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Pharmaceutical Viagra 200mg x 1000

Original price was: £3,500.00.Current price is: £999.99.

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Description

Classification

Pharmaceutical Viagra 200mg x 1000 is presented as a high-strength oral sildenafil product marketed for the treatment of erectile dysfunction (ED).

Viagra is the brand name associated with sildenafil citrate, a phosphodiesterase type-5 (PDE5) inhibitor. Sildenafil works by enhancing the natural erectile response to sexual stimulation through increased blood flow to penile tissue.

An important qualification is the stated 200mg strength. FDA-approved Viagra tablets are available in 25mg, 50mg, and 100mg strengths, with 100mg as the maximum recommended dose for ED.

Therefore, a product advertised as Viagra 200mg should not automatically be described as an FDA-approved Viagra presentation.

  • Product: Viagra
  • Active ingredient: Sildenafil citrate
  • Listed strength: 200mg per tablet
  • Quantity: 1000 tablets
  • Category: PDE5 inhibitor
  • Form: Oral tablet
  • Primary use: Erectile dysfunction
  • Regulatory consideration: Specific 200mg presentation requires independent verification

What Is Pharmaceutical Viagra 200mg x 1000?

Viagra contains sildenafil citrate, a PDE5 inhibitor used to treat erectile dysfunction. It helps support an erection by increasing blood flow to the penis when sexual stimulation occurs.

For conventional FDA-approved Viagra, the recommended starting dose for most patients is 50mg as needed, with adjustment to 25mg or 100mg depending on effectiveness and tolerability. The maximum recommended frequency is once daily.

The FDA-approved Viagra strengths are 25mg, 50mg, and 100mg. As a result, the stated 200mg strength is above the approved tablet-strength range and should not be presented as a standard Viagra dosage.

The x1000 specification indicates a stated quantity of 1,000 tablets.

Dosage

200mg is the stated product strength, not a recommended dose.

For FDA-approved Viagra, the usual recommended dose is 50mg approximately one hour before sexual activity. Depending on response and tolerability, the dose may be reduced to 25mg or increased to 100mg. The maximum recommended frequency is once daily.

A 200mg tablet should therefore not be described as a routine or recommended Viagra dose.

Important considerations include:

  • Do not take more sildenafil than prescribed.
  • Do not combine sildenafil with another PDE5 inhibitor.
  • Never combine sildenafil with nitrate medicines.
  • Discuss use with a healthcare professional if you have cardiovascular disease.
  • Certain medications can substantially increase sildenafil exposure.

How Does Viagra Work?

Sildenafil inhibits PDE5, an enzyme that breaks down cyclic guanosine monophosphate (cGMP) in penile tissue.

During sexual stimulation, nitric oxide signaling increases cGMP. This promotes smooth-muscle relaxation and increases blood flow to the penis.

Sildenafil slows the breakdown of cGMP, helping maintain the natural erectile response.

The process can be summarized as:

Sexual stimulation → nitric oxide → increased cGMP → smooth-muscle relaxation → increased penile blood flow → erection

Sildenafil does not normally produce an erection without sexual stimulation and does not directly increase testosterone or sexual desire.

Potential Benefits

When appropriately prescribed for erectile dysfunction, sildenafil may:

  • Help achieve an erection.
  • Help maintain an erection.
  • Improve erectile firmness.
  • Support satisfactory sexual activity.
  • Improve confidence related to erectile performance.

Sildenafil does not directly increase testosterone, muscle mass, or sperm production.

When Should You Use Viagra?

Approved Viagra is generally used as needed before sexual activity.

It can be taken with or without food, although a high-fat meal may delay absorption and therefore delay the onset of effect.

The appropriate dose depends on individual factors including:

  • Response to treatment.
  • Tolerability.
  • Age.
  • Cardiovascular health.
  • Liver and kidney function.
  • Other medicines being taken.

Because 200mg exceeds the standard approved maximum, the specific product should be verified before use rather than assuming that taking a complete 200mg tablet is appropriate.

When Should You Not Use Viagra?

Sildenafil must not be taken with nitrate medicines, including nitroglycerin and other organic nitrates. The combination can cause a potentially dangerous reduction in blood pressure.

It is also contraindicated with guanylate cyclase stimulators such as riociguat.

Medical advice is particularly important for people with:

  • Significant cardiovascular disease.
  • Recent heart attack or stroke.
  • Very low or uncontrolled blood pressure.
  • Severe liver disease.
  • Severe kidney impairment.
  • A history of prolonged erections.
  • Certain serious eye conditions.
  • Medicines that strongly inhibit CYP3A4.

Mechanism of Action

Sildenafil selectively inhibits the PDE5 enzyme, allowing cGMP to remain active for longer in penile tissue.

This produces smooth-muscle relaxation and increased blood flow when sexual stimulation occurs.

Unlike testosterone or anabolic steroids, sildenafil does not act as an androgen or hormone-replacement medication.

Its primary pharmacological effect is on the PDE5/cGMP pathway involved in erectile function.

Uses

Viagra is indicated for the treatment of erectile dysfunction.

It should not be marketed as an approved treatment for:

  • Increasing testosterone.
  • Bodybuilding.
  • Muscle gain.
  • Fat loss.
  • Athletic performance.
  • Increased sperm production.
  • General energy enhancement.
  • Permanent correction of erectile dysfunction.

Persistent ED can sometimes be associated with cardiovascular, metabolic, neurological, or hormonal conditions and may warrant medical assessment.

Warnings and Precautions

Important precautions include:

  • Never combine Viagra with nitrates.
  • Do not combine sildenafil with tadalafil, vardenafil, or another PDE5 inhibitor.
  • Use caution with alpha-blockers and blood-pressure medicines.
  • Certain CYP3A4 inhibitors can increase sildenafil exposure.
  • People with cardiovascular disease should receive appropriate medical assessment before treatment.

FDA labeling also warns about priapism, sudden vision problems, sudden hearing loss, and hypotension.

An erection lasting more than four hours requires emergency medical attention, because delayed treatment can result in permanent damage.

Side Effects

Common sildenafil side effects may include:

  • Headache.
  • Flushing.
  • Indigestion.
  • Nasal congestion.
  • Dizziness.
  • Visual disturbances.
  • Nausea.

More serious adverse effects can include:

  • Significant hypotension.
  • Priapism.
  • Sudden vision loss.
  • Sudden hearing loss.
  • Serious allergic reactions.

The risk of adverse effects can increase with excessive sildenafil exposure, making the stated 200mg strength particularly important to verify.

Storage

Store tablets according to the manufacturer’s verified instructions.

Keep the product:

  • In its original packaging.
  • Protected from excessive heat and moisture.
  • Away from direct light where specified.
  • Out of reach of children.
  • With lot/batch and expiration information intact.

FDA labeling recommends controlled-room-temperature storage for Viagra, within the specified temperature range.

Do not use tablets if the packaging is damaged, labeling appears altered, or product authenticity cannot be established.

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Frequently Asked Questions

1. What is Pharmaceutical Viagra 200mg x 1000?

It is a product advertised as containing 200mg of sildenafil per tablet, supplied in a pack of 1,000 tablets.

2. Is 200mg a standard Viagra strength?

No. FDA-approved Viagra tablets are listed in 25mg, 50mg, and 100mg strengths.

3. What is the maximum recommended Viagra dose?

For conventional Viagra used for ED, the FDA-labeled maximum recommended dose is 100mg once daily.

4. Can Viagra be taken with Cialis or another ED medicine?

Cialis contains tadalafil, another PDE5 inhibitor. Combining PDE5 inhibitors is generally not recommended unless specifically directed by a healthcare professional, because it can increase adverse effects such as hypotension.

5. Can Viagra be taken with nitrates?

No. Sildenafil can substantially increase the blood-pressure-lowering effects of nitrate medicines, and the combination is contraindicated.