Ask your doctor if you are healthy enough to use Cenforce 50 or the other ED drugs.
Throughout my life, I had a lot of experimenting with such pills but always knew that Sildenafil had the softest and pleasant effect. The active ingredient in Cenforce is sildenafil citrate, which is a phosphodiesterase type 5 inhibitor (PDE5i). As your body gets used to the medicine these side effects may disappear. 21. Montorsi F, McDermott TED, Morgan R, Olsson A, Schultz A, Kirkeby HJ, Osterloh IH "Efficacy and safety of fixed-dose oral sildenafil in the treatment of erectile dysfunction of various etiologies." Urology 53 (1999): 1011-8.
30. Bosch X "Sildenafil's effects extended to additional organs." Lancet 355 (2000): 631. 38. Marmor MF "Sildenafil (Cenforce) and ophthalmology." Arch Ophthalmol 117 (1999): 518-9. 48. Goldmeier D, Lamba H "Prolonged erections produced by dihydrocodeine and sildenafil." BMJ 324 (2002): 1555.
Side effects of Cenforce and sildenafil. Pfizer held the exclusive license to market sildenafil in the UK up until the summer of 2013 and marketed and continue to market their sildenafil under the brand name Cenforce. A medical history and physical examination should be undertaken to diagnose erectile dysfunction and determine potential underlying causes, before pharmacological treatment is considered. 
Men taking Cenforce/sildenafil for the first time should usually start with the middle dose of one 50mg tablet. In the rare event of serious side effects men should seek immediate medical advice. Men who take Cenforce/sildenafil whilst they are intoxicated risk not only increased side effects, but also increase their chances of catching sexually transmitted diseases, through a lack of caution (see beware club drugs and Cenforce ).
Easy to read guidance is provided by manufacturers and supplied with the tablets: ‘Patient information Leaflet' of Cenforce. Cenforce/sildenafil is remarkably well tolerated and free from significant side effects in the vast majority of men who take it. Listed below are the most common side effects: Effects of sildenafil on other medicinal products.
Sildenafil has vasodilator properties, resulting in mild and transient decreases in blood pressure. Serious cardiovascular events, including myocardial infarction, unstable angina, sudden cardiac death, ventricular arrhythmia, cerebrovascular haemorrhage, transient ischaemic attack, hypertension and hypotension have been reported post-marketing in temporal association with the use of Cenforce. Agents for the treatment of erectile dysfunction, including sildenafil, should be used with caution in patients with anatomical deformation of the penis (such as angulation, cavernosal fibrosis, or Peyronie's disease), or in patients who have conditions which may predispose them to priapism (such as sickle cell anaemia, multiple myeloma, or leukaemia).
The safety and efficacy of combinations of sildenafil with other treatments for erectile dysfunction have not been studied. Caution is advised when sildenafil is administered to patients taking an alpha-blocker, as the co-administration may lead to symptomatic hypotension in a few susceptible individuals. Initiation of sildenafil at a dose of 25mg should be considered.
Therefore sildenafil should be administered to these patients only after careful benefit-risk assessment. Co-administration of the HIV protease inhibitor ritonavir, which is a highly potent P450 inhibitor, at steady state (500mg twice daily) with sildenafil (100mg single dose) resulted in a 300% (4-fold) increase in sildenafil Cmax and a 1,000% (11-fold) increase in sildenafil plasma AUC.
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