Viagra Pack-60

Introduction

Viagra Pack-60 is a 60-tablet supply of the oral phosphodiesterase-5 (PDE-5) inhibitor used primarily for the treatment of male erectile dysfunction (ED). The tablets contain the active ingredient sildenafil citrate, the same molecule that is marketed worldwide under the brand names Viagra and Revatio. Sildenafil belongs to the class of drugs known as selective PDE-5 inhibitors and is approved by regulatory agencies such as the U.S. Food and Drug Administration (FDA) and the European Medicines Agency (EMA) for restoring erectile function in men with vascular-related ED. The product is manufactured by licensed pharmaceutical firms under Good Manufacturing Practice (GMP) standards and is supplied in a convenient pill form.

What is Viagra Pack-60?

• Definition - Viagra Pack-60 is a generic formulation of sildenafil citrate presented as a pack of 60 oral tablets.
• Classification - Selective phosphodiesterase-5 (PDE-5) inhibitor.
• history - Sildenafil was first synthesized by Pfizer in the early s and received FDA approval for erectile dysfunction in 1998. Generic versions entered the market after patent expiry, providing lower-cost alternatives.
• Manufacturer - The specific producer may vary; all manufacturers supplying Viagra Pack-60 to our pharmacy operate under licences issued by national health authorities and adhere to GMP.

Viagra Pack-60 is the generic version of well-known medications, containing the active compound sildenafil citrate. Our online pharmacy provides this generic alternative as a cost-effective treatment option.

How Viagra Pack-60 Works

Sildenafil citrate inhibits the enzyme phosphodiesterase-5, which normally degrades cyclic guanosine monophosphate (cG + ) in the smooth muscle of the corpus cavernosum. By blocking PDE-5, sildenafil prolongs cG + -mediated relaxation of penile blood vessels, allowing increased blood flow in response to sexual stimulation. The physiological effect typically begins within 30-60 minutes after ingestion, peaks at about 1-2 hours, and can persist for up to 4-6 hours. Sildenafil is metabolised primarily by hepatic CYP3A4 and CYP2C9 enzymes, with a terminal elimination half-life of approximately 4 hours.

Conditions Treated with Viagra Pack-60

• Erectile Dysfunction (ED) - Approved for men who experience recurrent difficulty attaining or maintaining an erection sufficient for satisfactory sexual performance. The drug improves erectile response by enhancing penile blood flow.
• Pulmonary Arterial Hypertension (PAH) - In the United States and Europe, a lower-dose formulation (often marketed as Revatio) is approved for PAH. It reduces pulmonary vascular resistance, improving exercise capacity.

These indications are supported by large, randomized, placebo-controlled trials demonstrating statistically significant improvements in International Index of Erectile Function (IIEF) scores and six-minute walk distance, respectively.

Off-Label and Investigational Uses of Viagra Pack-60

• Benign Prostatic Hyperplasia (BPH)-related lower urinary tract symptoms - Small Phase II studies have reported modest improvement in urinary flow rates when combined with alpha-blockers.
• Heart failure with preserved ejection fraction - Preliminary data suggest sildenafil may improve cardiac output by reducing ventricular afterload, though larger trials are ongoing.
• Altitudinal hypoxia adaptation - Research in mountaineers indicates that PDE-5 inhibition can enhance oxygenation at high altitude, but clinical use remains investigational.

Disclaimer: These off-label applications have not received regulatory approval. Patients should discuss any such use with a qualified healthcare professional before consideration.

Is Viagra Pack-60 the Right Medication for You?

• Suitable patients - Adult men diagnosed with vascular-related erectile dysfunction or, where prescribed, men with pulmonary arterial hypertension.
• Recommended scenarios - Individuals who respond inadequately to lifestyle modifications, have contraindications to intra-cavernosal therapy, or prefer an oral option.
• Contraindications - Known hypersensitivity to sildenafil or any tablet excipients, concurrent use of nitrates (e.g., nitroglycerin), or severe hypotension (systolic < 90 mmHg). Men with severe uncontrolled hypertension, recent myocardial infarction, or certain retinal disorders should avoid sildenafil unless cleared by a specialist.

Risks, Side Effects, and Interactions

Common

• Headache
• Flushing (warmth, redness)
• Dyspepsia (indigestion)
• Nasal congestion

These events are usually mild and transient, resolving without medical intervention.

Rare

• Visual disturbances (blue-tinted vision, increased light sensitivity)
• Auditory loss or tinnitus
• Priapism (prolonged erection > 4 hours)

Patients experiencing any of these should seek medical advice promptly.

Serious

• Severe hypotension, especially when combined with nitrates
• Myocardial ischemia or infarction in susceptible individuals
• Sudden loss of vision (non-arteritic anterior ischemic optic neuropathy)

Immediate emergency care is required for these events.

Drug-Drug Interactions

• Nitrates (e.g., isosorbide dinitrate, nitroglycerin) - potentiates vasodilatory effect → life-threatening hypotension.
• Alpha-blockers (e.g., tamsulosin) - may cause additive blood-pressure lowering; monitor closely.
• CYP3A4 inhibitors (e.g., ketoconazole, ritonavir) - increase sildenafil plasma concentrations; dose reduction recommended.
• CYP3A4 inducers (e.g., rifampin, carbamazepine) - reduce efficacy; consider alternative therapy.

Food & Alcohol

A high-fat meal can delay onset by 30-60 minutes. Moderate alcohol intake does not significantly affect efficacy, but excessive consumption increases the risk of hypotension and dizziness.

Use: Dosing, Missed Dose, Overdose

• Standard dosing for ED - Start with 50 mg taken as a single tablet about 1 hour before sexual activity. Depending on response and tolerance, the dose may be increased to 100 mg or decreased to 25 mg. Do not exceed one tablet per day.
• PAH dosing - Typically 20 mg three times daily, taken at evenly spaced intervals. This regimen is prescribed only under specialist supervision.
• Missed dose - Since sildenafil is taken only when sexual activity is anticipated, a missed dose simply means the tablet was not taken; do not double-dose to “make up” for it.
• Overdose - Symptoms may include severe hypotension, fainting, prolonged erection, or visual changes. Seek urgent medical attention. Activated charcoal may be considered if ingestion occurred within one hour and the patient is alert.
• Practical precautions - Swallow tablet whole with water; avoid crushing. Do not operate heavy machinery or drive if dizziness occurs. Store below 30 °C, away from moisture and direct sunlight.

FAQ

• What is the appearance of a Viagra Pack-60 tablet? The tablets are typically bluish-white, round, and bear the imprint “VIAGRA 20/50/100” indicating the dosage strength. In some generic versions, the imprint may differ but the shape and colour remain consistent.

• Can I travel internationally with Viagra Pack-60? Yes. Carry the medication in its original packaging with a copy of the prescription (if required by local customs). Keep it in carry-on luggage to avoid temperature extremes in the cargo hold.

• Are there any inactive ingredients I should be aware of? Common excipients include lactose, microcrystalline cellulose, magnesium stearate, and silicon dioxide. Patients with severe lactose intolerance should consult a pharmacist, although the amount per tablet is usually minimal.

• How does differ from older ED drugs such as alprostadil? Sildenafil acts systemically by enhancing nitric-oxide mediated vasodilation, whereas alprostadil is a prostaglandin analogue administered via intra-urethral suppository or intracavernosal injection, producing a direct local effect. Oral sildenafil offers greater convenience and a more predictable onset.

• Will sildenafil affect my testosterone levels? No. Clinical studies have shown that PDE-5 inhibition does not alter serum testosterone concentrations.

• Is it safe to use sildenafil with antihypertensive medication? Generally, yes. Most antihypertensives do not interact pharmacologically with sildenafil. However, concurrent use with vasodilating agents (e.g., nitroglycerin, certain alpha-blockers) can cause additive blood-pressure lowering.

• What should I do if I develop a mild headache after taking the tablet? Over-the-counter analgesics such as acetaminophen or ibuprofen can be used, provided there are no contraindications. If headaches persist or worsen, seek medical advice.

• Does a high-fat meal affect the effectiveness of the drug? A fatty meal can delay absorption, postponing the onset of action by up to an hour. The overall efficacy remains unchanged, so plan dosing accordingly.

• Are there any special storage requirements for humid climates? Keep tablets in a tightly sealed container with a desiccant packet if you live in a humid environment. Avoid storage in bathrooms or kitchens where moisture is prevalent.

• Can sildenafil be crushed and mixed with food for patients with swallowing difficulties? The tablet is not formulated for crushing; doing so may affect the drug’s release profile and increase the risk of side effects. Discuss alternative dosage forms with a pharmacist.

Glossary

Phosphodiesterase-5 (PDE-5) inhibitor

A class of drugs that block the enzyme responsible for breaking down cGMP, thereby promoting smooth-muscle relaxation and increased blood flow.

cGMP (Cyclic guanosine monophosphate)

A secondary messenger molecule that mediates vasodilation in penile tissue when stimulated by nitric oxide.

Priapism

A prolonged, often painful erection lasting more than four hours, which can cause permanent tissue damage if not treated promptly.

Buying Viagra Pack-60 from Our Online Pharmacy

Patients who encounter limited availability, high out-of-pocket costs, or privacy concerns can obtain Viagra Pack-60 through our online pharmacy. We source the medication exclusively from licensed, GMP-certified manufacturers, ensuring that each tablet meets stringent quality standards. Because we operate as a pharmacy-broker service, we can offer the product at a price close to the manufacturer’s cost, providing a cost-effective alternative to retail pharmacy mark-ups.

Delivery is discreet and reliable: standard international airmail typically arrives within three weeks, while express shipping options are available for faster receipt. All packages are unmarked and sealed, protecting your confidentiality throughout the shipping process.

Our service is designed for individuals who need a trustworthy, affordable route to obtain generic sildenafil when conventional channels are inaccessible or financially burdensome. By partnering with vetted overseas pharmacies, we maintain a seamless, secure supply chain while respecting patient privacy.

Disclaimer

The information provided about Viagra Pack-60 is for general knowledge only. It does not replace professional medical consultation. All treatment decisions, including those regarding off-label use, should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Viagra Pack-60 for individuals who may have limited availability through traditional pharmacies, prescription-based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.