What happens if you take Sildenafil tablet (Viagra) for long term?


 Sildenafil tablets (Viagra), is a medication, that is widely consumed recreationally, especially among young people. In Nepal, this drug is available under various brand names, including Viagra, Zenegra, Aryagra, and Silagra. It is available in 50 mg and 100 mg doses in the market.



What is Sildenafil?

Sildenafil is a medication used for men's sexual health. It is primarily prescribed to treat Erectile Dysfunction (ED), a condition where a man has difficulty achieving or maintaining an erection.

How does it work?

Sildenafil increases blood flow to the penis, helping achieve and sustain an erection. It is particularly beneficial for men who experience ED due to diabetes, heart disease, high blood pressure, or aging.

Recreational Use

Many young people are now using this medication without a doctor's prescription for recreational purposes. Some take it to boost confidence or enhance sexual performance.

Effects of Long-Term Use

If Sildenafil is misused for a long time:

Who Should Be Cautious While Using This Drug?

If you have any of the following conditions, consult a doctor before using Sildenafil:

✔️ Heart disease, high blood pressure, diabetes, or liver/kidney problems
✔️ Currently taking nitrate medications
✔️ Serious eye conditions
✔️ Blood disorders

ЁЯСЙ Do not take this medication without a doctor's prescription if you have any of these conditions.

Proper Usage Guidelines

✔️ Always follow your doctor's prescription.
✔️ Typically, a 50 mg tablet is taken one hour before sexual activity.
✔️ Do not take it more than once a day, as excessive use can be harmful.

Serious Side Effects

Seek immediate medical attention if you experience:

An erection lasting more than 4 hours
Headache, chest pain, blurred vision, or hearing loss
Increased heart rate or feeling weak

ЁЯСЙ Visit a doctor immediately if you experience these symptoms.

Long-Term Risks of Using Sildenafil

1️⃣ Heart Problems: It can increase blood pressure and the risk of heart attack.
2️⃣ Vision Issues: It may cause blurred vision or even sudden vision loss.
3️⃣ Hearing Problems: It can lead to tinnitus (ringing in the ears) or sudden hearing loss.
4️⃣ Psychological Dependence: Users may lose confidence in performing without the drug.
5️⃣ Digestive Issues: Long-term use can cause acidity, gastric problems, or indigestion.

Final Message

ЁЯЪи If you are using this drug recreationally, be cautious!

ЁЯСЙ Improper use can have severe health consequences.
ЁЯСЙ Do not take Sildenafil without medical advice.

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ЁЯЩП Thank you! 



Refrence: 
1. Wanjari M, Late S. Use of Sildenafil in young adults: a growing health problem. Pan Afr Med J. 2023 Mar 1;44:113. doi: 10.11604/pamj.2023.44.113.39168. PMID: 37275296; PMCID: PMC10237207.
2. Mahajan, P., Banerji, S., & Bodh, R. (2025). The Negative Impact of Sildenafil on Behavior and Psychology. Annals of Indian Psychiatry, 9(2), 198–200. https://doi.org/10.4103/aip.aip_16_25