Treatments/Sexual Health/Sildenafil
Sildenafil

Sexual Health

Sildenafil

As-needed tablet

Generic Viagra

The most widely prescribed treatment for erectile dysfunction, taken as needed roughly an hour before intimacy.

From $49/mo

Prescription treatment. Prescribed only when clinically appropriate, after review by a licensed provider.

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What to expect

Why patients choose sildenafil

Long track record and extensive safety data

Works within thirty to sixty minutes

Taken only when you need it

Lowest cost effective option

How it works

The mechanism

Sildenafil inhibits the PDE5 enzyme, which allows blood vessels in the penis to relax and fill in response to arousal. Sexual stimulation is still required for it to work.

Individual results vary.

Dosing

How it is taken

Taken roughly one hour before activity, ideally on an empty stomach as a heavy or fatty meal delays absorption. No more than one dose in twenty-four hours.

Safety information

What you should know before starting

Possible side effects

  • Headache
  • Facial flushing
  • Nasal congestion
  • Visual colour tint, which is uncommon and temporary

Not suitable for

  • Anyone taking nitrate medication, which is an absolute contraindication
  • Severe cardiovascular disease where sexual activity is inadvisable
  • Recent stroke or heart attack
  • Severe liver impairment

Prescription treatment. Prescribed only when clinically appropriate, after review by a licensed provider. This is not a complete list of risks. Your provider will review your full medical history before prescribing.

Questions

Frequently asked

Usually thirty to sixty minutes, and it stays effective for around four to six hours. Food, especially fatty food, slows it down noticeably.

A small amount is usually fine. Heavier drinking both worsens erectile function and increases side effects such as headache and dizziness.

This is common and rarely means failure. Dose adjustment, timing relative to meals, or switching to tadalafil often resolves it. Message your provider.

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A licensed provider reviews your intake and prescribes sildenafil only when clinically appropriate. Individual results vary.

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Prescription treatment. Prescribed only when clinically appropriate, after review by a licensed provider.