Using Penegra Express tablet to have sex

Question. I am a 50 year old male and had a stent implanted in my heart about 2 years ago. I use Penegra Express 75 mg tablet once a week to have sex. I do not feel any ill effects. Is it okay to do so? Please reply.

Answer. Penegra is a generic brand of sildenafil citrate, the active ingredient of Viagra. You are already using it effectively and without any adverse effects. I hope that this is being done under medical supervision. There is a lot of unnecessary concern about the safety of Viagra (and its generics) in heart patients. This is unfounded. The Second Princeton Consensus on Sexual Dysfunction and Cardiac Risk discusses this in detail and offers guidelines that must be known to every physician who is prescribing Viagra and other PDE5 inhibitor drugs. On the whole, it may be safe and correct to state that many patients with stable and controlled heart disease, and who are not taking nitrates, may use Viagra safely if prescribed by physicians in accordance with the Second Princeton Consensus Statement.

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