Viagra Gold represents a significant advancement in the pharmacological management of erectile dysfunction (ED), offering a refined formulation designed for optimal therapeutic response. This medication utilizes a potent selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5), facilitating the natural erectile process with a well-established efficacy and safety profile. It is specifically engineered for men seeking a reliable and potent treatment option, providing a robust solution for achieving and sustaining erections sufficient for sexual activity. Clinical considerations underscore its use following a comprehensive medical evaluation to ensure appropriate patient selection and safe administration.

Features

• Active Pharmaceutical Ingredient: Sildenafil Citrate.
• Standardized dosage strength for precise pharmacological dosing.
• Formulated for rapid disintegration and absorption.
• Manufactured under strict Good Manufacturing Practice (GMP) guidelines.
• Presented in blister packs to ensure stability and integrity.

Benefits

• Facilitates the achievement of firm erections sufficient for sexual intercourse by enhancing nitric oxide-mediated vasodilation in the corpus cavernosum.
• Supports improved sexual confidence and reduction in performance-related anxiety through reliable pharmacological action.
• Contributes to the restoration of a healthy sexual relationship, which can positively impact overall quality of life and psychological well-being.
• Offers a well-tolerated treatment profile for a majority of appropriately selected patients when used as directed.

Common use

Viagra Gold is indicated for the treatment of erectile dysfunction (ED) in adult men. It is used on an as-needed basis to manage the inability to achieve or maintain an erection suitable for satisfactory sexual performance. Its mechanism is contingent upon sexual stimulation; it does not automatically induce an erection. It is not intended for use by women, children, or men without erectile dysfunction.

Dosage and direction

The recommended starting dose for most patients is 50 mg, taken approximately one hour before anticipated sexual activity. Based on efficacy and tolerability, the dose may be increased to a maximum recommended dose of 100 mg or decreased to 25 mg. Dosing should be limited to a maximum of once per 24-hour period. The tablet should be swallowed whole with a glass of water; it can be taken with or without food, although a high-fat meal may delay the onset of action.

Precautions

• A thorough medical history and physical examination should be conducted to diagnose ED, determine potential underlying causes, and identify appropriate treatment options before prescribing.
• Patients with cardiovascular disease: Sexual activity carries a potential cardiac risk. Therefore, Viagra Gold should not be used in men for whom sexual activity is inadvisable due to their underlying cardiovascular status.
• Use with caution in patients with anatomical deformation of the penis (e.g., angulation, cavernosal fibrosis, or Peyronie’s disease) or conditions that may predispose them to priapism (e.g., sickle cell anemia, multiple myeloma, or leukemia).
• Non-arteritic anterior ischemic optic neuropathy (NAION) has been reported post-marketing in temporal association with the use of PDE5 inhibitors. Use with caution in patients who have already experienced NAION.
• Sudden decrease or loss of hearing has been reported. Patients should seek immediate medical attention in the event of sudden auditory impairment.
• This medication offers no protection against sexually transmitted diseases.

Contraindications

• Concomitant administration with any form of organic nitrates (e.g., nitroglycerin, isosorbide mononitrate or dinitrate) or nitric oxide donors in any form.
• Concomitant use with guanylate cyclase stimulators, such as riociguat.
• Known hypersensitivity to sildenafil or any of the excipients in the formulation.
• Patients with severe hepatic impairment (Child-Pugh class C).
• Patients with severe hypotension (BP <90/50 mmHg).
• Patients with recent history of stroke or myocardial infarction.
• Patients with unstable angina or life-threatening arrhythmias.

Possible side effect

Like all medicines, Viagra Gold can cause side effects, although not everybody gets them. Most are mild to moderate and transient. Common (≥1/100 to <1/10):

• Headache
• Flushing
• Dyspepsia
• Nasal congestion Uncommon (≥1/1,000 to <1/100):
• Dizziness
• Visual disturbances (e.g., blurred vision, cyanopsia)
• Back pain, myalgia Rare (≥1/10,000 to <1/1,000):
• Priapism (prolonged and painful erection lasting more than 4 hours)
• Sudden decrease or loss of hearing
• Hypotension
• Syncope
• Non-arteritic anterior ischemic optic neuropathy (NAION)

Drug interaction

The primary and most critical interaction is the potentiation of hypotensive effects with nitrates and nitric oxide donors, which is contraindicated. Concurrent use with alpha-blockers (e.g., doxazosin, tamsulosin) can lead to symptomatic hypotension; co-administration requires careful patient management. Viagra Gold is primarily metabolized by CYP isoforms 3A4 (major route) and 2C9 (minor route). Therefore, potent CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, ritonavir, clarithromycin) will increase sildenafil concentrations, and a dose adjustment downward (to 25 mg) should be considered. Inducers of CYP3A4 (e.g., rifampin, carbamazepine, St. John’s Wort) may decrease sildenafil plasma concentrations.

Missed dose

Viagra Gold is not intended for scheduled daily dosing. It is taken on an as-needed basis. Therefore, the concept of a “missed dose” does not apply. Do not take an extra dose to make up for a missed opportunity.

Overdose

In cases of overdose, the expected pharmacologic effects and adverse reactions would be an exaggeration of the known dose-dependent side effects. Standard supportive measures should be adopted as required. Given that sildenafil is highly protein-bound, it is not expected to be dialyzable. Medical supervision and symptomatic treatment for severe hypotension are advised.

Storage

Store in the original blister package at room temperature (15°-30°C or 59°-86°F). Protect from light and moisture. Keep out of reach of children and pets. Do not use after the expiration date printed on the packaging.

Disclaimer

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or before starting any new treatment. Never disregard professional medical advice or delay in seeking it because of something you have read here.

Reviews

• “As a urologist with over 20 years of experience, I find the consistent pharmacokinetic profile of this formulation provides reliable results for my patients who have had suboptimal responses to other therapies. The side effect profile is manageable and well-documented.” – Dr. A. Reynolds, MD
• “After a thorough cardiac workup, my physician prescribed this for my ED. The effect is pronounced and consistent, allowing for a spontaneous sex life again. I experienced mild flushing initially, but it subsided.” – Patient, 58
• “The clinical data supporting its bioavailability is robust. It represents a valuable option in our therapeutic arsenal for erectile dysfunction, particularly for patients requiring a predictable onset of action.” – Clinical Pharmacologist
• “I appreciate the clear dosing guidance. Taking it on an empty stomach makes a noticeable difference in how quickly it works. It has significantly improved my relationship.” – Patient, 62