Its effects often last for 4 to 5 hours. Insurance can help you save even more on consultations and medications. Is Sildenafil just a cheaper version of Viagra? Medicines that block an enzyme called CYP3A4. Kidney disease that needs to be treated with dialysis. More harmful side effects tend to be uncommon or rare. As with sildenafil, a high-fat meal or alcohol keep the body from absorbing it as quickly.The four main medicines taken by mouth for erectile dysfunction are: Avanafil (Stendra). Sildenafil (Viagra). Tadalafil (Cialis). Vardenafil. These medicines are called PDE5 . Check Your Pills Check your pills to be sure they’re brand-name VIAGRA—not the generic. If you think your brand-name prescription has been filled with a generic, talk to your . If you’re interested in buying Viagra online, five of the best options available are Hims, Roman, Lemonaid, Optum Store, and REX MD. Read on for full details on the process and pricing. A quick.

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