Onset of Action for Chewable Sildenafil 45mg
Use within 60 days after reconstitution; discard any remainder after expiration.
| Topic | Key Message | Additional Tips |
|---|---|---|
| How to take the tablet | Chew thoroughly before swallowing, as directed | Take with or without food |
| When to expect effect | Usually 15-30 minutes after ingestion | Avoid heavy meals close to dosing |
| Alcohol consumption | Can reduce effectiveness, avoid excessive drinking | Limit alcohol intake during treatment |
| Contraindications | Do not use with nitrates, consult doctor if unsure | Review all medications with clinician |
| Recognizing adverse effects | Contact healthcare provider if serious side effects occur | Be aware of signs of side effects |
The liquid suspension is premixed and sildenafil citrate 100 mg may contain flavoring.
Other Comments
A reduced starting dose is recommended in older adults due to higher systemic exposure as compared to younger adults. TABLETS (Revatio)/ORAL SUSPENSION (Revatio) 1 to less than 18 years: Weight 20 kg or less: 10 mg orally 3 times a day Weight greater than 20 kg to 45 kg: 20 mg orally 3 times a day Weight greater than 45 kg: 20 mg orally 3 times a day; dose may be titrated up to a maximum of 40 mg orally 3 times a day, if required, based on symptoms and tolerability Use: For the treatment of pulmonary arterial hypertension (WHO Group I) to improve exercise ability and, in pediatric patients too young to perform standard exercise testing, pulmonary hemodynamics thought to underlie improvements in exercise ERECTILE DYSFUNCTION: Mild to Moderate Renal Dysfunction (CrCl 30 to 80 mL/min): No adjustment recommended Severe Renal Dysfunction (CrCl less than 30 mL/min): Consider a starting dose of 25 mg orally once a day, about 1 hour prior to sexual activity Mild, Moderate, or Severe Renal Dysfunction (CrCl 80 to less than 30 mL/min): No adjustment recommended ERECTILE DYSFUNCTION: Mild, Moderate, or Severe Liver Dysfunction (Child-Pugh A, B, or C): Consider a starting dose of 25 mg orally once a day, about 1 hour prior to sexual activity. Mild or Moderate Liver Dysfunction (Child-Pugh A or B): No adjustment recommended Severe Liver Dysfunction (Child-Pugh C): Data not available in this population. Initiate treatment with 25 mg orally once a day, as needed, about 1 hour prior to sexual activity Patients should be stable on alpha blocker therapy prior initiating treatment with this drug. Administration with CYP450 3A4 Inhibitors (e.g., ketoconazole, itraconazole, saquinavir) or Erythromycin: Consider a starting dose of 25 orally once a day, as needed, about 1 hour prior to sexual activity.
How long does the blue pill for sex last?
Recommended dose: 25 mg orally, as needed, about 1 hour prior to sexual activity Maximum dose: 25 mg orally within a 48 hour period Known hypersensitivity to either the active component or to any of the ingredients; hypersensitivity reactions have been reported, including rash and urticaria In patients who are using a guanylate cyclase (GC) stimulators, such as riociguat; phosphodiesterase type 5 inhibitors (PDE5), including this drug, may potentiate the hypotensive effects of GC stimulators. In patients who are using nitric oxide donors such as organic nitrates or organic nitrites in any form either regularly and/or intermittently; this drug has been shown to potentiate the hypotensive effects of nitrates based on its mechanism of action After patients have taken this drug for ED, it is unknown when nitrates, if necessary, can be safely administered. Although plasma levels of this drug at 24 hours post-dose are much lower than at peak concentration, it is unknown whether nitrates can be safely co-administered at this time point. Concomitant use of organic nitrates in any form, either regularly or intermittently, because of the greater risk of hypotension Concomitant use of riociguat, a guanylate cyclase stimulator; PDE5 inhibitors, including this drug, may potentiate the hypotensive effects of riociguat. Known hypersensitivity to either the active component or to any of the ingredients of the tablet, injection, or oral suspension; hypersensitivity reactions have been reported, including anaphylactic reaction, anaphylactic shock, and anaphylactoid reaction Safety and efficacy have not been established in patients with ED younger than 18 years. Shake well before oral administration and use a calibrated measuring device for accurate dosing.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Kamagra | 100mg | 84 + 6 Pills | 264.44€ 251.85€ | |
| Viagra Generic | 150mg | 60 + 4 Pills | 111.25€ 105.95€ | |
| Kamagra | 100mg | 20 Pills | 86.09€ 81.99€ | |
| Viagra Generic | 50mg | 30 + 4 Pills | 54.26€ 51.68€ | |
| Kamagra Oral Jelly | 100mg | 110 + 9 Sachets | 334.87€ 318.92€ | |
| Kamagra Soft Tabs | 100mg | 120 + 6 Pills | 311.78€ 296.93€ | |
| Kamagra Soft Tabs | 100mg | 84 + 4 Pills | 233.05€ 221.95€ | |
| Viagra Generic | 200mg | 270 + 10 Pills | 379.76€ 361.68€ | |
| Kamagra Polo | 100mg | 272 + 12 Pills | 622.94€ 593.28€ | |
| Kamagra | 100mg | 120 + 6 Pills | 330.74€ 314.99€ | |
| Kamagra Polo | 100mg | 20 Pills | 83.56€ 79.58€ | |
| Viagra Generic | 50mg | 20 Pills | 40.52€ 38.59€ |
IV: Administer as an IV bolus injection; the supplied product is ready for use.
More about sildenafil
Safety and efficacy have not been established in patients with PAH younger than 1 year. Due to high plasma protein binding and poor elimination in urine, removal via hemodialysis is unlikely. Tablets: Administer orally with or without food. Reconstitute product before oral administration, and shake well before use. An oral syringe is recommended for dose measurement (and delivery). Tablets/IV solution: Store at 20C to 25C (68F to 77F); excursions permitted to 15C to 30C (59F to 86F).
- Sildenafil chewables provide an alternative to pill form.
- They are discreet and easy to dose accurately.
- Not for use by women or children.
- Avoid combining with nitrates for safety reasons.
- The timing around sexual activity is flexible but important.
- Effects may vary based on individual health variables.
- Follow your doctor’s instructions closely.
- Always complete a consultation before use.
- Be aware of potential interactions with other medicines.
- Regular medical checkups can monitor efficacy.
- Storage in a cool and dry place preserves quality.
- Do not share medication with others.
Oral suspension (liquid): Store at 20C to 25C (68F to 77F); excursions permitted to 15C to 30C (59F to 86F).
Further information
Compounded medications are made in state-licensed pharmacies and are not FDA-approved. BlueChew’s medications are chewable, sublingual, or liquid. For individuals who have trouble swallowing pills, these alternative formulations of erectile dysfunction medications make it possible to get the erectile support you need. They all belong to the same class of drugs (PDE5 inhibitors) and work similarly, but each of these prescription treatments has unique benefits. Sildenafil lasts about 4-6 hours, ideal for one-time use like a date night or a special occasion.
Revatio Injection
Vardenafil is similar to sildenafil, lasting 4-6 hours, but some find it causes fewer side effects. Tadalafil remains active between 24 and 36 hours, providing around-the-clock erection enhancement. Like all prescription medications, erection-enhancing drugs can cause side effects, although most people tolerate them well. Common side effects associated with PDE5 inhibitors (like sildenafil, tadalafil, and vardenafil) may include: Facial flushing (a red, warm sensation on the face) While these side effects are generally mild and temporary, there are some more rare but serious side effects to be aware of, including: Changes in vision (blurred vision, sensitivity to light) Sudden hearing loss or ringing in the ears Priapism (a painful erection lasting more than 4 hours) If you experience any of these more serious side effects, contact your doctor and seek medical attention immediately. It’s important to note that certain medical conditions or medications may increase the risk of side effects.
How do I take BlueChew for best results?
People with underlying health issues such as heart problems, low blood pressure, or certain eye conditions may not be able to take these medicines Additionally, they can interact with other prescription medications, including but not limited to: Medicines for high blood pressure (especially nitrates, as combining them with PDE5 inhibitors can cause a dangerous drop in blood pressure) Before starting BlueChew, it’s essential to disclose all current medications and medical conditions during the dynamic medical intake to ensure these medications are a safe option for you. If you’re unsure, always consult your doctor. BlueChew’s pricing starts as low sildenafil 100 mg cost as $25 per month, with each pill costing as little as $3, depending on the plan you select. Different subscription options are available, so you can find a plan that fits your budget and needs. This article is for informational purposes only and does not constitute medical advice. Oral suspension (powder): Store below 30C (86F) in the original package in order to protect from moisture.
- Sildenafil chewables are designed for rapid action.
- Avoid taking other ED medications concurrently.
- The tablet should be thoroughly chewed before swallowing.
- Use only under medical supervision for safety.
- The effects are influenced by individual health status.
- Avoid high-fat diets around the time of dosing.
- Be mindful of the timing of administration relative to sexual activity.
- Do not use if you have a known allergy to sildenafil.
- Follow dosing instructions provided by your healthcare provider.
- Report any persistent or severe side effects immediately.
- Sildenafil does not protect against sexually transmitted infections.
- Maintain regular health check-ups while using ED medication.
After reconstitution, store below 30C (86F) or in refrigerator at 2C to 8C (36F to 46F); do not freeze.
| Storage Condition | Details | Notes |
|---|---|---|
| Temperature | 20-25°C (68-77°F) | Avoid heat and humidity |
| Keep away from light | Store in a cool, dry place | Protect from direct sunlight |
| Keep out of reach of children | Ensures safety | Prevent accidental ingestion |
| Shelf life | 2 years from manufacturing date | Check expiry date before use |
Oral suspension (powder): Reconstitute with water (total 90 mL) in separate additions; shake vigorously after each addition.
- Use sildenafil chewables consistently for best results.
- Confirm with your doctor if you are taking other prescribed drugs.
- Avoid recreational drugs that can interact adversely.
- The medication can cause a drop in blood pressure.
- Side effects may include nausea, stomach upset, or rash.
- Do not take sildenafil if you have a history of vision problems.
- Keep unopened medication in its original container.
- Dispose of unused medication safely as advised.
- Do not consume grapefruit or products containing grapefruit.
- The medication should be used only by the person it was prescribed to.
- Remember to inform your doctor of all existing health issues.
- Timing is important for optimal efficacy and safety.
Do not mix with other medications or flavoring; insert adaptor into bottle neck.
Non-medical use
The content provided here is not a substitute for, and should never be relied upon as, professional medical advice. Always consult your doctor to discuss the risks, benefits, and appropriateness of any treatment. BlueChew offers compounded medications prescribed solely for the treatment of erectile dysfunction and sexual performance enhancement. The Efficacy and Safety of PDE5 Inhibitors. Pill Properties That Cause Dysphagia and Treatment Failure.
Returns and refunds
Tadalafil-Loaded Self-Nanoemulsifying Chewable Tablets for Improved Bioavailability: Design, in Vitro, and in Vivo Testing. Applies to the following strengths: 10 mg/mL; 10 mg/12.5 mL; 20 mg; 25 mg; 50 mg; 100 mg; 75 mg TABLETS (Viagra) Initial dose: 50 mg orally once a day, as needed, about 1 hour prior to sexual activity Maintenance dose: May increase to 100 mg or decrease to 25 mg once a day, based on efficacy and tolerability. Maximum dose: 100 mg orally once a day Comments: This drug may be taken anywhere from 30 minutes to 4 hours before sexual activity. TABLETS (Revatio)/ORAL SUSPENSION (Revatio, Liqrev): Initial dose: 20 mg orally 3 times a day Maintenance dose: May titrate up to 80 mg orally 3 times a day, if required, based on symptoms and tolerability. Maximum dose: 80 mg orally 3 times a day IV: 10 mg IV bolus 3 times a day Comments: No adjustment for body weight is required for IV dosing.
Raynaud's phenomenon
The 10 mg IV bolus dose is predicted to provide an equivalent pharmacological effect to that of 20 mg orally. Doses up to a maximum of 80 mg orally 3 times a day are supported by delayed clinical worsening with long-term use in clinical studies despite a lack of observed dose-response improvement in exercise ability in short-term clinical studies. In adults 65 years or older, use caution with dose selection due to a higher incidence of compromised renal, cardiac, and/or hepatic function, and of concomitant disease or drug therapy. Use: For the treatment of PAH (WHO Group I) to improve exercise ability and delay clinical worsening TABLETS (Viagra) Initial dose: 25 mg orally once sildenafil 60mg a day, as needed, about 1 hour prior to sexual activity Maintenance dose: May titrate up to 100 mg orally once a day, based on effectiveness and toleration. Maximum dose: 100 mg orally once a day Comments: This drug may be administered anywhere from 30 minutes to 4 hours before sexual activity. Consult the manufacturer product information for detailed instructions. Cardiovascular: Cardiac status/risk factors (prior to initiation); blood pressure (periodically during treatment in patients with PAH on concomitant anti-hypertensive agents) Drug Interactions: For concomitant use of medications that may be contraindicated or for dose adjustment (at baseline and during treatment) Ocular: NAION risk factors (prior to initiation) Read the US FDA-approved patient labeling (Patient Information and/or Instructions for Use).
- Sildenafil chewables come in flavored options for better taste.
- Use only as prescribed; overdosing can be dangerous.
- The medication increases blood flow to the penile tissue.
- Do not take with nitrate medications due to risk of hypotension.
- It is not a cure but improves erectile function temporarily.
- Onset of effects typically occurs within 30-60 minutes.
- Duration of effect lasts approximately 4-6 hours.
- Avoid fatty meals before taking as it may delay absorption.
- Consult a healthcare professional before starting sildenafil.
- Report any vision changes or hearing loss promptly.
- Not recommended for use by women or children.
- Some medications can interact with sildenafil, check with your doctor.