Sildenafil (Viagra): A 101 Guide
Written by: Clara Hanson-Smith
Reviewed by: Sunny Dhain MPharmRS PgDip IndP
Date reviewed: 06/03/2024
Sildenafil treats ED in men, a condition that is characterised by the difficulty in achieving or maintaining an erection. The treatment works by relaxing smooth muscles in the penile blood vessels. This relaxation allows increased blood flow during sexual arousal, helping to achieve and sustain an erection.
Sildenafil effectiveness
Sildenafil has proven effective in treating ED in many clinical studies. It works by increasing blood flow to the penis when sexually aroused helping to achieve and maintain an erection. However, Sildenafil is not an aphrodisiac and requires sexual stimulation to be effective. Its effectiveness varies, and it may not suit everyone, especially those with certain medical conditions or on specific medications. The Family Chemist’s pharmacists can guide patients on appropriate dosage and usage.
Sildenafil Onset Time
Studies show that sildenafil’s onset time varies from 30 minutes to 1 hour to start working after it has been taken. However, the onset time can vary from person to person. Factors that can influence how quickly Sildenafil begins to work include:
Metabolism
Individual metabolic rates can affect how quickly the body processes the medication.
Food intake
Taking Sildenafil on an empty stomach can lead to faster absorption, meaning it may work quicker. If taken after a heavy or high-fat meal, it may take longer for Sildenafil to start working.
Level of sexual arousal
Sildenafil requires sexual stimulation to be effective. The level of arousal can play a role in how quickly the medication starts working.
Maximizing sildenafil effectiveness
There are several strategies you can consider to optimise the duration of Sildenafil’s effectiveness. However, it’s important to note that while these tips can help maximize the medication’s potential, they don’t extend the inherent active period of Sildenafil, which typically lasts about 4 to 6 hours. Here are some tips:
✅ Proper timing
Take sildenafil about 1 hour before sexual activity. This timing allows the medication to reach its peak concentration in your bloodstream when you’re most likely to need it.
✅ Avoid heavy meals
Taking Sildenafil on an empty stomach can help it work more quickly and effectively. Heavy or fatty meals can delay the absorption of Sildenafil, potentially shortening its period of effectiveness during your time of need.
✅ Limit alcohol consumption
Alcohol can impair your ability to get an erection. Moderate to heavy alcohol use can also interfere with the effectiveness of sildenafil.
✅ Stay relaxed and stress-free
Anxiety and stress can impact erectile function and the effectiveness of sildenafil. Being relaxed can enhance the medication’s effectiveness.
✅ Ensure adequate sexual stimulation
sildenafil requires sexual arousal to work. Engage in adequate foreplay or whatever stimulates you sexually.
✅ Manage your overall health
Chronic health conditions like diabetes, heart disease, and high cholesterol can affect the duration and effectiveness of sildenafil. Managing these conditions through lifestyle changes and medication can improve the drug’s effectiveness.
Duration of Sildenafil effects
Sildenafil’s effects typically last 4 to 6 hours. Its duration varies per individual and depends on factors like metabolism, health, and dosage. It does not permanently affect erectile function or cure ED.
Sildenafil’s side effects
Common side effects include:
- Headaches
- Flushing
- Indigestion
- Nasal congestion
- Visual changes
- Dizziness
- Muscle aches
Rare side effects include:
- Priapism
- Heart-related issues
Alternatives to Sildenafil
Several alternatives to sildenafil are available for the treatment of erectile dysfunction (ED). Treatment choice depends on individual preferences, the underlying causes of ED, and any specific medical conditions. Here are some common alternatives:
Tadalafil (Cialis)
Cialis, containing tadalafil, is another widely used medication for ED. It has a longer duration of action compared to sildenafil, with effects lasting up to 36 hours. This allows for greater flexibility in the timing of sexual activity.
Vardenafil (Levitra)
Levitra, which contains vardenafil, is like sildenafil’s mechanism of action. It can be effective in treating ED and is available in different doses.
Avanafil (Spedra)
Spedra, or avanafil, is a newer medication for ED. It has a rapid onset of action and can work in as little as 15 minutes in some individuals.
Vacuum Erection Devices (VEDs)
VEDs are non-invasive devices that create a vacuum to draw blood into the penis, producing an erection. They can be used as an alternative or in combination with medications.
Lifestyle Changes
For some individuals, making lifestyle changes such as improving diet, increasing physical activity, quitting smoking, and managing stress can help alleviate ED.
Some people explore herbal supplements and natural remedies for ED, but their effectiveness and safety can vary. It’s essential to consult with a healthcare provider before trying such options.
Sildenafil FAQs
What does sildenafil do to a man?
Sildenafil helps men with erectile dysfunction by increasing blood flow to the penis, enabling an erection when a man is sexually aroused. It’s important to note that it doesn’t cause sexual arousal; it aids in maintaining an erection once a man is aroused.
Does sildenafil work after ejaculation?
Generally, sildenafil may help maintain an erection even after ejaculation. However, a refractory period (the time needed for a man to be aroused again) still applies, and this period can vary from person to person.
How hard does sildenafil make you?
As for whether it gets you “super hard,” it enhances erectile response when a man is sexually stimulated. The degree of hardness can depend on several factors, including the underlying cause of erectile dysfunction, overall health, and psychological factors.
How long does sildenafil make you hard
The duration for which sildenafil can help a man maintain an erection varies. Typically, it can be effective for up to four hours after taking it, but its peak effectiveness is usually within one to two hours of taking the tablet. It’s important to understand that this doesn’t mean the erection will last this long, but the potential for achieving an erection may last this long if sexually stimulated. Find out more here.
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