Why Online Viagra May Not Work? 

Erectile dysfunction (ED) is troublesome, and a great many people use drugs like Viagra to treat it. If, however, you discover that the Viagra is no longer as effective as it used to be or never was as effective as you thought, this can be disheartening. There are likely some reasons why this is occurring and how you might be able to change it. If you are taking online viagra or 20mg sildenafil and not having any success, there are a number of possibilities. 

How Viagra Functions?

Viagra has sildenafil, a phosphodiesterase-5 (PDE5) inhibitor. Viagra increases blood supply to the penis by inhibiting the degradation of cyclic guanosine monophosphate (cGMP), a molecule involved in relaxing smooth muscles and the dilation of blood vessels. It makes it easier to have a harder, more sustained erection with sexual stimulation. But if online viagra or 20mg sildenafil is not acting as expected, there could be an underlying cause that should be addressed. 

Possible Reasons Why Viagra is Not Working 

The following are the key reasons why Viagra is not working: 

1. Incorrect Dosage 

The usual prescribed dose of Viagra is 50mg, but some guys need a bigger dose of as much as 100mg for it to take effect. When 20mg sildenafil fails to perform as hoped, speak to a medical practitioner to see if a change in dosage is needed. 

2. Poor Absorption Due to Food 

Viagra should be taken on an empty stomach or with a light meal. Taking online viagra after a high-fat meal may delay its absorption and onset of effects. If you don’t get the desired results, change your dietary practices before taking the drug. 

3. Alcohol Consumption 

Alcohol may affect the efficacy of Viagra. Alcohol is a depressant and will decrease blood flow, as well as make erection more difficult to obtain. Reducing alcohol use may help enhance the efficacy of 20mg sildenafil if you use alcohol often. 

4. Underlying Health Conditions 

As per published reports, there is a possibility that some people may develop tolerance towards Viagra.  Some underlying health issues can affect the efficacy of Viagra, such as: 

• Diabetes: Diabetes causes nerve damage (neuropathy) and decreased blood flow to the penis, leading to erectile dysfunction. Chronic high blood sugar can injure blood vessels and nerves responsible for erection, making it less effective when taking Viagra. 

• Heart Disease: Such conditions as atherosclerosis (arterial hardening) can limit blood flow, preventing erection or making it hard to maintain. As Viagra is based on increasing blood flow, cardiovascular diseases may prevent the drug from having an effect. 

• Neurological Disorders: Conditions like Parkinson’s or multiple sclerosis impact the nervous system, interfering with the communication between the brain and the reproductive organs. Such interference may hinder the functioning of Viagra since nerve communication is very important in erectile function. 

• Obesity: Excess weight is linked to lower testosterone levels and poor vascular health, both of which are essential for sexual performance. Obesity can also contribute to conditions like high blood pressure and diabetes, which further impact Viagra’s ability to work effectively. 

If you have any of these conditions, managing them through medical treatment and lifestyle changes may improve Viagra’s efficacy. 

5. Psychological Factors 

Mental health has an important contribution to make to erectile performance. Stress, anxiety, depression, and performance anxiety may all influence how effectively online viagra operates. If you have psychological resistance, counseling or therapy might correct these and yield better outcomes. 

6. Interactions with medications 

Some drugs will lower the efficacy of Viagra, such as: 

• Antidepressants: Some antidepressants, especially selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants, may interfere with sexual function. They can decrease libido, delay ejaculation, or cause erectile dysfunction, making Viagra less effective. 

• Blood Pressure Drugs: Certain antihypertensive medications like beta-blockers and diuretics can decrease blood pressure to a level such that it impacts blood supply to the penis. As Viagra is based on adequate blood flow, these drugs can reduce its efficacy. 

• Diuretics : Used to treat conditions such as hypertension and heart disease, diuretics can decrease blood volume and impact vascular function. This can result in the inability to achieve or maintain an erection, rendering Viagra ineffective in some patients. 

• Antihistamines: These drugs, commonly taken for colds and allergies, can affect the nervous system and decrease blood flow. Certain antihistamines can also disrupt neurotransmitters that are involved in arousal, making it more difficult for Viagra to work as expected. 

If you are on any of these, speak with your physician regarding possible alternatives or changes to your regimen. 

Best Practices to Ensure Viagra Works Effectively 

As per the American Urological Association (AUA), the inappropriate or wrong use of PDE5 inhibitors leads to 56% to 81% of treatment failures. 

To maximize the efficacy of 20mg sildenafil, use the following tips: 

• Take Viagra at the Right Time: Viagra is most effective when taken 30-60 minutes prior to sexual activity, providing sufficient time for the drug to be absorbed into the bloodstream. Taking it early or late can decrease its effectiveness. Proper timing can maximize its performance and facilitate the desired outcome. 

• Use it in Different Situations: If Viagra is not working, use it in a non-stressful situation without distraction or outside pressures. This can help identify if the problem is psychological, e.g., stress or anxiety, or physical, e.g., an underlying health condition. Identifying the underlying cause can make treatment more successful. 

• Avoid Alcohol and Heavy Meals: Consuming alcohol or a heavy, fatty meal before taking Viagra can slow down its absorption and weaken its effects. Alcohol, in particular, can reduce blood flow and interfere with erectile function. To get the best results, take Viagra on an empty stomach or after a light meal. 

• Live a Healthy Lifestyle: A healthy lifestyle is important in enhancing erectile function and the effectiveness of Viagra. A balanced diet, regular exercise, and not smoking can enhance blood flow and vascular health. These lifestyle habits can also increase natural testosterone levels, which are important for sexual performance. 

• Check Testosterone Levels: Low testosterone levels can be a factor in erectile dysfunction, reducing the effectiveness of Viagra. If Viagra is not performing as desired, a physician might suggest having hormone levels checked and taking testosterone replacement therapy if the levels are low. Hormonal balance will enhance libido, energy, and sexual health. 
  
  

Alternative Treatments for ED 

If online Viagra is no longer effective, try other treatments such as: 

• Other PDE5 Inhibitors: Cialis (tadalafil) and Levitra (vardenafil) are other options to Viagra that can suit some people better. They both work in the same way by enhancing penile blood supply but with different onset and durations. A healthcare provider should be consulted to determine which is best for personal use. 

• Lifestyle Modifications: Enhancing general health by exercise, weight control, and reduction of stress can greatly improve erectile function. Such modifications enhance blood flow and hormonal balance, both of which are important for achieving an erection. A healthy lifestyle can also reinforce the action of ED drugs such as Viagra. 

• Vacuum Erection Devices: These devices form a vacuum around the penis, which sucks blood into the penis to assist in creating an erection. They are a minimally invasive choice for men who are unable to take or are non-responsive to medications. When employed correctly, they are useful as an adjunct therapy with other ED therapies. 

• Injection Therapy: Drugs such as alprostadil may be injected into the penis to elicit an erection. This is generally prescribed if oral drugs don’t work because it achieves its effect by relaxing the blood vessels and allowing increased blood flow. While effective, it takes skill and a doctor’s advice. 

• Surgical Treatments: In more advanced stages of erectile dysfunction, penile implants can be used as a long-term treatment. These implants are placed surgically into the penis to give rise to an erection during sexual intercourse. Though very successful, this treatment is usually reserved for those who cannot respond to other alternatives. 

Find the Right Solution at Direct Preventive Care

If online viagra or 20mg Sildenafil fails to perform as desired, do not lose hope. Determining the cause and making adjustments usually brings back efficacy. Direct Preventive Care provides quality 20mg Sildenafil as a sound generic substitute for Viagra, with the assurance of receiving the correct solution for your condition. Discuss with a health provider to see the best fit based on your condition.