FAQ :  sildenafil

What is sildenafil?

• Sildenafil relaxes muscles and increases blood flow to particular areas of the body.
• Sildenafil under the name Viagra is used to treat erectile dysfunction (impotence) in men. Another brand of sildenafil is Revatio, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women.
• Sildenafil may also be used for purposes other than those listed here.

What should I discuss with my doctor before taking sildenafil?

• Do not take sildenafil if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking sildenafil with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.
• A small number of patients have had a sudden loss of eyesight after taking sildenafil. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether sildenafil is the actual cause of such vision loss. Sudden vision loss with sildenafil use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.
• Before taking sildenafil, tell your doctor if you have:
• heart disease or heart rhythm problems;
• a recent history (in the past 6 months) of a heart attack, stroke, or heart rhythm disorder;
• congestive heart failure;
• high or low blood pressure;
• coronary artery disease;
• liver disease;
• kidney disease;
• a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
• a bleeding disorder such as hemophilia;
• a stomach ulcer;
• retinitis pigmentosa (an inherited condition of the eye);
• a physical deformity of the penis (such as Peyronie's disease); or
• if you have been told you should not have sexual intercourse for health reasons.
• If you have any of these conditions, you may not be able to use sildenafil or you may need a dosage adjustment or special tests during treatment.
• FDA pregnancy category B: This medication is not expected to be harmful to an unborn baby. Do not use sildenafil without telling your doctor if you are pregnant or plan to become pregnant during treatment.
• It is not known if sildenafil passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take sildenafil?

• Take each dose with a full glass of water.
• Avoid taking High-fat food before taking Viagra as it may cause the medicine to take more time to start working.
• Sildenafil is usually taken only when needed, 30 - 90 minutes before sexual activity. The medication can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.
• Do not take sildenafil more than once a day. Allow 24 hours to pass between doses.
• Store this medication at room temperature away from moisture and heat.

What happens if I miss a dose?

• Viagra is used as needed, so you are not likely to miss a dose.
• If you miss a dose of Revatio, take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

• Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a sildenafil overdose may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

What should I avoid while taking sildenafil?

• Avoid drinking alcohol, which can increase some of the side effects of sildenafil.
• Avoid using other medicines to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), without first talking to your doctor.

What are the possible side effects of sildenafil?

• If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of sildenafil.
• Stop using sildenafil and get emergency medical help if you have sudden vision loss.
• Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
• Stop using sildenafil and call your doctor at once if you have any of these serious side effects:
• chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
• irregular heartbeat;
• swelling in your hands, ankles, or feet;
• shortness of breath;
• vision changes;
• feeling light-headed, fainting; or
• penis erection that is painful or lasts 4 hours or longer.
  
• Continue taking sildenafil and talk with your doctor if you have any of these less serious side effects:
• warmth or redness in your face, neck, or chest;
• stuffy nose;
• headache;
• upset stomach; or
• back pain.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What drug(s) may interact with ?

Do not take sildenafil if you are taking the following medications:

• nitroglycerin-type drugs for the heart or chest pain such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, even if these are only taken occasionally

Sildenafil may also interact with the following medications:

• alpha blockers, used for high blood pressure or an enlarged prostate. NOTE: Do not take doses of sildenafil higher than 25 mg within 4 hours of taking alpha blockers, such as alfuzosin (UroXatral®), doxazosin (Cardura®), prazosin (Minipress®), or terazosin (Hytrin®).
• bosentan
• certain drugs used for seizures such as carbamazepine, phenytoin, and phenobarbital
• certain drugs used for fungal or yeast infections, such as fluconazole, ketoconazole, and voriconazole
• certain drugs for the treatment of HIV infection or AIDS
• cimetidine
• cisapride
• clarithromycin
• diltiazem
• erythromycin
• grapefruit juice
• mibefradil
• nitroprusside
• rifabutin
• rifampin
• quinidine
• some drugs for treating depression, anxiety or other mood problems (examples: fluoxetine, fluvoxamine, nefazodone)
• verapamil

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

Generic Viagra we offer is available in 50mg and 100mg tabs. These are fixed dosages of Sildenafil (the active ingredient) in the pills: thus a 50mg Viagra pill contains 50 mg of Sildenafil concentrate and a 100mg Viagra pill contains 100mg of Sildenafil. The standard dose for achieving the effect is a 50mg pill. However, the ingredient effects different people in a different way so we would recommend you to start with 25mg (split a 50mg pill in two and take one half only) to see if this is enough for you. If not - take a whole 50mg pill.

All the medications one can see in our product lists are generic.

The difference between a brand name medicine and a generic one is in the name, shape and in the price. A generic drug is usually called by the name of the active ingredient while a manufacturer uses a brand name. However, a manufacturer cannot possess a patent for a certain chemical agent, this is why manufacturers of generic medications can legally produce the so-called "generics". They are the same chemically and since the active ingredient is identical, they have the same medical effect. Thus buying a generic medication one pays less but gets the very same result.

Unlike generic drugs, a large part of the costs incurred by original manufacturers of brand name drugs are for research and development and advertising. The expense of obtaining FDA approval alone in the U.S. is enormous. Manufacturers of generic drugs do not have to absorb or recover these costs. Consequently, significant cost savings can be passed along to you.

As we have already mentioned that no manufacturer can take out a patent for a chemical agent. Thus generics can have the exactly same active ingredients as the brand pills. However, names and appearance (shape and color) of medications can be and are always patented and should be treated as the intellectual property. Thus using the name and the shape of the brand pills a manufacturer producing generic medications will be accused of the copyright infringement. This is why generic pills look different, they are of a different color and have a different shape if compared to a brand name pill.

High quality of the medications we offer is the subject of our primary concern. The logic is very simple: the better the quality of goods is, the more customers we have. Thus we are very attentive and selective in the choice of the supplier, the quality of goods is thoroughly tested and the documentation is closely checked. The medications are manufactured in India by an Indian state licensed, Indian FDA approved company. Each package of the products we sent out includes the Certificate of Analysis obtained from the manufacturer's laboratory and fully adheres to the Indian law.

No, you need not. We do not require any prescription from our customers. However we consult your medical details with   our Doctor  , who further review  your medical history and decide weather your order should be approved or not , and further gives you a prescription  .If your order is not approved by our Doctor we simply don’t charge your card , and you are informed whereas if your are approved , we simply charge your card and ship your order . ( This complete procedure takes only 24 hours )

How long does the shipment take ?

A shipment usually takes between ten and fifteen working days.

The orders are shipped to almost all countries of the world.

The medications are manufactured in India , thus the orders are processed and sent out from there.

Your privacy is very important for us. Your order will be sent  in an envelope containing your name ,  and address details  and at the back side containing our company name ,address , and other details.

If this happen, you'll be informed. They ask the recipient to come and give a permission to examine the parcel. After that you should receive your products. If you have any problems with getting your order, please let us know and we will try to resolve the problem.

Are there any hidden costs I should be aware of?

No, there are no hidden costs.

What is your security policy?

We  committed to patient privacy and security. All the information you supply to us is  protected under doctor-patient privilege. All personal and credit card information is submitted with the highest level of security for your protection.

FAQ : tadalafil

What is tadalafil?

• Tadalafil relaxes muscles and increases blood flow to particular areas of the body.
• Tadalafil is used to treat erectile dysfunction (impotence).
• Tadalafil may also be used for purposes other than those listed in this medication guide.

What should I discuss with my doctor before taking tadalafil?

• Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking tadalafil with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.
• A small number of patients have had a sudden loss of eyesight after taking tadalafil. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether tadalafil is the actual cause of such vision loss. Sudden vision loss with tadalafil use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.
• Before taking tadalafil, tell your doctor if you have:
• heart disease or heart rhythm problems;
• a recent history a heart attack (within the past 90 days);
• a recent history of stroke or congestive heart failure (within the past 6 months);
• angina (chest pain);
• high or low blood pressure;
• liver disease;
• kidney disease (or if you are on dialysis);
• a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
• a bleeding disorder such as hemophilia;
• a stomach ulcer;
• retinitis pigmentosa (an inherited condition of the eye);
• a physical deformity of the penis (such as Peyronie's disease); or
• if you have been told you should not have sexual intercourse for health reasons.
• If you have any of these conditions, you may not be able to use tadalafil or you may need a dosage adjustment or special tests during treatment.
• FDA pregnancy category B: Although tadalafil is not for use in women, this medication is not expected to be harmful to an unborn baby. Do not use tadalafil without telling your doctor if you are pregnant or plan to become pregnant during treatment.
• Although tadalafil is not for use in women, it is not known if tadalafil passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
• You may need a lower dose of this medication if you are older than 65. Follow your doctor's instructions.

How should I take tadalafil?

• Take each dose with a full glass of water.
• Avoid taking High-fat food before taking Viagra as it may cause the medicine to take more time to start working.
• Tadalafil is usually taken only when needed, 30 - 60 minutes before sexual activity. The medication can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.
• Do not take tadalafil more than once a day. Allow 24 hours to pass between doses.
• Store this medication at room temperature away from moisture and heat.

What happens if I miss a dose?

• Since tadalafil is used as needed, you are not likely to be on a dosing schedule.

What happens if I overdose?

• Seek emergency medical attention if you think you have used too much of this medicine.
• Symptoms of a tadalafil overdose may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

What should I avoid while taking tadalafil?

• Avoid drinking alcohol, which can increase some of the side effects of tadalafil.
• Grapefruit and grapefruit juice may interact with tadalafil. Discuss the use of grapefruit products with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
• Do not use any other drug to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), unless your doctor tells you to.

What are the possible side effects of tadalafil?

• If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of tadalafil.
• Stop using tadalafil and get emergency medical help if you have sudden vision loss.
• Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
• Stop using tadalafil and call your doctor at once if you have any of these serious side effects:
• chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
• irregular heartbeat;
• swelling in your hands, ankles, or feet;
• shortness of breath;
• vision changes;
• feeling light-headed, fainting; or
• penis erection that is painful or lasts 4 hours or longer.
• Continue taking tadalafil and talk with your doctor if you have any of these less serious side effects:
• warmth or redness in your face, neck, or chest;
• stuffy nose;
• headache;
• upset stomach; or
• back pain.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What drug(s) may interact with tadalafil?

Do not take tadalafil if you are taking the following medications:

• nitroglycerin-type drugs for the heart or chest pain such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, even if these are only taken occasionally

Tadalafil may also interact with the following medications:

• alpha blockers, such as alfuzosin (UroXatral®), doxazosin (Cardura®), prazosin (Minipress®), or terazosin (Hytrin®), used to treat high blood pressure or an enlarged prostate.
• bosentan
• certain antibiotics such as clarithromycin, erythromycin, troleandomycin
• certain drugs used for seizures such as carbamazepine, phenytoin, and phenobarbital
• cimetidine
• cisapride
• diltiazem
• grapefruit juice
• medicines for fungal infections (fluconazole, itraconazole, ketoconazole, voriconazole)
• mibefradil
• nicardipine
• certain medicines for the treatment of HIV infection or AIDS
• quinidine
• rifabutin, rifampin or rifapentine
• some drugs for treating depression, anxiety or other mood problems (examples: fluoxetine, fluvoxamine, nefazodone)
• verapamil

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

All the medications one can see in our product lists are generic.

The difference between a brand name medicine and a generic one is in the name, shape and in the price. A generic drug is usually called by the name of the active ingredient while a manufacturer uses a brand name. However, a manufacturer cannot possess a patent for a certain chemical agent, this is why manufacturers of generic medications can legally produce the so-called "generics". They are the same chemically and since the active ingredient is identical, they have the same medical effect. Thus buying a generic medication one pays less but gets the very same result.

Unlike generic drugs, a large part of the costs incurred by original manufacturers of brand name drugs are for research and development and advertising. The expense of obtaining FDA approval alone in the U.S. is enormous. Manufacturers of generic drugs do not have to absorb or recover these costs. Consequently, significant cost savings can be passed along to you.

As we have already mentioned that no manufacturer can take out a patent for a chemical agent. Thus generics can have the exactly same active ingredients as the brand pills. However, names and appearance (shape and color) of medications can be and are always patented and should be treated as the intellectual property. Thus using the name and the shape of the brand pills a manufacturer producing generic medications will be accused of the copyright infringement. This is why generic pills look different, they are of a different color and have a different shape if compared to a brand name pill.

High quality of the medications we offer is the subject of our primary concern. The logic is very simple: the better the quality of goods is, the more customers we have. Thus we are very attentive and selective in the choice of the supplier, the quality of goods is thoroughly tested and the documentation is closely checked. The medications are manufactured in India by an Indian state licensed, Indian FDA approved company. Each package of the products we sent out includes the Certificate of Analysis obtained from the manufacturer's laboratory and fully adheres to the Indian law.

No, you need not. We do not require any prescription from our customers. However we consult your medical details with   our Doctor  , who further review  your medical history and decide weather your order should be approved or not , and further gives you a prescription  .If your order is not approved by our Doctor we simply don’t charge your card , and you are informed whereas if your are approved , we simply charge your card and ship your order . ( This complete procedure takes only 24 hours )

How long does the shipment take ?

A shipment usually takes between ten and fifteen working days.

The orders are shipped to almost all countries of the world.

The medications are manufactured in India , thus the orders are processed and sent out from there.

Your privacy is very important for us. Your order will be sent  in an envelope containing your name ,  and address details  and at the back side containing our company name ,address , and other details.

If this happen, you'll be informed. They ask the recipient to come and give a permission to examine the parcel. After that you should receive your products. If you have any problems with getting your order, please let us know and we will try to resolve the problem.

Are there any hidden costs I should be aware of?

No, there are no hidden costs.

What is your security policy?

We  committed to patient privacy and security. All the information you supply to us is  protected under doctor-patient privilege. All personal and credit card information is submitted with the highest level of security for your protection.