Viagra (sildenafil citrate)

Erectile Dysfunction

Erectile dysfunction is a common condition in men, characterized by the inability to get an erection and maintain it firm enough for a period of time for sexual intercourse. ED may also be referred as impotence.

This treatment plan will tackle some of the risks and the benefits of the treatment your healthcare provider is recommending. Be sure to read it along with the manufacturer’s insert that comes with the medicine. The manufacturer’s insert will contain full information on side effects, interactions, and other relevant information about your medicine (that you need to know).

Instructions

Viagra or sildenafil citrate is designed to improve penile blood flow to help achieve and maintain an erection during sexual activity. It is important to use it as prescribed. It also works best in conjunction with healthy lifestyle changes and choices.

Keep these things in mind when you are starting a sildenafil prescription:
  • Sildenafil is not a sexual enhancer and will not create A Spontaneous Erection. Sexual Stimulation And Arousal still must be present.
  • Give the medicine at least 4 attempts before coming to conclusions about its effectiveness. It likely won’t work as effectively for first-time use.
  • For most, Sildenafil Peaks an hour after taking it. But some people may take longer. Experimenting with your own unique timing can make a difference.
  • Food intake can impact the effectiveness of sildenafil. Take Sildenafil With A Glass Of Water while your stomach is empty for it to work more effectively and faster.
  • Try The Medication By Yourself First. This Allows You To Test Out How Sildenafil Affects You Before Testing It With Your Partner.

Follow Up Plan

When ready for a refill, you can either make a return visit for a refill or notify us about it via email. We will help make sure you’re on the lowest effective dosage and screen further for any side effects. Feel free to reach out through the Caredocnow platform whenever you have questions or concerns regarding this medicine.

Active Ingredients

This medicine contains one of the following active ingredients: phosphodiesterase type 5 inhibitors (PDE5i). If you happen to be allergic to any of the following components or the others listed in the manufacturer’s insert, please do not take this treatment, and call or message us right away.

  • Sildenafil
  • Tadalafil
  • Vardenafil

Allergies

This medicine could cause an allergic reaction if you have current allergies or to similar components in this treatment. If you are allergic to any of these components, please do not take this medicine, and call or message us right away, or visit your healthcare provider in person.

  • Sildenafil
  • Tadalafil
  • Vardenafil

Conditions

Your healthcare provider must have evaluated your medical history and reviewed the health information you have provided. But should changes arise, and if you develop any condition while taking these treatments, please do not take this medicine, and call or message us right away.

  • Anatomical penis deformation
  • A condition where sex is discouraged / not recommended
  • Bleeding / clotting disorders
  • Cardiovascular diseases
  • Arrhythmia or Family history of it
  • Kidney problems
  • Liver problems
  • Peptic ulcer
Pregnancy and Breast Feeding

Women, especially pregnant and breastfeeding women, should not take this medicine.

Side Effects

Emergency Side Effects

This medicine could cause life-threatening side effects and could be dangerous. If any of the following emergency side effects listed here or in the manufacturer’s insert occur to you, make sure to STOP taking the treatment right away. Call 911 for immediate medical help.

  • Abdominal swelling
  • Abnormal heartbeat or rhythms
  • Anxiety / Agitation
  • Changes in Hearing Or Vision
  • Difficulty Swallowing Or Swelling of the Throat
  • Jaundice Or Yellow Skin
  • Severe Skin Rashes
  • Severe Weakness Or Fatigue
  • Shortness Of Breath Or Wheezing
Other Side Effects

This medicine could cause further side effects and could be dangerous. If the following side effects listed below or in the manufacturer’s insert happen to you, please stop the treatment, call / message us, or visit your healthcare provider in person.

  • Anxiety
  • Changes in mental state
  • Dizziness
  • Low blood pressure
  • Passing out

Medicines, Supplements, Foods

Emergency Side Effects

Your healthcare provider must have evaluated your medical history and reviewed the health information you have provided. But should changes arise, and if you develop any condition while taking these treatments, please do not take this medicine, and call or message us right away. Some of these may create dangerous interactions with other medicines you are prescribed. Bring this to your healthcare provider’s attention for them to evaluate its risks and develop a safe treatment plan.

  • Alcohol (Ethyl)
  • Alfuzosin
  • Alprostadil
  • Amiodarone
  • Amyl
  • Nitrite (Poppers)
  • Anagrelide
  • Arsenic Trioxide
  • Azithromycin
  • Boceprevir
  • Butalbital
  • Troglitazone
  • Domperidone
  • Donepezil
  • Doxazosin
  • Dronedarone
  • Droperidol
  • Efavirenz
  • Procainamide
  • Propofol
  • Quercetin
  • Quinidine
  • Prazosin
  • Capsaicin
  • Carbamazepine
  • Chloramphenicol
  • Chloroquine
  • Chlorpromazine
  • Cilostazol
  • Ciprofloxacin
  • Citalopram
  • Clarithromycin
  • Cobicistat
  • Cocaine
  • Vandetanib
  • Rifampicin
  • Riociguat
  • Ritonavir
  • Saint John’s Wort
  • Saquinavir
  • Sevoflurane
  • Silodosin
  • Sotalol
  • Enzalutamide
  • Erythromycin
  • Conivaptan
  • Dabrafenib
  • Dapoxetine
  • Disopyramide
  • Dofetilide
  • Levofloxacin
  • Methadone
  • MiFEPRIStone
  • Mitotane
  • Modafinil
  • Molsidomine
  • Vasodilators (Organic Nitrates)
  • Escitalopram
  • Flecainide
  • Fluconazole
  • Fusidic Acid (Systemic)
  • Haloperidol
  • Ibutilide
  • Idelalisib
  • Indinavir
  • Itraconazole
  • Ketoconazole
  • Moxifloxacin
  • Nefazodone
  • Nelfinavir
  • Nevirapine
  • Stiripentol
  • Tamsulosin
  • Telaprevir
  • Telithromycin
  • Terazosin
  • Thioridazine
  • Topiramate
  • Voriconazole
  • Nitroprusside
  • Ondansetron
  • Oxaliplatin
  • Oxcarbazepine
  • Papaverine
  • Pentamidine
  • Phenobarbital
  • Phenytoin
  • Pimozide
  • Pioglitazone
  • Posaconazole

Risks

Accurate Information

Your healthcare provider is responsible for creating a personalized treatment plan based on the health information you’ve provided. They conduct their assessments based on what has been submitted. Based on these, it is equally your responsibility to provide honest and accurate information. Failing to do so can put you at risk of being misdiagnosed and for your conditions to not be treated properly. This is critical. Please bear this in mind. Should any changes arise, or if you need to update and clarify some information about your health, message or call us anytime.

Treatment Failure

This treatment may not be 100% effective. It could only work partially or may not at all resolve the condition for which you are seeking treatment. In case the treatment does not work, or you are experiencing side effects or worsening symptoms, you are encouraged to call or message us anytime. You may also directly call 911 or seek medical help immediately, in cases of emergency. In such instances, you may need to seek alternative treatment such as those listed below or in the follow-up plan.

Misdiagnosis or Delayed Diagnosis

Each time, there is always a risk for your healthcare provider to misdiagnose your condition, which in turn affects their recommendation for treatment. This risk is always present with a doctor in person, although finding additional signs and symptoms could aid in the assessment. The healthcare practitioners practicing through the Caredocnow platform rely on evidence-based practice, health guidelines, and clinical decisions for support to minimize these risks.

These would be the common diagnoses they normally attempt to rule out:

  • Anxiety
  • Cardiovascular Disease
  • Depression
  • Peyronie’s Disease
  • Testosterone Deficiency
Accepting or Declining Our Recommendation

When your healthcare provider recommends a treatment, it’s deemed to be the most suitable treatment for you, meaning, potential benefits would outweigh potential risks. However, you are entitled to evaluate this information. Gather your own thoughts with the aid of the manufacturer’s insert, any inputs from your in-person healthcare team, as well as other relevant information you can get hold of, in order to decide if the treatment plan is appropriate for you. Regardless of what is recommended, it will still be up to you. You are free to not follow the recommendations given you, although this comes with risks typically associated with no treatment.

Alternative Treatment

Your healthcare provider will always base their recommended treatment on the medical information you’ve provided and the medical guidelines appropriate for your case. But do know that alternative treatments are always available to you, even helpful in some cases. Some of these treatments may necessitate an in-person exam or procedure that the online platform cannot fulfill. You can still talk to us for advise or directly to your doctor in-person to consider these alternative treatments.

Alternative treatments that may be helpful to you in some cases:

  • Cognitive behavioral therapy
  • Penile injection therapy
  • Penile re-vascularization surgery

Self Care

  • Drug And Alcohol Treatment - Substance Abuse (Drug Use) And Alcohol Abuse both worsen Erectile Dysfunction. These can cause Long-Term complications
  • Exercise - Regular physical activity can help alleviate Stress, manage Weight Loss, and Increase Blood Flow
  • Quitting Smoking - This can benefit your health profoundly
  • Therapy - A Trained Therapist may be able to help you resolve Underlying Concerns That indirectly Affect Sexual Health / Cause Relationship Issues
  • Weight Loss - Being Overweight Can Worsen Erectile Dysfunction

Share with Your In-Person Healthcare Team

You may access your records at Caredocnow any time. We strongly recommend that you update your healthcare provider, pharmacist, and the rest of your in-person health care team regarding any new medicines you are taking or adding into your treatment plan. Feel free to ask a question, call or message us anytime for any health concerns. We will be pleased to share important health information about you with your in-person health care team.