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I mean I know we're scheduled for more classes and therefore longer days in class, but besides that, is the material more difficult and/or is it a whole lot more to study. In regards to schedule, I plan on doing a one month home rotation followed by an away. I will be applying for a very competitive fellowship (during late PGY4) and it will be impossible to get one of the best fellowship spots coming from my current program. Especially if you have a significant other with an income. I dont know how you revolutionize the transport system. They have a solid department of medical education with several curriculum, tracks, and electives in place for those interested in medical education. In the future we will continue to remain relevant and continue to develop and improve procedures. OK, Foxy Lady. you supplied half of a comparative equation.

I'm especially worried about my letters, because my LOR writers are still working on them and I have no idea when most will finish. This isn't something that's setup by admissions – it's setup by the SOMA Club which is a student-ran organization. We do quite a bit of driving on some of our rotations including heading down to Harlingen! My advice would be to try and get into a well known place. Thus, a veteran/non-trad/URM/fill-in-blank-for-desired-demographic here with an MCAT of 20 will not get accepted, even a Medal of Honor winner. viagra samples Discussion in 'Surgery and Surgical Subspecialties' started by jackets5, Feb 20, 2013. Buffalo is an established school, I would go there without a second thought and it's cheaper. That's "cheating" too, but if I'm sure if it was right in front of you, you would still look at it, even if you had "good" morals and wanted to "prove" you could do it. I don't know what the numbers say about improvement on the GRE the second time around. You gotta wonder what's going to happen to all these proton center that are going to open up in the coming years in multiple institutions.

This is probably the case with the Eastern European countries but not with those in Western Europe. I can't do both since there is like a 10 year commitment for pilots. And my biggest concern is the preparation for the Step 1. I guess I just have a different perspective? Reborn07, Dec 3, 2007, in forum: viagra over the counter Surgery and Surgical SubspecialtiesQue bueno que ya hayas pasado la primera parte, Felicidades por eso. For those of you interested in pediatrics or a pediatric sub-specialty, this might be a cool link to check out in regards to Baylor: TCH Rankings. First, I question whether the perfectionist who can't bear life once being humiliated isn't mentally ill. 'I did briefly speak with the previous interns as we rotated in and they rotated out.

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Whereas if the physician knew that an MRI would be indicated from the get-go, skipping the plain film would be cost-saving. Completed June 29th did not hear back from them yetIt could be higher or lower for this year. Unfortunately 155 was my target for both first time around hopefully I can pull it off with one more try. Post by: amberlynnp13, Jul 5, 2014 in forum: Nontraditional StudentsNeither of them seem to be itching at all. You don't want to be one of the ones that stands out when just about everyone else is meeting a certain professional standard.

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In the future we will continue to remain relevant and continue to develop and improve procedures. I'm hitting 70-75% on every block I do now. I'm assuming getting a residency in viagra over the counter Prosthodontics is similar to that of other dental specialities. Good luck to future students on the Ortho trail. Why is it that women need to fix themselves up but men dont. Pros: excellent clinical surgical experience, great residents, great faculty, happiest residents on the trail by far, 80hr work week very likely, there are no fellows and so the residents do every case, very strong case load, operative autonomy is amazing (only place I viagra over the counter have seen a PGY-2 do a palate alone), really strong cosmetic, really strong craniofacial, breast and micro is also strong, PA's help with the floor work leaving the residents to pretty much just operate, 1. 45 sGPA, 27 MCAT (9/8/10), and strong LORs (1 from Western U/COMP alum).

In the far future I'd like to have my own [healthcare related] company (probably a nonprof), but right after med school I wouldn't mind practicing OR working in consulting.

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The "MD" programs won't magically get rid of their bias just because there was a merger. I think kids are protected only by the IDEA act in school. Are Radiology Techs generally satisfied or are they too limited. A whole lot of damn fools spend k+ on an SMP and then throw that money away by being in a dumb hurry.

There are places that probably won't consider you regardless of how stellar you perform in school and during clinicals, but there are plenty of places that will.

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Discussion in 'Africa and Middle East' started by chaedel, Jun 16, 2014. US med graduate that is not citizen or green card holderI think you and I should meet up and trade some brains before the 7th. It viagra over the counter (medpedes) will also shortchange you on some of the procedural training/experiences that may be advantageous in a rural/underserved community, again IMHO. Clinical Cardiology made ridiculously simple 2nd edition (no highlighting, I have two copies because one was my husband's)They needed proof of my IRTA fellowship.

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    I finally got home and took some ativan, Darvocet and the Neurontin they gave me, and then layed in the tub crying for 17 hours. I finally fell asleep from exhaustion. I went to my doctor and he said I may of had Lupus, Fibro, Rhuematoid Arthritis, Neuropathy, or 6 other things I can’t pronounce. He did blood work, upped the dose on the Neurontin and my Darvocet at night (when it is worse) and called me when my labs came back. Said he wanted me to come in today.

    My brother-in-law is struggling with these problems also, including nerve pain. For ED that goes along with diabetes, tablets like Viagra may work. Urologists that specialist in ED do have other options if the pills don’t work. http://www.webmd.

    You should know the drill and the time has come to Straigthen Up and Fly right or you can Kiss your Love life good bye, for good. Neuropathy is getting worse in you and if you let it go much longer? Nothing, including Viagra is going to help you. > No More Guessing at your Carb and Ratio’s. You have to set up a couple of B/L’s and stick to them and 5-7 Dinners, until you master them ( the #;s) before adding anymore/different meals..( Try using A T2’s low carb diet.

    Last year his PSA levels were spikeing but then they went down and so he just dropped it. Otherwise he is very healthly. He doesn’t seem to care that he can’t do it anymore. We did try viagra once and it didn’t do anything to him. About 16 years ago he had that operation because he couldn’t pee. Could this have anything to do with it. The urologist he saw last year didn’t seem to care that he couldn’t get it up, it was more of a lets get this psa thing taken care of.

    I have AIDS and have not been able to *** for over two years. I take Viagra and jack and jack and jack but I can’t ***. I have peripheral neuropathy that affects my legs, could this be it. Had prostate checked and it’s ok.

    I tried viagara for the first time (100mg) and experienced a blue haze for short while, now I seem to have slightly burred vision and my eyeglasses do not seem to work as well. I need to get to an eye doctor for an exam but I am wondering if you could advise me on this condition. should I be doing anything right now for this condition, i.e. aspirin? It is going to take some time to get to a doctor.

    I’ve had CSR for several years and I’m wondering if an occassional 2mg dose of Cialis causes any issues with CSR. I noticed the commercial state something about Cialis and visual problems. Anyone know for sure?

    There are many other causes of nerve disorder causing pins and needles or glove-and-stocking neuropathy or paresthesia including diabetes, hypothyroidism, chronic involvement of liver or kidney, chronic alcohol use etc. Hypoparathyroidism too should be looked into apart from hypothyroidism. Neck strain, spondylotic changes in cervical vertebrae, bone disease or bad posture should be looked into. Nerve infections as in Lyme’s disease too should be investigated.

    Some cancers, like lymphoma, hormone disorders like carcinoid syndrome and hypothyroidism and hypoglycemia (low blood glucose) and some neurologic conditions like strokes, autonomic neuropathy. and post-traumatic syringomyelia can also cause night sweats. Medications like aspirin, acetaminophen, niacin, tamoxifen, Viagra and antidepressants are often linked to night sweats.

    Some cancers, like lymphoma, hormone disorders like carcinoid syndrome and hypothyroidism and hypoglycemia (low blood glucose) and some neurologic conditions like strokes, autonomic neuropathy. and post-traumatic syringomyelia can also cause night sweats. Medications like aspirin, acetaminophen, niacin, tamoxifen, Viagra and antidepressants are often linked to night sweats.

    it does not reach the end of the visual field. In the beginning it came for a day and disappeared for some days. Now it does not disappear but the area of blurriness changes. It can change from large to small in several hours. This morning for the first time it covered the fovea region. About a month ago I went to an ophthalmologist. At that day I have not got the blurred area. He hasn’t found anything and sent me to check my field of view and duplex of my neck artery.

    The latter has been the case for the last 6 months – he simply can’t feel anything, so our resort to Viagra works but we don’t use it as it makes me feel selfish – if you don’t both enjoy what is the point? Is there anyone else out there who has any advice on how to cope emotionally (both for my partner and for myself?) as this is now a permanent problem and is very difficult to come to terms with. (my partner is 46 and has had Type 1 for 42 years). Thank you so much.

    after 6 years my sugar level is not controlled next i was started Insulin for morning and eviening. Now i am taking Human Mistrared 50 (35 Units) for Morning and Human Insulatore ( 20 Units ) for Night after dinner and i am using gemer 2mg for both morning before break fast and before dinner, and also i am using multi vitamine tablete dalily at night. I am doing regular exersise daily. but some times it is not possibe means wenever journey the exersise is not possible.

    About 5 minutes later I responded to the injection and after 15 minutes it was determined that the erection was sufficient for penetration. For the last 4 years I have been using this with a good reliable result. I have not been able to use it since March of 2008 due to urological problems. Once I get the urological problems under control and get rid of my catheter I will use it again. I also have peripheral neuropathy, so if there is nerve damage in your case it should work.

    I am also being treated for hypothyroidism. Any suggestions for what is causing these hot flashes/night sweats?

    My husband has been ill for the last three years and doctors can’t figure out why. Symptoms come and go but always include excessive sweating, night sweats, sinus infections and overwhelming fatigue. He was recently given Bactrim and had a bad reaction to it. Now we’re thinking that antibiotics used over the years may have caused these chronic symptoms. Are we crazy?

    Other causes include tuberculosis, bacterial infections, abscesses, osteomyelitis, hormone disorders like carcinoid syndrome and hypothyroidism, hypoglycemia (low blood glucose) and some neurologic conditions like strokes, autonomic neuropathy. Medications like aspirin, acetaminophen, niacin, tamoxifen and Viagra can sometimes cause night sweats. Keeping the bedroom cool can help with night sweats. Also, keeping ice water and a fan by the bed will help ease any episodes you get.

    I have been a very well-controlled Type 1 diabetic for 50 years. My doctor says that I have minimal to low neuropathy, so this should not cause sexual problems, especially when using Viagra and the like. However, I seem to have developed Lyme disease over 30 years ago, when it was barely known, because at age 20 I went from normal to almost impotent very rapidly. Viagra and such worked well enough for a time, but no more. I also have severe melancholic depression (wouldn’t you?

    4 months ago had a pacemaker put in 4 monnths ago high blood pressure he takes a lasix pill (dont know why other than he holds fluid) takes viagra by choice borderline diabetic takes no medication for it.

    I take the following medication Janeuvia, Glipizide and Lantis (injections) for my sugar amd Torrol, Avalide for my blood pressure. Now I am going to mention this to my doctor this month, but I assume that with drugs like Viagra and Cialis, you have to have some erection but with the retinopathy in my eyes, I doubt that even if they could help, I would be given tjat option.

    The injections were the only thing that worked for me to achieve an erection. The Viagra. Cialis and others did not do anything. I hope that they will be able to help you.

    My suggestion would be see your doctor about taking a medication such as viagra or cialis. I know for a fact they work because my husband uses them.

    a doppler ultrasound thing or something but at the end all I receive is free trials of cialis or viagra (which do not do the trick) they just give me head aches and back pain. From the research ive done the best scenario for treating a fractured penis is seeing a doctor immediately. Obviously mine has been quite sometime ago. So is it too late to be treated?

    on July 3rd i received deep throat oral sex from a 22 year old guy for about 5-10min. i put his **** in my mouth for about 15-30 seconds then i remembered i had a cut in my mouth. in addition, i did kiss his anus, put my nose on his anus, he had an enema earlier. my penis had an abrasion on the shaft near the head that came from extreme frottage 1.5 weeks earlier. July 5 i started experiencing neuropathy feelings all over my head and body.

    after ten years,of pills for leg pain,im on a patch made for parkinsons it being touted now for restless legs,i have a very high tolerance,im taking,,the patch is called neuopro its small,an can cause blisters on skin,you must use a different spot..i can handle being 3rd degree burn,its makes me tired,but in men,im quoteing,makes us sexually aggressive. I wish I could take your pain away..i don’t feel worthy of the embarresing things about our friend,my doc is very frank.

    I am not aware of creams or medications that has been shown to increase the sensitivity of the penis in controlled trials. You may want to be evaluated for any form of neuropathy that can cause a change in sensation. Testing for diseases such as diabetes should be done. A referral to a neurologist for possible electrodiagnostic testing can evaluate for any nerve dysfunction leading to your symptoms. You may also want to consider an MRI to evaluate for any nerve compression.

    neuropathy pain, that will allow my renewed orgasmic joy to continue, after all these years? I use 100 mg. Viagra for each lovemaking, $1.25 a pill from India Generics.

    As I approached 40, with a 25 year old girl, I began to beed the assistance of Cialis, took it once or twice a week, with great results, for her, for me, for my reputation.recently I ran out and a friend at a clinicdave me a pack of Leverta, i took a pill, great results, 2 weeks later saw her again, used a second dose, great results for her. I orgasmed, with ejaculation, but with no sensation of orgasm, just the spill of the seed, no feelings whatsoever like it was numb.

    At your age you should not be looking at an implant. I’m 46 and have had severe ED since about 2000. Viagra. Cialis did notheing for me. In 2003 while being undergoing treatment for other medical issues, I was asked if I wanted to see a uorologist to consult about my ED. The urologist was quite up from and while in the office as if I wanted to try Caverject. After agreeying I was instructed to lay down on the examination table.

    It can also be affected by various disorders that affect the nerves – such as various causes of peripheral neuropathy and diabetes. Viagra works by enhancing smooth muscle relaxation, allowing the penis to be filled with blood easier. To my knowledge, it does not have any direct neurological effect where penile sensitivity is increased. If there is further concern, you can consider a referral to a urologist or neurologist for further evaluation.

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    Erectile dysfunction drug relieves nerve damage in diabetic mice

    Date: March 17, 2015 Source: Henry Ford Health System Summary: New animal studies found that sildenafil, a drug commonly used to treat erectile dysfunction, may be effective in relieving painful and potentially life-threatening nerve damage in men with long-term diabetes. Share:

    ew animal studies at Henry Ford Hospital found that sildenafil, a drug commonly used to treat erectile dysfunction, may be effective in relieving painful and potentially life-threatening nerve damage in men with long-term diabetes.

    The research targeted diabetic peripheral neuropathy, the most common complication of diabetes, affecting as many as 70 percent of patients.

    The study was recently published online in PLOS ONE .

    Lei Wang, M.D. the Henry Ford neuroscientist who led the research, said that although numerous drugs have been shown to be effective in earlier animal experiments, most have not provided benefits in clinical trials.

    “Generally, young diabetic animals with an early stage of peripheral neuropathy are used to investigate various drug treatments,” Dr. Wang explains. “But patients with diabetes who are enrolled in clinical trials often are older and have advanced peripheral neuropathy.

    “Failure to develop and properly evaluate treatments in the laboratory that properly reflect the target clinical population with diabetic peripheral neuropathy may contribute to the failure of clinical trials.”

    To mimic clinical trials in which diabetes patients have advanced peripheral neuropathy, the Henry Ford researchers chose male mice with type II diabetes that were 36 weeks old, roughly equivalent to middle age in humans.

    Earlier animal experiments from the Henry Ford group showed that sildenafil, commonly known by the brand name Viagra, improved blood supply to the sciatic nerve.

    In addition, it was noted that diabetes patients who took Viagra for erectile dysfunction had fewer symptoms of peripheral neuropathy.

    However, it was not known if this therapeutic effect held true for long-term peripheral neuropathy because the diabetic mice used in the previous experiments were relatively young — 16 weeks old.

    So the Henry Ford researchers chose diabetic mice that were more than twice as old. In one group, 15 such mice were treated with an oral dose of sildenafil/Viagra every day for eight weeks. A control group of 15 age-matched diabetic mice were treated daily with the same amount of saline.

    After a battery of nerve and function tests were performed on both the drug-treated and control groups, results “revealed that sildenafil markedly improved sensory function starting at six weeks after treatment compared with saline-treated diabetic mice,” Dr. Wang says.

    “These data indicate that sildenafil improves neurological function even in middle-aged mice with long-term diabetic peripheral neuropathy.”

    While stressing that the findings remain experimental, Dr. Wang says they provide new insights into the underlying mechanisms of long-term diabetic nerve damage and may lead to the development of a sildenafil treatment for long-term diabetic peripheral neuropathy.

    Diabetic peripheral neuropathy is particularly insidious because, as it progresses and damages nerves in extremities and other parts of the body, many patients are unaware of it because pain sensors are numbed.

    As a result, a cut or sore on the bottom of a foot, for instance, may not be noticed until an infection sets in and spreads, possibly leading to amputation or even death.

    Because diabetic neuropathy results from chronically high blood sugar levels, diabetes patients are strongly encouraged to closely monitor those levels and control them through diet.

    Over-the-counter and prescription drugs — including antidepressants and opiates — are available to treat neuropathy pain, but often have undesirable side effects.

    Materials provided by Henry Ford Health System . Note: Content may be edited for style and length.

    1. Lei Wang, Michael Chopp, Alexandra Szalad, LongFei Jia, XueRong Lu, Mei Lu, Li Zhang, Yi Zhang, RuiLan Zhang, Zheng Gang Zhang. Sildenafil Ameliorates Long Term Peripheral Neuropathy in Type II Diabetic Mice. PLOS ONE. 2015; 10 (2): e0118134 DOI: 10.1371/journal.pone.0118134

    Henry Ford Health System. “Erectile dysfunction drug relieves nerve damage in diabetic mice.” ScienceDaily. ScienceDaily, 17 March 2015. <>.

    Henry Ford Health System. (2015, March 17). Erectile dysfunction drug relieves nerve damage in diabetic mice. ScienceDaily. Retrieved September 24, 2016 from

    Henry Ford Health System. “Erectile dysfunction drug relieves nerve damage in diabetic mice.” ScienceDaily. (accessed September 24, 2016).

    Mar. 10, 2016 — A signaling pathway in melanoma cells is affected by erectile dysfunction drug Sildenafil, biochemists have discovered. Sildenafil is used to treat erectile dysfunction and is the active ingredient. read more

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    Dec. 4, 2012 — Men in their thirties who had inflamed gums caused by severe periodontal disease were three times more likely to suffer from erection problems, according to a new. read more

    How does peripheral neuropathy cause erectile dysfunction (ED)?

    Peripheral neuropathy is damage to any of the nerves outside the brain and spinal cord. There are many types and many causes of peripheral neuropathy. For example, peripheral neuropathy is a common symptom of diabetes. Nerves play an important role in carrying signals to the penis to cause an erection. When these nerves are damaged, erectile dysfunction may result.

    Peripheral neuropathy is a fancy phrase for damage to nerves that extend from the brain and spinal cord out to every other part of the body. The brain and spinal cord make up the hub of your nervous system. From them, a stunningly complex network of nerves spreads out and delivers signals throughout the body, like telephone lines in a vast city. These signals provide operating instructions for all tissue and organs in the body. But when you develop peripheral neuropathy, those lines of communication develop interference or shut down altogether.

    A disruption in service along the nerves connecting the brain to the penis can result in erectile dysfunction. You can inherit peripheral neuropathy, though the problem is often linked to diseases such as diabetes. Medications such as sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis) can help some men cope with erectile dysfunction caused by peripheral neuropathy.

    This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.

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    Viagra is indicated for the treatment of erectile dysfunction in men. Viagra is a phosphodiesterase type 5 (PDE5) inhibitor. It works by helping to increase blood flow into the penis during sexual stimulation. This helps you to achieve and maintain an erection.

    Use Viagra as directed by your doctor.

    • Take Viagra by mouth with or without food. Viagra may not work as quickly if you take it with a high-fat meal.
    • Viagra is usually taken about 1 hour before sexual activity; however, it may be taken anywhere from 4 hours to a half hour before sexual activity. Talk with your doctor about the best way to take Viagra.
    • Viagra can help you have an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.
    • Do not take more than the recommended dose or take it more often than once daily, or as directed by your doctor.
    • If you miss a dose of Viagra and you still intend to engage in sexual activity, take it as soon as you remember. Continue to take it as directed by your doctor.

    For most patients, the recommended dose is 50 mg taken, as needed, approximately 1 hour before sexual activity. However, Viagra may be taken anywhere from 4 hours to 0.5 hour before sexual activity. Based on effectiveness and toleration, the dose may be increased to a maximum recommended dose of 100 mg or decreased to 25 mg. The maximum recommended dosing frequency is once per day.

    Ask your health care provider any questions you may have about how to use Viagra.

    Store Viagra at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Viagra out of the reach of children and away from pets.

    Active Ingredient: Sildenafil citrate.

    Inactive Ingredients: Microcrystalline cellulose, anhydrous dibasic calcium phosphate, croscarmellose sodium, magnesium stearate, hypromellose, titanium dioxide, lactose, triacetin, and FD & C Blue #2 aluminum lake.

    Do NOT use Viagra if:

    • you are allergic to any ingredient in Viagra
    • you have been advised by your doctor to avoid sexual activity because of heart problems
    • you are taking nitrates (eg, isosorbide, nitroglycerin) in any form (eg, tablet, capsule, patch, ointment), or nitroprusside
    • you use certain recreational drugs called “poppers” (eg, amyl nitrate or nitrite, butyl nitrate or nitrite)
    • you take another PDE5 inhibitor (eg, tadalafil, vardenafil) or another medicine that contains sildenafil.

    Contact your doctor or health care provider right away if any of these apply to you.

    Some medical conditions may interact with Viagra. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

    • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
    • if you have allergies to medicines, foods, or other substances
    • if you have a deformed penis (eg, cavernosal fibrosis, Peyronie disease), blood cell problems (eg, leukemia, multiple myeloma, sickle cell anemia), or any other condition that may increase the risk of a prolonged erection (priapism)
    • if you have a history of a prolonged (more than 4 hours) or painful erection (priapism)
    • if you have a history of certain eye problems (eg, macular degeneration, optic neuropathy, retinitis pigmentosa, sudden vision loss in one or both eyes) or hearing problems (eg, ringing in the ears, decreased hearing, hearing loss)
    • if you have a history of liver or kidney problems, lung problems (eg, pulmonary veno-occlusive disease), high or low blood pressure, ulcers, bleeding problems, heart problems (eg, angina, aortic stenosis, heart failure, irregular heartbeat), or blood vessel problems
    • if you have a history of heart attack, stroke, or life-threatening irregular heartbeat, especially within the past 6 months.

    Some medicines may interact with Viagra. Tell your health care provider if you are taking any other medicines, especially any of the following:

    • Alpha-blockers (eg, doxazosin), medicines for high blood pressure, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low blood pressure with dizziness, lightheadedness, and fainting may occur
    • Azole antifungals (eg, itraconazole, ketoconazole), H2 antagonists (eg, cimetidine), HIV protease inhibitors (eg, ritonavir, saquinavir), macrolide antibiotics (eg, erythromycin), narcotic analgesics (eg, dihydrocodeine), or telithromycin because they may increase the risk of Viagra’s side effects
    • Bosentan or rifampin because they may decrease Viagra’s effectiveness.

    This may not be a complete list of all interactions that may occur. Ask your health care provider if Viagra may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

    Important safety information:

    • Viagra may cause dizziness, drowsiness, fainting, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Viagra with caution. Do not drive or perform other possible unsafe tasks until you know how you react to it.
    • Viagra may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
    • Patients with heart problems who take Viagra may be at increased risk for heart-related side effects, including heart attack or stroke. Symptoms of a heart attack may include chest, shoulder, neck, or jaw pain; numbness of an arm or leg; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of a stroke may include confusion, vision or speech changes, one-sided weakness, or fainting. Contact your doctor or seek medical attention right away if you experience these symptoms.
    • Viagra may rarely cause a prolonged (eg, more than 4 hours) or painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if you have an erection that lasts more than 4 hours.
    • Viagra does not stop the spread of HIV or other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control (eg, condoms) if you have HIV infection or an STD.
    • Viagra will not prevent pregnancy. If your partner may become pregnant and you wish to avoid pregnancy, be sure to use an effective form of birth control.
    • Viagra may uncommonly cause mild, temporary vision changes (eg, blurred vision, sensitivity to light, blue/green color tint to vision). Contact your doctor if vision changes persist or are severe.
    • Rarely, an eye problem called nonarteritic anterior ischemic optic neuropathy (NAION) has been reported in patients who took Viagra. This may lead to decreased vision or permanent loss of vision in some cases. If you notice a sudden decrease in vision or loss of vision in one or both eyes, contact your doctor right away.
    • Sudden decreases in hearing and loss of hearing have been reported in some patients who have taken Viagra. Sometimes they also noticed ringing in the ears or dizziness. If you notice a sudden decrease or loss of hearing, contact your doctor right away.
    • Do not use other medicines or treatments for ED while you are taking Viagra without first checking with your doctor.
    • Use Viagra with caution in the elderly; they may be more sensitive to its effects.
    • Viagra is not recommended for use in children younger 18 years.

    All medicines may cause side effects, but many people have no, or minor, side effects.

    Check with your doctor if any of these most common side effects persist or become bothersome:

    Diarrhea; dizziness; flushing; headache; heartburn; stuffy nose; upset stomach.

    Seek medical attention right away if any of these severe side effects occur:

    Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; fainting; fast or irregular heartbeat; memory loss; numbness of an arm or leg; one-sided weakness; painful or prolonged erection; ringing in the ears; seizure; severe or persistent dizziness; severe or persistent vision changes; sudden decrease or loss of hearing; sudden decrease or loss of vision in one or both eyes.

    This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider.

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    How Long Does Viagra Last?

    Many people wonder, "How long does Viagra last?" In most people, Viagra lasts for about four hours. Generally, it starts to lose its effectiveness after a couple of hours. There are a number of factors that can increase or decrease how long Viagra lasts. Some factors that increase the amount of time Viagra stays in the body include being over 65 years old, having severe kidney disease, and taking certain other medicines. Among the factors that can decrease how long Viagra lasts are taking it with a high-fat meal or certain other medicines, such as rifampin.

    How Long Does Viagra Last?

    Many people thinking of taking Viagra ® (sildenafil citrate ) wonder, "How long does Viagra last?" The answer is that it depends on a number of factors and will vary between individuals. However, in most people, Viagra will last for about four hours — although it generally starts to lose its effectiveness after a couple of hours.

    The time it takes for Viagra to start working will also vary based on the individual. In clinical studies, Viagra began to work in as little as 14 minutes. For most people, though, it began working within 30 minutes.

    Factors Affecting How Long Viagra Lasts

    There are a number of factors that can increase or decrease how long Viagra lasts. Some factors that increase the amount of time Viagra stays in the body include:

    • Being over 65 years old
    • Having severe kidney disease or liver disease
    • Taking certain other medicines (see Viagra Drug Interactions ).

    There are also factors that can decrease how long Viagra lasts. Some of these factors include:

    • Taking Viagra with a high-fat meal
    • Taking Viagra along with certain other medications, such as rifampin.

    Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD

    How Fast Does Viagra Work?

    Can I speed up the effects of Viagra?

    There is no way to ‘speed up’ the effects of Viagra per se; the most you can do in order to ensure Viagra kicks in as soon as possible is to take it under optimum conditions. To stop food or fats interfering with the metabolic breakdown of Viagra in the stomach and slowing down its absorption into the bloodstream, try to take your Viagra on an empty stomach. If you must eat before taking your Viagra, eat a low-fat meal rather than fast food, as foods with a higher fat content will delay Viagra’s absorption for even longer.

    Make sure that when you take Viagra, you are relaxed and comfortable. It is not ideal to take Viagra while travelling somewhere, for example, but wait until you arrive and are not nervous or rushing. Try not to worry about the amount of time it will take Viagra to work, as this can also have an effect on your nerves and therefore on your ability to gain an erection.

    Do not expect Viagra to give you an erection precisely one hour after consumption if you have not begun any form of sexual activity, are not thinking about sex and are not relaxed. Ideally, a combination of all three will lead to the effect you are looking for – Viagra only helps blood flow to the penis. it cannot force you to relax, feel aroused or want sexual activity.

    Can I take more Viagra if the first pill does not work as expected?

    No. It is important to realise that you have been prescribed a particular dosage for a reason and that Viagra may take several (separate) attempts to have an effect. You must not take more than the prescribed dose in any 24-hour period regardless of its efficacy (or lack of).

    Taking more than one tablet of Viagra to try to speed up the process may lead to an overdose or unpleasant side effects as previously detailed. In this case, please contact a medical professional immediately.

    How long do the effects of Viagra last?

    There are many sources of conflicting information regarding how long Viagra affects the body. The effects of Viagra may last for up to five hours. but this does not necessarily mean that you will maintain an erection for the whole time – this is a common myth. Viagra will simply improve your ability to get erect if sexually stimulated for as long as the Viagra is present in your bloodstream.

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    The main component of Viagra is Sildenafil Citrate.
    Sildenafil Citrate affects the response to sexual stimulation. It acts by enhancing smooth muscle relaxation using nitric oxide, a chemical that is normally released in response to sexual stimulation. This smooth muscle relaxation allows increased blood flow into certain areas of the penis, which leads to an erection.
    Sildenafil Citrate is applied for the treatment of erectile dysfunction (impotence) in men and pulmonary arterial hypertension.
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    The main component of Viagra is Sildenafil Citrate.
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    CГіmo se toma? CuГЎntas pastillas se deben ingerir? CuГЎnto dura el efecto? Alrededor de Viagra existen muchos interrogantes. Las respuestas surgidas de la sabidurГ­a popular tienen mucho de cierto, y bastante mГЎs de falso. La Гєnica verdad contundente es que se trata de un medicamento contra la disfunciГіn erГ©ctil o impotencia. Nada mГЎs.

     31 de mayo de 1998

    Un nuevo tratamiento, el mГЎs revolucionario segГєn los expertos, parece haberse convertido en la punta del iceberg que destapГі un problema mundial, la impotencia.

    Los que siempre habГ­an ocultado su problema, ahora salen a la luz pidiendo con vehemencia la nueva droga, una tableta con forma de diamante, de color azul intenso, que por un lado dice VGR 50 y por el otro Pfizer.

    Es tal el revuelo causado por este nuevo medicamento, cuyo principio activo es el Sildenafil, que ya los especialistas se preguntan de dГіnde salieron tantos impotentes (hombres que sufren de disfunciГіn erГ©ctil).

    Por supuesto, no era un secreto que habГ­a un subregistro de casos y que muchas personas preferГ­an ocultar su problema a tener que consultar.

    SegГєn Alonso AcuГ±a, urГіlogo sexГіlogo de la ClГ­nica Shaio, el problema no ha aumentado, sino que se estГЎ descubriendo. Parece quedar atrГЎs el tabГє o el temor a hablar de Г©l, y Viagra ha dado pie para que esto suceda.

    En Estados Unidos y en MГ©xico, en donde el Viagra, ya fue aprobado y estГЎ a la venta, el revuelo ha sido tal que las ventas han superado lo que se presupuestaba para un aГ±o en tan solo dos meses.

    En otros paГ­ses como Colombia, en donde apenas se aprobГі hace dos dГ­as y aГєn no estГЎ a la venta, Viagra tambiГ©n ha dado mucho de quГ© hablar. Miles de hombres preguntan en dГіnde se consigue, para quГ© sirve, cГіmo se toma, quГ© efecto tiene.

    TambiГ©n se han creado muchas ideas errГіneas: que la duraciГіn es de cuatro horas ( cuatro horas con el pene erecto?), quГ© no es solo para hombres con disfunciГіn erГ©ctil sino que le sirve a cualquiera, que es un nuevo afrodisiaco, que debe tomarse en cuenta la hora en la que se toma, porque a los 25 minutos ya hace efecto ( y si usted no alcanza a llegar a la cita con su novia antes de ese tiempo?).

    En fin, Viagra ha dado mucho de quГ© hablar en materia sexual. Por ello, EL TIEMPO ha querido resolver muchas de las inquietudes de la comunidad y para ello consultГі con expertos en urologГ­a, con directivos del Invima (instituciГіn que lo aprobГі hace dos dГ­as) y sobre todo con directivos de Laboratorios Pfizer, la casa farmacГ©utica que lo dio a conocer en el mundo.

    QuГ© quiere saber? Estas son las respuestas a las preguntas que mГЎs se hacen los colombianos sobre Viagra, con la asesorГ­a de urГіlogos, estudios, documentos, y de Manuel Enrique Chaves RodrГ­guez, mГ©dico internista, director mГ©dico de Laboratorios Pfizer para Colombia, Venezuela y Ecuador.

    QuiГ©nes pueden tomar Viagra? El medicamento estГЎ indicado para personas con disfunciГіn erГ©ctil.

    No es para que todo el mundo lo tome y se vuelva super hombre; es para personas que tienen una patologГ­a y, por lo tanto, su uso tiene que ser racional, segГєn las indicaciones del mГ©dico, previo diagnГіstico individual .

    SegГєn los expertos, tampoco es una droga recreativa sino un medicamento absolutamente Г©tico que, como todos los de su especie, requiere intervenciГіn del mГ©dico para su uso.

    Viagra es un afrodisiaco? Viagra es un medicamento que responde bien en los pacientes con disfunciГіn erГ©ctil (impotencia) sin que haya necesidad de discernir el tipo de disfunciГіn erГ©ctil que tiene la persona.

    No importa si la causa es orgГЎnica, sicГіgena o mixta, el producto responde de manera favorable y por lo general, de manera similar. Es un tratamiento para la disfunciГіn erГ©ctil, no es un afrodisiaco.

    Se sabe que se va vender bajo fГіrmula mГ©dica. QuiГ©n la puede recetar: un mГ©dico general, un urГіlogo, o cualquiera de los dos? Es un producto que deberГЎ ser manejado por el cuerpo mГ©dico, tanto especialistas como mГ©dicos generales.

    Estoy tomando antidepresivos. Puedo tomar Viagra? Viagra no tiene una interacciГіn farmacolГіgica con antidepresivos, ni los antidepresivos con Viagra.

    De otra parte, hay que tener en cuenta que un alto porcentaje de hombres con depresiГіn pueden tener un trastorno erГ©ctil.

    Un subestudio de Pfizer analizГі a 136 pacientes deprimidos. Mientras que con placebo hubo un porcentaje de mejorГ­a en las erecciones del 21 por ciento, con Viagra fue del 70 por ciento.

    CuГЎles medicamentos no se deben combinar con Viagra? Realmente los Гєnicos medicamentos con los que tiene interacciГіn farmacolГіgica clГ­nicamente significativa son los nitratos (medicamentos para el manejo de la angina de pecho, bien sea parches de nitroglicerina o aquellos tomados por vГ­a oral). Si usa estos productos, no debe consumir Viagra.

    Tampoco se debe tomar con otras drogas que sean donadores de Гіxido nГ­trico (medicamentos que se utilizan para reducir la presiГіn arterial cuando hay crisis hipertensiva).

    Solo se toma por vГ­a oral? El Sildenafil es un medicamento que se administra por vГ­a oral, y es ahГ­ donde estГЎ parte de su secreto y novedad.

    Como todo medicamento que se administra por vГ­a oral, tiene que sufrir un metabolismo y actuar sobre una serie de sistemas en el organismo, hasta que empieza su momento de acciГіn. En otras palabras, no es un medicamento de acciГіn inmediata.

    Pueden pasar entre 25 minutos y una hora antes de que actГєe. Esto varГ­a de persona a persona, pero hay factores que se deben tener en cuenta. Por ejemplo, si se toma con comidas grasas, disminuye un poco su absorciГіn.

    Viagra produce erecciГіn automГЎtica o se requiere estimulaciГіn sexual? Para que haya erecciГіn se debe recibir un estГ­mulo sexual. Cuando esto ocurre, hay una activaciГіn del sistema nervioso en el cerebro, que a su vez envГ­a las Гіrdenes para que se produzca la erecciГіn. Si no hay estГ­mulo no hay erecciГіn.

    Cuando se padecen problemas de impotencia y se usa la droga, cuГЎnto puede durar una erecciГіn? Time hablГі de cuatro horas.

    La mayorГ­a de las erecciones que se logran con Viagra son muy buenas y permiten una penetraciГіn adecuada. Duran, por lo general, 16 minutos.

    Viagra mantiene el ciclo normal de la actividad sexual, pero si todavГ­a hay acciГіn del medicamento y estГ­mulo sexual, el paciente podrГ­a tener otra erecciГіn y luego otra y otra, hasta por cuatro horas.

    No es para fabricar erecciones. El hecho de que permita que haya una actividad sexual normal, con sus diferentes fases (estimulaciГіn, fase coital y luego una tercera fase de gratificaciГіn donde finalizГі el coito), hace que se restaure no solo la actividad sexual sino la calidad de la relaciГіn.

    Con los mГ©todos existentes hasta hoy para tratar la impotencia, habГ­a el riesgo de una erecciГіn muy prolongada (priapismo) y el paciente debГ­a ser tratado de urgencia. Con Viagra, se calcula la dosis necesaria segГєn el paciente, es decir, hay dosis personalizada. Se corre el riesgo de una erecciГіn indeseada bien prolongada? Finalizada la actividad sexual, el individuo regresa a sus condiciones normales. No permanece con una erecciГіn continuada ni menos aГєn llega a situaciГіn emergencia clГ­nica que es el priapismo.

    SegГєn diferentes estudios consultados por EL TIEMPO, con Viagra, en mГЎs de 4.000 analizados, no ha habido un solo caso de priapismo.

    CuГЎl es la dosis adecuada? La dosis la determina el mГ©dico segГєn cada caso particular. Sin embargo, la mayorГ­a de estudios dejan ver que con la dosis de 50 miligramos, una vez al dГ­a, es suficiente (hay que aclarar que tambiГ©n hay una dosis de cien miligramos).

    En los estudios clГ­nicos se ha visto que los pacientes con disfunciГіn erГ©ctil mejoraron con esta dosis el nГєmero de actividades sexuales exitosas y lograron tener casi seis actividades sexuales por mes, cuando con placebo a duras penas tenГ­an una.

    Si el individuo con disfunciГіn erГ©ctil responde bien a Viagra, puede tomar diariamente su dosis recomendada y tener relaciones satisfactorias.

    CuГЎles son los efectos secundarios? Los estudios clГ­nicos realizados hasta la fecha seГ±alan los siguientes efectos adversos: cefalea (dolor de cabeza), enrojecimiento de la cara, malestar digestivo y en algunos casos algo de congestiГіn nasal. En general, se trata de efectos relacionados con vasodilataciГіn.

    La tasa de deserciГіn (pacientes que dejaron de tomar la droga) por efectos colaterales en los estudios clГ­nicos con Viagra fue del 2,6 por ciento, mientras que con placebo llegГі al 2,3 por ciento.

    Algunos pacientes (alrededor del 2,7 por ciento) han sufrido alteraciones de la visiГіn muy transitorias y leves, que fundamentalmente se caracterizan porque ven halos alrededor de los objetos, o porque ven cambios de colores.

    Esto se debe tambiГ©n a que el producto, en algГєn pequeГ±o porcentaje de pacientes, puede afectar una fosfodiesterasa (enzima que se encuentran en distintas partes organismo cumpliendo funciones especГ­ficas segГєn su localizaciГіn), diferentes a la 5 (la 6) que se encuentra en la retina, y es la responsable de permitir que el ojo vea los colores en la frecuencia correspondiente.

    Esto no significa que Viagra cause ceguera, ni impide que el paciente conduzca, por ejemplo.

    QuГ© puede pasar si se abusa de la droga (por ejemplo, si se consumen dos o tres dosis en una sola toma)? Si el paciente omite la prescripciГіn mГ©dica y por su propia cuenta empieza a tomar Viagra y a exceder las dosis, no duplicarГЎ ni aumentarГЎ de manera significativa la efectividad del producto. En cambio, sГ­ se va a aumentar de manera considerable el riesgo de efectos colaterales (los mismos efectos pero con mГЎs frecuencia).

    El producto tiene una acciГіn muy especГ­fica sobre la fosfodiesterasa 5 (que se encuentra en el pene y es la enzima que destruye la actividad del Гіxido nГ­trico y permite que el pene vuelva otra vez a su estado de flacidez. Viagra actГєa inhibiendo la fosfodiestereasa 5 y permite por lo tanto mantener la erecciГіn, al aumentar la duraciГіn de la acciГіn del Гіxido nГ­trico).

    En condiciones normales, Viagra no afecta otros Гіrganos o sistemas.

    Pero si se aumenta la dosis, entonces sГ­ puede empezar a afectar otros sistemas que utilizan fosfodiesterasas (hay seis definidas que actГєan a diferentes niveles).

    CГіmo funciona en un enfermo del corazГіn y en casos de problemas renales o hepГЎticos? La pueden utilizar o no? En teorГ­a, no hay contraindicaciГіn, siempre y cuando el mГ©dico haya, inicialmente, evaluado que el paciente pueda tener actividad sexual sin problemas.

    Si el mГ©dico ve que su paciente estГЎ en condiciones que no impliquen riesgo, usar Viagra no ofrece inconvenientes.

    Pero si estГЎ muy comprometido en su aparato cardiovascular y un sobreesfuerzo fГ­sico lo pone en riesgo, no debe consumirla.

    En este caso, el problema no es de Viagra, sino del riesgo propio de la actividad sexual.

    El producto no afecta la funciГіn renal ni la funciГіn hepГЎtica, de manera que pacientes con disfunciones de este tipo no tienen contraindicaciones.

    Si se consume Viagra bajo el efecto de alcohol o de otros estimulantes, quГ© pasa? En dosis moderadas de alcohol no se presentan interacciones con Viagra. Una o dos copas no afectan la farmacocinГ©tica del producto ni potencian la acciГіn del alcohol.

    Obviamente, hay que recordar que el alcohol y el tabaco son nocivos para la salud.

    Si uno tiene erecciones normales, que efecto produce tomar Viagra? Algo que es normal no se puede normalizar mГЎs, es decir, no habrГЎ una respuesta mГЎs allГЎ de lo normal. Si hay disfunciГіn erГ©ctil, entonces sГ­ actГєa el medicamento.

    Las mujeres lo pueden consumir? QuГ© les pasa si consumen Viagra? No hay estudios en mujeres. No deben usarlo hasta que haya alguna razГіn cientГ­fica que lo avale.

    Viagra sustituye totalmente los mГ©todos tradicionales (inyecciones, prГіtesis. ) Viagra es una excelente alternativa para el manejo de pacientes con disfunciГіn erГ©ctil, pero no quiere decir que reemplace el resto de terapias. Es el mГ©dico quien va a orientar al tratamiento.

    HabrГЎ casos en donde hay que buscar una alternativa diferente, si el manejo farmacolГіgico es insuficiente, y habrГЎ que recurrir a colocar una prГіtesis.

    Los hombres con prГіtesis peneanas pueden recurrir a Viagra y quitГЎrsela (la prГіtesis)? No hay evidencia clГ­nica al respecto. Hay que tener en cuenta que si el paciente tuvo que recurrir a una prГіtesis peneana es porque se han probado otras alternativas y su aparato erГ©ctil estaba tan deteriorado que no iba a poder responder a intervenciones farmacolГіgicas. La prГіtesis es una soluciГіn irreversible.

    QuГ© pasa si se toma Viagra y no se tienen relaciones? Si no hay un estГ­mulo sexual no va a pasar nada. Los efectos colaterales pueden aparecer, pero no los beneficios.

    Viagra cura la disfunciГіn erГ©ctil? No. Viagra no cura la disfunciГіn erГ©ctil: controla la enfermedad y, segГєn estudios, los pacientes con disfunciГіn erГ©ctil que toman Viagra logran una mejorГ­a significativa, como es lo esperado con el producto.

    Si se les suspende Viagra y se les cambia por placebo y concomitante, la mejorГ­a desaparece. Si se vuelve a administrar Viagra, vuelve otra vez a encontrar la mejorГ­a.

    Eso no significa que el medicamento genere dependencia; simplemente es la respuesta del medicamento que mejora la funciГіn erГ©ctil, pero no soluciona el problema de base, que es una manifestaciГіn de muchas patologГ­as consideradas factores de riesgo, entre las que se pueden mencionar la diabetes, la hipertensiГіn arterial, la arterioesclerosis, trastornos hormonales, traumas, secuelas de intervenciones quirГєrgicas (prostatectomГ­a radical), trauma medular y tambiГ©n problemas sicolГіgicos que van a llevar a la disfunciГіn erГ©ctil.

    Por todo lo anterior, el manejo del tratamiento debe estar a cargo del mГ©dico.

    Viagra responde de manera favorable, en mГЎs del 80 por ciento de todos los pacientes con disfunciГіn erГ©ctil.

    Hay una edad lГ­mite (mГЎxima y mГ­nima) para tomar Viagra? Mientras que el individuo con disfunciГіn erГ©ctil tenga capacidad fГ­sica y mental para tener actividades sexuales, va a haber posibilidad de usarlo. SegГєn los estudios, responde tan bien en edades menores de 60 aГ±os como en mayores.

    Un paciente poco acostumbrado a tener erecciones fuertes puede experimentar dolor? En los estudios clГ­nicos sobre el uso de Viagra, este caso no ha sido reportado como efecto colateral del medicamento.

    Se han detectado efectos secundarios a largo plazo? En este momento, Pfizer dispone de estudios en los que se ha seguido a los pacientes por mГЎs de un aГ± o. La eficacia clГ­nica se ha mantenido y la incidencia de efectos colaterales no se ha modificado por el uso continuado del producto.

    QuГ© se sabe de las muertes en las que se sospecha que Viagra intervino, en Estados Unidos? Pfizer en Estados Unidos dio a conocer, ayer, un comunicado en el que afirma que se siguen revisando los casos con la AdministraciГіn de Drogas y Alimentos de Estados Unidos (FDA, por su sigla en inglГ©s) y que no va a cambiar ni los empaques ni la presentaciГіn de Viagra.

    La informaciГіn que hay hasta el momento sobre estos casos no sugiere que haya ningГєn riesgo para los pacientes, que no estГ©n descritos en las etiquetas del medicamento. dice el informe.

    Aclara tambiГ©n que al parecer, los casos atribuidos se relacionan con eventos cardiovasculares asociados con actividad sexual en hombres mayores o a la combinaciГіn de Viagra con nitratos, acciГіn que estГЎ contraindicada en las etiquetas aprobadas por la FDA .

    Hay riesgo de que suspendan su venta en Estados Unidos por esta razГіn? No. Todo lo contrario, no hay en este momento ningГєn otro producto, ni ha habido, que en tan poco tiempo haya sido probado por tantas personas.

    Si a eso le suman el control de farmacovigilancia tan preciso que hace la FDA, los expertos dicen que se puede tener confianza de la eficacia y la buena tolerabilidad del producto.

    QuГ© compuestos tiene? Sildenafil es el principio activo de Viagra. Adicionalmente tiene una serie de sustancias inactivas que acaban de conformar su composiciГіn.

    Sildenafil estГЎ en forma de una sal que se llama citrato de sildenafil.

    CГіmo el futuro comprador del producto reconoce que es el original y no alguno falsificado? En este momento se sabe que en muchos paГ­ses del mundo se puede conseguir Viagra o un medicamento con el nombre de Viagra, y puede haber falsificaciones importadas de manera ilegal.

    Pfizer no se responsabiliza del uso de estas sustancias en Colombia, puesto que hasta la fecha el laboratorio no estГЎ vendiendo el producto.

    Estamos haciendo todo lo posible para traer Viagra al mercado Colombiano lo mГЎs pronto, pero lo que hay hasta este momento en el paГ­s no estГЎ autorizado por la casa farmacГ©utica. dice un comunicado de esta firma.

    El producto va a tener unas caracterГ­sticas que lo van a identificar de posibles falsificaciones.

    Lo mГЎs importante es que cuando el producto salga al mercado se compre en puntos de venta reconocidos.

    Al respecto, los directivos de Pfizer y el Invima sostendrГЎn esta semana una reuniГіn para definir los mecanismos de control que regirГЎn la venta de este producto.

    Se puede suponer que el grupo poblacional adolescente es muy dado a probar todas las modas. Viagra es indicado para este tipo de personas? Viagra estГЎ contraindicado en niГ±os. Es un producto para la disfunciГіn erГ©ctil y en un adolescente es muy raro que se presente esta enfermedad.

    La distribuciГіn del producto en el paГ­s se harГЎ previo o acompaГ±ado de campaГ±as de prevenciГіn y control para su consumo? El producto va a tener que ser prescrito mГ©dicamente y la principal funciГіn del laboratorio, segГєn sus directivos, serГЎ educar a la comunidad cientГ­fica para un buen uso del producto, y a la comunidad en general para apoyar las campaГ±as de educaciГіn sobre disfunciГіn erГ©ctil antes que campaГ±as relacionadas con el medicamento.

    CuГЎnto tiempo se ha investigado sobre sus efectos en los seres humanos? En quГ© grupos poblacionales y/o perfil socioeconГіmico?.

    Sildenafil es una molГ©cula que lleva en investigaciГіn muchos aГ±os. Las primeras experiencias del uso del medicamento en humanos datan de 1983, y para el manejo en disfunciГіn erГ©ctil desde esta dГ©cada.

    Los estudios clГ­nicos se han hecho en diversas partes del mundo, con diferentes razas, perfiles socioeconГіmicos, condiciones patolГіgicas etc. siempre con consistencia en los resultados.

    DetrГЎs de Viagra hay una empresa de investigaciГіn con 150 aГ±os de historia que invierte al aГ±o mГЎs de 2.000 millones de dГіlares en investigaciГіn y que incursiona cientГ­ficamente en diversidad de campos, como por ejemplo enfermedades cardiovasculares, sistema nervioso central, diabetes, aparato urogenital, enfermedades infecciosas, y muchas mГЎs.

    En las pГЎginas sociales ya saliГі un aviso promocionando Viagra (daban un telГ©fono). Siendo que la droga no ha sido aprobada en Colombia, es legal promocionar su venta? Sobre la disponibilidad actual del producto, en este momento cualquier venta de Viagra o algo parecido, cualquier imitaciГіn de Viagra es, desde luego, ilegal.

    El Invima acaba de darle a laboratorios Pfizer en Colombia la autorizaciГіn para que vender el producto en el paГ­s a travГ©s de las farmacias reconocidas de Colombia. Cualquier cosa aparte de esto es considerada un delito.

    Con la imagen de Viagra se ha aprovechado de manera poco decorosa el medicamento para promover ventas de otros productos ajenos a la medicina, como camas. Esto no solo es un irrespeto al desarrollo cientГ­fico que hay detrГЎs de una molГ©cula tan importante como Viagra sino a la casa farmacГ©utica que ha invertido tantos aГ±os y tantos recursos para darle a la humanidad un producto como Viagra, afirman los directivos del laboratorio.

    Nos gustarГ­a que en Colombia se normatice la publicidad para que situaciones como esta no sucedan .

    QuГ© precio va tener en Colombia? En este momento no hay todavГ­a una definiciГіn de precios. Para ponГ©rselo se necesita un proceso, anГЎlisis internos de la compaГ±Г­a y macroeconГіmicos, pero la idea es mantenerse dentro de los estГЎndares internacionales. En Estados Unidos se cobran diez dГіlares por tableta.

    Por quГ© viene en dos presentaciones y bajo quГ© parГЎmetros se escoge una u otra? EL TIEMPO pudo establecer que, muy seguramente en Colombia, la dosis que se va a utilizar para empezar es la de 50 miligramos, que se considera como la dosis mГЎs apropiada.

    SegГєn los Гєltimos estudios, la dosis de 50 miligramos es la mГЎs recomendada. Es mГЎs, si el paciente responde bien, el mГ©dico puede bajarla a 25, si no, mГЎximo a la de 100.

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    Acaba de tener una lucha y ahora es la maravilla cГіmo salvar su relaciГіn. Se pregunta si es demasiado tarde para remendar cosas. ВЎNo estГЎ solo! Hombres y mujeres han hecho esta pregunta repetidas veces a travГ©s de los aГ±os. Estas mismas preguntas se han hecho en todo el mundo y muchos expertos y los gurГєes han estado gritando la misma cosa; “ВЎEsto es cГіmo salvar su relaciГіn!” La verdad es que no hay nadie el mГ©todo o el conjunto de reglas que siempre llevarГЎ a la reconciliaciГіn. No crea a nadie que le diga que hay sГіlo un camino que trabajarГЎ. Esto es porque esto mientras la gente es similar de algunos modos. Nosotros y nuestras relaciones somos muy Гєnicos desde muchos puntos de vista. Sin embargo, por supuesto, ciertas pautas todavГ­a se pueden encontrar que esto puede ser Гєtil en estas situaciones. Una pauta debe volver a los fundamentos de su relaciГіn. Por quГ© eran ustedes ambos atraГ­dos el uno al otro en primer lugar. Intente y recuerde por quГ© Г©l o ella le atrajeron. El trabajo de estas cosas y trae al delantero. Muchas relaciones tienden a fallar debido a la carencia del tiempo pasado el uno con el otro. El trabajo o las responsabilidades de la familia toman cada vez mГЎs de su energГ­a mientras su amante se pone menos y menos. Lleve tiempo para refrescar su relaciГіn y llevarse el aburrimiento. Guarde cosas frescas y que son verdad para su mГ­. Otra cosa es actuar tan rГЎpido como puede sin correr y tropezar en la acciГіn. Lleve tiempo para pensar y evaluar si quiere reavivar la relaciГіn y si entonces, por quГ©. Lleve tiempo, pero no a mucho o arriesga de perder algo que podrГ­a haber sido realmente maravilloso. No deje a esta posibilidad pasar por usted mientras todavГ­a se pregunta cГіmo salvar su relaciГіn. Siga con su vida como mejor puede.

    Trate de tener cuidado de sus responsabilidades y trabajo. Haga lo que tiene que hacer para mostrar que es capaz de vivir sin Г©l o ella. Tenemos que reconocer que es posible que la relaciГіn pueda no ser reparable. Esto puede ser por motivos que no podemos controlar. Si realmente ama a su compaГ±ero realmente ponen en cada esfuerzo de reanudar la relaciГіn. Toma el trabajo y el esfuerzo de ambas personas en una relaciГіn para ello para trabajar. Se necesita sГіlo una de la gente implicada para iniciar una conversaciГіn en la manera apropiada y con la actitud apropiada para dar a la relaciГіn otra posibilidad para el Г©xito. Si trata de comenzar la conversaciГіn en el momento errГіneo con la actitud incorrecta y con la materia incorrecta puede terminar cualquier posibilidad para la reconciliaciГіn en el futuro. Lleve tiempo y haga un poco de investigaciГіn en el asunto. Hay muchos libros y los programas de expertos en este campo que le pueden preparar para acercarse a esto de un modo entendido. Le pueden preparar para su respuesta emocional y ese de su excepto cuando primero trata de unirse de nuevo. SabrГЎ que decir y cГіmo manejar la conversaciГіn. Le darГЎ la mejor posibilidad que reanuda su relaciГіn por la tierra mГЎs estable. Estar Preparado. Considere Internet para mГЎs informaciГіn de expertos en relaciones.

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    PГ©rdida de Sensibilidad del Pene despuГ©s del Pene o CirugГ­a de la PrГіstata – Puntas para Mejorar SensaciГіn

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    DespuГ©s de la cirugГ­a para tratar con problemas como un pene curvo o cuestiones de la prГіstata o el pene de la facilidad, es bastante comГєn para hombres experimentar una pГ©rdida de la sensibilidad del pene. Por ejemplo, en un correo en un foro de la salud masculino reciente, un paciente que se habГ­a sometido a la cirugГ­a para corregir un pene de la facilidad perdiГі casi el 100% de la sensaciГіn en las caГ±adas; como dijo, “Lo podrГ­a cortar, y ni siquiera sabrГ­a”.

    Cuando la sensaciГіn del pene disminuye a este punto, el placer del sexo puede parecer a una cosa del pasado. Sin embargo, con poca paciencia, el conocimiento correcto y el uso de vitaminas especГ­ficas para el pene y minerales, muchos hombres relatan que su sensaciГіn del pene realmente vuelve al normal. Las siguientes secciones proporcionan la informaciГіn sobre los efectos de cirugГ­a en la sensibilidad del pene; los hombres deberГ­an tener presente que el autodiagnГіstico generalmente no se recomienda, y es importante dirigirse a un urГіlogo sobre cuestiones del pene en curso que no se resuelven dentro de unos dГ­as.

    ВїCГіmo afecta la cirugГ­a la sensibilidad del pene?

    Cualquier cirugГ­a en el ГЎrea genital, de medidas correctivas para la enfermedad de Peyronie a la circuncisiГіn, puede daГ±ar la red de nervios erГіgenos que son responsables de transmitir la sensaciГіn tГЎctil al cerebro. Cuando el tejido del nervio se interrumpe, se pueden necesitar meses para regenerarse. SegГєn Dr. Kevin Pho, cultivando de nuevo sГіlo una pulgada de la fibra del nervio toma aproximadamente un mes.

    Otros tipos del trauma tambiГ©n pueden tener un efecto negativo en la sensaciГіn del pene. Fracturas del pene (que son poco comunes, pero pueden resultar de la herida durante el sexo), asГ­ como masturbaciГіn agresiva continua, tambiГ©n puede llevar al daГ±o al nervio perifГ©rico y afectar la capacidad de sentir el toque, caliente o frГ­o.

    SegГєn investigadores mГ©dicos, hay poco que se puede hacer en tГ©rminos de tratamientos medicamentosos o cirugГ­a para corregir la pГ©rdida de la sensaciГіn del pene relacionada con el daГ±o al nervio. Por otra parte, hay observaciones informales que los remedios naturales se pueden apresurar la regeneraciГіn del nervio y asistir en restaurar la sensibilidad del pene.

    Los hombres que han experimentado una herida traumГЎtica reciente del pene, dolor severo durante una erecciГіn o micciГіn, puntos extraГ±os o contusiГіn, o cualquier otro problema del pene que venga a de repente, deberГ­an buscar la asistencia mГ©dica inmediata.

    CГіmo los ingredientes naturales pueden ayudar a

    El sistema nervioso, como el resto del cuerpo, requiere que el apoyo nutritivo apropiado funcione bien. La construcciГіn del tejido del nervio requiere la presencia de aminoГЎcidos como el acetyl-L-carnitine, que desempeГ±a un papel en la formaciГіn de nuevas neuronas, asГ­ como ayudando a reparar receptores daГ±ados.

    Apoyando nutrientes como vitaminas A, B5 y D tambiГ©n pueden tener un efecto positivo en la sensaciГіn del pene, ya que tienden a incrementar la capacidad de curaciГіn natural del cuerpo y la recuperaciГіn de la velocidad despuГ©s de trauma o procedimientos quirГєrgicos. AdemГЎs, el cuidado del pene bien humedecido y la prevenciГіn de secar excesivo de fricciГіn y uso difГ­cil pueden ayudar a promover la formaciГіn de la piel mГЎs suave, mГЎs flexible que es receptiva de toque y estГ­mulo sexual. En algunos casos, hasta los hombres que han perdido la sensibilidad del pene a consecuencia de la circuncisiГіn pueden ser capaces de aliviar un poco del daГ±o al nervio y estimular el crecimiento del nuevo tejido del nervio.

    Que buscar en una salud del pene creme

    El descubrimiento de la fГіrmula de la salud del pene correcta (como el Hombre 1 PetrГіleo del Hombre) toma mГЎs que sГіlo una parada en la farmacia local. Un delito del pene deberГ­a ser sin fragancias quГ­micas y tintes que pueden secar e irritar la piel, y deberГ­an contener la combinaciГіn correcta de vitaminas, los antioxidantes y otros nutrientes esenciales tenГ­an que apoyar la salud del nervio del pene. AdemГЎs, los reactivos naturales que humedecen como la mantequilla de shea, que es segura para la mayor parte de tipos de piel, deberГ­an ser un ingrediente primario en cualquier rГ©gimen de cuidado del pene.

    Mujeres que Falsifican Orgasmos

    Cada uno oyГі rumores sobre mujeres que falsifican orgasmos. ВїEs verdad esto? La mayorГ­a de mujeres tiene falsificado un minumum de un orgasmo, aГєn alguna falsificaciГіn la mayorГ­a de ellos. ВїPor quГ© hacen esto? Hay muchos motivos y el caso es que no hay nadie para culpar.

    Los mГЎs tГ­picos son dos motivos: no quieren hacer a sus compaГ±eros sentirse mal o son cansados y sГіlo quieren terminar el sexo. La mayor parte de mujeres dicen que sus compaГ±eros no se satisfacen hasta el orgasmo de sensaciones de muchachas, hay sГіlo una manera de hacerlos sentirse felices y parar el procedimiento agotador – falsificaciГіn.

    Otra razГіn consiste en que una mujer tГ­pica no busca el orgasmo; desea una relaciГіn sexual sГіlo porque quiere la intimidad. De todos modos, tal actitud puede hacer a su compaГ±ero sentirse mal. La Гєnica salida lo debe falsificar.

    Algunas mujeres nunca realmente experimentan el orgasmo haciendo el sexo, pero quieren que su compaГ±ero se sienta bien sobre sГ­ y ella. Los hombres por lo general esperan que mujeres tengan el placer, por eso las mujeres no tienen otra opciГіn. Tienen que fingir para tener una relaciГіn buena.

    La pГ©rdida del interГ©s, teniendo el sexo sГіlo porque el compaГ±ero quiere, tambiГ©n hace a mujeres para fingir. La mayor parte de mujeres se dirigen a sus amigos sobre tales cosas y mientras saben que otras mujeres lo interpretan, hacen tan tambiГ©n, porque es una manera mГЎs fГЎcil de poseer una relaciГіn buena.

    Cuando un hombre intenta muy con fuerza, a veces hasta demasiado con fuerza para hacer a su mujer tener un orgasmo, la mujer por lo general lo encuentra mejor falsificГЎndolo que decepcionar a su compaГ±ero otra vez. Temen el rechazo si un hombre no la entendiera, no quieren ofender a hombres porque la ausencia de un orgasmo no es realmente su falta.

    Algunas mujeres pueden tener problemas de salud. Si, experimentando se hace demasiado sensible y quiere pararse, falsifica un orgasmo de modo que se pueda parar y relajarse. El orgasmo tambiГ©n puede causar la incomodidad y el dolor; esto es un grave problema y no se puede culpar fingir. En tales casos, la mayor parte de mujeres prefieren y disfrutan del orgasmo mГЎs durante la masturbaciГіn solitaria. Aunque se sientan mejores teniendo el orgasmo ellos mismos, quieren hacer a su compaГ±ero sentirse bien tambiГ©n, por tanto representan un orgasmo.

    Un orgasmo femenino puede ser el mГЎs fГЎcilmente falsificado por una actriz buena. Hay pocas opciones: agarro de algo fuertemente; el gemido en voz alta; la respiraciГіn profundamente; el entierro de cara en algo (almohada); hacer kegels o algo mГЎs al menos remotamente dramГЎtico o climГЎtico.

    ВїCГіmo seguir si cree que su compaГ±ero finge? ConversaciГіn sobre ello. Tal vez sabe alguna posiciГіn especial o acciГіn que la harГ­a feliz. No se enfade si reconoce fingir. Trate de solucionar el problema, pero no hacerse demasiado lejano, no intentar demasiado con fuerza porque se puede hacer una actividad agotador, mГЎs bien que un acto de amor.

    Vibrador Vibrador Recargable

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    Los cinco primeros regalos traviesos que puede conseguir a su compaГ±ero.

    ВїBusca un regalo con una diferencia para el y viene la ocasiГіn especial? ВїHay un cumpleaГ±os subiendo y no estГЎ seguro de quГ© comprar a su novia? ВїTal vez es el tiempo anual otra vez y no quiere ir con las flores bastante exageradas y bombones? ВїTal vez el regalo que deberГ­a mirar la compra para su querido esta vez alrededor es un vibrador? ВЎParece descarado y en realidad, probablemente le ganarГЎ mГЎs puntos del pastel de chocolate que ropa interior traviesa o cajas de bombones con la forma de corazГіn!

    Comenzaremos con el nГєmero cinco en nuestros regalos traviesos superiores a comprar su querido y esto es el vibrador simple. Viniendo a una variedad de formas y tallas, colores y diseГ±os, encontrarГЎ que realmente hay un vibrador ahГ­ para cada uno. Del vibrador recargable para aquellos que quieren hacer su trozo para el ambiente (y no correr el riesgo de quedarse sin el zumbido mediados del juego) a que realmente exclama como un pene normal iba. ВЎPor supuesto, hay juguetes ahГ­ que, si su novia nunca ha poseГ­do un vibe antes, no serГ­a el mejor para comprar y Г©stos pueden incluir algo que estГ© lejos de la “norma” Durante una primera vez dueГ±o del vibrador, vaya para un vibrador recargable que no es demasiado grande o demasiado chillГіn en color y no comerГЎ baterГ­as como ella permanentemente tiene hambre!

    ВЎEl nГєmero cuatro en nuestros primeros cinco de regalos traviesos es un vibrador, pero con una diferencia! ВїNo por quГ© proveer a su compaГ±ero de un “huevo”? Este gran pequeГ±o dispositivo es perfecto para la diversiГіn de la pareja. BГЎsicamente, el huevo se inserta en la vagina y usted, mГЎs bien que ella) creen que (el mando a distancia preferentemente da su placer cuando lo menos espera. ВЎEsto es la cosa perfecta de convertir cualquier viaje de compras embotado en un sexo fest y puede proporcionar un aumento muy necesario a una disminuciГіn y vida sexual bastante embotada! ВЎLas buenas noticias sobre este huevo son que puede comprar hasta el que que se clasifica de un vibrador recargable el que no significa ningunas baterГ­as!

    ВЎEl nГєmero tres – un anillo del gallo! Esto es perfecto para el juego de la pareja otra vez y da a ustedes ambos el placer muy necesario sobre todo si invierte en uno que vibra para su y su placer. ВЎEste vibrador es un juguete que trabaja dando a los testГ­culos un gran zumbido proveyГ©ndola del estГ­mulo del clГ­toris para asegurar que ambos se satisfaga!

    El nГєmero dos penГєltimo – un vibrador del g-punto. ВЎSe ha mostrado que en algunas mujeres este maravilloso dispositivo provee del orgasmo Гєltimo! SegГєn estudios e informes femeninos, estimulando este punto especial se dice animar el ah tan “salir a chorros” evasivo y orgasmos que son simplemente fuera de este mundo. Otra vez, esto puede ser usado por su compaГ±ero solo o juntos para un poco de diversiГіn experimental.

    Гљltimo pero seguramente no sГіlo, venimos al nГєmero un. Hemos hecho el vibrador recargable, el anillo del gallo, el vibrador simple y el vibrador del g-punto. Hay sГіlo una cosa dejada – el vibrador anal. Esto es perfecto para parejas que buscan la diversiГіn que no han intentado antes y es la manera perfecta de bajar y sucio en el dormitorio. ВЎHay muchos principiantes vibradores anales ahГ­ que sГіlo le piden explorarlos!

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    Pene Frenuloplasty Frenulum Corto y Frenuloplasty

    El frenulum (en la “pequeГ±a cuerda del arco latina”) es el pequeГ±o puente de la piel que estГЎ de la parte oculta de la punta del pene a la parte oculta del prepucio. Es una zona muy sensible y muchos hombres encuentran el estГ­mulo del frenulum muy despertador. Mientras normalmente esta pieza de la piel es razonablemente larga y elГЎstica, en una minorГ­a sustancial de hombres es demasiado corto desde el principio o sea desarrolla dejar una cicactriz que lo hace propenso a rasgadura y divisiГіn en particular durante la cГіpula.

    Esto puede ser completamente alarmante ya que de vez en cuando allГ­ completamente se marca sangrando del debido frenulum a la pequeГ±a arteria que corre dentro de ello.

    Servicio de consejo para Hombres con problemas del Prepucio

    Los hombres en particular si no han tenido preputial plasty hablado como una opciГіn, a menudo estГЎn inseguros en cuanto a si pueden ser capaces de evitar una circuncisiГіn. A menudo es posible dar una idea provisional de esto si una buena calidad fotografГ­a digital del final del pene y frenulum se envГ­a. Mientras somos contentos de ofrecer esto como un servicio consultivo libre por favor note que es imposible dar una opiniГіn formal por el correo electrГіnico y cualquier consejo dado en ausencia de una consulta no se puede considerar como una base para ninguna modificaciГіn de tratamiento o consejo ofrecido por otros doctores. No es posible ofrecer cualquier consejo por el correo electrГіnico a menos que las imГЎgenes pacientes estГ©n disponibles.

    La OperaciГіn Frenuloplasty

    Un frenuloplasty es una operaciГіn que alarga el frenulum.

    Esto es un procedimiento que simplemente se hace bajo la anestesia local y se puede realizar en el cuarto del procedimiento de pacientes externos sin requerir la admisiГіn al hospital.

    Esencialmente una muy pequeГ±a cantidad de anestГ©sico se pone en el ГЎrea. Una reducciГіn se hace en forma de un V que gradualmente se suelta entonces y cosido en forma de un Y que por lo general aumenta la longitud del frenulum en aproximadamente 1 a 1.5 cm. A veces una modificaciГіn del plasty que usa “Z-plasties” puede ser mГЎs apropiada. divisionof simple el frenulum es mucho menos satisfactorio para la mayor parte de hombres, no recomendado tambiГ©n. Las pequeГ±as puntadas de disoluciГіn se colocan y Г©stos se caerГЎn por lo general despuГ©s de una semana hasta diez dГ­as. Si toman un poco mГЎs largo no hay necesidad de preocuparse.

    Es importante aplicar una crema que hidrata y lavar el prepucio dos veces al dГ­a desde si el ГЎrea frenular no se amplГ­a entonces puede dejar una cicactriz abajo otra vez; por lo general recomiendo simplemente lavarme con la agua caliente, acariciando el pene seco y luego colocando una pequeГ±a cantidad de crema E45 (disponible de cualquier quГ­mico) en el ГЎrea antes de sustituir el prepucio. Puede haber poca sangrГ­a para 12 – 48 horas despuГ©s de la operaciГіn pero esto es bastante raramente para pararlos yendo sobre sus actividades diarias normales.

    Se necesitan aproximadamente 6 semanas para la operaciГіn para curarse totalmente pero la mayor parte de hombres son capaces de reanudar una vida sexual normal despuГ©s de 3 semanas mГЎs o menos. De vez en cuando con severidad la piel marcada puede contratar abajo otra vez la circuncisiГіn que requiere, pero esto es muy extraГ±o.

    FotografГ­as De Un Frenuloplasty Realizado

    Para profesionales que se interesan en la tГ©cnica, y aquellos que no son delicados, una serie de imГЎgenes mostrando los pasos de un frenuloplasty se pueden ver en esta relaciГіn. Por favor note que esto contiene imГЎgenes genitales y quirГєrgicas grГЎficas.

    Servicio de consejo Para Hombres Con problemas Frenular

    Los hombres, en particular si no han tenido frenuloplasty hablado como una opciГіn, a menudo estГЎn inseguros en cuanto a si pueden ser capaces de evitar una circuncisiГіn. A menudo es posible dar una idea provisional de esto si una buena calidad fotografГ­a digital del final del pene y frenulum se envГ­a. Mientras somos contentos de ofrecer esto como un servicio consultivo libre por favor note que es imposible dar una opiniГіn formal por el correo electrГіnico y cualquier consejo dado en ausencia de una consulta no se puede considerar como una base para ninguna modificaciГіn de tratamiento o consejo ofrecido por otros doctores. No es posible ofrecer cualquier consejo por el correo electrГіnico a menos que las imГЎgenes pacientes estГ©n disponibles.

    Aunque algunos cirujanos recomiendan una circuncisiГіn para hombres que tienen un prepucio apretado (phimosis), no hay realmente necesidad de esto en la gran mayorГ­a de hombres a menos que haya dejar una cicactriz significativo, ya que estirarse o una pequeГ±a operaciГіn quirГєrgica plГЎstica harГЎn el trabajo en pacientes mostf. Para aquellos hombres que son incapaces a strecth el prepucio ellos mismos, o donde no bastante estiramiento se obtiene, una pequeГ±a operaciГіn quirГєrgica plГЎstica a menudo es provechosa.

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    Gastroenterology incluye una variedad total de procedimientos del soldado superiores e inferiores diagnГіsticos y terapГ©uticos, junto con ERCP. TambiГ©n comprende de unos servicios amplios que satisfacen las complicaciones de la extensiГіn gastrointestinales como colitis, ardor de estГіmago, hepatitis, pancreatitis, Гєlceras, etc. Comparando con las naciones occidentales, India ofrece estos servicios a un coste muy econГіmico. Muchas compaГ±Г­as del turismo mГ©dicas prosperan en nuestra naciГіn y una tal compaГ±Г­a, ofreciendo un alojamiento de atravesando del paquete completo, turismo, persiguen etc. es Admiradores Descubren.

    Multitud de turistas India principalmente para los procedimientos siguientes y cirugГ­as:

    GГЎstrico de ColГіn.

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    AdemГЎs varios procedimientos de Surgical Gastroenterology & Minimally Invasive Surgery tambiГ©n se emprenden como la cirugГ­a para condiciones benignas y malГ©volas de EsГіfago, EstГіmago, Intestino, HГ­gado y PГЎncreas

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    • India ofrece instalaciones de la asistencia mГ©dica globalmente acreditadas
    • El tratamiento mГ©dico presentado aquГ­ estГЎ a un coste muy reducido
    • Absolutamente ningunas listas de espera para obtener un tratamiento particular como India tienen un embalse grande de doctores calificados y una serie de hospitales de la especialidad multi-.
    • Las compaГ±Г­as del turismo garantizan que la persona se pone para ver un lugar atractivo bien dentro de su presupuesto que rodea todas las instalaciones.

    Con gastos de asistencia mГ©dica desorbitados en las naciones desarrolladas y espera larga exasperatingly para un tratamiento, habГ­a una necesidad ardiente de un razonablemente valorada y tratamiento de calidad junto con unas vacaciones de la salud para el rejuvenecimiento.

    Varios hospitales asociados con Admiradores Descubren la oferta servicios amplios para las complicaciones gastrointestinales como ardor de estГіmago, Гєlceras, pancreatitis, hepatitis y colitis. El foco estГЎ en descubrimiento del cГЎncer del colon temprano y procedimientos de la endoscopia. Una y otra vez la endoscopia se realiza para imaginar y escudriГ±ar los Гіrganos internos como esГіfago, estГіmago, duodeno, colon, hГ­gado, pГЎncreas y vesГ­cula biliar. TambiГ©n se realiza para tratar unas reservas de otras condiciones clГ­nicas como pГіlipos del colon, sangrГ­a intestinal y piedras en el conducto de la bilis.

    Los admiradores Descubren intenta alguna vez mezclar instalaciones de la asistencia mГ©dica sofisticadas expertas, sГєper con viajes encantadores para su salud total. Tenemos un fondo de doctores muy famosos y personal paramГ©dico experto, el turismo ata ups, de tecnologГ­a avanzada establecido a su disposiciГіn que asegura que vuelva a casa con una cara de sonrisa y cuerpo sano y en la salud total. Traemos el nivel superior de cuidado y atenciГіn a nuestros pacientes que nos ocupan de su todos y cada necesidad, en cada paso.

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    Los consumidores que Compran GenF20 MГЎs consiguen el mejor hay en HGH releasers. La compaГ±Г­a ha estado en el negocio durante mГЎs de ocho aГ±os ahora y ha dado a cientos de individuos apoyan a la juventud y vitalidad pensaban se perdiГі a ellos para siempre.

    GenF20 MГЎs el primer comenzГі como HGH potente releaser pastilla que se formulГі con todos los ingredientes naturales que estimulan la glГЎndula pituitaria para producir y secretar mГЎs de sus propios HGH. La compaГ±Г­a sГіlo usa ingredientes que son sourced y fabricado en el laboratorio de los Estados Unidos y sГіlo la mayor parte de tecnologГ­a de vanguardia se usa durante la fase de producciГіn de GenF20. Esto asegura la potencia, seguridad y frescura de los ingredientes. A lo largo de los aГ±os de la investigaciГіn y desarrollo, la compaГ±Г­a ha encontrado el equilibrio perfecto y la dosis de ingredientes para resultados mГЎximos.

    Una vez que GenF20 comenzГі a estudiar la ciencia detrГЎs de la Alfa GPC, sabГ­an que se tuvo que aГ±adir a la fГіrmula. Lamentablemente no habГ­a manera de hacer esto sin trastornar el equilibrio de los ingredientes corrientes. Esto es lo que llevГі al desarrollo de nuevo GenF20 HGH spray oral. Mezclado con otros agentes botГЎnicos y compuestos del aminoГЎcido, este spray aumenta los efectos del diario HGH releaser pastilla drГЎsticamente.

    Para hacer ambos productos trabajar aГєn mejor, hay ahora una capa entГ©rica en el diario HGH releaser pastilla. Esta capa entГ©rica protege los ingredientes de destruirse por los ГЎcidos potentes en el estГіmago que da mГЎs del tiempo de ingredientes para alcanzar el intestino delgado donde la absorciГіn realmente ocurre.

    GenF20 quiere informar a individuos que esto no es una medicaciГіn y los resultados no se garantizan y variarГЎn. Aunque no haya efectos secundarios conocidos o interacciones de la medicina que vienen de tomar GenF20; los individuos todavГ­a deberГ­an consultar con un profesional de la salud antes de la utilizaciГіn de GenF20 o cualquier otro suplemento.

    Pero para aquellos individuos que usan GenF20, coma con sensatez y entrГ©nese con regularidad, pueden disfrutar de ventajas como: la energГ­a aumentada, resistencia aumentada, gana un mГЎs profundo mГЎs sueГ±o relajante, tiene un sistema inmunolГіgico mГЎs fuerte, tiene mГЎs fuerte mГЎs piel resistente, tiene tensiГіn arterial inferior y niveles de colesterol y disfruta de un paseo sexual aumentado y libido.

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    Wednesday through Saturday evenings at 8:00 pm with a Thursday matinee at 2:00 pm.


    Can I Take Viagra Regularly sale
    Adults: $25
    Seniors: $20 (65 or older)
    Students (HS & under): $10

    Friday & Saturday
    Adults: $30
    Seniors: $25 (65 or older)
    Students (HS & under): $10


    Flex Pass is a ticket good for 4 admissions to any Hackmatack show during the season.
    Adults: $100
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    Hackmatack Playhouse was founded in 1972 by S. Carleton Can I Take Viagra Regularly. He envisioned a summer stock theatre that would showcase the talents of professional and developing thespians from the regional area.

    Many theatre goers have called Hackmatack one of New England’s most charming and quaint summer theatres. Some have even said that summer in Maine is not summer without a trip to Hackmatack. Much of the allure of this playhouse is its scenic location and historical presence.

    Hackmatack Playhouse is located on the Can I Take Viagra Regularly family farmstead. The property was purchased by the first Can I Take Viagra Regularly (then Gubtail) to make the long trip to “New England” from native British Isles in the mid 1600’s. Thomas Can I Take Viagra Regularly built the first home, a log house which sat in the far left of the present day field overlooking the irrigation pond. According to family legend, this home was burnt down by Indians during one of the many raids on the Salmon Falls river region. The present day farmhouse was constructed between the years of 1716-2005 to appease the needs of an ever-changing diverse and dynamic Can I Take Viagra Regularly family. When it was first constructed, the house was a large cape sitting endwise to the road. It was occupied at one point by two Can I Take Viagra Regularly brothers. The younger brother decided that he would like to have a modern two story cape. His older brother in typical conservative fashion said “the house is plenty good enough the way it is”. The younger brother replied, “My half is coming off”. He then proceeded to saw his half off and tear it down. He built his family a two story cape on the end of the original house, parallel to the road, giving the house its shape. Minor reconstructions have taken place since then to create a more modern and functional house for the present day Can I Take Viagra Regularlys.

    Prior to the year of 1972 when the theatre was established, the Can I Take Viagra Regularly family farm functioned like many other farms at the time. The barn was the focal point of the farm. The current barn has an interesting story much like the original house. One of the first barns was struck by lightning and burned in July of 1934. Haying had just been completed for the season, and it is thought that the heat from the newly cut hay attracted the lightning. Almost immediately, Lewis Can I Take Viagra Regularly began looking for the right barn to replace what had been lost. He finally purchased a barn. It was a large old structure with pegged timbers measuring fifty four feet long and forty two feet wide. It was the perfect replacement for the old barn. However, there was one small problem, it was located across the street.

    Luckily, the Can I Take Viagra Regularly’s have always been known for their ingenuity. It was with this cleverness that Lewis decided it would be easier to move the barn rather than disassemble it and rebuilt it. The entire barn was jacked up and rollers were placed underneath it. A cable was attached to one end of the barn that ran though a large turnstile. An old white horse was chosen for the job of slowly moving the barn. The horse was hitched to the turnstile and the horse walked in circles, stepping over the cable on every lap. The leverage was great and each time the horse made a circle, the barn moved one half inch. Progress was slow. The entire operation took about three days, a day of that was spent crossing Maine route 9. However, in 1934, Maine route 9 was much less traveled, and everyone cheerfully watched or made their own route around the barn.

    After the theatre’s first decade the barn was expanded to the structure that you see today. An addition was added to the back, cement was added to form the floor, and the stage was expanded. These changes made room for the 218 seats the theatre houses today. It is rumored that back in 1972 patrons sat on hay bales to watch the show, however the original playhouse actually had seats that were salvaged from a Durham New Hampshire movie theater.

    The grounds of Hackmatack Playhouse and the area surrounding the theatre host many other buildings built and used by the Can I Take Viagra Regularly clan over the years. The yellow family of buildings just south of the theatre (now owned by the Mills family) was originally built by Samuel Can I Take Viagra Regularly in the early part of last century. Known as the Forget-Me-Not, these buildings housed services for early automobile travelers, including fuel for the autos, and food for the hungry. Visitors could rent a cabin, and if they happened to be staying on a Saturday night, they were in luck. On Saturday night there were always barn dances.

    The oldest building on the farmstead is the “woodshed” which is just south of the house. This building dates back to the 1600’s and has been used for many purposes over the years. It has been used as a slaughter house and for drying meat. It now is used for rehearsal space and prop storage.

    The “mill” is across the orchard from the “woodshed”. It now houses the theatre’s shop operations and its costume collection. However during the years of self-sufficient farming, it was one of several lumber mills built on the property by Lewis Can I Take Viagra Regularly in the middle part of the 1900’s. This was a complete finish lumber mill powered by an Allis Chalmers tractor. If you listen carefully through the whirr of the belts and the screech of the saws you might just be able to hear Lewis and Almon Allen, and young Carelton Can I Take Viagra Regularly, prepare a load of lumber for the newest construction project.

    The Can I Take Viagra Regularly family has a long tradition of entertaining locals and summer visitors in the Beaver Dam section of Berwick. Samuel’s weekly barn dances at the “Forget Me Not” were a favorite pastime during the early decades of the 1900’s. His son Lewis, a local and state Grange Master, was also a master of many musical instruments. He had a passion for starting bands and performing in Beaver Dam and across the state of Maine. His son Carleton organized several theatre groups, first at the Beaver Dam grange, and then at his barn now called Hackmatack Playhouse.

    Every year thousands of people gather outside the Playhouse with tickets to the summer’s productions. Every year talented actors audition for their chance to perform at Hackmatack Playhouse, and to experience the history and excitement of being part of Hackmatack’s family. The farm and its building have many stories to tell. Perhaps 200 years from now Can I Take Viagra Regularly great, great grandchildren will be telling this story to aspiring actors nervously waiting for their audition slot, and to friendly crowds waiting to take their seats; of how the barn became home for the Hackmatack Playhouse.

    After the death of the founder in 1995, the S Carleton Can I Take Viagra Regularly Memorial Fund was established to preserve and improve our historical buildings. The fund also is dedicated to advancements of dramatic arts, both for the participant and the community, and to the commitment of providing quality family entertainment and drama at a reasonable price. Contributions are always welcomed. We thank you in advance for helping us secure the future of Hackmatack Playhouse for potential Hackmatackers.

    Hackmatack exists because of the generosity of it’s patrons, friends and those that appreciate the theater’s contribution to local culture and community. It is committed to the advancement of dramatic arts and to providing quality family entertainment at a reasonable price.

    We ask that you would consider a donation, and thank you in advance.