Erection problems (impotence) are very common, particularly in men over 40.
Most men occasionally fail to get or keep an erection.This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.
If it happens more often, it may be caused by physical or emotional problems.
Possible cause Treatment
Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol
Hormone problems hormone replacement – for example, testosterone
Side effects of prescribed medication change to medicine following discussion with GP
You may also be asked to make lifestyle changes.
lose weight if you’re overweight
eat a healthy diet
try to reduce stress and anxiety
cycle for a while (if you cycle more than 3 hours a week)
drink more than 14 units of alcohol a week
Viagra (Sildenafil) is a treatment for adult men with erectile dysfunction, sometimes known as impotence.
Viagra (Sildenafil) contains the active substance sildenafil which belongs to a group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors. It works by helping to relax the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited. Sildenafil will only help you to get an erection if you are sexually stimulated.
(Viagra) Sildenafil with food, drink and alcohol
Sildenafil can be taken with or without food. However, you may find that sildenafil takes longer to start working if you take it with a heavy meal.
Drinking alcohol can temporarily impair your ability to get an erection. To get the maximum benefit from your medicine, you are advised not to drink excessive amounts of alcohol before taking sildenafil.
The recommended starting dose is 50mg.
You should not take Viagra (sildenafil) more than once a day.
Do not take Viagra (sildenafil) film-coated tablets in combination with Viagra (sildenafil) containing orodispersible tablets or other erectile dysfunction medication.
You should take viagra (sildenafil) about one hour before you plan to have sex. Swallow the tablet whole with a glass of water. The tablet can be divided into equal halves.
Viagra (Sildenafil) will only help you to get an erection if you are sexually stimulated. The amount of time Viagra (sildenafil) takes to work varies from person to person, but it normally takes between half an hour and one hour. You may find that Viagra (sildenafil) takes longer to work if you take it with a heavy meal.
The tablet can be divided into equal halves.
The benefits of Viagra include:
- Improved ability to achieve and maintain an erection
- Increased confidence in your ability to achieve and maintain an erection
- Improved hardness of erection
- Readiness for sexual activity in as little as 60 minutes
Viagra has been developed for use by men:
- Regardless of age
- No matter how severe erectile dysfunction may be
- Who have undergone a prostatectomy (or have had partial removal of the prostate)
Like all medicines, this medicine can cause side effects although not everybody gets them. The side effects reported in association with the use of sildenafil are usually mild to moderate and of a short duration.
If you experience any of the following serious side effects stop taking sildenafil and seek medical help immediately:
An allergic reaction (this occurs rarely)
Symptoms include sudden wheeziness, difficulty in breathing or dizziness, swelling of the eyelids, face, lips or throat.
Chest pains (this occurs uncommonly): If this occurs during or after intercourse
Get in a semi-sitting position and try to relax.
Do not use nitrates to treat your chest pain.
Prolonged and sometimes painful erections (frequency unknown). If you have an erection which lasts for more than 4 hours, you should contact a doctor immediately.
A sudden decrease or loss of vision (frequency unknown)
Serious skin reactions (frequency unknown). Symptoms may include severe peeling and swelling of the skin, blistering of the mouth, genitals and around the eyes, fever.
Seizures or fits (frequency unknown)
Other side effects:
Very common (may affect more than 1 in 10 people): headache.
Common (may affect up to 1 in 10 people): facial flushing, indigestion, effects on vision (including colour tinge to vision, light sensitivity, blurred vision or reduced sharpness of vision), stuffy nose, dizziness.
These are not all the side effects of Cialis. For a full list see the Patient information leaflet
Further information can be found on the manufacturers patient information leaflet and printed if required.