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Sildenafil, commonly known under the brand name Viagra, is a medication primarily used to treat erectile dysfunction (ED) and pulmonary arterial hypertension. Its effectiveness for addressing sexual dysfunction in women remains uncertain. The drug can be administered orally or via intravenous injection, with effects typically beginning within 20 minutes and lasting approximately two hours.

Common side effects include headache, heartburn, and skin flushing. People with cardiovascular conditions should exercise caution when using sildenafil. Rare but serious side effects include prolonged erections (priapism), which can cause damage to the penis, as well as vision and hearing issues. Sildenafil should not be used by individuals taking nitrates like nitroglycerin, as it can lead to a dangerous drop in blood pressure, nor should it be taken within four hours of using an alpha-blocker.

Sildenafil works by inhibiting the enzyme phosphodiesterase 5 (PDE5), which prevents the breakdown of cGMP—a compound that helps regulate blood flow to the penis. Sexual arousal is necessary for sildenafil to be effective. Additionally, the medication causes dilation of blood vessels in the lungs.

Popular brands of sildenafil tablets include Cenforce, Suhagra, Kamagra, Aurogra, and Viagra.

The primary indication of Avana is treatment of inability to sustain a satisfactoin to complete inter course. Avana is also effective in the rare disease pulmonary arterial hypertension (PAH).

It relaxes the arterial wall, leading to decreased pulmonary arterial resistance and pressure.

The primary indication of Hard on jelly is treatment of inability to sustain a satisfactory to complete inter course. Hard on jelly is also effective in the rare disease pulmonary arterial hypertension (PAH).

It relaxes the arterial wall, leading to decreased pulmonary arterial resistance and pressure.