Adult Use: In most patients the recommended dose is 50 mg taken as needed about 1 hour before sexual activity. Based on effectiveness and tolerability, the dose can be increased up to the maximum recommended dose of 100 mg or decreased up to 25 mg. The maximum recommended dose is 100 mg. The maximum recommended dosing frequency is once a day.
Use in patients with impaired renal function: No dose adjustment is necessary in patients with mild to moderate impaired renal function (creatinine clearance = 30-80 mL/min).
Since sildenafil clearance is reduced in patients who have severely impaired renal function (creatinine clearance < 30 mL/min), a 25-mg dose should be considered.
Use in Patients with Impaired Hepatic Function: Since sildenafil clearance is reduced in patients with impaired hepatic function (eg, cirrhosis), a dose of 25 mg should be considered.
Use in patients taking other drugs: Given the degree of interaction in patients receiving concomitant therapy with ritonavir (see Interactions and Other Drugs), it is recommended not to exceed a maximum single dose of 25 mg of sildenafil in a period of 48 hours.
A starting dose of 25 mg should be considered in patients receiving concomitant treatment with CYP3A4 inhibitors (eg, erythromycin, saquinavir, ketoconazole, itraconazole). See Drug and Other Interactions.
In order to minimize the possibility of developing postural hypotension, patients should be stable on alpha-blocker therapy before initiating sildenafil treatment. In addition, initiation of sildenafil at lower doses should be considered (see General Precautions and Drug and Other Drug Interactions).
What are your shipping rates and policies?
At the moment we offer 1 shipping option:
Regular Airmail Delivery (15-24 business days)
Once your order has been shipped, we will send you an email to notify you that your product has left our facilities. From this point on, your product is only 15-24 business days.
Please note that orders are shipped on business days only (Monday through Friday, excluding holidays).
You can view our shipping rate and other information after selecting a particular product.
Do you ship internationally?
In what currency is my purchase transaction received?
The currency used will be the US dollar.
How will my medication be packaged?
Your order will be properly packaged for your protection in transit to destination.
Where are the medications shipped from?
We ship from our office in Acapulco, Gro. Mexico
Where are the drugs you have to sell made?
Most of the drugs we offer are manufactured in Mexico, some are manufactured in countries such as Germany, England, France and others, all manufactured by large multinational laboratories legally established in Mexico.
What is the expiration date of the medications I receive?
We offer the guarantee that your product will have at least 10 months of use at the time of sale, however most of the drugs we sell have an expiration date greater than 1 to 2 years
What is your return policy?
Read the refund and cancellation policy
We are unable to accept credit or debit card payments as VISA and Mastercard policies (do not allow pharmacies established outside the US to sell drugs to US customers).
How do I place an order?
When you click on an ADD TO CART link, you will be directed to our secure server where you will be registered as our customer. After selecting the required product and its quantity, you will be sent an email with the information of your purchase and the information to make the payment.
What happens once I send my order?
If your payment is received and identified, you will immediately receive an order confirmation email and another email once your order has been shipped.
How do I check the status of my order?
After making your purchase, you will receive an email with your order tracking information. This email contains information about the purchase and a link to the official pages of SEPOMEX, USPS, CANADA POST and PARCEL FORCE.
We are committed to protecting your privacy with the highest level of security possible. All your personal information, including name and address, is encrypted so that it cannot be read as it is transmitted from your computer to our server. We use the Secure Socket Layer (SSL) protocol which enables end-to-end data protection.