Sildenafil

Common questions about sildenafil

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What should I do if 100 mg sildenafil is not working?

If you've taken 100 mg of sildenafil and it's not yielding the desired results, it can be quite frustrating. Below are some potential reasons for the ineffectiveness:

  • You might not have allowed sufficient time after taking the pill. Generally, sildenafil takes around 30 minutes to 1 hour to become effective.
  • Your individual response to sildenafil may be inadequate due to pre-existing health conditions like diabetes, hypertension, or various neurological disorders that affect erectile function.
  • Insufficient sexual arousal could be a factor, as sildenafil requires sexual stimulation to be effective.
  • The dosage may not be optimized for your specific needs. It’s advisable to consult your healthcare provider regarding the possibility of increasing your dosage.
  • Concurrent medications could be negatively impacting sildenafil’s efficacy.
How does sildenafil work?

Sildenafil functions as a phosphodiesterase type 5 (PDE5) inhibitor, which enhances blood circulation to the penis during sexual excitation. This mechanism assists men with erectile dysfunction in achieving and sustaining an erection. Moreover, it relaxes pulmonary blood vessels, which is utilized in treating pulmonary hypertension.

How should I take 100 mg sildenafil for best results?

To optimize the effectiveness of sildenafil:

  • Take it roughly 30 minutes to 1 hour before engaging in sexual activity for the best results.
  • A high-fat meal prior to taking it can impair its effects, so avoid consuming that type of meal.
  • Minimize alcohol consumption, as excessive intake can reduce the medication's effectiveness.
What if I experience side effects?

Common side effects associated with sildenafil usage may include:

  • Headaches, which can occur as a result of increased blood circulation.
  • Facial flushing, potentially from blood vessel dilation.
  • Stomach upset or indigestion.
  • Nasal congestion, a common reaction to the drug.
  • Changes in vision or visual disturbances.

Should you experience serious side effects, such as persistent chest pain, an erection lasting longer than 4 hours, or sudden vision loss, immediate medical attention is crucial.

Can lifestyle changes enhance the effectiveness of sildenafil?

Indeed, making certain lifestyle adjustments can bolster erectile function, thereby possibly augmenting sildenafil's effectiveness:

  • Maintaining a healthy weight through proper diet and exercise.
  • Engaging in regular physical activity.
  • Discontinuing smoking, which can impair vascular health.
  • Reducing alcohol intake to improve overall health.
  • Employing stress management techniques for emotional well-being.
What alternatives can I consider if sildenafil is not effective?

If 100 mg of sildenafil fails to produce the desired effect, there are alternative treatments worth considering:

  • Tadalafil (Cialis) - offers a longer duration of action and may be taken daily for ongoing effectiveness.
  • Vardenafil (Levitra) - shares similarities with sildenafil but may differ in time to onset.
  • Avanafil (Spedra) - potentially has a faster onset compared to sildenafil.
  • Alprostadil - can be administered via direct injection or as a urethral pellet for immediate effects.

It’s essential to discuss with your healthcare provider to determine the best alternative based on your specific needs.

Are there contraindications for taking sildenafil?

Yes, sildenafil is not appropriate for every individual. Consult your physician if you have any of the following:

  • A history of heart-related issues or strokes.
  • Use of nitrates for managing chest pain.
  • Low blood pressure conditions.
  • Health conditions that have advised against any form of sexual activity.
Is sildenafil safe for long-term use?

Generally, sildenafil is deemed safe for extended use; however, routine check-ups with your healthcare provider are recommended to monitor for any potential side effects or complications that may arise from long-term use.

Can 100 mg sildenafil be taken with other medications?

Combining sildenafil with certain medications may pose risks. Be sure to inform your physician about all prescriptions and over-the-counter products you are currently taking, particularly:

  • Nitrates, which could lead to dangerous drops in blood pressure.
  • Alpha-blockers, which may interact negatively with sildenafil.
  • Antidepressants, which could affect sexual function.
  • Antihypertensives, as they may influence blood pressure levels.

Your healthcare provider will assist in ensuring there are no harmful drug interactions.

What should I do if I forget a dose?

Sildenafil is typically taken on an as-needed basis rather than on a fixed schedule. If you forget to take a dose prior to sexual activity, you should take it upon remembering, but do not exceed the recommended dosage by taking an additional pill.

Can women take sildenafil?

While sildenafil is primarily indicated for men, there are instances when it is prescribed for women dealing with particular types of sexual dysfunction. Ongoing research is assessing its effectiveness and safety in women.

What should I avoid while taking sildenafil?

While using sildenafil, consider the following precautions:

  • Limit or avoid grapefruit juice, as it may influence how the drug functions in your body.
  • Refrain from excessive alcohol consumption, which can hinder the drug's effectiveness.
  • Be cautious with recreational drugs, as they can lead to adverse effects.
Can dietary changes improve erectile dysfunction?

Maintaining a nutritious diet can significantly support erectile function. Foods rich in antioxidants, healthy fats, and essential vitamins can promote vascular health. Consider including:

  • A variety of fruits and vegetables for essential nutrients.
  • Nuts and seeds packed with healthy fats.
  • Whole grains for sustained energy levels.
  • Lean proteins to support overall health.

Page last reviewed: 2 March 2022
Next review due: 2 March 2025