Viagra Gold represents a significant advancement in the pharmacological management of erectile dysfunction (ED), offering a refined formulation designed for enhanced efficacy and patient tolerability. This medication utilizes a potent selective inhibitor of phosphodiesterase type 5 (PDE5) to facilitate the natural erectile process by increasing blood flow to the corpus cavernosum. It is specifically indicated for adult males experiencing difficulties in achieving or maintaining an erection sufficient for satisfactory sexual performance. Clinical development has focused on optimizing bioavailability and onset of action, making it a reliable choice within therapeutic protocols. Patients are advised to consult a healthcare provider for a proper diagnosis and to determine if this treatment is appropriate for their specific medical condition.

Features

• Active Pharmaceutical Ingredient: Sildenafil Citrate
• Standard Dosage Strength: 100 mg per tablet
• Pharmaceutical Form: Film-coated oral tablet
• Mechanism of Action: Highly selective inhibition of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5)
• Onset of Action: Typically observed within 30-60 minutes post-administration
• Duration of Effect: Therapeutic window lasts for up to 4-6 hours
• Excipients: Includes microcrystalline cellulose, anhydrous dibasic calcium phosphate, croscarmellose sodium, magnesium stearate, hypromellose, titanium dioxide, lactose, triacetin, and artificial colorant

Benefits

• Facilitates the achievement and maintenance of a firm erection sufficient for sexual intercourse upon sexual stimulation.
• Enhances overall sexual performance and confidence by providing a predictable therapeutic response.
• Supports improved relationship satisfaction by successfully addressing a primary physiological barrier to intimacy.
• Offers a well-tolerated treatment profile for a majority of patients when used as prescribed.
• Provides a duration of effect that allows for spontaneity within the therapeutic window.

Common use

Viagra Gold is exclusively prescribed for the treatment of erectile dysfunction (ED) in adult males. Its use is contingent upon sexual stimulation; it does not trigger an automatic erection. It is utilized by individuals who experience an inability to achieve or sustain an erection firm enough for satisfactory sexual activity. It is not intended for use by women, children, or adolescents.

Dosage and direction

The recommended starting dose for most patients is 50 mg taken orally 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 one tablet per 24-hour period. The tablet should be swallowed whole with a glass of water; it can be taken with or without food, though a high-fat meal may delay the onset of action.

Precautions

• A comprehensive medical and cardiovascular assessment is recommended prior to initiating any treatment for ED.
• Patients with underlying cardiovascular disease should be evaluated for their suitability for sexual activity, as it entails a certain degree of cardiac exertion.
• Use with caution in patients with anatomical deformation of the penis (e.g., angulation, cavernosal fibrosis, Peyronie’s disease) or conditions predisposing to priapism (e.g., sickle cell anemia, multiple myeloma, leukemia).
• Non-arteritic anterior ischemic optic neuropathy (NAION) has been reported rarely post-dose; patients who experience sudden vision loss in one or both eyes should discontinue use and seek immediate medical attention.
• Sudden decrease or loss of hearing has been reported; patients experiencing these symptoms should stop taking the medication and contact a physician promptly.
• Advise patients to avoid excessive alcohol consumption (e.g., >5 units) as it can impair the ability to achieve an erection and may increase the risk of orthostatic hypotension.

Contraindications

• Concomitant administration with any form of organic nitrate therapy (e.g., nitroglycerin, isosorbide mononitrate or dinitrate) or nitric oxide donors (e.g., amyl nitrite “poppers”) is strictly contraindicated due to the risk of a precipitous and potentially fatal drop in blood pressure.
• Hypersensitivity to sildenafil citrate or any of the excipients listed in the formulation.
• Patients for whom sexual activity is inadvisable due to their underlying cardiovascular status.
• Concomitant use with guanylate cyclase stimulators, such as riociguat.

Possible side effect

Like all pharmaceuticals, Viagra Gold can cause side effects, although not everybody gets them. Most are mild to moderate and transient.

• Very Common (≥1/10): Headache, flushing.
• Common (≥1/100 to <1/10): Dyspepsia, nasal congestion, dizziness, visual disturbances (e.g., altered color vision, blurred vision), back pain, myalgia.
• Uncommon (≥1/1,000 to <1/100): Hypotension, tachycardia, syncope, vomiting, rash, hematuria, eye pain, photophobia, lacrimation increased.
• Rare (≥1/10,000 to <1/1,000): Priapism (prolonged and painful erection lasting more than 4 hours), hypersensitivity reactions, sudden hearing loss, NAION.
• Frequency not known: Seizure, seizure recurrence.

Drug interaction

The primary and most dangerous interaction is with nitrates, as previously stated under Contraindications. Concomitant use with alpha-blockers (e.g., doxazosin, tamsulosin) can potentiate the blood-pressure-lowering effects of both drugs, leading to symptomatic hypotension. Caution is advised. It is metabolized primarily by CYP isoforms 3A4 (major route) and 2C9 (minor route). Therefore, potent inhibitors of CYP3A4 (e.g., ketoconazole, itraconazole, ritonavir, erythromycin) may increase sildenafil plasma concentrations, necessitating a dose adjustment. Inducers of CYP3A4 (e.g., rifampicin, carbamazepine, phenytoin, St. John’s Wort) may decrease sildenafil plasma concentrations, potentially reducing efficacy.

Missed dose

Viagra Gold is not intended for chronic daily dosing but is taken on an as-needed basis. Therefore, the concept of a “missed dose” does not apply. Do not take a double dose to make up for a missed one. Simply take the next single dose when planned sexual activity is anticipated.

Overdose

In cases of overdose exceeding the maximum recommended dose, the clinical profile is expected to be an extension of the known side effects. Severe and potentially fatal hypotension could occur, especially if combined with other vasodilators. Supportive measures should be employed, including placing the patient in the supine position with the legs elevated to manage hypotension. Hemodialysis is not expected to accelerate clearance as sildenafil is highly protein-bound and extensively metabolized.

Storage

Store in the original blister pack or container at room temperature (15°C to 30°C). 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

“After struggling with ED for several years post-prostate surgery, my urologist recommended Viagra Gold. The 50mg dose has been effective with minimal side effects—some minor flushing, but it’s a fair trade-off for the restored function and confidence.” – M.B., 62 “Extensive clinical trials and post-marketing surveillance data for sildenafil-based therapies consistently demonstrate high efficacy rates, with a significant proportion of patients achieving successful intercourse. The tolerability profile is well-established, making it a cornerstone of ED management.” – Clinical Study Summary “I was initially hesitant, but the clear instructions from my doctor made the process straightforward. It works reliably about 45 minutes after taking it. It’s important to remember it’s not an aphrodisiac; stimulation is still required.” – A.L., 58 “Compared to other options I’ve tried, this specific formulation seems to have a more consistent onset for me. I appreciate that the effects wear off completely after a few hours.” – R.K., 51