My Doctor Tells

Mumbai’s #1 Sex Health Clinic

Samadhan Health Studio

Dr. Ashok Koparday
Dr. Hetal Gosalia

Dr. Ashok Koparday | Dr. Hetal Gosalia

Erectile Dysfunction Medicines Side Effects  (Viagra Sildenafil Cialis Tadalafil).

  • These side effects are not yet listed in textbooks. 
  • You won’t find it on other web sites. 
  • They are not mentioned in prescription information as a warning. These dangers are based on recent trends in our clinical practice in Sexual Medicine at Samadhan Health Studio.


The recreational pill leads to Secondary Erectile Dysfunction in person ie, getting habituated to Viagra.

Dangers of taking Viagra and similar medicines as a recreational pill (for fun):
When it is absolutely not necessary don’t abuse Viagra © as a holiday pill, picnic pill, honeymoon pill, weekend pill, or recreational pill?
It has been found that those who take Viagra as a recreational pill (to enjoy) or the NewlyWed who takes Viagra on HoneyMoon because of lack of confidence are prone to get used to the chemically induced erections, which are stiffer and longer-lasting than the best of natural erections. 

One day the man realizes that he is not able to get his natural physiological erection. Eventually, even Viagra stops working. So DON’T TAKE VIAGRA UNLESS ESSENTIAL and prescribed by a qualified doctor who has examined you.

This danger hasn’t yet appeared in textbooks of medicine or in the patient’s prescription leaflet.


Doctor’s are requested not to prescribe Sildenafil unless the person genuinely NEEDS it as a treatment for erectile dysfunction.

Please pause before you write a prescription for Viagra, PDE5 inhibitors

In psychogenic ED when the man does not get an erection with Viagra that you prescribed, he is shattered. His wife may further humiliate him. She may even feel cheated in marriage. 

“On taking Viagra, the medicine, a doctor prescribed, if I do not get an erection”, he thinks, “then I am suffering from incurable impotence.” He hangs his head (if not himself) in shame for a lifetime. 

Psycho-Sexual Therapeutic counseling now becomes difficult due to this Secondary Erectile Dysfunction, which is iatrogenic.

In psychogenic ED, when you tell him and relatives, “He is normal” you must first consider referring him to Sex Therapists before starting PDE5 inhibitors (Viagra). Treatment of this type of ED, which is predominantly psychogenic needs time, expertise, and experience.


Read the following topics on our website:


The most common side effects of VIAGRA are:

Headache, facial flushing, and upset stomach. 

Less commonly, bluish vision, blurred vision, or sensitivity to light may occur briefly. Those who buy kamagra/suhagra/edegra/viagra without medical prescription should know about the common side effects.

It is necessary to learn about the less known, but important NEW SIDE EFFECT, namely Secondary Erectile Dysfunction induced by these medicines. This side effect is not yet mentioned in the textbooks of medicine.

Take the medicine only if it is prescribed by a sexologist after detailed case history. Safety being important it’s nice to know that VIAGRA has an established safety profile of over 10 years.

For men with other health issues, VIAGRA has been shown to work safely in men who have ED and other health issues which include:
High blood pressure
High cholesterol
Heart disease
Prostate problems

For men taking other medicines
VIAGRA  can be taken safely with many other medicines, like those for high blood pressure and depression.

If you have prostate problems or high blood pressure for which you take medicines called alpha-blockers, your doctor may start you on a lower dose of VIAGRA.

Who should not take VIAGRA

VIAGRA  has been shown to work safely in most men. 

But if you take any medicines that have nitrates in them (like nitroglycerin for chest pain)—every day or even once in a while—you should NOT take VIAGRA.

Don’t take VIAGRA if you take nitrates, often prescribed for chest pain, as this may cause a sudden, unsafe drop in blood pressure.

Important safety information

Discuss your general health status with your doctor to ensure that you are healthy enough to engage in sexual activity. If you experience chest pain, nausea, or any other discomforts during sex, seek immediate medical help.

Viagra purchased online is likely to be FAKE. See the videos by Pfizer-Viagra Security Managers.

As with any ED tablet, if an erection lasts more than 4 hours, seek immediate medical help to avoid long-term injury.

If you are older than age 65 or have serious liver or kidney problems, your doctor may start you at the lowest dose (25 mg) of VIAGRA. If you are taking protease inhibitors, such as for the treatment of HIV, your doctor may recommend a 25-mg dose and may limit you to a maximum single dose of 25 mg of VIAGRA in a 48-hour period.

In rare instances, men taking PDE5 inhibitors (oral erectile dysfunction medicines, including VIAGRA) reported a sudden decrease or loss of vision. It is not possible to determine whether these events are related directly to these medicines or to other factors. If you experience sudden decrease or loss of vision, stop taking PDE5 inhibitors, including VIAGRA, and call a doctor right away.

VIAGRA does not protect against sexually transmitted diseases, including HIV.


Viagra, Sildenafil, Cialis Tadalafil Side Effects Dangers

The most common side effects of VIAGRA are headache, facial flushing, and upset stomach. Less commonly, bluish vision, blurred vision, or sensitivity to light may briefly occur. Habit formation can happen when taken for fun or recreation. Eventually, you lose the capacity to have normal erections. Soon even Viagra® Sildenafil, Cialis® Tadalafil doesn’t work.