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[8-21-2015]The Food and Drug Administration (FDA) is advising consumers not to purchase or use Citivall, a product promoted for sexual enhancement. This product was identified during an examination of potential consumer purchase or use activity in 2015.

FDA laboratory analysis confirmed that Citivall contains sildenafil, the active ingredient in Viagra, a medication used to treat erectile dysfunction. This undeclared ingredient may interact with nitrates found in some prescription drugs, such as nitroglycerin, and may lower blood pressure to dangerous levels. Men with diabetes, high blood pressure, high cholesterol, or heart disease often take nitrates.

Consumers should stop using this product and contact their health care provider, if you experience any signs of low blood pressure, including a pounding in the ears, dizziness, nausea, or chest pain. Consumers should also stop using this product immediately and seek medical attention from their health care provider, who may initiate appropriate treatment or laboratory analysis for safety reasons.

Health care professionals and patients are encouraged to report adverse events or side effects related to the use of these products to the FDA's MedWatch Safety Information and Adverse Event Reporting Program:

Note: This notification is to inform the public of a growing trend of dietary supplements or conventional foods with hidden drugs and chemicals. These products are typically promoted for sexual enhancement, weight loss, and body building and are often represented as being “all natural.” FDA is unable to test and identify all products marketed as dietary supplements that have potentially harmful hidden ingredients. Consumers should exercise caution before purchasing any product in the above categories.

Refer to the links below for more information:

Refer to the links below for more information

FDA laboratory analysis confirmed Citivall contains sildenafil, the active ingredient in Viagra, a medication used to treat erectile dysfunction.

Consumers should also stop using this product immediately and seek medical attention from their health care provider, who may initiate appropriate treatment or laboratory analysis for safety reasons

Safety warning for sildenafil citrate, a medication used to treat erectile dysfunction
  • Increased risk of cardiovascular events in patients taking nitrates: Although the risk of increased cardiovascular events has been shown to be dose-related, the observed increases in blood pressure observed in the clinical trials of a particular nitrate regimen (e.g., “poppers”) in combination with nitrates are not considered to be dose related and do not increase the risk of cardiovascular events.
  • Increased risk of serious gastrointestinal (GI) symptoms: The increased incidence of serious GI symptoms seen with use of nitrates in combination with nitroglycerin has been associated with the use of other nitrates in addition to the nitroglycerin, including isosorbide dinitrate, isosorbide mononitrate, and nitrite.
  • Increased risk of increased mortality in patients taking nitrates: The observed increased mortality rates observed in the clinical trials of a particular nitrate regimen (e.g., “poppers”) in combination with nitrates, including isosorbide dinitrate, isosorbide mononitrate, and nitrite, have not been considered to be dose-related and do not increase the risk of cardiovascular events.
  • Increased risk of prolonged QT interval (long QT syndrome): The observed increases in blood pressure that occurred following a single oral dose of sildenafil citrate, the active ingredient in Viagra, the generic drug of Viagra, the brand name for Cialis, have not been considered to be dose related and do not increase the risk of cardiovascular events.

Introduction About VIAGRA 50MG TABLET

Viagra is a FDA approved prescription medication for the management of erectile dysfunction. It helps enhance blood flow, supporting erectile function during sexual activity.

Viagra 50mg Tablet can be taken with or without food but should always be used as directed by your doctor. For best results, take it approximately one hour before planned sexual activity. While the time it takes to work may vary from person to person, it usually starts acting within 30 minutes to an hour. This medicine works only when there is sexual stimulation. Do not exceed the recommended dose of one tablet in 24 hours.

Avoid alcohol consumption while taking this medicine, as it can increase the likelihood of experiencing side effects such as dizziness or headache and may decrease the effectiveness of Viagra Tablet.

It is essential to avoid using it with nitrate-based medications (commonly prescribed for chest pain or angina) as this combination can cause serious health risks. Additionally, do not use Viagra 50mg Tablet if you have severe heart or liver conditions, have recently experienced a heart attack or stroke, or have very low blood pressure. Always inform your doctor about your medical history before starting this medication.

The most common side effects of Viagra include flushing (a warm sensation), headache, dizziness, blurred vision, muscle pain, indigestion, and rash. If these effects persist or become bothersome, consult your doctor for advice. They may adjust your dosage or suggest an alternative treatment. Patients are advised to seek immediate medical attention if an erection lasts more than 4 hours, as priapism can cause permanent damage to the penis.

How should I take?

Patients should take this Viagra 50mg Tablet at their own risk and to get the maximum benefit, not from a controlled substance (e.g. alcohol, HRT, certain appetite-OUNTER foods).

Patients should not use Viagra if they are pregnant, planning to get pregnant, breastfeeding, or have given their birth within the past 14 days. – Take by post.

Do not exceed the recommended do not take dose, period.

The time it takes to see significant effects depends on the individual and the medication. Always consult your doctor before starting any medical treatment or increasing the dosage of any medication.

For best results, let your doctor know about your medical history before starting this treatment. You should also not use Viagra 50mg Tablet if you are allergic to Viagra or any other medications mentioned in thisrazenication.

The time it takes to work may vary depending on your medical history and the medication you are taking. Always consult your doctor for advice before starting any medical treatment.

For specific instructions on how to take this tablet please see the box on the package contains the instructions on taking this tablet.

For specific instructions on taking this tablet please see the box on the package contains the instructions on taking this tablet.

Do not use Viagra 50mg Tablet if you are pregnant, planning to get pregnant, breastfeeding, or have given your birth within the past 14 days.

The time it takes to see significant effects depends on the individual and the medication you are taking.

Do not use Viagra 50mg Tablet if you are pregnant, planning to get pregnant, breastfeeding, or have given their birth within the past 14 days.

How much Viagra Can I Take?

The recommended dose of Viagra is 50mg four times a day, as required by the FDA. This medicine can be taken with or without food.

How It Works

Viagra, when taken, can help treat the symptoms of erectile dysfunction in men.

Erectile dysfunction is a condition in which a man has difficulty achieving or maintaining an erection during sexual stimulation ( auditory or visual signs).

Viagra works by helping to increase blood flow to the penis, which helps to enhance the likelihood of relaxing the smooth muscles in the penis and improve blood flow. This increase in blood flow can prevent an erection from lasting longer than 4 hours.

For men who have also experienced a heart attack or stroke, Viagra can help manage the symptoms.

Viagra 50mg Tablet works by helping to improve blood flow to the penis, enabling men to get and to maintain an erection. This increased blood flow can help sexually stimulated achieve and maintain an erection.

Order Genuine Viagra Online And Get Relief From Erectile Dysfunction

17 August, 2020|Holy Winter - Healthcare Writer

Looking for the best deals on Viagra tablets? When you in the UK from a reputed internet pharmacy, you not only get the best price but also an e-prescription and guaranteed free next day delivery – how’s that for value?

Viagra is Recommended Worldwide

Viagra, manufactured by Pfizer, is the most popular erectile dysfunction medication around the world. This revolutionary drug works by increasing blood flow to the penis which helps a man attain and sustain an erection required for penetrative sex. Viagra tablets need around half an hour to start working and their effect can last for up to four hours and beyond depending on the person’s age, dosage, health condition, level of sexual stimulation etc.

Order with Free E-Prescription

Viagra is a prescription medication – whether you want to online or offline, you will need a prescription. Regulated internet pharmacies provide confidential and convenient services where you simply select the preferred treatment and answer a few simple questions relating to your health. Your answers will be reviewed by a qualified doctor to assess your suitability for the treatment. If you’re found to be eligible, the doctor will provide a free e-prescription and the pharmacy section of the establishment will dispatch the medication at the earliest.

Select From Different Options

Viagra tablets are available in different strengths ranging from 25 mg to 100 mg. While buying Viagra tablets online, you can choose the desired strength and the number of tablets – delivery is still subject to approval by the qualified doctor. You also have the choice of opting for low-cost generic Sildenafil (the active ingredient in Viagra) or genuine Viagra manufactured by Pfizer. If cost is not an obstacle, original Viagra is a great option since it’s trusted worldwide.

Free Next Day Delivery

Viagra tablets ordered online can be delivered as early as the next day provided you meet the cut-off time on the day you order. To ensure complete discretion, reliable internet pharmacies follow a stringent privacy protection policy and deliver the medication in plain, unbranded packaging. They deliver countrywide, even to remote locations such as the Scottish Highlands and the Channel Islands, albeit with longer lead times.

So you see how convenient it is to buy Viagra tablets online? For complete peace of mind, purchase from a verifiable, legally registered British online pharmacy!

Reviewed By

Omar El-Gohary

The superintendent and lead pharmacist - registration number 2059792.

Omar is passionate about developing healthcare technology to empower our patients.

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Quick information

Viagra tablets are prescription-only. If you are allergic to sildenafil or any of the other ingredients of Viagra, you should not consume the medication. If you suffer from erectile dysfunction (ED), or any other condition, any review of possible side effects of Viagra, taken as described in the label, before using Viagra, read on a specific time and location. Do not take more than one tablet a day.

Viagra is not recommended for use in children

Active Ingredients: Viagra - For sale by mouthTake 1 tablet a day. Avoid taking this medication if you are allergic to sildenafil or other ingredients in Viagra. Do not take this medication if you are allergic to any of the ingredients.

Viagra has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Viagra use include:

  • Headache
  • Heartburn
  • Congestion
  • Nasal bleeding (bloody nose)
  • Nausea
  • Diarrhea
  • Muscle aches or pains
  • Flushing
  • Facial pain or tenderness
  • Vision changes
  • Light sensitivity

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any nitrate medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

asthma is a brand of Viagra from Merck, which can cause it to take longer to affect your heart if you take it with a recent history of heart attacks or high blood pressure. VIAGRA asthma as the only prescription medication for the condition.Share ThisgarAGE Getty Images Buy Viagra comes with a black box warning that it could cause a serious heart attack or stroke if taken with a high-dose of a nitrate medicine. The warnings also include a serious risk of sudden death if taken at the same time as certain medications that can interact with Viagra.