Viagra (sildenafil citrate)

Viagra (sildenafil citrate)

$ 0.76 per pill

Quick Overview

Generic Viagra is the first and the most well-known remedy for male erection. Its active ingredient is called Sildenafil. It provides enhanced blood flow to male genital area. The cavernous body are relaxed, then are filled with blood abundantly, whereby an erection appears, sufficient to perform an act of intimacy. Sildenafil has no effect on the brain. An erection is achieved only if there is a natural sexual arousal.

Manufacturer: Aurochem Pharmaceutical Pvt. Ltd., Centurion Laboratories, Fortune Healthcare Pvt Ltd, Fortune Healthcare Pvt Ltd.

Viagra: Sildenafil (Aurochem Pharmaceutical Pvt. Ltd.) , Cenforce (Centurion Laboratories) , Fildena (Fortune Healthcare Pvt Ltd) , Filagra (Fortune Healthcare Pvt Ltd.)

Viagra (Sildenafil citrate) 200 mg

Viagra
Sildenafil citrate
200 mg x 180 pills
$ 473.90 $ 450.95
$ 2.51 per pill
Buy
Viagra
Sildenafil citrate
200 mg x 120 pills
$ 357.90 $ 339.95
$ 2.83 per pill
Buy
Viagra
Sildenafil citrate
200 mg x 90 pills
$ 295.90 $ 280.95
$ 3.12 per pill
Buy
Viagra
Sildenafil citrate
200 mg x 60 pills
$ 224.90 $ 212.95
$ 3.55 per pill
Buy
Viagra
Sildenafil citrate
200 mg x 30 pills
$ 134.90 $ 127.95
$ 4.26 per pill
Buy
Viagra
Sildenafil citrate
200 mg x 20 pills
$ 99.90 $ 93.95
$ 4.70 per pill
Buy
Viagra
Sildenafil citrate
200 mg x 10 pills
$ 55.90 $ 51.95
$ 5.20 per pill
Buy

Viagra (Sildenafil citrate) 150 mg

Viagra
Sildenafil citrate
150 mg x 360 pills
$ 612.90 $ 582.95
$ 1.62 per pill
Buy
Viagra
Sildenafil citrate
150 mg x 270 pills
$ 540.90 $ 513.95
$ 1.90 per pill
Buy
Viagra
Sildenafil citrate
150 mg x 180 pills
$ 408.90 $ 388.95
$ 2.16 per pill
Buy
Viagra
Sildenafil citrate
150 mg x 120 pills
$ 307.90 $ 291.95
$ 2.43 per pill
Buy
Viagra
Sildenafil citrate
150 mg x 90 pills
$ 255.90 $ 242.95
$ 2.70 per pill
Buy
Viagra
Sildenafil citrate
150 mg x 60 pills
$ 190.90 $ 180.95
$ 3.02 per pill
Buy
Viagra
Sildenafil citrate
150 mg x 30 pills
$ 103.90 $ 97.95
$ 3.27 per pill
Buy
Viagra
Sildenafil citrate
150 mg x 20 pills
$ 77.90 $ 72.95
$ 3.65 per pill
Buy
Viagra
Sildenafil citrate
150 mg x 10 pills
$ 44.90 $ 41.95
$ 4.20 per pill
Buy

Viagra (Sildenafil citrate) 130 mg

Viagra
Sildenafil citrate
130 mg x 180 pills
$ 368.90 $ 350.95
$ 1.95 per pill
Buy
Viagra
Sildenafil citrate
130 mg x 120 pills
$ 287.90 $ 272.95
$ 2.27 per pill
Buy
Viagra
Sildenafil citrate
130 mg x 90 pills
$ 233.90 $ 221.95
$ 2.47 per pill
Buy
Viagra
Sildenafil citrate
130 mg x 60 pills
$ 181.90 $ 171.95
$ 2.87 per pill
Buy
Viagra
Sildenafil citrate
130 mg x 30 pills
$ 103.90 $ 97.95
$ 3.27 per pill
Buy
Viagra
Sildenafil citrate
130 mg x 20 pills
$ 76.90 $ 71.95
$ 3.60 per pill
Buy
Viagra
Sildenafil citrate
130 mg x 10 pills
$ 45.90 $ 42.95
$ 4.29 per pill
Buy

Viagra (Sildenafil citrate) 120 mg

Viagra
Sildenafil citrate
120 mg x 360 pills
$ 571.90 $ 543.95
$ 1.51 per pill
Buy
Viagra
Sildenafil citrate
120 mg x 270 pills
$ 473.90 $ 450.95
$ 1.67 per pill
Buy
Viagra
Sildenafil citrate
120 mg x 180 pills
$ 366.90 $ 348.95
$ 1.94 per pill
Buy
Viagra
Sildenafil citrate
120 mg x 120 pills
$ 269.90 $ 255.95
$ 2.13 per pill
Buy
Viagra
Sildenafil citrate
120 mg x 90 pills
$ 215.90 $ 204.95
$ 2.28 per pill
Buy
Viagra
Sildenafil citrate
120 mg x 60 pills
$ 179.90 $ 170.95
$ 2.85 per pill
Buy
Viagra
Sildenafil citrate
120 mg x 30 pills
$ 99.90 $ 93.95
$ 3.13 per pill
Buy
Viagra
Sildenafil citrate
120 mg x 20 pills
$ 72.90 $ 68.95
$ 3.45 per pill
Buy
Viagra
Sildenafil citrate
120 mg x 10 pills
$ 45.90 $ 42.95
$ 4.29 per pill
Buy

Viagra (Sildenafil citrate) 100 mg

Viagra
Sildenafil citrate
100 mg x 360 pills
$ 427.90 $ 406.95
$ 1.13 per pill
Buy
Viagra
Sildenafil citrate
100 mg x 270 pills
$ 351.90 $ 333.95
$ 1.24 per pill
Buy
Viagra
Sildenafil citrate
100 mg x 180 pills
$ 254.90 $ 241.95
$ 1.34 per pill
Buy
Viagra
Sildenafil citrate
100 mg x 120 pills
$ 174.90 $ 165.95
$ 1.38 per pill
Buy
Viagra
Sildenafil citrate
100 mg x 90 pills
$ 151.90 $ 143.95
$ 1.60 per pill
Buy
Viagra
Sildenafil citrate
100 mg x 60 pills
$ 115.90 $ 109.95
$ 1.83 per pill
Buy
Viagra
Sildenafil citrate
100 mg x 30 pills
$ 67.90 $ 63.95
$ 2.13 per pill
Buy
Viagra
Sildenafil citrate
100 mg x 20 pills
$ 55.90 $ 51.95
$ 2.60 per pill
Buy
Viagra
Sildenafil citrate
100 mg x 10 pills
$ 31.90 $ 29.95
$ 3.00 per pill
Buy

Viagra (Sildenafil citrate) 50 mg

Viagra
Sildenafil citrate
50 mg x 360 pills
$ 395.90 $ 375.95
$ 1.04 per pill
Buy
Viagra
Sildenafil citrate
50 mg x 270 pills
$ 307.90 $ 291.95
$ 1.08 per pill
Buy
Viagra
Sildenafil citrate
50 mg x 180 pills
$ 221.90 $ 210.95
$ 1.17 per pill
Buy
Viagra
Sildenafil citrate
50 mg x 120 pills
$ 160.90 $ 151.95
$ 1.27 per pill
Buy
Viagra
Sildenafil citrate
50 mg x 90 pills
$ 135.90 $ 128.95
$ 1.43 per pill
Buy
Viagra
Sildenafil citrate
50 mg x 60 pills
$ 101.90 $ 95.95
$ 1.60 per pill
Buy
Viagra
Sildenafil citrate
50 mg x 30 pills
$ 60.90 $ 56.95
$ 1.90 per pill
Buy
Viagra
Sildenafil citrate
50 mg x 20 pills
$ 46.90 $ 43.95
$ 2.20 per pill
Buy
Viagra
Sildenafil citrate
50 mg x 10 pills
$ 28.90 $ 26.95
$ 2.69 per pill
Buy

Viagra (Sildenafil citrate) 25 mg

Viagra
Sildenafil citrate
25 mg x 360 pills
$ 289.90 $ 274.95
$ 0.76 per pill
Buy
Viagra
Sildenafil citrate
25 mg x 270 pills
$ 228.90 $ 216.95
$ 0.80 per pill
Buy
Viagra
Sildenafil citrate
25 mg x 180 pills
$ 158.90 $ 150.95
$ 0.84 per pill
Buy
Viagra
Sildenafil citrate
25 mg x 120 pills
$ 118.90 $ 111.95
$ 0.93 per pill
Buy
Viagra
Sildenafil citrate
25 mg x 90 pills
$ 95.90 $ 90.95
$ 1.01 per pill
Buy
Viagra
Sildenafil citrate
25 mg x 60 pills
$ 69.90 $ 65.95
$ 1.10 per pill
Buy
Viagra
Sildenafil citrate
25 mg x 30 pills
$ 41.90 $ 38.95
$ 1.30 per pill
Buy
Viagra
Sildenafil citrate
25 mg x 20 pills
$ 31.90 $ 29.95
$ 1.50 per pill
Buy
Viagra
Sildenafil citrate
25 mg x 10 pills
$ 19.90 $ 17.95
$ 1.79 per pill
Buy

Information

Cardiovascular complications

During the post-marketing use of Sale Super Viagra Accept Bitcoin for the treatment of erectile dysfunction, adverse events such as severe cardiovascular complications (including myocardial infarction, unstable angina, sudden cardiac death, ventricular arrhythmia, hemorrhagic stroke, transient ischemic attack, hypertension and hypotension) were reported, which had a temporary connection with the use of Buy Viagra With Bitcoins. Most of these patients, but not all of them, had risk factors for cardiovascular complications. Many of these adverse events were observed shortly after sexual activity, and some were observed after taking Buy Viagra Bitcoin without subsequent sexual activity. It is not possible to establish a direct link between the reported adverse events and those or other factors.

Hypotension

Buy Viagra Bitcoin has a systemic vasodilating effect, leading to a transient decrease in blood PRESSURE, which is not clinically significant and does not lead to any consequences in most patients. However, before prescribing Buy Viagra With Bitcoins, the doctor should carefully assess the risk of possible undesirable manifestations of vasodilating action in patients with relevant diseases, especially against the background of sexual activity. Increased susceptibility to vasodilators is observed in patients with obstruction of the output tract of the left ventricle (aortic stenosis, GOCMP), as well as with the rare syndrome of multiple systemic atrophy, manifested by a severe violation of the regulation of blood PRESSURE from the autonomic nervous system.

Since the combined use of Buy Viagra Bitcoin and α-blockers can lead to symptomatic hypotension in some sensitive patients, Pay For Viagra With Bitcoin should be used with caution in patients taking α-blockers (see "Interaction"). To minimize the risk of postural hypotension in patients taking α-blockers, the drug Buy Viagra Bitcoin should be started only after achieving stabilization of hemodynamic parameters in these patients. It should also consider reducing the initial dose of The Purchase Of Extra Super Viagra (see. "Dosage and administration"). The doctor should inform patients about what actions should be taken in case of symptoms of postural hypotension.

Buy Viagra Bitcoin is a potent selective inhibitor of cGMP-specific PDE-5.



Mechanism of action

The implementation of the physiological mechanism of erection is associated with the release of nitric oxide (NO) in the cavernous body during sexual stimulation. This, in turn, leads to an increase in the level of cGMP, the subsequent relaxation of smooth muscle tissue of the cavernous body and an increase in blood flow.

Pay For Kamagra With Bitcoin does not have a direct relaxing effect on the isolated cavernous human body, but enhances the effect of nitric oxide by inhibiting PDE-5, which is responsible for the disintegration of cGMP.

Selective How To Buy Viagra With Bitcoin Online Pharmacy against PDE5 in vitro, its activity against PDE5 superior activity against other known PDE isoenzymes: PDE-6 — 10 times; PDE-1 more than 80 times; PDE-2, PDE-4, PDE-7 PDE–11 more than 700 times. Buy Viagra Bitcoin is 4000 times more selective for PDE-5 than PDE-3, which is crucial because PDE-3 is one of the key enzymes in the regulation of myocardial contractility.

A prerequisite for the effectiveness of Buy Viagra Bitcoin is sexual stimulation.

Buy Sildenafil With Bitcoin Or Credit Card restores impaired erectile function in conditions of sexual stimulation by increasing blood flow to the cavernous bodies of the penis.

Cardiovascular complications

During the post-marketing use of Sildenafil Bitcoin Pharmacy Online for the treatment of erectile dysfunction, adverse events such as severe cardiovascular complications (including myocardial infarction, unstable angina, sudden cardiac death, ventricular arrhythmia, hemorrhagic stroke, transient ischemic attack, hypertension and hypotension) were reported, which had a temporary connection with the use of Buy Viagra Bitcoin. Most of these patients, but not all of them, had risk factors for cardiovascular complications. Many of these adverse events were observed shortly after sexual activity, and some were observed after taking Buy Viagra Bitcoin without subsequent sexual activity. It is not possible to establish a direct link between the reported adverse events and those or other factors.

Visual impairment

In rare cases, during post-approval use of all of the inhibitors of PDE5, including Generic Sildenafil For Bitcoin, reported NESN is a rare disease and the cause of the decrease or loss of vision. Most of these patients had risk factors, such as decreased ratios of excavation diameter to optic disc (stagnant disc), age over 50, diabetes, hypertension, CHD, hyperlipidemia, and Smoking. In an observational study evaluated whether recent use of drugs class of inhibitors PDE-5 with an acute onset NESN. The results indicate approximately a 2-fold increase in risk of developing NESN within 5T1/2 after application of the PDE-5 inhibitor. According to published literature, the annual incidence of npins IS 2.5–11.8 cases per 100,000 men aged ≥50 years in the General population. Patients should be advised to stop Buy Viagra Bitcoin therapy in case of sudden loss of vision and consult a doctor immediately. Persons who have already had a case NESN have an increased risk of relapse NESN. Therefore, the doctor should discuss this risk with such patients, as well as the potential chance of adverse effects of PDE-5 inhibitors. PDE-5 inhibitors, including Buy Viagra Bitcoin, in such patients should be used with caution and only in situations where the expected benefit outweighs the risk.

When using the drug Buy Viagra Bitcoin in doses exceeding the recommended, adverse events were similar to those noted above, but usually more common.

*Side effects identified during post-marketing studies.

Interaction

Effect of other drugs on the pharmacokinetics of Buy Viagra Bitcoin

The metabolism of Buy Viagra Bitcoin occurs mainly under the action of CYP3A4 isoenzyme (main pathway), so inhibitors of this isoenzyme can reduce the clearance of Buy Viagra Bitcoin, and inducers, respectively, increase the clearance of Buy Viagra With Bitcoins. A decrease in the clearance of Buy Viagra Bitcoin with simultaneous use of inhibitors of CYP3A4 isoenzyme (ketoconazole, erythromycin, cimetidine).

Cimetidine (800 mg), a nonspecific inhibitor of CYP3A4 isoenzyme, when taken together with Buy Viagra Bitcoin (50 mg) causes an increase in the concentration of Buy Viagra Bitcoin in plasma by 56%.

A single dose of 100 mg of Buy Viagra Bitcoin together with erythromycin (500 mg/day 2 times a day for 5 days), a moderate inhibitor of CYP3A4 isoenzyme, while achieving a constant concentration of erythromycin in the blood, leads to an increase in the AUC of Buy Viagra Bitcoin by 182%.

When co-administered Buy Viagra With Bitcoins (once 100 mg) and saquinavir (1200 mg/day 3 times daily), an inhibitor of HIV protease and of CYP3A4, on the background to achieve a constant concentration of saquinavir in the blood, Cmax of Viagra Bitcoin Pharmacy Online was increased by 140% and the AUC increased by 210%.

Stronger inhibitors of CYP3A4 isoenzyme, such as ketoconazole and Itraconazole, can cause more pronounced changes in the pharmacokinetics of Buy Viagra Bitcoin.

The simultaneous use of Buy Viagra Bitcoin (100 mg once) and ritonavir (500 mg 2 times a day), an inhibitor of HIV protease and a strong inhibitor of cytochrome P450, on the background to achieve a constant concentration of ritonavir in the blood leads to an increase in Cmax of Buy Sildenafil Bitcoin by 300% (4 times), a AUC by 1000% (11-fold). After 24 h, the concentration of Buy Viagra Bitcoin in blood plasma is about 200 ng/ml (after a single application of one Buy Female Viagra With Bitcoin — 5 ng/ml). This is consistent with the ritonavir effect on a wide range of cytochrome P450 substrates. Buy Viagra Bitcoin does not affect the pharmacokinetics of ritonavir. Given these data, the simultaneous reception of ritonavir and Buy Viagra Bitcoin is not recommended. In any case, the maximum dose of Buy Viagra Bitcoin under any circumstances should not exceed 25 mg for 48 hours. If Buy Viagra Bitcoin is taken in the recommended doses, patients receiving strong inhibitors of CYP3A4 isoenzyme at the same time, then Cmax free Buy Viagra Bitcoin does not exceed 200 nm, and the drug is well tolerated.

Single administration of antacid (magnesium hydroxide/aluminum hydroxide) does not affect the bioavailability of Buy Viagra Bitcoin.

Studies involving healthy volunteers with simultaneous use of endothelin receptor antagonist, bosentan (CYP3A4 isoenzyme inducer (moderate), CYP2C9, and possibly CYP2C19) in Css (125 mg 2 times a day) and Buy Female Viagra With Bitcoin in Css (80 mg 3 times a day) showed a decrease in AUC and Cmax Buy Viagra Bitcoin by 62.6 and 52.4%, respectively. Buy Viagra With Bitcoins increased the AUC and Cmax of bosentan by 49.8 and 42%, respectively.

It is assumed that the simultaneous use of Buy Sildenafil With Bitcoin with powerful inducers of CYP3A4 isoenzyme, such as rifampicin, can lead to a greater decrease in the concentration of Buy Viagra Bitcoin in blood plasma.

CYP2D6 isoenzyme inhibitors (SSRIs, tricyclic antidepressants), thiazide and thiazide-like diuretics, ACE inhibitors and calcium antagonists have no effect on the pharmacokinetics of Buy Viagra Bitcoin.

Azithromycin (500 mg/day for 3 days) has no effect on AUC, Cmax, Tmax, excretion rate constant and T1/2 Buy Viagra Bitcoin or its main circulating metabolite.

The Purchase Of Extra Super Viagra

Our bestsellers