The juice of grapefruit is intended to increase the sildenafil bioavailability. It also tends to delay its absorption. Hence, there is a possibility of the grapefruit helping the medicine work better. 

Researchers have discovered that consuming the grapefruit actually increases the absorption of the medicine to an optimum level. If the medicine is being taken with grapefruit instead of water the absorption of the medicine is being increased to about 23% of its original ability.

How does the oral medication work?

Initially oral Vidalista is the most preferred ways of treating the condition. It increases the blood flow to the penis and may improve the ability to get erections and maintain them until the sexual intercourse is successfully completed. 

It requires sexual stimulation. It is usually taken one hour before the anticipated sexual activity. Typically works for up to 4 hours. It must be taken only once a day as it might lead to over dosage. Some oral medicines efficacies can be affected by food. Oral medication is effective in almost approximately 50-85% of the cases.

Reasons for erectile dysfunction

Unhealthy lifestyle 

Disturbed circadian rhythm due to stress and overwork

Tenuous living 

Not involving exercise as a routine

Lack of meditation or mental peace

Performance anxiety due to pressure 

Smoking habits which harms the body and steals stamina from the body

Alcohol consumption that lowers the sexual prowess

Neurological disorders

Hormonal imbalances due to endocrine disorders

Unhealthy eating habits/diet issues

Lack of sexual stimulation

There are various reasons to be blamed for when it comes to impotence as an issue. But few to be named are as follows:

Endocrine disorders

The hormonal disbalances can affect the blood flow thus making erectile dysfunctionality to be a possibility in this situation. Some forms of endocrine ED are:

Hypogonadism (low T)

Thyroid disorder

Hyperprolactinemia

Emotional responses

The performance anxiety can also trigger impotence. The fear of not being able to satisfy your partner because of anxiety or any kind of stress makes impotence sweep in faster.  

Hypertension is also one prime reason of erectile dysfunctionality.

Heart related issues

Heart diseases can really impact the person’s ability to perform sexually. High blood pressure, diabetes, smoking etc can worsen the condition even more.

Living conditions or lifestyle adaptations

Exercise, yoga, meditation, healthy eating etc. are few ways in which a person can lead ahead in betterment of their sexual life. These activities will boost your vigour and allow you have a more pleasureful experience.

Youth who have been indulging in activities such as drug, alcoholism, and disturbed circadian rhythm etc. have been found to have had a deeply impacted body and mind leading to dysfunctionalities.

Traumatic ED

Pelvic fracture or penile fracture

Pelvic radiation

Priapism

Spinal cord injury

Neuropathy from bicycle riding

Surgery associated ED

Radical prostatectomy 

Aorto-iliac vascular surgery

Availability

The medicine is easily available at any local or online store. They are also available in various dosages depending on your requirement or prescription you can choose the medicine accordingly.

Side effects

Some of the most occurred side effects of the medicine are:

nausea

lightheaded feeling

bleeding from the nose

diarrhea (watery or loose bowel movements)

flushing of the skin

There might also be some rare side effects visible with patients of underlying conditions or in case of an overdosage:

pain in the chest

pain in the muscles or back

vision impairment (it might lead to some blurriness in the vision making it quite difficult to see things clearly)

priapism

breathing difficulty (breathing issues such as shortness in breath)

Stroke

Hearing loss (ringing sound in the ear is a possibility, also in some rare cases permanent hearing loss is a possibility)

Precautions to be taken

Must not be consumed after taking any kind of alpha one antagonist (a minimum of 4 hours must be maintained)

Ensure that no same salt medicine is being taken within the same day as it might lead to overdosage.

Keep the medicine away from children and pet’s reach.

Store the medicine in a cool and a comparatively darker area to prevent the medicine from undergoing any kind of chemical alterations. 

Talk to your doctor regarding any pre-existing allergies, to avoid intense side-effects of any kind.