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What is Sildenafil citrate and how does it work? Sildenafil citrate belongs to erectile dysfunction medication which enforces blood flow to the penis. It restores impaired erectile function and provides a natural response to sexual stimulation. The physiological mechanism of erection of the penis involves release of nitric oxide (N0) in the cavernous body during sexual stimulation. Nitric oxide activates the enzyme guanylate cyclase leading to increasing the levels of cyclic guanosine monophosphate (cGMP). This leads to relaxation of smooth muscles of the cavernous body and increase blood flow to the penis. Sildenafil is a powerful and selective inhibitor of cGMP-specific phosphodiesterase type 5 (PDE-5), which is responsible for the breakdown of cGMP in the cavernous body. Sildenafil citrate works naturally, meaning that it can work only in presence of sexual excitement. Sildenafil citrate tablets are made by different manufacturers like Vipro lifescience (sildigra, viprogra), Ranbaxy, Cipla, Aurochem, Sunrise remedies, Torrent and others.
Viprogra made by Vipro lifescience contains the same active ingredient sildenafil citrate as brand drug by Pfizer. The difference consists in shape and form of tablets, also sometimes excipients (adjuvant substances) and pharmacokinetic characteristics (absorption, distribution, metabolism, biotransformation and elimination). In general there is no significant difference in pharmacokinetic characteristics between generic Viprogra made by Vipro life science and brand drug made Pfizer. As Viprogra contains the same active ingredient - Sildenafil citrate, its efficiency is similar to brand Sildeanfil. Sildenafil citrate tablets made by Vipro correspond to the quality of GMP and ISO standards. When Sildenafil citrate (Viprogra) is prescribed? Viprogra (sildenafil citrate) is indicated for the treatment of erectile dysfunction in men over 18 years of age. Erectile dysfunction is defined as inability to achieve and maintain erection satisfactory for the sexual intercourse. Sildenafil citrate by Vipro must not be indicated in children and women. How Viprogra is taken? Viprogra is taken by mouth once daily. The recommended dose is 50 mg. In Insufficient therapeutic effect 100gr of sildenafil citrate may be indicated. In case of liver or kidney dysfunction, the dose can be decreased up to 25mg of sildenafil citrate. When Sildenafil citrate made by Vipro lifescience must not be used? Viprogra is contraindicated for use if you have or had the following conditions: · Reactions of hypersensitivity to any of the medication ingredients including and sildenafil citrate · Women · Children · Severe liver diseases · Severe kidney diseases · History of cardiovascular diseases such as heart attacks, strokes, coronary heart disease, angina · High or low blood pressure (hypertension or hypotension) · Retinitis pigmentosa · Multiply myeloma, sickle cell anemia, leukemia · Anatomical deformation of the penis such as angulation, Peyronie's disease, or cavernosal fibrosis · Concomitant applications with nitrates, alpha blockers and other medications As the medication is intended only for use in men, it should not be used during pregnancy and breastfeeding Which Sildenafil citrate side effects are possible during the treatment? Like other PDE5 inhibitors Sildenafil citrate may cause the following side effects: · Headache · Hot flashings · Dizziness · Dyspepsia · Nasal congestion, · Vision changes, · Diarrhea · Infections of the urogenital system · Skin rash Other Viprogra side effects may include: joint pain, flu-like symptoms, back pain, infections of the respiratory system In rare cases Sildenafil citrate made by Vipro lifescience may cause urinary incontinence, asthenia, priapism, anxiety, seizure, depression, gout, dry mouth, vomiting, loss of hearing, cataracts, muscle pain, insomnia. It is not proved the direct dependence between Sildenafil citrate and cardiovascular complications such as heart attacks, strokes, mini-strokes and other heart and blood vessels diseases. How does Sildenafil citrate may interact with other medicines? Sildenafil citrate must not be used in combination with: H2 histamine receptor blocker (Cimetidine). Cimetidine can significantly increase the blood levels of sildenafil citrate. This may increase the chance of Viprogra side effects · Protease inhibitors like Ritonavir, Saquinavir. Protease inhibitors can significantly increase the blood levels of Viprogra. This may lead to Sildenafilside effects. · Caclium channel blockers like Amlodipine. Patients taking Amlodipine (Norvasc) with Sidlenafil may experience extremely low blood pressure. · ACE inhibitor like lisinopril when used in combination with Sidlenafil may cause a drop of blood pressure. · Alpha blockers like doxasozin, tamsulosin when used with Sidlenafil may cause low blood pressure · Nitrates. A concomitant application of nitrates and sildenafil citrate is strictly contraindicated. Their simultaneous use may cause a life-threatening low blood pressure and fainting. · Macrolide antibiotics (erythromycin) may change the metabolism of Viprogra. · Antifungals like fluconazole, itraconazole, miconazole may change the metabolism of Sidlenafil . · Effectiveness and safety of Sidlenafil with Tadalafil or Vardenafil was not studied. Their combination should be avoided. · Make sure to inform your doctor if you are currently taking any herbal supplements called like herbal Sidlenafil , and other herbal supplement used for erectile dysfunction.
For patients from certain countries we require a valid prescription. If you do not have a prescription, please contact our customer support service. Where can I by Sildenafil citrate made by Vipro lifescience? You can buy generic Sidlenafil tablets made by Vipro under the name Viprogra at our online pharmacy. We provide the lowest prices and high quality of our product. How can I by Sildenafil citrate made by Vipro lifescience? You can buy Sildenafil citrate tablets made by Vipro under the name Viprogra using your Visa/Visa Electron card or E-check.