Silagra 100 MG Tablet

Store mixed oral liquid in the refrigerator. An action plan to fight unhealthy inflammation. If you decide to try an herbal ED remedy, speak with your healthcare provider to see if it is safe, particularly if you have a chronic condition or take medications. This is a decision you and your doctor will make. Female hair https://lekarenprevas.sk/kupit-avana-bez-llekarskeho-predpisu/ removal tools. Mayo Clinic does not endorse companies or products. Cenforce 150 has significantly boosted my overall energy levels. Common side effects include headaches, heartburn, and flushed skin. RUCKUS Networks 350 West Java Dr. We all have different ideas of what an active and fulfilling sex life looks like. Three studies were conducted in men to assess the potential effect on spermatogenesis of tadalafil 10mg one 6 month study and 20mg one 6 month and one 9 month study administered daily. The integrated process statement sets out the process NICE uses to select topics for the evidence summaries: new medicines and how the summaries are developed, quality assured and approved for publication. Wespes et al have recommended that men with ED should select the most effective drug for themselves after the use of all available PDE5i. New patients get 10% off our Weight Loss service with code: WLNEW10. J Sex Marital Ther 29, 361–370 2003. Then, all sanctioned medications are manufactured under heavily monitored conditions. There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. The ease and convenience of purchasing counterfeit PDE 5i products via the Internet have contributed to the growth of the illicit market. Sildenafil does not protect against sexually transmitted infections, including HIV. If low sex desire concerns you, talk with your gynecologist or another member of your healthcare team. Therefore, when VIAGRA is co administered with alpha blockers, patients should be stable on alpha blocker therapy prior to initiating VIAGRA treatment and VIAGRA should be initiated at the lowest dose.

Zhefeng Guo Lab @UCLA

Å andra sidan är Viagra tillgängligt i tablettform och har studerats ingående och förskrivits i stor utsträckning under många år. MrMed goes beyond the call of a pharma marketplace by providing patient centric services that help in procurement of medicines and adherence of patient assistance programs. The product label doesn’t include dosing information for women because it’s not intended for this use. Non prestarvi attenzione può causare gravi pericoli. This is important as erectile dysfunction can be caused by more serious health conditions that need further medical intervention than erectile dysfunction treatment. The active ingredient in Viagra is sildenafil. Interaction with Medicine. Dr Fox prices are 25%–50% lower than other UK online clinics. Correspondence to Hongjun Li or Zhichao Zhang. And Canada through 2017. Sprout said, external trials had shown an increase “in the number of satisfying sexual events”, although experts suggest the test results were modest. Tata 1mg uses Secure Sockets Layer SSL 128 bit encryption and is Payment Card Industry Data Security Standard PCI DSS compliant. National Women’s Health Network: “How can I get an Addyi prescription if my insurance does not cover it. If you take too much sildenafil or take it together with these medicines, the chance for side effects will be higher. Visit shop all christmas gift guide. This product is temporarily unavailable online. Keep out of the reach of children. Viagra should not be taken more than once a day. If you have your own private paper prescription please post to our pharmacy details. If you often forget doses, it may help to set an alarm to remind you. “There are so many more questions than answers,” he says. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco. The studies used two different questionnaires, one for ED symptoms and one for BPH symptoms, to determine how well the medication worked. Prenditi il giusto tempo per leggere bene la parte riguardante le interazioni con gli altri farmaci. NewsMagazineAdvertiseContactCompetitions. If you choose to buy sildenafil over the internet, make sure. Experts suggest that you stop taking the medicine if your sex drive doesn’t improve after eight weeks. Many men won’t even admit that they suffer from it, let alone seek treatment. Propionyl L carnitine is one of the commercially available forms of L carnitine.

Dapoxetine: a new option in the medical management of premature ejaculation

Excluded from this list are those adverse reactions that are infrequent and minor, those events that may be commonly observed in the absence of drug therapy, and those events that are not reasonably associated with the drug. In clinical trials, Cialis helped with ED symptoms for up to 36 hours after their dose. Cialis Daily can take 3 5 days to reach its peak concentration and deliver effective results. Viagra sildenafil treats erectile dysfunction in men by inhibiting the enzyme nitric oxide synthase to improve blood flow to the penis. Lifestyle changes can help boost sexual activity without medication. Some individuals may experience mild side effects that could potentially impact their driving performance. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. Cenforce contains Sildenafil Citrate, which remains effective for 4 6 hours. Check with your doctor immediately if any of the following side effects occur. Now science is catching up. Brass value tree of incremental benefits and risks associated with non prescription tadalafil. 9 with sildenafil 100 mg, 2. No evidence has emerged concerning developing any form of dependence or tolerance with long term use of ED medicines like Tadalafil when used appropriately at normal doses. CIALIS will not help you if you do not have erectile dysfunction.

Combining Cenforce 50mg with Other Medications: What You Need to Know

Don’t forget to also account for the cost of a consultation and/or shipping fees. Cytochrome P450 inhibitors. Like any medication, taking Viagra may cause some side effects, including. Tell your healthcare provider right away if you faint or have changes in your heart rate or rhythm, such as a fast or skipping heartbeat. It may be taken at least 30 minutes prior to sexual activity. Mental health support. Report immediately acute allergic reactions, chest pain or palpitations, persistent dizziness, sign of urinary tract infection, rash, respiratory difficulties, genital swelling, or other adverse reactions. The best pill to maintain an erection are FDA approved PDE5 inhibitors, such as Viagra, Cialis, and their generic versions. The Cialis dosage your doctor prescribes will depend on several factors.

Why was Priligy reviewed?

Prior to prescribing sildenafil, physicians should carefully consider whether their patients with certain underlying conditions could be adversely affected by such vasodilatory effects, especially in combination with sexual activity. Cialis® also contains tadalafil. Pfizer originally discovered the medication in 1989 while looking for a treatment for angina. Medicinal/herbal products with serotonergic effects. “We will continue to listen to and engage with patients to improve access to a wide range of medicinal products when it is safe to do so. CYP3A4 substrates may require dosage adjustment. The bottom line: it’s perfectly safe to do an online consultation for tadalafil as well as other ED medications provided that the company is reputable, regulated, and has appropriate safeguarding procedures in place to make sure you can buy it safely such as an online consultation and ID verification. However, this medication is not available over the counter. L Citrulline supplements. Several aspects of those comparisons warrant further discussion. As a result, the drug is generally not considered safe for a woman to take. This means that if you’re taking Cialis for ED or symptoms of BPH, you should not take Adcirca instead. Here’s what to watch for. Take sildenafil up to 4 hours before you want to have sex. Wait until the next evening and resume your regular dosing schedule. Caution is advised in those with cardiovascular disease.

4 2 Dose and Method of Administration

Before combining ED treatments, talk with a doctor. Viagra lasts for up to 4 hours after you take it, although this can vary slightly. You should avoid ingesting this medicine except you have been clinically diagnosed to have erectile dysfunction. If Viagra isn’t working for you, your doctor may increase your dose of the drug. Philadelphia, PA: Elsevier; 2016:chap 8. Recent research highlights the prevalence of ED in Ireland, with nearly three in 10 Irish men reporting experiences with the condition. Rated excellent on Trustpilot. While it may seem like an uncomfortable suggestion, having open lines of communication with your sexual partner can be very important. In addition to the uses listed above, Cialis may be prescribed off label for other purposes. These low dose tablets are specifically for daily use and provide a continuous level of treatment. This can be dangerous and may increase your risk of side effects from Cialis. It can be exposed to temperatures between 59 F to 86 F 15 C to 30 C for shorter periods of time, such as when transporting it. The effect of alcohol on cognitive function was not augmented by tadalafil 10 mg. Please contact one of our AdisInsight experts. However, Cialis contains tadalafil, while Viagra contains sildenafil citrate. Keep in mind, you may need to take the prescribed dose for a few weeks before your doctor makes changes to the dose or the drug. FourteenFish training. Although sexual enhancement tablets are typically made from herbal extracts and natural nutrients, they could cause side effects, interfere with the actions of medications or cause complications in men who have certain medical conditions. If you don’t have insurance, Vyleesi offers financial assistance through an application on the prescription information website. Viagra has a shelf life of around two years. Although several side effects were reported, these were mild and transient. Keywords: Safety, Sexual, Patient, Behavior. If you have questions about treating low sex drive, talk with your doctor. Corporate Hepatitis A Vaccination Service. It works by increasing blood flow to the penis and helping men maintain an erection. 9%, diabetes mellitus 20. It works by relaxing the smooth muscles and dilating blood vessels in the penis. Be sure to take the medication before its expiration date and throw it away after it expires. The ASMS was envisioned as a professional medical society dedicated to providing essential professional and educational support for skin cancer training.

Pediatric

In 2011 Hanmi Pharmaceutical and CJ CheilJedang launched a suit against the exclusive use patent. Contact the applicable planprovider for the most current information. A clinical trial was done in people with ED who had surgery to have their prostate removed. In the United States, Pfizer received two patents for sildenafil: one for its indication to treat cardiovascular disease marketed as Revatio and another for its indication to treat erectile dysfunction marketed as Viagra. The following information includes only the average doses of this medicine. A household spoon is not an accurate measuring device and may cause you to take the wrong dose. 12 Reasons for Losing an Erection During Sex. No, you shouldn’t consume alcohol before or after taking the Vidalista 60 mg tablets. Visit eye test information. The dose may be increased to a maximum recommended dose of 20 mg or decreased to 5 mg based on efficacy and tolerability. Furthermore, the conservative values that are prevalent in certain regions of the state may discourage open conversations about sexual health concerns, leaving many men feeling ashamed or embarrassed to address their condition. Reviewed by Dr Claire Pugh, Dr Amanda Wood, Dr Barbara BaborLast reviewed 08 November 2023Last updated 11 December 2024Editorial policy. The FDA hasn’t approved Viagra sildenafil itself for people with female anatomy to use. If the prescribed dosage of Viagra works well for you and doesn’t cause bothersome side effects, you’ll likely continue taking it. Registered online pharmacy: The Park Road Pharmacy Ltd t/a Dr Fox Pharmacy, 399 Great Western Road, Glasgow G4 9HY. The score reflected the moderate degree of clinical impact such a drug drug reaction would have, but there was general agreement that this scenario would be unlikely because men would be under specialist clinical supervision and would also see the risk mitigation warning messages on the packaging and PIL. Indogenmed is a licensed pharmacy and recognized generic and quality medicines facilitator, helping patients globally. Patients should be aware of how they react to tadalafil before driving or operating machinery. As it’s unlicensed and unregulated, users can’t be sure exactly what they’re taking. Tadalafil will lower blood pressure an additional 4 to 10 mm Hg when used with antihypertensive drugs. How to Get Viagra: Do You Need A Prescription. Cialis comes as a tablet that you swallow. With the once daily dosing regimen, doctors recommend taking tadalafil around the same time each day. This site uses cookies for login, checkout and stats. 27 h after single doses of dapoxetine 30 and 60 mg, respectively Table 1. Most men find no difference between brands. Some men buy Kamagra online because they think it is a cheaper alternative to approved treatments for erectile dysfunction, such as Viagra. Many things affect female sexual response. You may take it up to 4 hours before sexual activity. Royal Mail Special Delivery Guaranteed by 1pm £9.

Cited by other articles

Articles involving dapoxetine for the treatment of PE were identified, with priority given to systematic reviews, meta analyses and integrated analyses, double blind, randomized, placebo controlled clinical trials RCTs, and nonrandomized observational studies. Cenforce must not be taken with other drugs that treat erectile dysfunction or drugs for prostate disorders. National Library of Medicine 8600 Rockville Pike Bethesda, MD 20894. Kamagra can cause side effects, which can be harder to predict or understand without knowing exactly what ingredients it contains. Pharmacy team post medication direct. It wears off after a few hours. VIAGRA is not for women or children. This is a preview of subscription content, access via your institution. Addyi flibanserin — also known as “the little pink pill” — is an FDA approved prescription pill to treat Hypoactive Sexual Desire Disorder HSDD. It does this by blocking the action of an enzyme called phosphodiesterase 5 PDE5. All trademarks and registered trademarks are the property of their respective owners. When taken in excess, alcohol can increase your chances of getting a headache or dizziness, increase your heart rate, or lower your blood pressure. She received her Doctor of Pharmacy degree from Hampton University School of Pharmacy. Store in a cool, dry place. CIALIS may still be effective up to 36 hours after taking the tablet.

Careers

Our domain has enabled us to manufacture and supply pristine range of Cenforce 50 Tablets. You can take Viagra Connect up to 4 hours before you intend to have sex, although we recommend you take it 1 hour beforehand. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. The label recommends that a person take one tablet daily. Without physical action to the penis, such as that occurring during sexual intercourse, tadalafil will not work to cause an erection. Our at home erectile dysfunction test kit checks for conditions like diabetes or thyroid problems, and checks important levels like your cholesterol and testosterone. When low sexual desire results from any or a combination of these factors, medication may not be effective. Along with recommending counseling, your healthcare professional may prescribe a medicine to boost your libido. You should not take any more than one tadalafil tablet in 24 hours. The recommended tadalafil dosage for treating erectile dysfunction. Please see our cookie policy. View Pharmacy Profile. Cialis isn’t FDA approved to treat ureteral stones a type of kidney stone.

Cialis Together

However, it has been prescribed off label for AFAB individuals with a low libido. But if you’re taking a type of blood pressure drug called an alpha blocker, taking Viagra might cause certain side effects. Experiencing relationship issues, starting or losing a job, and even moving to a new home can all contribute to ED symptoms. But how exactly do they work. Sildenafil does not affect any type of contraception, including the combined pill or emergency contraception. Liquid sildenafil will usually be made up for you by your pharmacist. Rhim HC, Kim MS, Park YJ, Choi WS, Park HK, Kim HG, et al. Your prescription may have been filled with a generic version instead of brand name VIAGRA. Published May 12, 2021. Nappies, wipes and bathing. That may help with sexual performance issues like vaginal lubrication “wetness”, sensitivity and feelings of pleasure, Dr. Each tablet contains 2. However, anyone on medications that contain nitrates needs to avoid Viagra due to the risk of severely low blood pressure. The vision loss was permanent in some cases. While less common, the most serious side effects of vardenafil are described below, along with what to do if they happen. By affecting serotonin levels in the brain, Priligy can help delay ejaculation in response to stimulation. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco. Physicians should discuss with patients the potential cardiac risk of sexual activity in patients with preexisting cardiovascular risk factors. Available Viagra dosages are 25mg, 50mg and 100mg. Our choice for the best over the counter OTC pill, VitaFLUX, only uses five active ingredients: L arginine, L citrulline, L carnitine tartrate, magnesium, and zinc. Tell your doctor before taking any over the counter supplement. Visit vaccinations and travel. While sildenafil does not appear to reduce fertility in adults, people should talk with a healthcare professional if they are taking sildenafil and plan to become pregnant. Visit hair value packs and bundles. In case of overdose, call the poison control helpline at 1 800 222 1222. The most common side effects of VIAGRA: headache; flushing; upset stomach; abnormal vision, such as changes in color vision such as having a blue color tinge and blurred vision; stuffy or runny nose; back pain; muscle pain; nausea; dizziness; rash. A licensed medical professional will go through your medical history and assess your symptoms, then prescribe or not prescribe an ED med for you. Most men who experience side effects carry on treatment regardless.

Cialis and CYP3A4 inducers

View Pharmacy Profile. Barassi A, Corsi Romanelli MM, Pezzilli R, Damele CA, Vaccalluzzo L, Goi G, et al. If your doctor recommends Viagra for you, they will prescribe the dosage that’s right for you. The first oral pill for erectile dysfunction, Viagra remains a trusted brand and many men still prefer it and ask for it by name. Create profiles for personalised advertising. National Institutes of Health Office of Dietary Supplements. Erectile dysfunction in adult men. Reported the satisfaction rate and response rate were 45. FSIAD is also known as hypoactive sexual desire disorder HSDD. The amount of medicine that you take depends on the strength of the medicine. Again, the answer is no. The sections above describe the typical dosages provided by the drug’s manufacturer. However, the men who took the placebo also saw their symptoms improve at similar rates. See additional information. Beauty value packs and bundles. More about Alisha Haridasani Gupta. If you do plan on taking Viagra, consider the source. See the Interactions section for more details. That’s how we know our reviews come from real guests who have stayed at the property.

Drug Recalls: What Do They Mean?

Email , for signing up. The Superintendent Pharmacist for this pharmacy is Iftkhar Ahmad Khan, GPhC registration number 2041286. Your doctor needs to diagnose you with HSDD in order to prescribe either drug. Gov websites use HTTPS A lock Lock Locked padlock icon or https:// means you’ve safely connected to the. For ED, Sildenafil works by increasing blood flow to the penis to help a man get and keep an erection. Very easy to find the medication best suited to your needs by answering a few questions. To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and website usage information with other information we have about you. Mainly for ED products. It comes from the bark of an African evergreen tree.

7 Liver or kidney damage

Only take it if you need it and it has been prescribed to you by a doctor. The concomitant administration of the protease inhibitor ritonavir substantially increases serum concentrations of sildenafil 11 fold increase in AUC. A 10mg or 20mg tablet taken on Friday evening will usually remain active through a whole weekend until Sunday morning, hence the name. Cialis requires sexual stimulation to be effective, so arousal is an important part of the equation. Electrical health and diagnostics. Keep out of reach of children and pets. If you’re using the medication once a day, be sure to take it at about the same time each day. The amount of time it takes to work varies from person to person, but it normally takes between 30 minutes and one hour. Discover No7 Advanced Retinol. Please consult your doctor, for the time period you need to use this medication. Monitor Closely 1isavuconazonium sulfate will increase the level or effect of vardenafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Whatever treatment you choose, it may help if you also consider. What are dietary supplements for exercise and athletic performance and what do they do. Having ED can make you feel bad about yourself. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration’s FDA MedWatch Adverse Event Reporting program online afety/MedWatch or by phone 1 800 332 1088. This smooth muscle relaxation allows increased blood flow into certain areas of the penis, which leads to an erection. Grapefruit juice may affect how well Cialis/Tadalafil will work and should be taken with caution. This dietary supplement from Now Sports contains no GMOs and is suitable for vegans. The normal starting dose is a single 10mg tablet taken at least 30 minutes before sexual activity. There are 6 different types of licensed PDE5 inhibitors in the UK. When taken as prescribed, Levitra is well tolerated and seems to have little to no side effects. This medicine usually begins to work for erectile dysfunction within 30 minutes after taking it. Most AEs were mild to moderate in severity, and few subjects across groups reported severe 3% or serious ≤1% AEs. No data is available on using Cenforce Soft Tablets while pregnant. Keywords: dapoxetine, premature ejaculation, treatment, selective serotonin re uptake inhibitors. However, research has shown that Yohimbine can cause side effects such as anxiety, mood swings, hallucinations, and addictive behaviours.

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However, research has shown that Yohimbine can cause side effects such as anxiety, mood swings, hallucinations, and addictive behaviours. Thus it stops the degradation of cGMP Cyclic guanosine monophosphate. AI powered legal analytics, workflow tools and premium legal and business news. In this article, “female/women” and “male/men” refer to people who identify as cisgender and have the typical reproductive organs of cisgender women and men. Some untested treatment options may temporarily resolve your issues, but those temporary benefits do not outweigh the potential health risks. Over a dose range of 2. Co administration of erythromycin, a moderate CYP3A4 inhibitor, resulted in a 160% and 182% increases in sildenafil Cmax and AUC, respectively. Sildenafil is also available in generic form. Your healthcare provider may recommend limiting or avoiding grapefruit while taking sildenafil. In part A N=24, subjects were titrated to doxazosin 4 mg administered daily at 8 a. However, Viagra may be less effective at treating erectile dysfunction ED in people who have had their prostate removed than it is in people who haven’t. Given the above, speaking with a doctor before taking any supplement is best. Since alcohol decreases blood flow to the penis, it limits the drug’s effectiveness i. You should store Viagra in its original packaging to protect it from moisture. They’ll be able to decide whether Cialis is a safe choice for you. It is usually prescribed for erectile dysfunction, a condition where a man ejaculates too quickly during sexual intercourse. The effect of tadalafil is more potent on PDE5 than on other phosphodiesterases. The general guidelines for taking this ED pill are. Certain medications can interact with Cialis if taken at the same time. Along with its needed effects, a medicine may cause some unwanted effects. Hemic and Lymphatic: vaso occlusive crisis: In a small, prematurely terminated study of REVATIO sildenafil in patients with pulmonary arterial hypertension PAH secondary to sickle cell disease, vaso occlusive crises requiring hospitalization were more commonly reported in patients who received sildenafil than in those randomized to placebo.

Medicine information

AUA Erectile Dysfunction Guideline. But if your symptoms are severe, call 911 or go to the nearest emergency room right away. In 1997, the Phase 2 clinical studies were initiated for males experiencing ED, then progressed to the Phase 3 trials that supported the drug’s FDA approval. 83 Following acute on demand administration of a SSRI, increased synaptic 5 HT neurotransmission is down regulated by presynaptic autoreceptors to prevent over stimulation of postsynaptic 5 HT2C receptors. Do not use this medicine if you are also using a nitrate medicine, often used to treat angina or high blood pressure. If you take too much sildenafil or take it together with these medicines, the chance for side effects will be higher. Also, if you have serious heart problems, you should consult your doctor about the use of Kamagra Oral Jelly. Vardenafil increases effects of zotepine by pharmacodynamic synergism. In compliance with Drugs and Cosmetics Act, 1940 and Drugs and Cosmetics Rules, 1945, we don’t process requests for Schedule X and other habit forming drugs. Visit no7 future renew. Steady state plasma concentrations are attained within 5 days of once daily dosing. View Pharmacy Profile. Levitra is just one of several PDE5 inhibitors you can try to treat ED symptoms. The usual adult dose is 20mg taken 3 times a day. In nessuna circostanza bisogna prendere il Viagra e medicine contenenti nitrati o integratori di ossido d’azoto, possono essere un rischio per la vita del paziente. The song topped the Billboard Alternative Airplay chart and was certified platinum by the Recording Industry Association of America in 2023. Special Delivery 1pm Guaranteed. You should not stop taking medicines without first discussing with your doctor. We use some essential cookies to make this website work. Ketoconazole 400 mg daily increased tadalafil 20 mg exposure AUC 4 fold and Cmax by 22 %. Following a third review, the FDA approved the drug due to unmet medical needs. There are many causes of low libido, ranging from everyday stressors to FSIAD. In June, Sprout finally convinced an FDA advisory committee to recommend the drug’s approval by providing new studies to show it can safely boost a woman’s sex drive, enabling them to have more satisfying sexual experiences. Most of these ECG abnormalities were not associated with adverse reactions. Vardenafil works by increasing blood flow to the penis when stimulated resulting in a successful erection.

MRP ₹255

However, there is currently no evidence to suggest OTC ED pills are safe or effective. Read and follow these instructions carefully before you start using sildenafil and each time you get a refill of your medicine. Separately, the Tier 1 icon means that an online pharmacy accredited by PharmacyChecker only fills prescription orders through their own pharmacy or dispensing pharmacy partners in Australia, Canada, Israel, New Zealand, United Kingdom, or the U. Physicians should advise patients to stop taking PDE5 inhibitors, including VIAGRA, and seek prompt medical attention in the event of sudden decrease or loss of hearing. After the screening, they were requested to complete Premature Ejaculation Diagnostic Tool PEDT, Premature Ejaculation Profile PEP, and International Index of Erectile Function Erectile Function IIEF EF questionnaires before the treatment. Arousal may involve having sexual thoughts, looking at sexual images, masturbating, or engaging in foreplay. However, men taking some prescription medicines, most notably drugs called nitrates used to treat heart disease, but also some other prescription medicines, should not take Cialis. Neurological effects and mental health changes may also play a. Funziona e funziona bene. You can also get treatments on the NHS, which will only have a prescription charge of £9. Other SSRIs are often prescribed to treat depression where medication needs to be taken daily to have an effect. After a meal containing 30% fat, the rate and extent of absorption of vardenafil tmax, Cmax and AUC are unchanged compared to administration under fasting conditions. View all our ED treatments. The five randomized, placebo controlled, phase III clinical trials comprised two identically designed studies conducted in the USA , an international study conducted in 16 countries in Europe, Argentina, Brazil, Canada, Israel, Mexico and South Africa , a North American safety study and an Australian and Asia Pacific country study. It can also be easier to take if you have swallowing difficulties. It is not known if or how sildenafil could affect pregnancy or harm an unborn baby.