Viagra (sildenafil citrate)

Viagra (sildenafil citrate)

$ 0.76 per pill

Quick Overview

Generic Viagra is the first and the most well-known remedy for male erection. Its active ingredient is called Sildenafil. It provides enhanced blood flow to male genital area. The cavernous body are relaxed, then are filled with blood abundantly, whereby an erection appears, sufficient to perform an act of intimacy. Sildenafil has no effect on the brain. An erection is achieved only if there is a natural sexual arousal.

Manufacturer: Aurochem Pharmaceutical Pvt. Ltd., Centurion Laboratories, Fortune Healthcare Pvt Ltd, Fortune Healthcare Pvt Ltd.

Viagra: Sildenafil (Aurochem Pharmaceutical Pvt. Ltd.) , Cenforce (Centurion Laboratories) , Fildena (Fortune Healthcare Pvt Ltd) , Filagra (Fortune Healthcare Pvt Ltd.)

Viagra (Sildenafil citrate) 200 mg

Viagra
Sildenafil citrate
200 mg x 180 pills
$ 473.90 $ 450.95
$ 2.51 per pill
Buy
Viagra
Sildenafil citrate
200 mg x 120 pills
$ 357.90 $ 339.95
$ 2.83 per pill
Buy
Viagra
Sildenafil citrate
200 mg x 90 pills
$ 295.90 $ 280.95
$ 3.12 per pill
Buy
Viagra
Sildenafil citrate
200 mg x 60 pills
$ 224.90 $ 212.95
$ 3.55 per pill
Buy
Viagra
Sildenafil citrate
200 mg x 30 pills
$ 134.90 $ 127.95
$ 4.26 per pill
Buy
Viagra
Sildenafil citrate
200 mg x 20 pills
$ 99.90 $ 93.95
$ 4.70 per pill
Buy
Viagra
Sildenafil citrate
200 mg x 10 pills
$ 55.90 $ 51.95
$ 5.20 per pill
Buy

Viagra (Sildenafil citrate) 150 mg

Viagra
Sildenafil citrate
150 mg x 360 pills
$ 612.90 $ 582.95
$ 1.62 per pill
Buy
Viagra
Sildenafil citrate
150 mg x 270 pills
$ 540.90 $ 513.95
$ 1.90 per pill
Buy
Viagra
Sildenafil citrate
150 mg x 180 pills
$ 408.90 $ 388.95
$ 2.16 per pill
Buy
Viagra
Sildenafil citrate
150 mg x 120 pills
$ 307.90 $ 291.95
$ 2.43 per pill
Buy
Viagra
Sildenafil citrate
150 mg x 90 pills
$ 255.90 $ 242.95
$ 2.70 per pill
Buy
Viagra
Sildenafil citrate
150 mg x 60 pills
$ 190.90 $ 180.95
$ 3.02 per pill
Buy
Viagra
Sildenafil citrate
150 mg x 30 pills
$ 103.90 $ 97.95
$ 3.27 per pill
Buy
Viagra
Sildenafil citrate
150 mg x 20 pills
$ 77.90 $ 72.95
$ 3.65 per pill
Buy
Viagra
Sildenafil citrate
150 mg x 10 pills
$ 44.90 $ 41.95
$ 4.20 per pill
Buy

Viagra (Sildenafil citrate) 130 mg

Viagra
Sildenafil citrate
130 mg x 180 pills
$ 368.90 $ 350.95
$ 1.95 per pill
Buy
Viagra
Sildenafil citrate
130 mg x 120 pills
$ 287.90 $ 272.95
$ 2.27 per pill
Buy
Viagra
Sildenafil citrate
130 mg x 90 pills
$ 233.90 $ 221.95
$ 2.47 per pill
Buy
Viagra
Sildenafil citrate
130 mg x 60 pills
$ 181.90 $ 171.95
$ 2.87 per pill
Buy
Viagra
Sildenafil citrate
130 mg x 30 pills
$ 103.90 $ 97.95
$ 3.27 per pill
Buy
Viagra
Sildenafil citrate
130 mg x 20 pills
$ 76.90 $ 71.95
$ 3.60 per pill
Buy
Viagra
Sildenafil citrate
130 mg x 10 pills
$ 45.90 $ 42.95
$ 4.29 per pill
Buy

Viagra (Sildenafil citrate) 120 mg

Viagra
Sildenafil citrate
120 mg x 360 pills
$ 571.90 $ 543.95
$ 1.51 per pill
Buy
Viagra
Sildenafil citrate
120 mg x 270 pills
$ 473.90 $ 450.95
$ 1.67 per pill
Buy
Viagra
Sildenafil citrate
120 mg x 180 pills
$ 366.90 $ 348.95
$ 1.94 per pill
Buy
Viagra
Sildenafil citrate
120 mg x 120 pills
$ 269.90 $ 255.95
$ 2.13 per pill
Buy
Viagra
Sildenafil citrate
120 mg x 90 pills
$ 215.90 $ 204.95
$ 2.28 per pill
Buy
Viagra
Sildenafil citrate
120 mg x 60 pills
$ 179.90 $ 170.95
$ 2.85 per pill
Buy
Viagra
Sildenafil citrate
120 mg x 30 pills
$ 99.90 $ 93.95
$ 3.13 per pill
Buy
Viagra
Sildenafil citrate
120 mg x 20 pills
$ 72.90 $ 68.95
$ 3.45 per pill
Buy
Viagra
Sildenafil citrate
120 mg x 10 pills
$ 45.90 $ 42.95
$ 4.29 per pill
Buy

Viagra (Sildenafil citrate) 100 mg

Viagra
Sildenafil citrate
100 mg x 360 pills
$ 427.90 $ 406.95
$ 1.13 per pill
Buy
Viagra
Sildenafil citrate
100 mg x 270 pills
$ 351.90 $ 333.95
$ 1.24 per pill
Buy
Viagra
Sildenafil citrate
100 mg x 180 pills
$ 254.90 $ 241.95
$ 1.34 per pill
Buy
Viagra
Sildenafil citrate
100 mg x 120 pills
$ 174.90 $ 165.95
$ 1.38 per pill
Buy
Viagra
Sildenafil citrate
100 mg x 90 pills
$ 151.90 $ 143.95
$ 1.60 per pill
Buy
Viagra
Sildenafil citrate
100 mg x 60 pills
$ 115.90 $ 109.95
$ 1.83 per pill
Buy
Viagra
Sildenafil citrate
100 mg x 30 pills
$ 67.90 $ 63.95
$ 2.13 per pill
Buy
Viagra
Sildenafil citrate
100 mg x 20 pills
$ 55.90 $ 51.95
$ 2.60 per pill
Buy
Viagra
Sildenafil citrate
100 mg x 10 pills
$ 31.90 $ 29.95
$ 3.00 per pill
Buy

Viagra (Sildenafil citrate) 50 mg

Viagra
Sildenafil citrate
50 mg x 360 pills
$ 395.90 $ 375.95
$ 1.04 per pill
Buy
Viagra
Sildenafil citrate
50 mg x 270 pills
$ 307.90 $ 291.95
$ 1.08 per pill
Buy
Viagra
Sildenafil citrate
50 mg x 180 pills
$ 221.90 $ 210.95
$ 1.17 per pill
Buy
Viagra
Sildenafil citrate
50 mg x 120 pills
$ 160.90 $ 151.95
$ 1.27 per pill
Buy
Viagra
Sildenafil citrate
50 mg x 90 pills
$ 135.90 $ 128.95
$ 1.43 per pill
Buy
Viagra
Sildenafil citrate
50 mg x 60 pills
$ 101.90 $ 95.95
$ 1.60 per pill
Buy
Viagra
Sildenafil citrate
50 mg x 30 pills
$ 60.90 $ 56.95
$ 1.90 per pill
Buy
Viagra
Sildenafil citrate
50 mg x 20 pills
$ 46.90 $ 43.95
$ 2.20 per pill
Buy
Viagra
Sildenafil citrate
50 mg x 10 pills
$ 28.90 $ 26.95
$ 2.69 per pill
Buy

Viagra (Sildenafil citrate) 25 mg

Viagra
Sildenafil citrate
25 mg x 360 pills
$ 289.90 $ 274.95
$ 0.76 per pill
Buy
Viagra
Sildenafil citrate
25 mg x 270 pills
$ 228.90 $ 216.95
$ 0.80 per pill
Buy
Viagra
Sildenafil citrate
25 mg x 180 pills
$ 158.90 $ 150.95
$ 0.84 per pill
Buy
Viagra
Sildenafil citrate
25 mg x 120 pills
$ 118.90 $ 111.95
$ 0.93 per pill
Buy
Viagra
Sildenafil citrate
25 mg x 90 pills
$ 95.90 $ 90.95
$ 1.01 per pill
Buy
Viagra
Sildenafil citrate
25 mg x 60 pills
$ 69.90 $ 65.95
$ 1.10 per pill
Buy
Viagra
Sildenafil citrate
25 mg x 30 pills
$ 41.90 $ 38.95
$ 1.30 per pill
Buy
Viagra
Sildenafil citrate
25 mg x 20 pills
$ 31.90 $ 29.95
$ 1.50 per pill
Buy
Viagra
Sildenafil citrate
25 mg x 10 pills
$ 19.90 $ 17.95
$ 1.79 per pill
Buy

Information

Dosage and administration

Inside, can be taken with or without water. When taking the drug, you should put a tablet, dispersed in the oral cavity, on the tongue, after which it will quickly dissolve, and it can be swallowed. The tablet should be taken immediately after opening the blister. Patients who are recommended a dose of Buy Sildenafil Bitcoin 100 mg, the second tablet of Kamagra For Bitcoin 50 mg should be taken after complete dissolution of the first tablet.

The recommended dose for most adult patients is 50 mg approximately 1 hour before sexual activity. Taking into account the effectiveness and tolerability of the dose can be increased to 100 mg or reduced to 25 mg (only tablets coated with a film, the appropriate dosage). The maximum recommended dose is 100 mg. Patients who are recommended a dose of Buy Sildenafil Bitcoin 100 mg, it is necessary to take 2 table., dispersible in the oral cavity, dosage 50 mg consecutively one after another. The maximum recommended frequency of use — 1 time per day. It should be borne in mind that the absorption of Buy Sildenafil Bitcoin significantly slows down when used in combination with fatty foods.

Special patient groups

Renal impairment. In mild to moderate renal failure dose adjustment is not required, in severe renal failure (Creatinine CL <30 ml/min) Buy Sildenafil Bitcoin dose should be reduced to 25 mg.

Hepatic impairment. Since the excretion of Generic Female Viagra For Bitcoin is disturbed in patients with liver damage (in particular, cirrhosis), the dose of Buy Sildenafil Bitcoin should be reduced to 25 mg.

Joint application with other drugs. Joint use with ritonavir is not recommended. In any case, the maximum dose of Buy Sildenafil Bitcoin under any circumstances should not exceed 25 mg, and the frequency of application — 1 time in 48 h (see "Interaction").

When combined with inhibitors of CYP3A4 isoenzyme (erythromycin, saquinavir, ketoconazole, Itraconazole), the initial dose of Buy Sildenafil Bitcoin should be 25 mg (see "Interaction").

To minimize the risk of postural hypotension in patients taking α-blockers, Buy Sildenafil Bitcoin should be started only after achieving hemodynamic stabilization in these patients. Consideration should also be given to reducing the initial dose of Buy Sildenafil Bitcoin (see special instructions and Interactions).

Old age. Adjustment of the dose of How To Buy Viagra With Bitcoin Online Pharmacy is not required.

The pharmacokinetics of Buy Sildenafil Bitcoin in the recommended dose range is linear.

Suction. After intake of Buy Sildenafil Bitcoin is rapidly absorbed. Absolute bioavailability averages about 40% (25 to 63%). In vitro Buy Sildenafil Bitcoin at a concentration of about 1.7 ng/ml (3.5 nm) inhibits the activity of PDE-5 50%. After a single dose of Buy Sildenafil Bitcoin 100 mg average Cmax free How To Buy Viagra With Bitcoin Online Pharmacy in plasma men is about 18 ng/ml (38 nm). Cmax when taking Buy Viagra With Bitcoins inside fasting is achieved for an average of 60 minutes (from 30 to 120 minutes). When taken in combination with fatty foods, the rate of absorption decreases: Cmax decreases by an average of 29%, and Tmax increases by 60 minutes, but the degree of absorption does not change significantly (AUC decreases by 11%).

Distribution. The average Vss of Buy Sildenafil Bitcoin is 105 l. the Association of Buy Sildenafil Bitcoin and its main circulating N-demethyl metabolite with plasma proteins is about 96% and does not depend on the total concentration of the drug. Less than 0.0002% of the dose of Pay For Kamagra With Bitcoin (an average of 188 ng) was found in sperm 90 minutes after taking the drug.

Metabolism. Buy Sildenafil Bitcoin is metabolized mainly in the liver by the action of CYP3A4 isoenzyme (main pathway) and CYP2C9 isoenzyme (minor pathway). The main circulating active metabolite, formed as a result of N-demethylation of Buy Viagra With Bitcoins, undergoes further metabolism. The selectivity of this metabolite against PDE is comparable to that of Buy Sildenafil Bitcoin, and its activity against PDE-5 in vitro is about 50% of the activity of Buy Viagra With Bitcoins. The concentration of the metabolite in the blood plasma of healthy volunteers was about 40% of the concentration of Buy Sildenafil Bitcoin. N-demethyl metabolite undergoes further metabolism; its T1/2 is about 4 no.

Breeding. The total clearance of Buy Sildenafil Bitcoin is 41 l/h, and the final T1/2 — 3-5 h. After oral administration, as well as after I/V, Buy Sildenafil Bitcoin is excreted as metabolites, mainly by the intestine (about 80% oral dose) and to a lesser extent by the kidneys (about 13% oral dose).

Cardiovascular complications

During the post-marketing use of Buy Sildenafil Bitcoin for the treatment of erectile dysfunction, adverse events such as severe cardiovascular complications (including myocardial infarction, unstable angina, sudden cardiac death, ventricular arrhythmia, hemorrhagic stroke, transient ischemic attack, hypertension and hypotension) were reported, which had a temporary connection with the use of Buy Sildenafil Bitcoin. Most of these patients, but not all of them, had risk factors for cardiovascular complications. Many of these adverse events were observed shortly after sexual activity, and some were observed after taking Buy Sildenafil Bitcoin without subsequent sexual activity. It is not possible to establish a direct link between the reported adverse events and those or other factors.

Visual impairment

In rare cases, during post-approval use of all of the inhibitors of PDE5, including Buy Sildenafil Bitcoin, reported NESN is a rare disease and the cause of the decrease or loss of vision. Most of these patients had risk factors, such as decreased ratios of excavation diameter to optic disc (stagnant disc), age over 50, diabetes, hypertension, CHD, hyperlipidemia, and Smoking. In an observational study evaluated whether recent use of drugs class of inhibitors PDE-5 with an acute onset NESN. The results indicate approximately a 2-fold increase in risk of developing NESN within 5T1/2 after application of the PDE-5 inhibitor. According to published literature, the annual incidence of npins IS 2.5–11.8 cases per 100,000 men aged ≥50 years in the General population. Patients should be advised to stop Buy Sildenafil Bitcoin therapy in case of sudden loss of vision and consult a doctor immediately. Persons who have already had a case NESN have an increased risk of relapse NESN. Therefore, the doctor should discuss this risk with such patients, as well as the potential chance of adverse effects of PDE-5 inhibitors. PDE-5 inhibitors, including Buy Sildenafil Bitcoin, in such patients should be used with caution and only in situations where the expected benefit outweighs the risk.

When using the drug Buy Sildenafil Bitcoin in doses exceeding the recommended, adverse events were similar to those noted above, but usually more common.

*Side effects identified during post-marketing studies.

Interaction

Effect of other drugs on the pharmacokinetics of Buy Kamagra With Bitcoin

The metabolism of Buy Sildenafil With Bitcoin Or Credit Card occurs mainly under the action of CYP3A4 isoenzyme (main pathway), so inhibitors of this isoenzyme can reduce the clearance of Buy Viagra With Bitcoin Or Credit Card, and inducers, respectively, increase the clearance of Buy Sildenafil Bitcoin. A decrease in the clearance of Buy Sildenafil Bitcoin with simultaneous use of inhibitors of CYP3A4 isoenzyme (ketoconazole, erythromycin, cimetidine).

Cimetidine (800 mg), a nonspecific inhibitor of CYP3A4 isoenzyme, when taken together with Buy Female Viagra With Bitcoins (50 mg) causes an increase in the concentration of Buy Sildenafil Bitcoin in plasma by 56%.

A single dose of 100 mg of Buy Sildenafil Bitcoin together with erythromycin (500 mg/day 2 times a day for 5 days), a moderate inhibitor of CYP3A4 isoenzyme, while achieving a constant concentration of erythromycin in the blood, leads to an increase in the AUC of Buy Viagra Bitcoin by 182%.

When co-administered Buy Sildenafil Bitcoin (once 100 mg) and saquinavir (1200 mg/day 3 times daily), an inhibitor of HIV protease and of CYP3A4, on the background to achieve a constant concentration of saquinavir in the blood, Cmax of The Purchase Of Extra Super Viagra was increased by 140% and the AUC increased by 210%.

Stronger inhibitors of CYP3A4 isoenzyme, such as ketoconazole and Itraconazole, can cause more pronounced changes in the pharmacokinetics of Cheap Viagra Professional Accept Bitcoin.

The simultaneous use of Buy Sildenafil Bitcoin (100 mg once) and ritonavir (500 mg 2 times a day), an inhibitor of HIV protease and a strong inhibitor of cytochrome P450, on the background to achieve a constant concentration of ritonavir in the blood leads to an increase in Cmax of Buy Female Viagra With Bitcoins by 300% (4 times), a AUC by 1000% (11-fold). After 24 h, the concentration of Buy Sildenafil Bitcoin in blood plasma is about 200 ng/ml (after a single application of one Buy Viagra With Bitcoins — 5 ng/ml). This is consistent with the ritonavir effect on a wide range of cytochrome P450 substrates. Buy Viagra Bitcoin does not affect the pharmacokinetics of ritonavir. Given these data, the simultaneous reception of ritonavir and Buy Viagra With Bitcoin is not recommended. In any case, the maximum dose of Generic Viagra For Bitcoin under any circumstances should not exceed 25 mg for 48 hours. If Buy Sildenafil Bitcoin is taken in the recommended doses, patients receiving strong inhibitors of CYP3A4 isoenzyme at the same time, then Cmax free Buy Sildenafil Bitcoin does not exceed 200 nm, and the drug is well tolerated.

Single administration of antacid (magnesium hydroxide/aluminum hydroxide) does not affect the bioavailability of Buy Sildenafil Bitcoin.

Studies involving healthy volunteers with simultaneous use of endothelin receptor antagonist, bosentan (CYP3A4 isoenzyme inducer (moderate), CYP2C9, and possibly CYP2C19) in Css (125 mg 2 times a day) and Buy Sildenafil Bitcoin in Css (80 mg 3 times a day) showed a decrease in AUC and Cmax Buy Sildenafil Bitcoin by 62.6 and 52.4%, respectively. Buy Sildenafil Bitcoin increased the AUC and Cmax of bosentan by 49.8 and 42%, respectively.

It is assumed that the simultaneous use of Buy Sildenafil Bitcoin with powerful inducers of CYP3A4 isoenzyme, such as rifampicin, can lead to a greater decrease in the concentration of Viagra Bitcoin Pharmacy Online in blood plasma.

CYP2D6 isoenzyme inhibitors (SSRIs, tricyclic antidepressants), thiazide and thiazide-like diuretics, ACE inhibitors and calcium antagonists have no effect on the pharmacokinetics of Buy Sildenafil Bitcoin.

Azithromycin (500 mg/day for 3 days) has no effect on AUC, Cmax, Tmax, excretion rate constant and T1/2 Buy Sildenafil Bitcoin or its main circulating metabolite.

Side effect

The most common side effects were headache and tides.

Usually the side effects of Kamagra Bitcoin Pharmacy Online are mild or moderate and are transient.

Studies using a fixed dose have shown that the frequency of some adverse events increases with increasing dose.

The frequency of adverse reactions is presented in the following classification: very often — ≥10%; often — ≥1% and <10%; infrequently — ≥0.1% and <1%; rarely — ≥0.01% and <0.1%; very rarely — <0.01%; frequency unknown — cannot be determined based on available data.

Co side of the immune system: infrequently — hypersensitivity reactions (including skin rash), allergic reactions.

On the part of the organ of vision: often — blurred vision, blurred vision, cyanopsia; rarely, eye pain, photophobia, photopsia, chromatopsia, eye redness/injection of the sclera, changing the brightness of cvetovete, mydriasis, conjunctivitis, hemorrhage in the tissue of the eye, cataract, a disorder of the lacrimal apparatus; rarely — swelling of the eyelids and adjacent tissues, a feeling of dryness in the eyes, the presence of iridescent circles in the field of view around the light source, increased fatigue of the eyes, vision of objects in yellow (xanthopsia), vision of objects in red (erythropsia), conjunctival hyperemia, irritation of the mucous membrane of the eyes, unpleasant sensations in the eyes; the frequency is unknown — NPINZN, occlusion of retinal veins, visual field defect, diplopia*, temporary vision loss or decreased visual acuity, increased IHD, edema retina, retinal vascular disease, vitreous detachment/vitreal traction.

On the part of the organ of hearing: infrequent — a sudden decrease or loss of hearing, tinnitus, pain in the ears.

From the CCC: often — tides; infrequently — tachycardia, palpitations, decreased blood PRESSURE, increased heart rate, unstable angina, AV-blockade, myocardial infarction, cerebral thrombosis, cardiac arrest, heart failure, deviations in ECG readings, cardiomyopathy; rarely — atrial fibrillation, sudden cardiac death*, ventricular arrhythmia*.

The blood and lymphatic system: rarely — anemia, leukopenia.

On the part of metabolism and nutrition: infrequently — a feeling of thirst, swelling, gout, uncompensated diabetes, hyperglycemia, peripheral edema, hyperuricemia, hypoglycemia, hypernatremia.

From the respiratory system: often — nasal congestion; infrequent — nosebleeds, rhinitis, asthma, dyspnea, laryngitis, pharyngitis, sinusitis, bronchitis, increased volume of sputum, increased cough; rarely — a feeling of tightness in the throat, dryness of the nasal mucosa, swelling of the nasal mucosa.

From the digestive tract: often — nausea, dyspepsia; uncommon — GERD, vomiting, pain in the abdomen, dryness of the mucous membrane of the mouth, glossitis, gingivitis, colitis, dysphagia, gastritis, gastroenteritis, esophagitis, stomatitis, rejection of liver function tests from normal, rectal bleeding; rarely, hypesthesia of the mucous membrane of the oral cavity.

On the part of the musculoskeletal system: often — back pain; infrequently — myalgia, pain in the limbs, arthritis, arthrosis, tendon rupture, tenosynovitis, bone pain, myasthenia gravis, synovitis.

From the genitourinary system: infrequently — cystitis, nicturia, breast enlargement, urinary incontinence, hematuria, ejaculation disorders, genital edema, anorgasmia, hematospermia, damage to the tissues of the penis; rarely — prolonged erection and/or priapism.

From the Central and peripheral nervous system: very often — headache; often — dizziness; infrequently — drowsiness, migraine, ataxia, hypertension, neuralgia, neuropathy, paresthesia, tremor, vertigo, symptoms of depression, insomnia, unusual dreams, increased reflexes, hypesthesia; rarely — convulsions*, repeated convulsions*, fainting.

On the part of the skin and subcutaneous tissues: infrequently — skin rash, urticaria, herpes simplex, itching, sweating, skin ulceration, contact dermatitis, exfoliative dermatitis; the frequency is unknown — Stevens-Johnson syndrome, toxic epidermal necrolysis.

Other: infrequently — a feeling of heat, swelling of the face, photosensitivity reaction, shock, asthenia, fatigue, pain of various localization, chills, accidental falls, chest pain, accidental injuries; rarely — irritability.

Buy Viagra With Bitcoin Or Credit Card

Our bestsellers