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Sildenafil is a medicine used to treat erectile dysfunction. It increases blood flow to the penis to help men get an erection. At least two-thirds of men have improved erections after taking it. Sildenafil is also sometimes used to treat pulmonary hypertension (high blood pressure in the blood vessels that supply the lungs). This medicine is available on prescription and can also be bought from most pharmacies. It comes as tablets that you swallow, chewable tablets, and as a liquid that you drink. Sildenafil for erectile dysfunction (Viagra) can be taken by men aged 18 and over. Sildenafil for pulmonary hypertension (Revatio) can be taken by adults and children aged 1 and over. Do not take sildenafil if you: You can get sildenafil on the NHS if you have erectile dysfunction or pulmonary hypertension. buy viagra Sildenafil is a vasoactive agent used to treat erectile dysfunction and reduce symptoms in patients with pulmonary arterial hypertension (PAH). Sildenafil elevates levels of the second messenger, c GMP, by inhibiting its breakdown via phosphodiesterase type 5 (PDE5). PDE5 is found in particularly high concentrations in the corpus cavernosum, erectile tissue of the penis. It is also found in the retina and vascular endothelium. Increased c GMP results in vasodilation which facilitates generation and maintenance of an erection. The vasodilatory effects of sildenafil also help reduce symptoms of PAH. cialis 20mg The length of time Viagra lasts for will vary from person to person, but it can work for up to 5 hours at a time. This doesn’t mean you will have an erection for 5 hours, it means you will be able to get them easier during this time. Most men will find, that the effects of the pill will start to wear off 2 to 3 hours after first taking it. There are some things that will affect how long Viagra will last for in your case. These are listed in the “What will affect how long Viagra lasts for? To make sure Viagra lasts as long as it’s supposed to, you should always give correct information about your current and past health, and details of any medications you are currently taking when starting a course of treatment with Viagra. One study showed that an hour after taking Viagra for erectile dysfunction, men were able to get erections that lasted 33 mins on average. This dropped to 23 mins if they’d taken it 8 hours beforehand and 16 mins if they took it 12 hours beforehand. Sildenafil is a common medication used to stimulate erections in men with erectile dysfunction (ED) and treat certain heart conditions. Many factors can influence how long Viagra takes to start working. In general, Viagra takes about 30 minutes to produce noticeable effects. But your diet, your overall health, the medications you’re taking, underlying conditions, and much more can all affect the amount of time Viagra takes to work in your body and how long it lasts. An erection happens when nerves in your penis are stimulated. Then, muscles around two cylinder-shaped chambers of spongy material along your penis, known as the corpus cavernosa, relax and allow blood to flow in, causing an erection. With ED, your nerves don’t communicate properly with your brain and blood doesn’t flow properly into the corpus cavernosa. Taking Viagra relaxes the walls of your blood vessels and lets blood flow more easily into the parts of your penis that cause an erection. You’ll still need to feel sexually aroused to get an erection.