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The power of Paxil is felt throughout every single day life. It is the joy, not the wind, that sets the pace for every emotion, and is why we provide you with the following important support options:

• Customized Support: Comes in a pack that fits your needs best. Be sure to consult with your doctor to get the right prescription to help you get through to a happy and better day. Each dose carries the burden of a prescription from your doctor. Paxil is an approved medication for the treatment of erectile dysfunction, and it works by helping to relax the muscles in the blood vessels, allowing blood to flow more easily.
• Proper Storage: We follow a properly storing policy for Paxil. You should store Paxil in a cool dry place, but do not use it to make it difficult for some to handle. Store Paxil in a cool dry place, but store it in a children’s manufactures label.

Viagra has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Viagra use include:

• Headache
• Heartburn
• Congestion
• Nasal bleeding (bloody nose)
• Nausea
• Diarrhea
• Muscle aches or pains
• Flushing
• Facial pain or tenderness
• Vision changes
• Light sensitivity

More severe side effects include:

• Painful erections or erections that last longer than 4 hours
• Sudden loss of vision
• Sudden loss of hearing
• Ringing in the ears
• Chest pain
• Shortness of breath
• Painful urination
• Increased urination frequency
• Fainting
• Dizziness
• Skin rash
• Hives
• Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any nitrate medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

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In some cases, a lower dose of Viagra may be needed to treat symptoms. However, always consult your health care provider before starting any new medication, and it’s important to ensure that you are taking the medication correctly.

As with all prescription medications, inform your doctor if you experience any dizziness, lightheadedness, fainting, trouble breathing, or swelling of your face, throat, tongue, or other body areas. Viagra can cause dizziness or lightheadedness, so it’s best to avoid this type of this medication.

As with all prescription medications, inform your doctor if you experience any of the following symptoms:

• Fever
• Loss of memory
• Trouble sleeping
• Trouble drinking
• Unusual heart rate or blood pressure
• High or low blood pressure
• Seizures

If you experience any changes to your vision, asthma, or breathing problems have occurred, be sure to contact your health care provider immediately.

This medication may also cause a drop in the amount of body fat. If you experience a low-fat diet or are overweight or overweight, notify your doctor immediately.

As with all prescription medications, inform your doctor if you experience any dizziness or fainting.

As with all prescription medications, inform your doctor if you have or have ever had high blood pressure, heart disease, liver, or kidney problems or if you're taking a nitrate drug for chest pain or blood pressure problems. This condition may also occur with cardiovascular disease, such as heart attack, stroke, or heart failure.

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Sexual health is an important part of overall health. It means the absence of disease and infections but also covers well-being, the ability to control fertility and to have children and the ability to enjoy fulfilling relationships free from discrimination.

The ability of men and women to achieve sexual health and well-being depends on their:

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• living in an environment that affirms and promotes sexual health i.e. practicing safe sex with use of condoms for men and for women, contraception.

Sexual health-related issues are wide-ranging, and encompass sexual orientation and gender identity, sexual expression, relationships, and pleasure. They also include negative consequences or conditions such as:

• infections with human immunodeficiency virus (HIV), sexually transmitted infections (STIs) and reproductive tract infections (RTIs) and their adverse outcomes (such as cancer and infertility);
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Safety-checking

Check with your healthcare provider if you experience any unusual symptoms during sex or while urinating (especially if you are older than 60 years or if you have unexplained vaginal bleeding or heart disease). If you experience any side effects, such as headache, dizziness, nausea, vomiting, stomach pain, or a light-headed feeling, stop using the product and seek medical attention immediately.

Also, tell your healthcare provider about any products you use while nursing or when you are immunosuppressed or taking monoamine oxidase inhibitors (MAOIs).

If you notice any unusual symptoms, contact your healthcare provider for guidance.

Warnings

Do not use:

• if you are allergic to sildenafil or any of the other ingredients of the product
• if you have severe heart problems (e.g., a heart attack, stroke, irregular heartbeat, chest pain, QT prolongation, fast or irregular heartbeat, fast or slow heartbeat, heart failure, New York Heart Association (narrowing) or sickle cell anaemia, seizures, fits, or coma)
• if you have previously had a stroke or a heart problem (e.g., a heart attack, stroke, chest pain, QT prolongation, fast or irregular heartbeat, heart failure, New York Heart Association (narrowing) or sickle cell anaemia)
• if you have recently had a blood clot (e.g., a stroke, blood clot in your leg, blood clots in your eyes or other blood vessel)
• if you have an eye problem (e.g., a retinitis pigmentosus, changes in vision, seeing blue or green light)
• if you have liver problems
• if you have kidney problems
• if you are pregnant or plan to become pregnant
• if you are breastfeeding or plan to breastfeed

• • if you have ever had an erection that lasted more than 4 hours (priapism). Stop using the product and seek medical attention right away if your erection lasts more than 4 hours (priapism).
  • if you have ever had a serious allergic reaction to sildenafil or any other nitrates (see "Other medicines").
  • if you are under 18 years old or are underweight.

Sildenafil citrate, commonly known by the brand name, is a prescription-only medicine used to treat erectile dysfunction (ED) in adult men. It works by improving blood flow to the penis, helping to achieve and maintain an erection during sexual activity.

Dosage and Administration

Sildenafil is available in 25mg, 50mg, and 100mg strengths.

• The usual starting dose is 50mg, taken approximately one hour before sexual activity.
• Dosage can be adjusted depending on individual response and tolerability.
• Take only one tablet in 24 hours, with or without food.
• Avoid grapefruit juice, as it can increase the risk of side effects.
• A high-fat meal may delay onset of action.

Effectiveness

Sildenafil has been shown to be effective in up to 80% of men with ED, with effects typically noticeable within 30 to 60 minutes, and lasting for up to 4–5 hours.

Side Effects

Common side effects include:

• Headache
• Flushing
• Nasal congestion
• Indigestion

Less common but serious effects include visual disturbances, hearing changes, or prolonged erections. Seek medical attention if severe or persistent side effects occur.

Contraindications

Sildenafil should not be used by those:

• Taking nitrates for chest pain
• With severe heart or liver conditions
• Under 18 years of age
• With certain medication interactions (e.g. alpha-blockers, antifungals, antibiotics)

Interactions

Inform your doctor of all medications and supplements before use. Interactions may occur with:

• Nitrates
• Alpha-blockers
• Some antibiotics and antifungal medicines

Alcohol and Heart Conditions

Avoid excessive alcohol while taking sildenafil, as it can lower blood pressure and increase side effect risk. Use with caution if you have any heart-related conditions.

Availability and Cost

Sildenafil is available by prescription only in the UK.

• Generic versions are more affordable than branded Viagra.
• Supplied by licensed UK pharmacies such as Online Chemist.
• Avoid counterfeit products from unregulated websites.

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