect on the restoration of the natural physiological response of men to sexual arousal. The active ingredient is Sildenafil. The medication is used when achievement of an erection due to organic or functional disorders in the body, the vascular system of the penis or disorders of nervous origin is impossible.
The Vigora mechanism targeted at the reduction of the penis vascular smooth muscle tone, their expansion and subsequent increased blood flow to this organ. It does not have a direct effect on the vessels, but blocks the enzyme that breaks down the cGMP compound leading to an erection. The drug does not increase libido and does not increase sexual desire.
Please be aware that use of this pharmaceutical product leads to a steady erection only if there is sexual arousal! Otherwise, the effect of the drug taking will be useless. This is due to the fact that cGMP is formed under the action of nitric oxide, which, in turn, is released during sexual arousal. The drug acts quickly, it has 100% effectiveness (in the case of sexual arousal), but rarely causes side effects.
It is believed that this drug is intended only for men. However, Sildenafil has the same effect on women as it does on men, due to the similarity of the regulatory mechanisms of blood circulation in the pelvic organs.
Vigora can be prescribed only by a doctor; self-treatment with this medicine is restricted. Most people mistakenly believe that if the drug is sold over the counter, then they prescribe it to themselves. This is not the case; such treatment can lead to a disastrous result. It is important to know all the contraindications and side effects which can be caused by this remedy. Also it is important to remember that only tests and a full examination will be able to reveal a complete picture of the disease.
Contraindications to the use of Sildenafil is the use of drugs containing nitrates, which is very important, given the frequent combination of cardiovascular diseases in men with erectile dysfunction.
Contraindications to the use of Vigora for both men and women are as follows:
- severe liver disease;
- loss of vision due to non-vascular neuropathy;
- severe heart disease, unstable angina;
- intolerance to ingredients;
- medication and dietary supplements containing nitrates, nitrites, nitrogen suppliers;
- pregnancy and breastfeeding;
- age under 18 years.
The drug should be taken with caution if there is:
- exacerbation of duodenal ulcer, stomach;
- pathologies of the retina;
- blood diseases;
- after a heart attack or stroke;
- anatomical pathologies of the penis;
- hypo or hypertension.
The dose of the drug is selected by titration, starting with 50 mg, followed by changing the dose (either reducing to 25 mg, or increasing to 100 mg) depending on the effect and tolerability. Sildenafil is taken 1 time per day, 1 hour before the intended sexual contact. The effect of the drug begins 40–60 minutes after administration and persists for 3-5 hours. The drug is well tolerated.
The most common dosages are 25, 50, 100 mg. Original drugs are usually produced in blisters of 4 tablets. Generics, that is, copies with exactly the same active ingredient but made by another manufacturer, may have large dosages, for example, 150-200 mg.
How to take the drug?
Sildenafil citrate is primarily a medication, and benefits people as a treatment for: sexual dysfunction, prostatitis. The drug is taken orally about 1 hour before the planned sexual activity. A single dose is 0.05 g. The dose can be increased to 0.1 g or reduced to 0.025 g, taking into account the effectiveness and tolerance.
The maximum single dose should not exceed 1 g. The maximum frequency of administration is 1 time per day. Elderly people over the age of 65 and people with impaired renal and hepatic function should take the drug at a dose of 0.025 g.
Side effects of this medication most often expressed mildly and usually transient. Among them:
- muscle hypertonus;
- risk of infectious diseases of the respiratory and urinary organs;
- sleep disturbance;
- skin rash;
- visual impairment;
- prostatic function disorder.
If you take too many Vigora, you will have priapism – this is how they call a long and very painful erection that is not related to sexual arousal. If you have priapism, the doctor must be called immediately. If your erection lasts more than 24 hours, it can irreparably harm your penis. But even if it lasts less, it is still very, very bad – the tissues of the penis can be damaged forever. Moreover, perhaps after one such case you will have big problems with erection in the future. And, probably, you will not be able to have children. So if you do not want to say goodbye forever to your intimate life, you should not increase the recommended dosage.
In the case of an overdose, if necessary, carry out symptomatic therapy. Hemodialysis does not accelerate the clearance of Sildenafil, since the latter is actively associated with plasma proteins and is not excreted in the urine.
Many medical drugs are contraindicated when taken with the discussed product. So, for example, if a man is undergoing a course of treatment against a cardiovascular disease and takes nitroglycerin or something similar, then Vigora should never be prescribed.
There are a number of drugs with which the use of this remedy is also limited, they are: Erythromycin, Cimetidine and beta-blockers. If the described medication is taken along with these drugs, the effect of the drug decreases or disappears completely.
Also, this combination is dangerous because it can significantly reduce blood pressure, which can result in a number of other health disorders.
Also, the use of Vigora is strictly prohibited with any antifungal drugs. They prevent the withdrawal of the main component contained in the drug from the blood, which leads to undesirable impact on the patient's health.
Some medicines are allowed to be taken with the discussed remedy. People of a certain age, taking Aspirin, which thins the blood, may not worry about its interaction with Vigora. Administration of Aspirin is also prescribed to prevent a heart stroke, and it should be taken daily.
Before using this remedy, check with your doctor about what drugs can be taken at the same time. Mentioned medication can enhance the effect of drugs such as nitric oxide donators and nitrates, which are used to treat angina pectoris. If you are taking such medicines, you should not use Vigora.
According to many people, before a date or directly during it, you need to take a little bit of alcohol. It gives a relaxing effect and so it is easier to get excited for a man. So, according to the study there is no big trouble if the patient takes a little alcohol before using Vigora. You should not abuse it, otherwise, except for a sound sleep, you will gain nothing.
Alcohol intake is allowed in reasonable doses, but most likely its action will slow down the exposure of the drug, and it will come a little later. If you take it more than necessary, you cannot count on full sexual intercourse, as it may not take place due to severe intoxication.
All recommendations and interactions with alcohol can be found in the instructions for use. The doctor prescribing you this medicine will most likely also consult you on this issue.
There are also a lot of disputes regarding the ingestion of fatty foods and its impact on the drug effectiveness. Some patients claim that after they ate fatty food, Vigora ceased to act. Most likely, the stomach simply could not absorb such a load, and therefore no effect happened. Therefore, it is not recommended to eat fatty foods and refrain from taking it during the period of treatment with mentioned agent.
Below are reviews of both practitioners and patients taking this drug:
Cardiologist: I am satisfied that at a dose of 25 mg 3 times a day along with the recommended dosage of 20 mg three times a day, it can be successfully used in the treatment of pulmonary hypertension, detected at least on ultrasound of the heart. I have never seen any side effects and highly recommend it as a treatment in cardiology.
Urologist: It is rather good drug for the treatment of erectile dysfunction in men, as an option, but existing side effects should be taken into account, also different patients tolerate it differently, the dosage should be selected individually.
Doctor-laser surgeon: In my practice, for erectile dysfunction and problems with achieving an erection treatment, I use drugs of the type 5 phosphodiesterase inhibitors group. Sildenafil at a dosage of 100 mg is the initial dosage for starting therapy. The average therapeutic dose is 50 mg and is prescribed on demand.
Alice: My uncle takes Vigora. I accidentally saw this remedy on the bedside table, of course, my uncle does not tell about this himself. But, probably, this medication works well, since uncle, at the age of 50, quite often changes girl-friends.
Alex: The doctor said that there is nothing more effective comparing to Sildenafil and he was right. Before each date, I take 50 mg of Sildenafil and I can have sex for hours.