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KANGALORE:A senior member of the Ministry of Health (MOH) issued a draft order for two medicines, the antibiotics and the erectile dysfunction drug, which was taken by a Malaysian tourist.

The first batch of drugs, which will be sold as a combination pill with Viagra and Cialis, will be sold at an initial price of RM300.

The first batch of the two drugs will be sold in stores in a single pack at a price of RM100, after which the price will be doubled to RM300.

The medicine will be made available through the Ministry of Health’s online pharmacy, which will be located in a warehouse at the National University of Singapore (NUAS) Hospital.

The drug will be available in the form of tablets and capsules that can be taken with water, at least two hours before sexual activity. It should be taken with food, and the tablets should be taken with water.

A pharmacist at the NUAS Hospital in Sulu is working on the second batch, which will be sold at a retail price of RM100.

The medicine will be taken by a person who is aged 65 years old and has the ability to have erection.

The government health department and the ministry’s office of consumer affairs are working on the next batch of drugs.

The department also issued a draft order for two other antibiotics, which was taken by a Malaysian tourist, to be sold at an initial price of RM100.

The drug will be sold in pharmacies under the brand names penicillin, amoxicillin, and tetracycline.

A pharmacist at the NUAS Hospital in Sulu is working on the second batch of drugs.

The ministry of health issued a draft order for two other drugs, which was taken by a Malaysian tourist, to be sold at a retail price of RM50.

The ministry of health issued a draft order for two other antibiotics, which was taken by a Malaysian tourist, to be sold at a retail price of RM100.

Sildenafil citrate, commonly known by the brand name, is a prescription-only medicine used to treat erectile dysfunction (ED) in adult men. It works by improving blood flow to the penis, helping to achieve and maintain an erection during sexual activity.

Dosage and Administration

Sildenafil is available in 25mg, 50mg, and 100mg strengths.

  • The usual starting dose is 50mg, taken approximately one hour before sexual activity.
  • Dosage can be adjusted depending on individual response and tolerability.
  • Take only one tablet in 24 hours, with or without food.
  • Avoid grapefruit juice, as it can increase the risk of side effects.
  • A high-fat meal may delay onset of action.

Effectiveness

Sildenafil has been shown to be effective in up to 80% of men with ED, with effects typically noticeable within 30 to 60 minutes, and lasting for up to 4–5 hours.

Side Effects

Common side effects include:

  • Headache
  • Flushing
  • Nasal congestion
  • Indigestion

Less common but serious effects include visual disturbances, hearing changes, or prolonged erections. Seek medical attention if severe or persistent side effects occur.

Contraindications

Sildenafil should not be used by those:

  • Taking nitrates for chest pain
  • With severe heart or liver conditions
  • Under 18 years of age
  • With certain medication interactions (e.g. alpha-blockers, antifungals, antibiotics)

Interactions

Inform your doctor of all medications and supplements before use. Interactions may occur with:

  • Nitrates
  • Alpha-blockers
  • Some antibiotics and antifungal medicines

Alcohol and Heart Conditions

Avoid excessive alcohol while taking sildenafil, as it can lower blood pressure and increase side effect risk. Use with caution if you have any heart-related conditions.

Availability and Cost

Sildenafil is available by prescription only in the UK.

  • Generic versions are more affordable than branded Viagra.
  • Supplied by licensed UK pharmacies such as Online Chemist.
  • Avoid counterfeit products from unregulated websites.

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Store Notice: Orders placed after 11:00 AM on Friday, 23 May 2025 will be processed on the next working day, Tuesday, 27 May 2025, due to the bank holiday weekend. Thank you for your understanding.

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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.

asclosure agreement

If you are experiencing a Viagra reaction, seek medical attention immediately.

SAFETY RENDiscussion, discussion, presentation, summary

This is a short section with many topics discussed in greater depth. Please consult your health care provider for more information.

closeReferral to physician

Referral to physician is an ongoing process that may take several months, even with ongoing care, as the patient continues to take Viagra. This process involves a series of close family and medical appointments, which may take several months to a year. Often, a new patient will be started on Viagra medication after a year of regular follow-ups and blood pressure readings. As a rule of thumb, patients will not start a new medication without first seeking prior written referral.

Most physicians recommend that patients see a doctor who can prescribe medication. This process typically takes about two months, and the doctor will issue a referral letter explaining the potential risks and benefits of Viagra. Patient needs may then be evaluated by a urologist or other specialist to determine if the patient is suitable for medication.

Signed by the physician, the patient may be referred for follow-up appointments or periodic blood pressure readings.

Viagra reaction

Most patients first undergo a blood pressure and blood sugar test, which are performed periodically. The results will be reported to the appropriate doctor. If the results indicate a problem, the doctor may write a letter in the patient’s medical record stating that the patient is not suitable for Viagra. If the results do not indicate a problem, the doctor may refer the patient for a prescription of Viagra.

Viagra is not approved for use in children under 18 years of age. Viagra is not approved for use in women or children under the age of 18 years. Viagra should not be taken with nitrates such as isosorbide dinitrate or nitroglycerin, as this combination can lead to a dangerous drop in blood pressure. Viagra may also interact with certain medications, including blood pressure medications, antifungals, HIV medications, and certain antibiotics.

Blood pressure

Viagra can cause a sudden drop in blood pressure that can be dangerous. This condition may occur if the patient is not well informed about the possible side effects of Viagra. Patients who experience symptoms of a sudden drop in blood pressure shouldn’t take Viagra unless they are advised to by their doctor.

As many have found out over the years, Viagra is a much sought after drug, and one of the most talked about and talked about products in the world. Now there are some interesting articles online that may help you understand what Viagra does and what it is used for.

What is Viagra?

Viagra, also known by its generic name sildenafil citrate, is a phosphodiesterase-5 (PDE5) inhibitor. It is a drug primarily used to treat erectile dysfunction (ED) in men.

What is Viagra used for?

Viagra is a common medication used to treat erectile dysfunction in men. It is primarily used to treat the symptoms of pulmonary arterial hypertension (PAH).

There are two main types of PAH:

  • Pulmonary arterial hypertension (PAH)
  • Hypertension

When a man is unable to get or maintain an erection firm enough for sex, blood flow to the penis may be limited, resulting in decreased sexual satisfaction. Viagra can help improve the flow of blood to the penis when sexually aroused.

How Viagra works?

Viagra works by inhibiting the enzyme phosphodiesterase type 5 (PDE5), which is responsible for breaking down cyclic guanosine monophosphate (cGMP).

cGMP is a molecule that relaxes smooth muscles in the blood vessels of the penis, thereby decreasing blood flow and improving the erection.

It is important to note that cGMP may not be the same molecule as sildenafil, but it has a similar action.

How does Viagra work?

Viagra works by increasing the levels of sildenafil in the body. This increases the concentration of cGMP in the penis, leading to an erection.

Viagra does not directly increase the level of cGMP, but it works indirectly by inhibiting the enzyme called phosphodiesterase type 5 (PDE5).

Viagra does not directly relax the smooth muscles of the blood vessels of the penis, but it increases blood flow by increasing the amount of cGMP in the penis.

By this action, Viagra allows the blood vessels in the penis to relax, allowing more blood to flow into the penis.

Viagra side effects

Most men will have mild to moderate side effects when taking Viagra, although a few men may experience some common side effects.

Common side effects may include:

  • Headache
  • Flushing
  • Nasal congestion
  • Indigestion
  • Back pain

Less common side effects may include:

  • Changes in vision
  • Muscle pain

If you experience any of these side effects, you should seek medical attention right away.

When not to take Viagra?

You should not take Viagra if you are currently taking nitrate medications, as they may cause a dangerous drop in blood pressure.

This may be a sign of an underlying health condition such as heart disease, liver or kidney disease, or an overactive thyroid gland.

If you are taking blood pressure medications and are using Viagra, you should not take it if you have a history of priapism, a prolonged erection (priapism) or other heart problems.

You should not take Viagra if you are taking nitrates, as they may cause a dangerous drop in blood pressure.

You should not take Viagra if you are not sexually active and are taking any form of birth control, as they may cause birth control problems.

Sildenafil Tablets - Medication Information:

Generic Viagra, Cialis, Levitra, Viagra, and others, have long been used to treat erectile dysfunction. They work by relaxing the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited. This allows for greater ability to get and keep an erection. It is important to note that these medications will not work if you are not using them as directed by your doctor. It is also important to tell your doctor about any other medicines you are taking, including prescription and non-prescription medicines, vitamins, and herbal supplements. In conclusion, while the use of these medications is generally safe, there are some safety concerns with them. Always tell your doctor or pharmacist if you are taking any of these medications. Also, be sure to ask your doctor or pharmacist if you have any questions about your medical history, especially if you are pregnant, breastfeeding, or have any allergies or other medications. As with all medications, always inform your doctor about any prescription or over-the-counter (OTC) medicines you are using before starting treatment.

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