Where do step-up ratings after 25 live?
On the 25-to-100 ladder signal. That page rates clean trials and step-downs for headache. This scan only answers what the label starts.
Sibling 25-100 mg card remains the sildenafil panel. Special-start lists continue on the 25 mg start scan.
When is 100 mg the next labeled move?
After 50 mg is tolerated and still thin, following effectiveness and toleration. 100 mg is the maximum recommended dose. There is no 150 mg ED rung.
A steak delay is not a 100 mg indication. Read meal-tag ratings before anyone praises a climb. How to rate the climb itself is the ladder signal, not this start page.
Who is told to consider 25 mg first?
Adults older than 65, people with hepatic impairment such as cirrhosis, and people with creatinine clearance under 30 mL/min. Strong CYP3A4 inhibitors and erythromycin also push a 25 mg start. A stable alpha-blocker background starts at 25 mg as well.
Ritonavir is tighter than a plain 25 mg start: 25 mg and no repeat inside 48 hours. That room is the ritonavir scan.
Does 50 mg use a different hour window than 25 or 100?
The 30-minute to 4-hour swallow is written for Viagra, not for one rung. 25 mg and 100 mg use the same window. Fasted median Tmax is still about 60 minutes.
Hour detail sits on the hour scan. Do not invent a shorter window for 25 mg.
Does the start tablet get a second swallow the same day?
No. Maximum frequency is once per day at 25, 50, or 100 mg. Two 50 mg tablets in one calendar day are not a labeled 100 mg step.
The once-a-day scan stays on that cap. This page only names the first milligram.
What milligram does the US label open on?
50 mg for most adults. That is the Dosage sentence, not a forum upsell. The swallow sits about one hour before activity, anywhere from 30 minutes to 4 hours.
Reviews that open at 100 mg because '50 is weak' are grading bravado. Two timed 50 mg nights belong first unless a flag already points to 25.