

CLASSIFICATION: PDE5 INHIBITOR (ERECTILE DYSFUNCTION)
ACTIVE SUBSTANCE: SILDENAFIL CITRATE
FORM: 4 TABLETS x 100 MG
ACTIVE HALF-LIFE: ~4 HOURS
DOSAGE: MEN 50-100 MG/DAY
ACNE: NOT APPLICABLE
WATER RETENTION: NONE
HIGH BLOOD PRESSURE (HBP): MAY LOWER BP
HEPATOTOXICITY: NOT TYPICAL
AROMATIZATION: NONE
MANUFACTURER: PFIZER
Viagra contains sildenafil citrate, a selective phosphodiesterase type 5 (PDE5) inhibitor used for the treatment of erectile dysfunction (ED) in adult men. When taken as directed, it enhances the body's natural response to sexual stimulation by helping increase blood flow to the penis. Viagra is a prescription medicine. Use only under a licensed clinician's guidance and in accordance with local laws.
Sexual stimulation releases nitric oxide (NO) in penile tissue, activating guanylate cyclase and raising cyclic guanosine monophosphate (cGMP). cGMP relaxes smooth muscle in the corpus cavernosum to allow increased arterial inflow and venous trapping—producing and maintaining an erection. PDE5 normally breaks down cGMP. By inhibiting PDE5, sildenafil helps maintain higher cGMP levels during sexual arousal, improving erectile quality. Without sexual stimulation, Viagra has no effect.
ED can be multifactorial—stress, poor sleep, low energy availability during cuts, certain medications, and cardiovascular risk factors may all contribute. For active individuals with a clinician's diagnosis of ED, on-label use of sildenafil can help restore confidence and sexual performance while broader health inputs (sleep, nutrition, stress management, cardiometabolic fitness) are optimized. It is not a performance enhancer in the gym; think of it as a targeted therapy for a specific concern.
Typical initial dosing for ED is 50 mg once as needed about 1 hour before sexual activity. Based on efficacy and tolerability, clinicians may adjust to 25 mg or 100 mg. Do not exceed one dose per day. Older adults, those on potent CYP3A4 inhibitors, or individuals with hepatic/renal impairment may require lower dosing. Never combine with nitrates.
Do not use Viagra if you take any nitrates (e.g., nitroglycerin, isosorbide) or riociguat; the combination can cause dangerously low blood pressure. Use caution with alpha-blockers (orthostatic hypotension risk)—your prescriber may separate timing and use the lowest effective doses. Avoid if advised by your cardiologist (e.g., unstable angina, recent myocardial infarction or stroke until cleared). Individuals with retinitis pigmentosa or a history of non-arteritic anterior ischemic optic neuropathy (NAION) should discuss risks carefully with a specialist.
Headache, flushing, nasal congestion, dyspepsia, dizziness, and transient visual changes (e.g., blue tint). Rare but serious events include priapism (erection > 4 hours), sudden vision or hearing loss, severe hypotension, or chest pain—seek emergency care immediately if these occur. Limit alcohol (which can worsen dizziness or hypotension) and discuss stimulant-heavy pre-workouts with your clinician if you're sensitive to blood pressure changes.
This listing is for genuine Pfizer Viagra 100 mg (4 tablets). Store at room temperature away from moisture/heat. Keep out of reach of children. Use only if prescribed and sourced legally in your jurisdiction. For authoritative details on indications, dosing, contraindications, and warnings, see the official MedlinePlus: Sildenafil.
Explore related options discussed with clinicians for individualized plans:
Medical & legal disclaimer: Educational content only—not medical advice. Use prescription medicines only under a licensed clinician's supervision and according to local laws.
Most users notice effects within 30–60 minutes, especially on an empty stomach. The activity window commonly lasts up to 4–5 hours, though this varies by individual and meal timing.
Moderate alcohol can worsen dizziness and sexual performance; heavy use is discouraged. Avoid "pump" products that contain nitrate salts or unknown stimulant blends. Discuss your supplement list and BP/HR sensitivity with your clinician.
Do not use Viagra with any nitrate medication or with riociguat—dangerous hypotension can occur. If you use an alpha-blocker, your prescriber may adjust timing and start at the lowest effective doses to reduce orthostatic symptoms.
No. Viagra is typically taken as needed, not more than once daily. Some patients may be candidates for daily options with other PDE5 inhibitors—your clinician will advise based on your history and goals.
Seek urgent care for chest pain, severe dizziness/fainting, sudden vision or hearing loss, or an erection lasting longer than 4 hours (priapism). Stop the drug and contact a clinician if severe symptoms occur.
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