The mean age of the study group was 59.6 11.2 y.13 54 24 had arteriogenic ED, 16 54 30 had mixed vasculogenic ED, 9 54 17 had cavernosal veno occlusive dysfunction, 11 54 20 had post radical retropubic prostatectomy ED and Erectile Dysfunction Cheating 5 54 9 had psychogenic Where To Find Sex Online ED.13 54 24.1 responded to sildenafil at a median maximal dose of 200 mg, 4 13 required 150 mg and 9 13 required 200 mg.41 54 76 failed to respond to sildenafil.Mean IIEF question 3 and 4 scores were 1.5 and 1.4 at baseline, 2.2 and 1.9 with sildenafil 100 mg, 2.8 and 2.5 with sildenafil 150 mg and 3..0 and 2.9 with sildenafil 200 mg, respectively.After 4 Erectile Dysfunction Cheating weeks, treatment was regarded as having improved their erections by 37 , 46.3 and 68 of patients Erectile Dysfunction Cheating with sildenafil 100 mg, 150 mg and 200 mg, respectively.34 54 63 reported adverse effects with maximal dose sildenafil comprising headache 19 , facial flushing 32 , dyspepsia 14 , nasal congestion 11 , dizziness Where To Find Sex Online 5 Low Libido and visual disturbances 5.4 Where To Find Sex Online 13 31 responders refused to continue treatment due to adverse effects.In conclusion, sildenafil at doses of up to 200 mg is an effective salvage therapy for 24.1 of previous sildenafil non responders but is limited Erectile Dysfunction Cheating by a significantly higher incidence of adverse effects and a 31 treatment discontinuation rate.IntroductionErectile dysfunction ED is the inability to achieve and maintain an erection of sufficient rigidity for satisfactory sexual intercourse.1 Community based epidemiological studies suggest that sexual dysfunction, particularly ED, is a common disorder in patients and is associated with reduced quality of life.2,3,4,5Sildenafil citrate ViagraTM, Pfizer, UK , a potent, competitive phosphodiesterase type 5 iso enzyme PDE 5 inhibitor, is the L Citrulline Ed Low Libido first oral Low Libido medication to demonstrate significant and reliable efficacy in most patients with ED.6 Low Libido Following activation of the nitric oxide cGMP pathway by sexual arousal, inhibition of PDE 5 isoenzyme by sildenafil results in increased corporal levels of cGMP and an augmented penile erection.7 Sildenafil appears effective in L Citrulline Ed restoring L Citrulline Ed erectile function and improving intercourse success rates in a wide range of patients, including those with hypertension, diabetes, spinal cord injury, other concomitant medical conditions, and in those patients taking a wide variety of concomitant medications.Its efficacy Low Libido appears related to the extent and severity of ED, with significantly reduced efficacy demonstrated in patients with severe vasculogenic ED, diabetic ED Low Libido and post radical prostatectomy ED.6,8,9,11Jarow et al reported a sildenafil response rate of 65 , Erectile Dysfunction Cheating significant improvement in quality of life and a 35 incidence of adverse effects.9 Virag reported similar results with a 60 response rate and a 26.75 incidence of adverse effects.10 McMahon et al reported a similar response rate of 67.5 but a higher incidence of adverse effects of 53.6.11 These authors report a similar efficacy rate but a higher incidence Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients Erectile Dysfunction Cheating of adverse effects compared to that reported by the Sildenafil Study Group.6The maximum dose of sildenafil recommended by the manufacturer is 100 mg.A study was designed to prospectively review a group of patients with chronic ED, unresponsive to sildenafil 100 Low Libido mg, who were treated in a home setting with doses of sildenafil in excess of the recommended maximum dose 150 mg and 200 mg.Treatment efficacy, safety and tolerance was evaluated using serial physician interviews and the patient self administered IIEF questionnaire.Materials and methodsFifty four fully evaluated patients with chronic ED who had previously failed to respond to a home trial of sildenafil 100 mg with erections suitable for sexual intercourse were studied.All patients had received focussed sildenafil usage education and had been re titrated to confirm their non responder status.The mean number of sildenafil uses prior to enrolment in this study was 7 tablets range 5 C16.All patients had been previously assessed using a standardised protocol and the etiology of their ED determined.This protocol included a history and physical examination, determination of L Citrulline Ed fasting Where To Find Sex Online lipids, glucose and free testosterone, vibratory penile biothesiometry and penile colour duplex L Citrulline Ed Doppler ultrasonography CDU before and after intracavernous vasoactive drug challenge 20 mg alprostadil.Rigiscan nocturnal penile tumescence testing, dynamic infusion cavernosometry and cavernosography DICC and phallopharmacoangiography Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients were Where To Find Sex Online performed where clinically indicated.Patients Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients with unstable coronary artery disease, low output congestive cardiac failure, hypertension treated with three or more drugs, currently prescribed organic nitrate medication or those with any other contraindication to renewed sexual intercourse or sildenafil were excluded from Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients the study.Each man was treated at home with escalating doses of sildenafil citrate 100 mg, 150 mg Erectile Dysfunction Cheating and 200 mg L Citrulline Ed taken 1 hour before planned sexual activity until either maximal response or intolerable adverse effects occurred.The primary efficacy end point was the response to the questions 3 and 4 of the erectile Low Libido function domain of the International Index of Erectile Function IIEF after a trial of each dose of sildenafil.The secondary efficacy end point was the response L Citrulline Ed to the global assessment question Has this treatment improved your erections after 4 weeks of treatment.Results were analysed L Citrulline Ed using standard statistical analysis including descriptive statistics and Student Erectile Dysfunction Cheating s t Low Libido test.ResultsFifty four patients with chronic ED and a mean age of 59.6 11.2 y were Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients enrolled in the study group.The etiology of ED was psychogenic in 5 patients 9 , arteriogenic in Erectile Dysfunction Cheating 13 patients 24 , cavernosal veno occlusive dysfunction CVOD in 9 patients 17 , MVED in 16 patients 30 and post radical retropubic prostatectomy ED in 11 patients 20.The mean duration of ED was 16..6 months range 4 C32.Twenty four patients had Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients diabetes mellitus, 27 had hypertension, 26 had dyslipidaemia and 20 smoked cigarettes.Two or more vascular risk factors were present in 46 patients Table 1.Table 1 Patient demographics, intercurrent illness and life style Where To Find Sex Online factors overall and according to aetiology of EDFull size tableErections of sufficient rigidity and duration for satisfactory sexual intercourse occurred in 13 patients Where To Find Sex Online 24.1 at a median maximal dose of 200 mg.Four patients 7.4 required Where To Find Sex Online 150 mg and comprised 2 Erectile Dysfunction Cheating patients with psychogenic ED and 2 patients with arteriogenic ED.The remaining 9 patients 16.7 required 200 mg and comprised 2 patients with psychogenic ED, 3 patients with arteriogenic ED, 2 patients with cavernosal veno occlusive dysfunction and 2 patients with post radical prostatectomy ED.Nine of L Citrulline Ed the 13 patients 69 who responded chose to continue therapy with sildenafil.Overall, high dose sildenafil was effective in 4 out of 5 patients 80 with psychogenic ED and 9 out of 49 patients L Citrulline Ed 18.4 with organic ED Table 2.Of the 11 patients with post radical prostatectomy ED, 2 patients had undergone a bilateral nerve sparing radical retro pubic prostatectomy NSRRP and one Erectile Dysfunction Cheating had undergone a unilateral procedure and the remainder non nerve sparing procedures.The mean interval between surgery and Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients treatment was 5.2 months.High dose sildenafil was effective in 1 man treated with bilateral NSRRP and in 1 man treated with a unilateral NSRRP.Table 2 Response rate for sildenafil 150 mg, sildenafil 200 mg and sildenafil overallFull size table.Mean responses to questions 3 and 4 of the IIEF erectile function domain, the primary end point, were 1.5 and 1.4 at baseline, 2.2 and 1.9 with sildenafil 100 mg, 2.8 and 2.5 with sildenafil 150 mg and 3.0 and 2.9 L Citrulline Ed with sildenafil 200 mg.The mean score for Q3 and Where To Find Sex Online Q4 for sildenafil was statistically superior to baseline, overall, in all etiological groups and at all doses P 0.001.The overall mean score for Q3 and Q4 for sildenafil 200 mg was statistically superior to sildenafil 100 mg P 0.05 but not to sildenafil 150 mg.The mean score for Q3 and Q4 for sildenafil 200 mg was statistically superior to sildenafil 100 mg P 0.05 for Low Libido all etiological groups except post radical prostatectomy ED Figures 1 and 2.The global assessment by patients whether treatment improved their erections, the secondary end point, was answered in the affirmative at week 4 by 37 on 100 mg, 46.3 on 150 mg and 68 on 200 mg Figure 3.The incidence of affirmative responses was statistically superior at sildenafil 200 mg compared to 100 mg P 0.05.Viagra is taken as a single tablet, 1 hour before sexual activity.Only 1 dose should be taken in any 24 hour Low Libido period.The onset of the effect may be Erectile Dysfunction Cheating delayed if taken with food.Viagra is supplied in boxes of 4 tablets..THE PRICES LISTED ARE FOR MEDICATION DISPENSED ON Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients A PRIVATE PRESCRIPTION.SOME PATIENTS,HOWEVER, MAY BE Erectile Dysfunction Cheating ELIGIBLE TO OBTAIN THIS MEDICATION ON AN NHS PRESCRIPTION.YOUR DOCTOR WILL BE ABLE TO ADVISE YOU WHICH TYPE OF Low Libido PRESCRIPTION YOU REQUIRE.VIAGRA sildenafil citrate is a cGMP specific phosphodiesterase type 5 PDE5 inhibitor, used for the treatment of male erectile dysfunction.The physiological mechanism responsible for erection Erectile Dysfunction Cheating of the penis involves the release of nitric oxide NO in the corpus cavernosum in response to sexual stimulation.Nitric oxide then activates the enzyme guanylate cyclase, which results in increased levels of cyclic guanosine monophosphate cGMP , producing smooth muscle relaxation in the corpus cavernosum and allowing inflow of blood.Sildenafil has no direct relaxant effect on isolated human corpus cavernosum, but enhances the effect of NO by inhibiting PDE5, which is responsible for Low Libido the biodegradation of cGMP in the corpus cavernosum.When sexual stimulation causes local release of NO, inhibition of PDE5 by Where To Find Sex Online sildenafil produces increased levels of cGMP in the corpus cavernosum, resulting in smooth Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients muscle relaxation and increased inflow of blood to the corpus cavernosum.Sildenafil, at recommended doses, has no effect in the absence of sexual stimulation.Studies in vitro have shown that sildenafil has between 10 and Where To Find Sex Online 10,000 fold greater selectivity for PDE5 than for other phosphodiesterase isoforms namely PDEs 1, 2, 3, Where To Find Sex Online 4, and 6 and greater than 700 fold effect on PDE7 PDE11.In particular, sildenafil has greater than 4,000 fold selectivity for PDE5 over PDE3, the cAMP specific phosphodiesterase isoform involved in the control of cardiac contractility.Sildenafil is about 10 fold as potent for PDE5 compared to PDE6, an isoenzyme found Erectile Dysfunction Cheating in the retina this lower Where To Find Sex Online selectivity is thought to be the basis for Erectile Dysfunction Cheating colour vision abnormalities observed with higher doses or plasma levels of sildenafil see WARNINGS AND PRECAUTIONS, DETAILED PHARMACOLOGY.PDE5 is also found in lower concentrations in platelets, vascular and visceral smooth muscles, and L Citrulline Ed skeletal muscle.The sildenafil induced inhibition of PDE5 in these tissues appears to be the basis for the enhanced platelet antiaggregatory activity of nitric oxide observed Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients in vitro, and inhibition of platelet thrombus formation in Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients vivo, Where To Find Sex Online and peripheral arterial venous dilation in vivo see WARNINGS AND PRECAUTIONS.PharmacodynamicsEffects of VIAGRA on Blood Pressure BP Single oral doses of sildenafil 100 mg administered to healthy volunteers produced decreases in supine blood pressure mean maximum decrease Low Libido of 8.3 5.3 mm Hg.The decrease in blood pressure was most notable approximately 1 2 hours after dosing.The effects are not related to dose or plasma levels.Larger effects were recorded among patients receiving concomitant nitrates see Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients CONTRAINDICATIONS.Effects of VIAGRA on Low Libido Cardiac Parameters Single oral doses of VIAGRA up to 100 mg in healthy volunteers produced no clinically relevant effects on ECG.Effects of VIAGRA on Erectile Response VIAGRA was studied in clinical trials of various designs.In fixed dose clinical trials, 62 , 74 , and 82 of patients on 25 mg, 50 mg and 100 mg of VIAGRA, respectively, reported an improvement in their erections, compared to 25 on placebo p Erectile Dysfunction Cheating 0.0001, see CLINICAL TRIALS.In eight double blind, placebo controlled, cross over studies using RigiScan a device used to objectively measure penile rigidity and duration of erections , erections during sexual stimulation improved significantly on VIAGRA compared to placebo.These studies included patients with organic etiologies such Low Libido as spinal cord injury and diabetes mellitus Where To Find Sex Online , and patients without an established organic cause.Most studies assessed the efficacy of VIAGRA approximately 60 minutes post dose.All L Citrulline Ed eight studies investigating the effects of L Citrulline Ed sildenafil on penile plethysmography RigiScan after visual sexual stimulation VSS under Erectile Dysfunction Cheating laboratory conditions, consistently showed that doses of up to 100 mg resulted in statistically significant improvements in duration of erections of 60 rigidity considered hard enough for penetrative sexual intercourse , compared with placebo.In patients who respond, the median time to onset of erections 60 rigidity in response to VSS, was 25 minutes after an oral dose of 50 mg sildenafil.The mean total duration of erections 60 rigidity at the base of the penis was 3, 24 and 32 minutes for subjects receiving placebo, 25 mg and 50 mg doses, respectively, when exposed to VSS for 2 hours.VIAGRA increases couples ability to have sexual intercourse see CLINICAL TRIALS.Pharmacokinetics.Absorption Sildenafil is Low Libido rapidly absorbed.Maximum observed plasma concentrations are reached within 30 to 120 minutes median 60 minutes of oral dosing in the fasted state.The mean absolute Where To Find Sex Online bioavailability is 41 range 25 63.The oral pharmacokinetics of VIAGRA is proportional over the recommended dose range studied 25 mg to 100 mg.Sildenafil inhibits the human PDE5 enzyme in vitro Erectile Dysfunction Cheating by 50 Erectile Dysfunction Cheating at a concentration of 3.5 nM.In man, the mean maximum free plasma concentration of sildenafil following a single oral Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients dose of 100 mg is approximately 18 ng mL, or 38 nM.When VIAGRA was administered with a high fat meal, the rate of absorption was significantly decreased, with a 29 L Citrulline Ed reduction in Cmax and a 60 minute delay in Tmax..The patient may find that it takes longer to work if taken with a high fat meal.However, although it Erectile Dysfunction Cheating was statistically significant AUC decreased Where To Find Sex Online by 11 , the decrease in the extent of absorption was not clinically relevant.The relative bioavailability fed fasted was 89 90 CI 84 94 see DRUG INTERACTIONS.Distribution The mean steady state volume of distribution Vss for sildenafil is 105 litres, indicating distribution into the tissues.Sildenafil and its major circulating N desmethyl metabolite are both approximately 96 bound to plasma proteins.Protein Where To Find Sex Online binding is independent of total drug concentrations.Based upon measurements of sildenafil in the semen of healthy volunteers, less than 0.001 of the ingested dose may appear in the semen of patients 90 minutes after drug intake.Metabolism Sildenafil is cleared predominantly by the CYP3A4 major route and CYP2C9 minor route hepatic microsomal isoenzymes.The major circulating Erectile Dysfunction Cheating metabolite results from N demethylation of sildenafil at the N methyl piperazine moiety.This metabolite has a PDE selectivity profile similar to sildenafil and Low Libido an in vitro potency against PDE5 approximately 50 that of the parent drug.Plasma concentrations of this metabolite Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients are approximately 40 of those seen for sildenafil.The N desmethyl metabolite is further metabolised, with a terminal half life of approximately 4 hours.Excretion The total body clearance of sildenafil is 41 L h with a resultant terminal phase half life of 3 5 hours.After Where To Find Sex Online either oral or intravenous administration, sildenafil is excreted as metabolites predominantly in the feces approximately 80 of administered dose and to a lesser extent in the urine approximately 13 of the administered dose.Special Populations and ConditionsGeriatrics Healthy elderly subjects 65 years or older had a reduced clearance of sildenafil, resulting in approximately 90 higher plasma concentrations of sildenafil and the active N desmethyl metabolite compared to those seen in healthy younger volunteers 18 45 years.Due to age differences in plasma protein binding, the corresponding increase in free sildenafil plasma concentration was approximately 40.Hepatic Insufficiency In Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients volunteers with hepatic cirrhosis Child Pugh A and B , sildenafil clearance was reduced, resulting in increases in AUC 85 and Cmax 47 compared to age matched volunteers with no hepatic impairment.The pharmacokinetics of sildenafil in patients Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients with severe hepatic impairment Child Pugh class C have not been studied.Since sildenafil clearance is reduced in geriatric patients 65 years or older , patients with renal impairment or patients with hepatic impairment, a starting dose of 25 mg should be considered.Based on efficacy and toleration, the dose may Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients be increased to 50 mg or 100 mg see WARNINGS AND PRECAUTIONS, DOSAGE AND ADMINISTRATION.Renal Insufficiency In L Citrulline Ed volunteers with mild CLcr 50 80 mL min and moderate CLcr 30 49 Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients mL min renal impairment, the pharmacokinetics of a single oral dose of VIAGRA 50 mg were not altered.In volunteers with severe CLcr 30 mL min renal impairment, sildenafil clearance was reduced, resulting in increases in AUC 100 and Cmax 88 compared to age matched volunteers with no renal impairment.In addition, N desmethyl metabolite AUC and Cmax values were significantly increased by 200 and 79 respectively in subjects with severe renal impairment compared to subjects with normal renal function.Sildaforce 100mg Generic Viagra Tablets are a very popular, successful and widely accepted treatment for erectile dysfunction.Sildaforce 100mg is produced to a high quality standard to Low Libido ensure safety Erectile Dysfunction Cheating and effectiveness.Patients using Sildaforce 100mg regularly report successful intercourse and generally continue to use the treatment.The effective treatment time of Sildaforce 100mg is 4 6 hours but many GPs report longer effective times

The active ingredient of Sildaforce 100mg is Sildenafil Citrate.It belongs to the PDE 5 family of vasodilators.These drugs work by dilating the Where To Find Sex Online blood vessels in the body particularly around the genital area.This in turn, allows stronger Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients blood flow to enable an erection to take place.Blueberry sextreme is not an aphrodisiac and stimulation will be required to develop an erection.How to take this medicine To get the best Where To Find Sex Online from your treament, please read the following carefully.The safe indicated dose of Sildaforce 100mg within L Citrulline Ed a 24 hour period is 100mg This medicine Low Libido will become effective 1 hour after taking it and effects may be noticeable after 45mins Effective treatment time is 4 6 hours Always take this medicine with a large glass of water Avoid large or fatty meals close to when you intend to take Low Libido the medicine Alcohol will reduce the effectiveness of this medicine.Side EffectsFrom time to time Erectile Dysfunction Cheating patients taking Sextreme experience the following side effects.Common Side Effects Facial redness or flushing Headache Low Libido Blocked nose Dryness in eyes Mild NauseaThese common side effects are connected to dehydration and usually diminish by increasing water intake.Less Common Side Effects Slight blurred vision Slight blueness in vision Light sensitivity.The above side effects are not dangerous and normally diminish as your body becomes accustomed to the treatment.Patients presenting with the above side effects generally do not need to stop taking Sildaforce 100mg.Serious Side Effects Uncommon Erection longer than 4 hours Priapism Severe decrease or loss of vision Severe Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients decrease or loss of hearingAlthough serious side effects are rare, if you experience any the above serious side effects, stop Low Libido taking this medicine and seek emergency medical care immediately..Warning Sildaforce 100mg is not suitable for everyone.Patients under treatment for the following conditions or any ongoing managed condition, should consult their GP prior to taking Sildaforce 100mg.Heart Related Cardiovascular diseases including aortic stenosis, idiopathic hypertrophic subaortic stenosis and general ventricular outflow obstruction.Stroke, myocardial infaction heart attack or serious arrhythmia.Cardiac failure or coronary artery disease causing unstable angina.Blood Pressure related diseases including Hypertension Hypotension and patients with severley impaired autonomic control of blood pressure.Resting hypotension low Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients L Citrulline Ed blood pressure of BP 90 50 Resting hypertension high blood pressure of BP 170 110 Retinitis pigmentosa genetic disease of the retina Sickle cell or other related anaemias HIV specifically on treatment with protease inhibitors Organ donor recipients.ContraindicationsPatients taking the following medicine types should NOT take Sildaforce L Citrulline Ed 100mg.Nitroglycerin medicines Nitroprusside medicines Amyl Nitrate Recreationally known as poppers Organ Donor Recipient medicines Azole antifungal medicines taken orally topical creams for treatment of candida thrush are safe OverviewSildaforce Sildenafil Citrate Tablets 100mg are popular, successful and widely accepted treatment for erectile dysfunction.Sildaforce L Citrulline Ed is produced in a high quality standard to ensure safety and effectiveness.Patients using Sildaforce regularly Where To Find Sex Online report successful intercourse and generally continue to use the treatment.The effective treatment time of Sildaforce is Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients 4 6 L Citrulline Ed hours, however many doctors report Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients longer effective Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients times.The active ingredient of Sildaforce is Sildenafil Citrate.It belongs to the PDE 5 family of vasodilators.These drugs work Low Libido by dilating the blood vessels in the body particularly around the genital area.This allows Low Libido stronger blood flow to Erectile Dysfunction Cheating enable an erection to take place.Sildenafil Citrate is now one of the standard treatments for erectile dysfunction.Sildaforce is not an aphrodisiac and stimulation will be required to develop an erection.Sildaforce is manufactured Where To Find Sex Online clinically by Zenith Pharma.How does this medication work What will it do for me Sildenafil L Citrulline Ed belongs to a group of medications called phosphodiesterase type 5 inhibitors.It is used for the treatment of erectile dysfunction male impotence.It helps to Low Libido achieve and keep an erection sufficient for sexual activity.It does this by allowing a greater blood flow into the penis when a man is sexually aroused.It works only with sexual stimulation and does not increase sexual desire.This medication may be available under multiple brand names and or in Where To Find Sex Online several different forms.Any specific brand name of this medication may Miracle Shake Treats Root Cause Of Erectile Dysfunction Ingredients not be available in all of the forms or approved Where To Find Sex Online for Where To Find Sex Online all of the conditions discussed here.As well, some forms of this L Citrulline Ed medication may not be used for all of the conditions discussed here.Your doctor may have suggested this medication for conditions other than those listed in these drug information articles.If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor.Do not stop taking this medication without consulting your doctor.Do not give this medication to anyone else, even if they have the same symptoms as you do.It can be harmful for people to take this medication if their doctor has not prescribed it.What form s does this medication come in.25 mgEach blue, round, diamond shaped tablet, marked PFIZER on one side and VGR 25 on the other side, contains sildenafil citrate equivalent to 25 mg L Citrulline Ed of sildenafil.Nonmedicinal ingredients anhydrous dibasic calcium phosphate, croscarmellose sodium, FD C Blue No.2 Aluminum L Citrulline Ed Lake, hypromellose, lactose, magnesium stearate, microcrystalline cellulose, titanium dioxide, Erectile Dysfunction Cheating and triacetin.50 mgEach blue, round, diamond shaped tablet, marked L Citrulline Ed PFIZER on one side and VGR 50 on the other side, contains sildenafil citrate equivalent to 50 mg of sildenafil.Nonmedicinal ingredients anhydrous dibasic calcium phosphate, croscarmellose sodium, FD C Blue No.2 Aluminum Lake, hypromellose, lactose, magnesium stearate, microcrystalline cellulose, titanium dioxide, and triacetin.100 mgEach blue, round, diamond shaped tablet, marked PFIZER on one side and VGR 100 on the other side, contains sildenafil citrate equivalent to 100 mg of sildenafil..