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Today, the most common disorder associated with the work of the male genital organs is erectile dysfunction. It is also known as ED or impotence. The presence of this disease implies that the man experiences systematic difficulties with achieving or maintaining an erection sufficient to effect penetration and normal sexual intercourse. Erectile dysfunction can be both psychogenic and physiogenic, or a combination of psychological and physiological factors may be its cause. Organic erectile dysfunction is inherent in older men, as well as in patients of very different age who suffer from sclerotic lesion of blood vessels, arterial hypertension, diabetes mellitus and some other diseases. A sedentary lifestyle, increased body weight, smoking, taking some medications and a number of other factors adversely affect potency.

The psychogenic component of ED can be represented by fear of sexual failure, self-doubt, experienced awkward situation associated with failed sexual intercourse, and many others. Temporary absence or weakening of an erection associated with being in a stressful situation, overwork, trauma or lack of attraction to a particular partner is not erectile dysfunction.

In 2019, the vast majority (about 90%) of ED cases are treated with drugs from the PDE-5 inhibitor group. They are used orally in the form of pills, capsules or gels, can be taken both on demand and in courses, on a more or less permanent basis. The action of different drugs in this group is somewhat different (in terms of the onset of the effect, its strength, duration, number of side effects and contraindications, etc.), but its principle is the same: the active substance inhibits the production of the type 5 phosphodiesterase enzyme, which increases blood flow to the cavernous to the bodies of the penis and additionally dilates the blood vessels in the penis. Due to this, a stronger and longer erection is provided. By themselves, PDE-5 inhibitors for increasing potency don’t cause an erection; sexual stimulation is necessary for its onset.

To date, the pharmaceutical market offers branded and generic drugs with the following active substances related to PDE-5 inhibitors:

  • Sildenafil citrate;
  • Tadalafil;
  • Vardenafil;
  • Avanafil;
  • Udenafil.

All of these substances have undergone many clinical trials. Sildenafil citrate, Tadalafil, Vardenafil and Avanafil have been approved by the Food and Drug Administration (FDA) for the use in the US. Udenafil hasn’t become this certificate yet. However, Viagra and its analogues, the active ingredient of which is Sildenafil Citrate, are the sales leader and number ones in terms of patient confidence.

What Is Branded Viagra?

Viagra is a branded drug that has been manufactured by the pharmaceutical company Pfizer (headquartered in New York, USA) since 1998. This is the first medicine in history, with the help of which it has become possible to effectively and without harm to health treat erectile dysfunction. Thus, the invention of this drug was a turning point in the history of medicine. Scientists synthesized Sildenafil citrate artificially. It was originally planned that this medicine would be used to treat pulmonary hypertension, but its effect on potency was much more significant, which determined the scope of its further use.

Viagra is available in pills with a dosage of 25, 50 and 100 mg of Sildenafil citrate. This is a very effective medicine – in terms of the impact on potency, it still has no analogues. However, it is being sold at more than high prices. Depending on the pharmacy, the cost of one pill containing 100 mg of Sildenafil can be up to $ 18. This makes the regular use of this drug almost impossible for men with low and even middle incomes. In addition, such impressive money payed for the opportunity to have sex doesn’t cause a romantic mood at all.

It should be mentioned that PDE-5 inhibitors are ineffective for treatment of potency problems caused by hormonal imbalance. Although a decrease in male sex hormones is rarely a direct cause of problems in sexual life, you should consult an urologist and an endocrinologist if you notice a decrease in libido combined with a decrease in beard and mustache growth, an increase in body weight, general apathy and depression.

Viagra should be taken about an hour before the planned sex. Then the drug will have time to absorb in the blood and begin to act. One pills of any dosage if effective from 4 to 6 hours, during which you can have sex, enjoying a strong erection and fully satisfying your partner. For some patients, the medicine lasts longer, for others not so long – it all depends on the individual characteristics of the organism: sexual constitution, weight, sensitivity to the active substance. If it seems to you that the effect of the medicine is not sufficiently pronounced, it is best not to try to take another tablet in an hour or two (even if the initial dosage was 25 mg), but do it the next day. Please note that the maximum allowable daily dosage of this medicine is 100 mg.

Cheap generic Viagra, what is real price?

Fortunately, there is an affordable alternative to branded Viagra – these are the generics (analogues) of this drug. They contain the same active substance as the branded medicine and don’t differ from it in the nature of the effect on the male organism. Nevertheless, it is not surprising that the generics of Viagra may have a different shape or color of pills, or they may even be made in the form of soft chewable tablets or sachets, because excipients in generics may differ from those in the original drug. This is permitted by pharmaceutical law. The price of generics is always lower than the price of the original medicine, and this is not about a difference of quite a small 5-15%. Generic Sildenafil is cheaper than branded Viagra at least twice, and more often even more. It’s completely realistic to buy this medicine for about $2 per pill.

The production of Sildenafil generics became possible after the expiration of the patent protection for the original medicine. In some countries, this happened in 2014, in some – in 2017. The first to be involved in the production of generic Viagra were Indian pharmaceutical companies, and they achieved great success in this field. Available to a wide range of consumers, high-quality analogues of American and European branded medicines have long become a kind of calling card of many Indian corporations.

Until now, some conservative American consumers are suspicious of Indian medicines, they say, what good can be produced in a third world country? However, don’t lag behind the times: India is an actively developing country, medicine and pharmaceuticals being one of its priority areas. All drugs are manufactured using the best modern equipment and undergo rigorous quality control. Sometimes generic medications even turn out to have less side effects than their branded prototype, since the technology of production of the latter one hasn’t changed for two decades.

Generic Viagra is produced by many companies and sold under a large number of trade names: Sildenafil Citrate, Sildenafil, Generic Viagra, Silagra, Kamagra, Viagra Soft and many others. All they determine the same medication. As for soft pills and sachets, they differ from ordinary pills not by action, but by the time of onset of the effect: they absorb into blood quicker, and their effect is manifested already in 10 or 15 minutes after the intake. In combination with the possibility of covert reception, this makes these release forms an optimal solution in cases where it is necessary to inconspicuously bring yourself into a combat state.

How To Buy Cheap Generic Viagra Online?

Despite the fact that the international pharmaceutical market has a fairly large number of generics of Viagra, both Indian and manufactured in other countries (Canada, Hungary, New Zealand, etc.), you are unlikely to find them in local pharmacies in the USA. The best way to purchase medicine from a wide range of ED generic drugs is to place an order for delivery on the website of one of the many Indian online pharmacies that deliver to the United States. As a rule, if the pharmacy has an international delivery function, the United States will be included in the list of countries to where delivery is performed. Free shipping of generic Viagra is sometimes available, especially if you order a large number of pills at once. If you want to save as much as possible during the purchase, please note that a large number of pills in the order guarantees you a lower price for each of them. It should also be remembered that buying pills with a higher dosage is more profitable – so, if you are taking 50 mg of Sildenafil, it is better to order 100 mg pills and divide them into two parts, then each dose will be less expensive. However, some patients find it inconvenient.

In general, the process of ordering medicines from abroad is no different from any purchase in an online store. You just check the availability of the products you are interested in on the pharmacy’s website, add drugs to the cart, enter your data necessary for processing the delivery, and pay for the order with your card. Some pharmacies also accept electronic payments through PayPal. Please note that on the payment page in the address bar of the browser there should be a secure connection icon – this is a guarantee that unauthorized persons will not be able to intercept your payment, as well as a certificate of good faith of the seller you selected.

Also, before placing an order, it is recommended to check whether the pharmacy has a license to trade in medicines. Attention! Don’t buy generic Viagra in foreign or local sex shops, they don’t have the right to sell pills to increase potency – the maximum that they can sell is dietary supplements.

Cautions for Taking Generic Viagra

Despite the widespread use of Viagra and its generics, not every man can take this medicine without causing harm to his health. In a good way, before using any medicine to combat ED, it will not be superfluous to visit an urologist, but most men neglect this advice, because there is nothing pleasant in sharing the information about your intimate problems with someone else, even if this is a doctor.

Therefore, before taking (and even buying) Sildenafil, you should carefully read the instructions for use and learn in which cases to take this medicine is not a good idea.

This medicine is not approved for use in patients who suffer from:

  • arrhythmia, severe heart failure
  • arterial hypertension or severe hypotension
  • peptic ulcer of the stomach or duodenum in the acute stage
  • Peyronie’s disease or a propensity for priapism
  • hereditary diseases of the retina
  • severe hepatic or renal failure

These are the main contraindications of Sildenafil citrate. In addition, it is not recommended to take drugs, the main active ingredient of which is Sildenafil citrate, for men with benign prostatic hyperplasia (BPH) and prostatitis in the acute stage. There are some other limitations, but they are much less relevant, you will find them in the instructions. Viagra can be taken by patients with diabetes.

Side Effects of Sildenafil Citrate

Common side effects that a patient may experience after taking generic Viagra pill, especially at a high dosage, include the following: a change in color perception (for example, when the green color appears blue, or vice versa), nasal congestion, headache, dizziness, heartburn, reddening of the skin of the face and neck.

More seldom a man can experience nosebleed, diarrhea, muscle pain, discomfort during urination, sleep disturbances.

Please note that of changes in color perception doesn’t pass within an hour, or loss of consciousness, as well as chest pain or tachycardia take place, you must stop taking the drug and consult a qualified doctor! The wish to improve potency should not result in harm to your body. Viagra exerts a rather large load on the cardiovascular system, which is why men who have had a heart attack or stroke shouldn’t take this drug.

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