Sildenafil (Viagra). Tadalafil (Cialis). Vardenafil. These medicines are called PDE5 inhibitors. They enhance the effects of a chemical the body makes that relaxes .If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took sildenafil. Such patients must not apply any out-of-pocket expenses incurred using this Savings Offer toward any government insurance benefit out-of-pocket spending calculations, such as Medicare Part D true out-of-pocket TrOOP costs You are responsible for reporting use of this Savings Offer to any private insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using this Savings Offer, as may be required. This, in my view, is the key issue in this appeal. If you take too much sildenafil or take it together with these medicines, the chance for side effects will be higher. The body takes longer to absorb it after a high-fat meal or alcohol. As with sildenafil, a high-fat meal or alcohol keep the body from absorbing it as quickly. Viagra is also informally known as “vitamin V”, “the blue pill”, or “blue diamond”, as well as various other nicknames.Used for Erectile Dysfunction. Sildenafil (Viagra) is taken by mouth to treat erectile dysfunction (ED). You take it only as needed, typically about an hour before sexual activity (but you can take it anywhere between 30 minutes to 4 hours before sex). Don’t take sildenafil (Viagra) more than once a day because doing so can put you at higher.  · Viagra is used as needed, meaning you only take a dose prior to sexual activity. Cialis can be prescribed for use as needed, but can also be prescribed for use once per day, every day (without. Viagra (sildenafil) is a prescription drug that’s used to treat erectile dysfunction (ED). The drug comes as a tablet you’ll take by swallowing. It’s usually taken as needed about 1 hour.When choosing one, tell your doctor or other health care professional what your preferences are, such as cost, ease of use, how long the drug’s effects last and side effects. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Sexual activity may be a strain on your heart, especially if you have heart disease. Do not take other medicines unless they have been discussed with your doctor. However the dose is usually not more than 40 mg 3 times a day. Ask your doctor if you have any questions.