Sildenafil works by affecting the enzymes that control the blood vessels in the penis. By enabling blood flow to the penis, you are more likely to be able to get and keep an erection long enough for satisfactory sex. Studies show that Sildenafil is effective in around 75% of men with ED.

Sildenafil typically gets to work within 30-60 minutes of the tablet being swallowed. If you have taken Sildenafil with large quantities of food, it may take longer to take effect and so it could be longer before you’re able to get an erection.

Sildenafil is the generic form of Viagra. They are essentially the same treatment sold under a different name. Viagra is a well-known brand and therefore more expensive than the generic equivalent. In terms of ingredients and effectiveness, however, they are identical.

You should not take Sildenafil with other medications unless your doctor or pharmacist has told you that it is safe to do so. Sildenafil can interact with other medications, especially nitrates used in the treatment of chest pains and may result in a dangerously low drop in blood pressure.

If SIldenafil doesn't work for you the first time it may be because:

• you have not waited long enough for it to get to work before attempting to have see
• you have waited too long after taking it
• the dose was not high enough for your needs
• you were not sufficiently sexually aroused

States of anxiety and stress can prevent sexual arousal and may therefore make Sildenafil less effective. It is still important to be aroused and as relaxed as possible

No. There is no clear evidence stating that Sildenafil affects the fertility of men who take it.

Sildenafil is safe to take in the long term. There is no evidence to suggest that taking Sildenafil in accordance with dosage guidelines has any negative effects over the span of many months or even years.

The different strengths of Sildenafil (25mg, 50mg, 100mg) refer to the amount of the active ingredient present in each tablet. 50mg is a common starting dose for most men with ED, and this may be increased or decreased depending on your needs.

There are several alternatives to Sildenafil ranging from alternative medications to non-medical alternatives.

Medical alternatives include the generic medications Tadalafil (often sold under the brand name Cialis) and Vardenafil (often sold under the brand name (Levitra).

These are also PDE5 inhibitors and work in the same ways.

However, studies show that the effects of Tadalafil are longer-lasting with effects lasting up to 36 hours.

Other non-medical alternatives include penis pumps that use suction to draw blood flow to the penis, or penile rings that inhibit the flow of blood away from the penis for longer-lasting erections.

It's quick and easy to make sure that Sildenafil is the right ED treatment for you, before deciding on a dosage that best fits your needs.

A short online consultation is needed to make sure that this treatment is a good fit for you. This process is quick, easy and completely confidential.

Once we have determined that SIldenafil is a safe and appropriate ED treatment for you, the product can be made available.

Always consult with a licensed medical professional before starting any new treatment.