Your doctor or other health care professional can recommend one for you based on these factors, other health conditions you have and any other medicines you take. If we combine this information with your protected health information, we will treat all of that information as protected health information and will only use or disclose that information as set forth in our notice of privacy practices. However, if you take sildenafil with a high-fat meal, it will take longer for the medication to start to work. Also tell your doctor if you have or have ever had pulmonary veno-occlusive disease PVOD; blockage of veins in the lungs ; a stomach ulcer; heart, kidney, or liver disease; a heart attack; heart failure; angina chest pain ; an irregular heartbeat; a stroke; chest pain; high or low blood pressure; high cholesterol; a bleeding disorder; blood circulation problems; blood cell problems such as sickle cell anemia a disease of the red blood cells , multiple myeloma cancer of the plasma cells , or leukemia cancer of the white blood cells ; conditions affecting the shape of the penis e. These medicines all work well for ED. From Mayo Clinic to your inbox Sign up for free and stay up to date on research advancements, health tips, current health topics, and expertise on managing health.25– mg: branded Viagra, sildenafil, branded Cialis, generic Cialis: Lemonaid: $2 per dose.  · The cost of sildenafil without insurance starts at $* for a quantity of 30, 20mg tablets, using a RxSaver coupon. The cost of sildenafil can vary in price depending on the pharmacy your sildenafil prescription is filled at. Below is a list of pharmacies and the starting cost of a sildenafil prescription using an RxSaver coupon.  · Sildenafil is used to treat men who have erectile dysfunction (also called sexual impotence). Sildenafil belongs to a group of medicines called phosphodiesterase 5 (PDE5) inhibitors. These medicines prevent an enzyme called phosphodiesterase type-5 from working too quickly. The penis is one of the areas where this enzyme works.

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