Join more than 100,000 happy customers who have used Manual It’s a medicine that belongs to a group of drugs known as phosphodiesterase type 5 inhibitors, or PDE5 for short. These medicines, which includes Sildenafil help men who suffer erectile dysfunction get and maintain an erection suitable for sex.
| Dosage (mg) | Description | Typical Use | Price ($) |
|---|---|---|---|
| 50 | Standard starting dose | Mild to moderate ED | 10-15 |
| 100 | Higher potency | Severe ED | 15-25 |
| 25 | Low-dose option | For sensitive users | 8-12 |
| 200 | Extra high dose (rarely prescribed) | For special cases | 20-30 |
They work by opening the blood vessels in the penis, the increased blood flow helps maintain an erection. Sildenafil is the drug contained in several products, including Viagra Connect and Viagra.
It can also be taken in 25mg and 100mg forms. When you take Sildenafil for the first time, the most important thing is to relax and enjoy some sexual stimulation. This will give the drug the best chance to kick in and help you get the firm erection you’re looking for. Learn more about first-time use of Sildenafil on our blog. Sildenafil is the world’s most counterfeited drug – and there are many online vendors trying to pull a fast one.
So if it looks like too much of a good deal, it most likely is. Sildenafil was first brought to the UK market by global pharmaceutical giants, Pfizer, and it was only available under their brand name, Viagra. This exclusivity meant the price tag was high and many men couldn’t afford this type of legitimate ED medication. In 2013, however, Pfizer’s patent expired, and it became legal to manufacture the drug under its generic name, Sildenafil. Here at Manual, we provide sildenafil citrate 100 mg a digital consulting service. Sildenafil, or as some people know it Generic Viagra has been available since 2013, helping men get great value, low-cost treatment for their ED. Sildenafil Citrate is just the technical name for Sildenafil. Medicines are often poorly absorbed by the body and so they are administered as a salt form (Citrate) to improve their effectiveness.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Kamagra Oral Jelly | 100mg | 220 + 18 Sachets | 662.24€ 630.70€ | |
| Kamagra | 100mg | 360 + 6 Pills | 839.95€ 799.95€ | |
| Viagra Generic | 25mg | 360 + 10 Pills | 213.68€ 203.50€ | |
| Kamagra Polo | 100mg | 32 Pills | 125.88€ 119.89€ | |
| Viagra Generic | 200mg | 90 + 6 Pills | 170.79€ 162.66€ | |
| Kamagra Oral Jelly | 100mg | 10 Sachets | 54.55€ 51.95€ | |
| Viagra Generic | 150mg | 120 + 8 Pills | 177.58€ 169.12€ | |
| Viagra Generic | 25mg | 30 + 4 Pills | 47.97€ 45.69€ | |
| Viagra Generic | 150mg | 180 + 10 Pills | 236.46€ 225.20€ | |
| Viagra Generic | 150mg | 270 + 10 Pills | 326.61€ 311.06€ | |
| Kamagra Oral Jelly | 100mg | 90 + 8 Sachets | 303.56€ 289.10€ | |
| Kamagra | 100mg | 20 Pills | 86.09€ 81.99€ |
You will often see references to Sildenafil Citrate and Sildenafil all over the internet but be assured that all Sildenafil is Sildenafil Citrate. At Travelpharm we refer to our Sildenafil Citrate erectile dysfunction medicines as Sildenafil, or Generic Viagra. Sildenafil is licenced exclusively for the treatment of male erectile dysfunction and can be used in adults over 18 years old. This product should not be used by women.
The recommended retail price for branded Viagra Connect is equivalent to about £5 per pill. At Manual, the same Sildenafil is available for as little as £2 per tablet. Firstly, it’s important to know that side effects are rare. However, when they do occur, the most common side effects of Sildenafil are: headaches, facial flushing, indigestion, nasal congestion, dizziness, nausea, hot flushes, vision changes (such as having a blue colour tinge, or blurred vision). Serious side effects can become more common when Sildenafil is misused, mixed with excessive alcohol, or due to drug interactions with other medications.
Although rare, Priapism (an erection that lasts for 4 hours or more) is a serious side effect that requires immediate medical attention. Please read the patient information leaflet carefully for a full list of side effects and advice. As with any drug, if you notice any adverse effects, stop taking it and seek medical advice. Women should never take Sildenafil, and nobody under the age of 18 – male or female. And, of course, if you don’t have erectile dysfunction, you shouldn’t use Sildenafil. There is no upper age limit for Sildenafil but physical limitations and a patient’s medical health will play a part in deciding whether sex, which can be strenuous cardiovascular exercise is appropriate or suitable. Sildenafil should be used when sex is anticipated.
If you’ve been told by the doctor not to have sex – perhaps due to lack of fitness or a recent acute myocardial infarction (AMI) or stroke, you should also avoid Sildenafil. And generally, men who have had other heart problems needing care. These include: low blood pressure or uncontrolled high blood pressure (pulmonary arterial hypertension); unstable angina (chest pain), irregular heartbeat or palpitations (arrhythmia); valvular heart disease; cardiomyopathy; problems causing blood flow issues. Other conditions may prohibit the use of Sildenafil, such as anatomical deformation of the penis (e.g. And you should also confirm with your GP if you’re taking nitrates (nicorandil or other nitric oxide donors e.g.
amyl nitrite), or recreational stimulant drugs (e.g. cocaine, MDMA); riociguat or other guanylate cyclase stimulators; ritonavir; CYP3A4 inhibitors, e.g. Before using Sildenafil, please read the Patient Information Leaflet supplied with your medication. The Sildenafil in Viagra is one of a number of PDE5 enzyme inhibitors. Alternatives include Tadalafil (Cialis), Vardenafil (Levitra) and Avanafil (Spedra) – for which you do still need a prescription. It should ideally be taken 30-60 minutes before sex on an empty stomach or after a light meal. If this is the first time using Sildenafil 100mg, then we would recommend you start with Sildenafil 50mg tablets initially.
If Sildenafil stops working, it may mean a couple of things: If Sildenafil passes its shelf life, it may not work as effectively. This can happen if you take Sildenafil for many years. If this is the case, try a different ED medication, like Tadalafil. The causes of your erectile dysfunction have worsened. In some cases, the artery supplying your penis may be blocked completely.
If Sildenafil stops working, talk to a Manual clinician. “It’s put a spark back into my relationship and given me a huge amount of confidence in the bedroom.” Enabling the mission of revolutionising how men approach health, they are at the core of the men's wellness platform. Speak with one of our clinicians and get personalised advice. Curated by Dr. Earim Chaudry, Manual Medical Director When and how should I start treatment? If they are ineffective then try 100mg next time. Dose: One tablet when required 30-60 minutes before sex is anticipated.Maximum Dose: One tablet (100mg) daily. Sildenafil 100mg tablets can be used safely every day, but we would recommend you consider alternative products like Tadalafil 5mg if this is the case.
Duration of Action: approximately 4 hours Maximum Supply: 64 tablets (8 boxes) Active Ingredient: Each tablet contains Sildenafil 100mg. Inactive ingredients: these vary between brands, for further information please speak with our pharmacist.
You can drink with Sildenafil, but we recommend that you keep alcohol consumption to a minimum. That's because alcohol can exacerbate the medication’s possible side effects. We get that you might want a glass of wine or two to get in the mood. And a small amount probably won't hurt. But side effects can be serious and, at the very least, they can spoil the fun.
If Sildenafil does not work, try taking it at least a couple of hours after a meal. Fatty foods can slow down the onset of the drug, meaning you might miss optimal timings. Remember, it's best if you take Sildenafil about an hour before sex to ensure that it’s fully absorbed. We recommend that you try treatment eight different times before trying another ED treatment. This does not apply if you experience serious side effects, in which case you should stop immediately. This medicine is not suitable for patients who: Take medicines containing nitrates including, Nicorandil as this could reduce your blood pressure to a dangerous level.
Are using any drugs known as nitric oxide donors, such as amyl nitrate which often used recreationally. Are allergic to sildenafil or any other ingredients listed in the patient information leaflet. Suffer from severe heart or liver problems. Have recently had a stroke or heart attack Have a rare inherited eye disease called retinitis pigmentosa Have ever suffered a loss of vision due to non-arteritic ischaemic optic neuropathy. Have suffered priapism (prolonged painful erection) or suffer from anatomical deformations of the penis, for example, Peyronie’s disease and Cavernosal Fibrosis. Sildenafil tablets should be used with caution in patients who suffer from low blood pressure. Most patients who use Sildenafil 100mg tablets will not experience any side effects, but some of the very common (more than 1 in 10) and common (less than 1 in 100) include: This list is not exhaustive and for less common side effects please refer to the patient information leaflet. To ensure we can offer the best price online for our Sildenafil we will often change the supplier of our generic Viagra. Whilst the packaging may vary we can assure you that the active ingredient will remain identical and we only use UK licenced medicines from UK wholesalers. Typically we would stock brands of Sildenafil like TEVA, Mylan, Dr Reddy’s, Sandoz, Torrent and others.
What are the common side effects of Sildenafil? At Manual, we are experts on erectile dysfunction. In many patients, it can be caused by a combination of factors, and so do we advise having a GP checkup. If you decide to treat your ED, an oral medication like Sildenafil is the most popular way to start. Some men find just knowing it’s available to help improves their sexual confidence, and 80% of men who take Sildenafil will achieve erections strong enough for sex.
When and how should I start treatment? Here at Manual, all of our medication comes from the officially accredited Manual Pharmacy. Before you buy, you will receive a consultation from one of our clinicians, who are all registered with the UK’s General Pharmaceutical Council. Our pharmacist will prescribe you the correct dose of Sildenafil to best treat your ED. The normal dosage of Sildenafil is 50mg, and this has the desired effect for the vast majority of men who use it. Simply add the number of boxes you wish to purchase, up to the maximum of 8 packs (32 tablets) and click “Add to Basket”.
You will be presented with a series of questions will later be reviewed by our prescriber. Details of the prescriber on duty can be found in the footer of the website. If we have any problems with your order one of the team will get in touch and should the medicine not be suitable a full refund will be promptly issued.