Sildenafil (Viagra)
Capsules or chewable tablets.
Sildenafil is the precision "on-demand" option for planned intimacy. Take it 30-60 minutes before, and it provides 4-6 hours of enhanced erectile function. The original PDE5 inhibitor with decades of safety data.
Interested in Sildenafil (Viagra)?
Our medical team will evaluate if this medication is right for you during your consultation.
Dosage & Administration
Standard dose: 50mg taken 30-60 minutes before intimacy. Can go down to 25mg if side effects occur, or up to 100mg for greater efficacy. Do not take more than once per day.
Important: Like any prescribed medication, dosing varies from person to person. Always follow the dosage prescribed by your healthcare provider. Optimize 360 personalizes every protocol based on your labs, symptoms, and goals.
Side Effects
- Headache: Most common, usually mild.
- Flushing: Warmth/redness in face.
- Nasal Congestion: Stuffy nose.
- Indigestion: Mild GI discomfort.
- Visual Changes: Rare — blue-tinted vision or light sensitivity, temporary.
Common side effects affect 10-30% of users and are generally mild and temporary.
Why Choose Optimize 360 for Sildenafil (Viagra)
- Prescribed and monitored by Dr. Steve Farmer — 30+ years in hormone medicine
- Comprehensive lab work before prescribing — we never guess
- Sourced from licensed U.S. compounding pharmacies
- Transparent pricing — the price above is what you pay, no hidden fees
- Telehealth available nationwide — medications shipped to your door
- Unlimited messaging with your provider throughout treatment
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No memberships. No referral needed. Schedule your consultation and we'll take it from there.
Related
How Sildenafil Works
Sildenafil (the active ingredient in Viagra) is a phosphodiesterase type 5 (PDE5) inhibitor. It works by blocking the PDE5 enzyme in the smooth muscle of penile blood vessels, which allows increased blood flow during sexual arousal. Sildenafil does not create an erection on its own — sexual stimulation is still required. It simply enhances the natural erectile response by allowing the blood vessels to relax and fill more effectively when aroused.
Benefits & Clinical Evidence
Sildenafil has been extensively studied since its FDA approval in 1998, with decades of clinical evidence supporting its safety and efficacy. Studies show improvement in erectile function in approximately 70-80% of men with erectile dysfunction in clinical trials. Individual results may vary.. It works across various ED causes including vascular, hormonal, neurogenic, and psychogenic factors. Some research also suggests benefits for cardiovascular health and exercise capacity, though these are not its primary indication.
Who Is a Good Candidate?
Men experiencing erectile dysfunction — whether occasional or persistent — may benefit from sildenafil. It is effective across a wide age range and across different underlying causes of ED. Men should inform their provider about any cardiovascular conditions or medications, particularly nitrates, with which sildenafil is contraindicated. A medical evaluation is required to ensure sildenafil is safe for your specific health profile.
What to Expect: Treatment Timeline
Sildenafil typically takes effect within 30-60 minutes of ingestion. Effects last approximately 4-6 hours. It is taken on an as-needed basis, not daily. Taking sildenafil on an empty stomach generally produces faster onset. Some men find that the first dose is not their best response — it may take 2-3 uses to determine optimal timing and dosing. Standard doses range from 25-100 mg.
Side Effects & Safety
Common side effects include headache, facial flushing, nasal congestion, and indigestion. These are generally mild and temporary. Less common effects include visual changes (slight blue tint) and dizziness. Sildenafil should never be combined with nitrate medications (nitroglycerin, isosorbide) due to the risk of dangerous blood pressure drops. Available at Optimize 360 from $5.00/tablet — significantly less than retail pharmacy pricing.
Frequently Asked Questions
A: Sildenafil acts faster (30-60 min) but lasts shorter (4-6 hours). Tadalafil takes slightly longer to start but lasts up to 36 hours and can be taken daily at 5mg. Many men prefer tadalafil for spontaneity. Your provider can help you choose based on your lifestyle.
A: Yes. Sildenafil and testosterone therapy can be used together. In fact, some men on TRT find that optimizing testosterone improves their response to PDE5 inhibitors. Your provider will ensure there are no interactions with your full medication list.
A: Yes. Generic sildenafil contains the same active ingredient at the same dose and is held to the same FDA manufacturing standards. The primary difference is price — generic sildenafil at Optimize 360 is $5.00/tablet vs $70+ per tablet at retail pharmacies.
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