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Ražotājs – Pfizer
Izskats – maza, zila dimanta formas tablete
Pieejamās devas – 25, 50, 100 miligrami

KДЃ jau noteikti esat dzirdД“juЕЎi, Viagra tiek lietota, lai ДЃrstД“tu impotenci vД«rieЕЎiem, kam ir problД“mas ar erekciju, vai tДЃs nav vispДЃr. Medikaments atrodas tirgЕ« kopЕЎ 1998. gada marta un tas ir viens no visveiksmД«gДЃkajiem pasaules vД“sturД“. Jau pirmajДЃ gadДЃ tika izrakstД«ti miljoni ЕЎo zДЃДјu recepЕЎu par kopД“jo vД“rtД«bu vairДЃk nekДЃ viens miljards dolДЃru. Pat VatikДЃns deva svД“tД«bu ЕЎД«m zДЃlД“m, uzsverot, ka tДЃs kalpo kДЃ labs ДЈimenes stiprinДЃЕЎanas lД«dzeklis.

Ir svarīgi saprast, ko Viagra nedara. Tā nav dzimumtieksmi uzbudinošs līdzeklis un nevar cilvēku uzbudināt, ja viņš nevēlas seksu. Turklāt tā neuzlabo spējas veseliem cilvēkiem – Viagra nepaildzina un nepastiprina erekciju. Patiesibā veseliem vīriešiem, lietojot šo medikamentu, erekcija var būt ilgstoša un pat sāpīga, un var novest pat pie impotences.

Viagra palД«dz 70-85% vД«rieЕЎu ar impotenci, ko izraisД«juЕЎi fiziski faktori, piemД“ram, bojДЃti nervi (bieЕѕs diabД“ta radД«ts efekts), ЕЎaurinДЃti asins rezervuДЃri (aterosklerozes rezultДЃts), kДЃ arД« medikamentu izraisД«ti blakusefekti.

Divi pētījumi, kuru rezultāti publicēti 2004. gada maijā, Amerikas Urologu asociācijas sapulces laikā San Francisko, liecina, ka ilgtermiņā Viagra palīdz prostatas vēža slimniekiem un citiem vīriešiem, kas cieš no impotences. Rush Universitātes Medicīnas centra Čikāgā zinātnieki katru vakaru deva Viagras devu 54 vīriešiem ar izoperētu prostatu, bet ar neskartiem tās apkārtējiem nerviem. Pirms tam 90% no vīriešiem ar izoperētu prostatu bija zudusi erekcijas spēja. Apmēram trešdaļai pētījumā darbojošos vīriešu pēc deviņiem mēnešiem atgriezās erekcijas spējas. Pētnieki uzskata, ka Viagra sevišķi palīdz, ja to dzer pirms gulētiešanas, jo miegā tā labāk iedarbojas un vīriešiem erekcija iestājas arī miegā.

Cits pētījums, kas veikts Cologne Universitātes Medicīnas centrā Vācijā, apstiprina augšminēto informāciju. 76 vīrieši, kas bija impotenti vismaz 6 mēnešus, vai nu katru vakaru saņēma Viagras devu, vai arī lietoja šo medikamentu tikai pirms seksa. Pēc gada 60% vīriešu, kas lietoja Viagru katru vakaru, atgriezās pilnīgas seksuālās spējas, bet no tiem vīriešiem, kas šīs zāles lietoja tikai pirms seksa, pilnībā seksuālo spēju atguva tikai nepilni 10%.
Tomēr šie visi pētījumi ir nelieli, tāpēc ir nepieciešami nopietni un ilgi pētījumi, lai augšminētā informācija pilnībā apstiprinātos. Turklāt Viagru vajadzētu lietot, tikai saskaņā ar ārsta instrukcijām.

Parasti jānorij viena tablete stundu pirms seksa. Paiet stunda, līdz tablete sasniedz maksimālo iedarbību, lai arī šis laiks reizēm var ieilgt līdz divām stundām. Process nav automātisks – jums joprojām ir nepieciešams uzbudinājums, lai iestātos erekcija. Viagra no asinīm sāk izzust apmēram divas stundas pēc norīšanas, bet pilnībā tā no asinīm pazūd pēc sešām stundām.

Normālos apstākļos vīrieša uzbudinājuma laikā noris sekojošs process: ķimikālija, saukta par ciklisko GMP, izraisa reakciju ķēdi, kuras noslēgumā atslābinās peņa muskuļi, ļaujot tajā ieplūst papildus asins daudzumam (erekcijas laikā sasniegto peņa cietību nosaka nevis muskuļu sasprindzinājums, bet gan pieplūdušo asiņu daudzums).

Viagra paaugstina ciklisko GMP līmeni penī. Medikaments to paveic, neļaujot enzīmam (proteīnam, kas piedalās bioķīmiskā reakcijā) PDE5 sagraut ciklisko GMP tik ātri, cik tas notiek parasti. Rezultātā cikliskais GMP saglabājas ilgāk, peņa muskuļi atslābinās un tajā pieplūst vairāk asiņu.

Vai Viagrai ir blakus efekti?

Visnopietnākos blakus efektus Viagra izraisa, ja to lieto kopā ar citiem medikamentiem. Viagras lietošana, ja tajā pat laikā lietojat jebkādus medikamentus, kas satur nitrātus (piemēram, populāras sirds kaišu ārstēšanas zāles – nitroglicerīns, kas ir tā pati ķimikālija, kas slavenā sprāgstviela. Šo medikamentu tirgo ar tādiem zīmoliem, kā Nitrostat, Transderm-Nitro, Nitrolingual un Nitrogyn), vai izraisīt strauju un reizēm pat fatālu asinsspiediena krišanos. Tāpēc noteikti konsultējieties ar ārstu par medikamentiem, ko lietojat vienlaicīgi ar Viagru, lai izvairītos no pēkšņām, blakus efektu izraisītām problēmām.

Pat ja netiek lietots nitroglicerīns, Viagras ražotāji tomēr iesaka ārstiem medikamentu neizrakstīt tiem, kas ir slimojuši ar kardiovaskulārajām slimībām, ieskaitot augstu vai zemu asinsspiedienu, sirdslēkmi un citām. Tas tiek darīts tāpēc, lai, ja pacientam pēkšņi rodas vajadzība lietot nitroglicerīnu, viņa organismā tas nenonāktu mijiedarbībā ar Viagru. Ir zināms, ka 130 vīriešu ir miruši drīz pēc Viagras iedzeršanas. Vairumā gadījumu pie vainas bijušas sirdslēkmes, tomēr nav zināms, vai tās izraisījusi Viagra, vai pārlieku lielais uzbudinājums, nodarbojoties ar seksu pēc ilgāka pārtraukuma.

Citus Viagras izraisītos blakus efektus saista ar tās darbību organismā. Enzīms PDE5, ko bloķē Viagra, ir atrodams arī citās ķermeņa daļās. Medikaments var traucēt asins šūnu darbību noteiktās ķermeņa zonās, ieskaitot galvu, ādu un vēderu, līdz ar to radot tādus blakus efektus, kā galvassāpes (apmēram 16% lietotāju), pietvīkusi āda (10% lietotāju) un gremošanas traucējumi (7 % lietotāju).

Viagra efektīvi bloķē PDE5, tomēr tā var daļēji aizkavēt līdzīgu enzīmu – PDE6, kas atrodams acs tīklenē. Tāpēc 3% Viagras lietotāju saskaras ar redzes pasliktināšanos, ieskaitot miglainu redzamību un jūtīgumu pret gaismu. 2005. gada jūlijā ASV Pārtikas un Zāļu departaments paziņoja, ka daži vīrieši kļuvuši akli ar vienu aci pēc ilgākas Viagras, Cialis vai Levitra lietošanas. Ārsti nav pilnībā pārliecināti, ka tieši šīs zāles ir izraisījušas redzes zudumu, tomēr cilvēki ar noteiktām slimībām – sirds kaitēm, diabētu, hipertensiju – biežāk iedzīvojas komplikācijās.

Vai Viagra var palД«dzД“t sievietД“m?

PagaidДЃm nav pierДЃdД«jumu, ka Viagra palД«dz sievietД“m ar seksuДЃlДЃm problД“mДЃm. Neliels pД“tД«jums, kurДЃ piedalД«jДЃs sievietes pД“c menopauzes, atklДЃja, ka Viagra stimulД“ asins pieplЕ«dumu klitorДЃ, tomД“r tas nepalД«dz sievietД“m vieglДЃk uzbudinДЃties vai seksa laikДЃ izjust lielДЃku baudu.

Ja apsverat domu par šo tablešu lietošanu, jums noteikti jau ir veselības problēmas, tāpēc noteikti konsultējieties ar ārstu, jo viņš jums pateiks, vai jūsu gadījuma Viagra ir piemērotākais un nekaitīgākais risinājums. Medikaments ir licencēts ASV, Japānā un Eiropā un pieejams tikai ar receptēm. Viena tablete maksā apmēram 8 dolārus, tāpēc augstās cenas dēļ ir vērts izvērtēt šo zāļu iegādes lietderību.
DaЕѕas interneta mДЃjas lapas tirgo Viagra bez receptes, tДЃpД“c noteikti nedrД«kst tДЃs pasЕ«tД«t. Nav garantijas, ka jums tiks piegДЃdДЃts kvalitatД«vs produkts, turklДЃt samaksДЃsiet lielu naudu.

Vai Viagra medikamentam ir kДЃda efektД«va alternatД«va?

Viagra nav vienД«gais tДЃda veida medikaments. ASV PДЃrtikas un ZДЃДјu departaments ir apstiprinДЃjis vel divus medikamentus, kas lД«dzinДЃs Viagra. Levitra un Cialis. KamД“r vД“l tirgЕ« nebija parДЃdД«juЕЎДЃs tabletes, iecienД«tДЃkДЃ impotences ДЃrstД“ЕЎanas metode bija alprostadila injekcijas penД« (alprostadils ir dabiskas Д·imikДЃlijas prostaglandД«na E1 sintД“tikas versija). Saprotamu iemeslu dД“Дј, Viagra ДЃtri kДјuva populДЃrДЃka par injekcijДЃm. ProstaglandД«ns darbojas lД«dzД«gi Viagra, atbrД«vojot muskuДјus. Patlaban izstrДЃdes procesДЃ ir divas Еѕelejas, kam gada laikДЃ vajadzД“tu parДЃdД«ties tirgЕ«.

Vēl viens recepšu medikaments – Regitine (fentolamīns) – ir impotneces ārstēšanas līdzeklis, kas tiek injicēts penī. Tirgū tablešu formā drīz parādīsies Vasomax, lai arī šis medikaments ir mazāk efektīvs par injekcijām. Tāpat kā Viagra, fentolamīns atbrīvo muskuļus un veicina asiņu pieplūdumu, turklāt tam nav mijiedarbības ar nitrātus saturošiem medikamentiem, tāpēc sirds slimniekiem šis medikaments ir drošāks.

VairДЃki ДЃrstniecД«bas augu preparДЃti (bieЕѕi to sastДЃvДЃ ir johimbe) tiek tirgoti ar nosaukumiem Viegra un Viagre, bet ar Д«sto Viagru tiem nav nekДЃda sakara. Johimbe ir kДЃda ДЂfrikas koka miza, kas it kДЃ esot efektД«vs seksuДЃlais stimulants sievietД“m un vД«rieЕЎiem. TДЃpat, kДЃ Viagra gadД«jumДЃ, johimbe palielina asins pieplЕ«dumu penД«, bet nav pierДЃdД«ts, ka tДЃ lД«dzД“tu pret impotenci. Johimbe ekstraktu var iegДЃdДЃties arД« tableЕЎu formДЃ, ar nosaukumu Yocon, tomД“r ЕЎim medikamentam ir vairДЃki nopietni blakus efekti, kas var izraisД«t sirdslД“kmi.

MeklД“ЕЎana

Е odien

Interesanti fakti

Viagra ir viens no visu laiku pazД«stamДЃkajiem medikamentiem:

* Miljardiem nevēlamā e-pasta ziņojumu reklamētu Viagru katru dienu. Tur ir tik daudz Viagra spam, patiesībā, ka Pfizer (veidotāja Viagra) ir lapa risinot problēmas, ko sauc Izvairieties Fake Viagra.
* Pfizer ir pavadД«jis neminД“ts miljoniem dolДЃru reklДЃmai Viagra, lai jЕ«s redzД“t reklДЃmu par narkotiku pastДЃvД«gi TV.
* Pfizer apgalvo tДЃs tД«mekДјa vietnД“, ka deviЕ†i Viagra pills izplata katru otro – gandrД«z 300 miljoni tableЕЎu gadДЃ.
Nosaukumu atzД«ЕЎanu, Viagra ir tik laba, ka gandrД«z katram pieauguЕЎam AmerikДЃ ir dzirdД“jis par narkotikДЃm un var jums pastДЃstД«t, ko tas dara.

Ko Viagra dara ir vienkДЃrЕЎs: kad tДЃ darbojas kДЃ paredzД“ts, Viagra izraisa cilvД“ks, kurЕЎ ir seksuДЃli stimulД“ts iegЕ«t erekciju.

-KДЃ Viagra do that? Un kДЃpД“c Viagra darbojas tikai tad, ja cilvД“ks ir seksuДЃli stimulД“ts? AttiecД«bДЃ uz ЕЎo jautДЃjumu, kas izraisa erekciju ir pirmajДЃ vietДЃ? Е ajДЃ rakstДЃ mД“s atbildД“t uz visiem ЕЎiem jautДЃjumiem un vairДЃk.

Tas ir tieЕЎДЃm aizraujoЕЎs stДЃsts – tas saistД«ts ar tehnoloДЈiju cilvД“ka Д·ermeЕ†a un metodes, lai zinДЃtnieki izmanto, lai kontrolД“tu daЕѕДЃdДЃm Д·ermeЕ†a daДјДЃm ar narkotikДЃm. Un ja Viagra, stДЃsts sДЃkas ar tehnoloДЈiju dzimumlocekДјa.

Daudziem cilvД“kiem, runДЃ par dzimumlocekДјa ir grЕ«ts. Е ajДЃ jomДЃ OrganizДЃciju uzskata privДЃto un parasti nav publiski apspriest. TomД“r dzimumlocekДјa ir tikai daДјa no vД«rieЕЎa anatomiju, lai veiktu uzdevumu, un mД“s to apstrДЃdДЃ tДЃdДЃ veidДЃ ЕЎeit.

AttiecД«bДЃ uz dzimumlocekДјa, faktiski ir divi uzdevumi, to rokturi:

1. atbrД«vojot urД«ns urД«npЕ«slД«, ko sauc par urinД“ЕЎanu
2. atbrД«vojot sperma un sД“klas ЕЎД·idrums no prostatas dziedzera, kas pazД«stams kДЃ ejakulДЃcija

Viagra palД«dz Otrais uzdevums: ejakulДЃcija.

Sapņi un erekcija

Vidējais vīrietis ir četri uz eight spontāna erekcija ik nakti, kamēr viņš guļ. Viņi parasti rodas laikā REM stadijā, kad sapņi ir ļoti bieži.
Ja ДЃrsts vД“las noskaidrot, vai pacienta grЕ«tД«bДЃm panДЃkt erekciju izraisa fizisku vai garД«gu iemeslu dД“Дј, viens veids, kДЃ uzzinДЃt, ir piemД“rots pacients dzimumloceklis ar sensoru un redzД“t, vai pacienta sapnis erekcija darbojas pareizi. Ja ne, tad problД“ma ir iespД“jams fiziski.

Kad viss darbojas pareizi, ejakulДЃcija ir trД«s posmu process:

1. CilvД“ks kДјЕ«st seksuДЃli izraisД«juЕЎi.
2. Penis atbilde kДјЕ«stot uzcelt.
3. Stimulācija dzimumlocekļa cēloņiem ejakulācija.

Kas skan pavisam vienkДЃrЕЎi, taДЌu daudzos gadД«jumos otrais posms nenotiek, tДЃdД“jДЃdi soli trД«s sareЕѕДЈД«ta vai neiespД“jama. Lai gan man ir veicinДЃt, dzimumlocekДјa nekДјЕ«st uzcelt. Lai saprastu, kДЃpД“c ir nepiecieЕЎams saprast tehnoloДЈiju erekciju.

Ja vēlaties pārvietot gandrīz jebkuras ķermeņa daļas, tu to, izmantojot muskuļus. Vai esat pārvietojas pirkstiem, pirkstiem, rokām vai kāju muskuļi darīt darbu. Pat tad, kad jūs stick mēles, jūs darīt to, izmantojot muskuļus:

* Jūs domājat par pārceļot dažas ķermeņa daļas
* GadД«jumДЃ muskuДјi
* Daļa no ķermeņa kustības

Muskuļi ļauj pārvietot ķermeņa brīvprātīgi precīzu kontroli.

The penis no otras puses, ir pilnД«gi atЕЎД·irД«gs. Nav muskuДјu kontrakcijas, veicot dzimumlocekДјa uzcelt. Lai kДјЕ«tu uzcelt, dzimumlocekДјa vietДЃ izmanto spiedienam.

IespД“jams, vienkДЃrЕЎДЃkais veids, kДЃ izprast, kДЃ dzimumloceklis kДјЕ«st uzcelt ir domДЃt par gaisa balons. Ja balons nav gaisa, tДЃ ir mД«ksts. KДЃ jЕ«s uzpЕ«st klibot balons ar tikai nedaudz gaisa, tas kДјЕ«st garenas un stingrs.

Penis izmanto lД«dzД«gu mehДЃnismu, bet tДЃ vietДЃ izmantot spiedienam gaisa kДјЕ«st neelastД«ga, dzimumlocekДјa izmanto spiedienam asinis. Penis ir divi cigДЃra forma struktЕ«ras, ko sauc corpora cavernosa (vienskaitlis: corpus cavernosum), ka tДЃ izmanto, lai kДјЕ«tu uzcelt.

DomДЃ corpora cavernosa kДЃ balloonlike caurules. ArtД“rijas lai asinД«m ЕЎД«m divДЃm caurulД“m, un vД“nДЃm veikt asins prom no tiem. Penis var bЕ«t mД«ksts vai bЕ«vД“t, atkarД«bДЃ no plЕ«smas asinД«m:

* In non-erect stДЃvoklД«, artД“rijДЃs, kas apvieno asinis uz corpora cavernosa ir nedaudz saspiests, bet vД“nДЃm, kas apgДЃdДЃ asinis no dzimumlocekДјa ir atvД“rtas. Nav spiediena, lai izveidotu iekЕЎД“jo dzimumlocekДјa veidДЃ. Е ДЃdДЃ stДЃvoklД«, dzimumloceklis ir mД«ksts.

* Kad cilvД“ks kДјЕ«st modinДЃja, artД“rijДЃs, kas ved dzimumlocekДјa atvД“rt tДЃ, ka spiedienam asinis var iekДјЕ«t dzimumlocekДјa ДЃtri. VД“nas atstДЃjot dzimumlocekДјa savilkt. Spiedienam asinis ir noД·erti corpora cavernosa, un tas asinis izraisa dzimumlocekДјa izstiepЕЎanos un sastingt. Penis ir uzcelt.

Ja artД“rijas izraisa dzimumlocekДјa nav atvД“rt pareizi, tas ir grЕ«ti vai neiespД“jami, lai cilvД“ks kДјЕ«tu uzcelt. Е Д« problД“ma ir cД“lonis erektilДЃs disfunkcijas (ED).

Lai atrisinДЃtu erekciju problД“mas, ja cД“lonis ir slikta asinsrite, jums jДЃatver artД“rijДЃs. Let’s to apskatД«t, kДЃ to var izdarД«t – un kДЃ tas tika darД«ts pirms Viagra.

AgrД«na ДЃrstД“ЕЎanas ED

Pirmais patiesais izrДЃviens ДЃrstД“ЕЎanai erektilДЃs disfunkcijas nДЃca 1983. LД«dz tam laikam tika uzskatД«ts, ka erekcijas disfunkcija – nespД“ja sasniegt erekciju – bija galvenokДЃrt garД«gu. Е is jД“dziens radДЃs crashing lejup 1983 Amerikas Urologu asociДЃcijas sanДЃksme Las Vegas, kad Dr Giles Brindley ievada savu peni ar narkotiku fentolamД«ns. PД“c injekcijas, Dr Brindley parДЃdД«jДЃs uz skatuves un samazinДЃjДЃs viЕ†a bikses, lai parДЃdД«tu vienu no pirmДЃs narkotiku izraisД«tu erekcija ir skeptisks auditoriju urologists.

Ko fentolamīns do? Tas atviegloti muskulī. Inside ķermeņa ir vairāki veidi, kā muskuļu:

* Skeleta – skeleta muskuДјi ir muskuДјu mД“s redzam pie Olympics – uztЕ«cis biceps un tДЃ tДЃlДЃk.
* Sirds – Sirds muskuДјa pilnvaras sirdi.
* Smooth – GludДЃ muskulatЕ«ra var atrast lietas, piemД“ram, asinsvados, zarnas un kuЕ†ДЈa un parasti darbojas bez iepriekЕЎД“ja nodoma.

GludДЃ muskulatЕ«ra ir liela nozД«me visДЃs erekcija, un fentolamД«ns ir zДЃles, kas atslДЃbina gludo muskuДјu.

Iemesls, kДЃdД“Дј no fentolamД«ns injekciju deva Brindley erekciju bija Д«paЕЎi interesants, 1983, jo neviens tik tieЕЎДЃm doma par to pirms tam. LЕ«k kas notika:

* Par mД«ksts penis artД“rijas ir saspiests, un tie veic asins iekДјЕ«ЕЎanu corpora cavernosa.

* Brindley’s injekcija mazinДЃjuЕЎas gludДЃs muskulatЕ«ras artД“riju sienДЃm iekЕЎpusД“ viЕ†a penis, izraisot to atvД“rt.

* Asins ieplūda corpora cavernosa, kā arī asins spiediena piepūstas viņa penis, dodot viņam tūlītēju erekciju.

Starting in mid-1980, kДјuva parasts vД«rieЕЎi ar erekcijas traucД“jumiem injicД“t gludo muskuДјu relaksД“joЕЎa medikamentus attieksmi pret problД“mu.

Viagra padara procesu kopumДЃ daudz vieglДЃk veicot paЕЎa veida lieta ar tableti nevis injekcijДЃm. Of viagra VД“l viena priekЕЎrocД«ba pДЃr injekcijas fentolamД«ns ka Viagra tikai izraisa erekciju, kad cilvД“ks ir seksuДЃli izraisД«juЕЎi. FentolamД«ns, gluЕѕi pretД“ji, rada tЕ«lД«tД“ju un nekontrolД“tu erekciju.

Kā var tableti strādāt tikai uz gludās muskulatūras dzimumlocekļa, nevis visu ķermeni, un tikai tad, ja cilvēks ir radījusi? Atbildes uz šiem jautājumiem sākas ar izpratni par asins plūsma darbojas ķermeņa, tāpēc sāksim tur.

Izpratne Blood Flow

KДЃ jЕ«s varat sniegt man erekcija ar tableti? JЕ«s nevarat sniegt man tableti uzpildД«tu ar vispДЃrД“ju gludo muskuДјu relaxer kДЃ fentolamД«ns – tas var izraisД«t visas gludДЃs muskulatЕ«ras visДЃ cilvД“ka organismam atpЕ«sties, un kas varД“tu radД«t daudz problД“mu. Kas jums nepiecieЕЎams, ir zДЃles, kas iedarbojas tikai uz gludДЃs muskulatЕ«ras dzimumlocekДјa artД“riju.

Lai saprastu, kДЃ veikt dzimumlocekДјa konkrД“tДЃm zДЃlД“m, domДЃju, ka par ceДјu asins plЕ«smu organismДЃ. JЕ«su Д·ermenis ir tikai viens sЕ«knis – sirdi. Bet daЕѕДЃdДЃs Д·ermeЕ†a nepiecieЕЎams cits asins daudzums daЕѕДЃdos laikos.
PiemД“ram:

* Ja jūs ēdat lielo ēdienu, Jūsu ķermenim nepieciešams nosūtīt vairāk asins kuņģa un zarnu, lai palīdzētu ar pārstrādi.

* Ja jЕ«s darbojas maratons, JЕ«su Д·ermenim nepiecieЕЎams nosЕ«tД«t vairДЃk asins JЕ«su roku un kДЃju muskuДјus, un tas var vД“lД“ties samazinДЃt lielДЃko daДјu no asins plЕ«smu uz vД“dera (un citДЃm mazsvarД«gДЃm orgДЃnu), lai saglabДЃtu skДЃbekДјa kДЃjДЃm.

Kādas ir jūsu ķermeņa vajadzībām, citiem vārdiem sakot, ir noteikts vārstu, ka to var izmantot, lai palielinātu un samazinātu asins plūsma uz atsevišķām ķermeņa daļām. Un jūsu smadzenes nepieciešams veids, lai kontrolētu šādu vārstu, lai tā varētu gūt no tām un izslēgt pēc vajadzības.

Dzimumlocekļa ir viens no ķermeņa vietās, kur smadzenes ir jābūt iespējai vērsties asins plūsmu uz un izslēgt ar ventili. Lai saprastu, kā smadzeņu kontrolē šo konkrēto vārstu, Sāksim ar pamatkoncepcija darbā: Kā darbojas smadzenes kontrolē asins plūsma uz dažādām ķermeņa daļām?

PagrieЕѕot vДЃrstu un izslД“gЕЎanas
Ar cilvēka ķermeņa, "vārsti" atvērt un aizvērt, izmantojot muskuļos un artēriju sienām. Kad šie muskuļu atslābšanu, artērijām atvērt un asins plūsmas pieaugumu. Vārsti atbildēt uz ķīmisko ziņas, smadzenes var kontrolēt.

Mehānisms, ko organisms izmanto "atklāto vārsts" jebkurā ķermeņa daļā ietver četras darbības:

1. Smadzenes sЕ«ta signДЃlu nosaka Д«paЕЎu nervu ЕЎД·iedru. Е Д« nervu ЕЎД·iedra beidzas NANC nervu ЕЎЕ«nas artД“rijДЃ, kaut kur netДЃlu no vietas, kur asins plЕ«sma ir jДЃmaina. NANC apzД«mД“ nonadrenergic-noncholinergic un ko tas nozД«mД“, ka NANC nervu ЕЎЕ«nas spД“j radД«t slДЃpekДјa oksД«ds.

2. The NANC nervu galiem injicД“t slДЃpekДјa oksД«da asinД«s un apkДЃrtД“jДЃs ЕЎЕ«nas.

3. SlДЃpekДјa oksД«ds stimulД“ enzД«ma, ko sauc guanilДЃta cyclase tuvumДЃ ЕЎЕ«nas, un ЕЎis enzД«ms sДЃk raЕѕot Д·Д«misku sauc cikliskДЃ guanozД«na monofosfДЃta (cGMP).

4. cGMP stāsta vienmērīgu muskuļu līnijas artērija atpūsties. Kad viņi atpūsties, asins plūsma palielinās.

Šis mehānisms ir vienkāršs mazliet ķīmiskā mašīnu, un smadzenes to izmanto, lai palielinātu asins plūsmu vairākās dažādās ķermeņa daļās. Bet ir viens beigu daļa šo ķīmisko mašīna: Cits enzīma, ko sauc fosfodiesterāzes (PDE) atslēdz cGMP.

Smadzenes sЕ«ta signДЃlus NANC ЕЎЕ«nДЃm artД“riju. NANC ЕЎЕ«nas presei slДЃpekДјa oksД«ds (NO). SlДЃpekДјa oksД«ds darbojas kДЃ signalizДЃcijas molekula un stimulД“ enzД«ma, ko sauc guanilДЃta cyclase tuvД“jДЃs ЕЎЕ«nДЃs. GuanilДЃta cyclase pДЃrvД“rЕЎ Д·Д«miskДЃs sauc GTP citДЃ Д·Д«miskДЃ sauc cGMP. cGMP izraisa muskuДјu no artД“riju sienДЃm atslДЃbt. Е o atvieglojumu palielina asins plЕ«smu. TikmД“r PDE ir trЕ«dД“ЕЎana cGMP un grieЕѕot to atpakaДј GTP. Ir ciklДЃ – guanilДЃta cyclase kДјЕ«st GTP vД“rДЃ cGMP, un PDE kДјЕ«st cGMP vД“rДЃ GTP. SlДЃpekДјa oksД«ds kДјЕ«st ciklu.

cGMP ražota, kamēr smadzenes sūta ziņu nosaka nervu šķiedru artērijā, kas rada slāpekļa oksīds un paturēt cikls turpinās. Kad smadzenes pārstāj sūtīt signālu, visi cGMP iet prom, jo PDE ir atslēgšanai tā. Tādā veidā smadzenes var vērsties vārstu un izslēgšana, ja tā vēlas.

TДЃ kДЃ tas attiecas uz erekciju?

Kad smadzenes saņem izraisīja, tas sūta signālu uz dzimumlocekļa. Nervu šūnas penis "corpora cavernosa pirmos slāpekļa oksīdu, kas ļauj izveidot cGMP. The cGMP rada artērijas corpora cavernosa uz izplesties, izraisot daudz asins plūsmu dzimumloceklī. Papildu asins plūsmu, kas izraisa dzimumlocekļa uzpūst kā balonu. Erekcija notiek.

Kad cilvД“ks cieЕЎ no erektilДЃs disfunkcijas, var bЕ«t vairДЃki iemesli, problД“mas. Bet viens no bieЕѕДЃkajiem iemesliem, it Д«paЕЎi vecДЃkiem vД«rieЕЎiem, ir tas, ka uz dzimumlocekДјa artД“riju nav paplaЕЎinot pietiekami, kad smadzenes sЕ«ta signДЃlu. CilvД“ks ir radД«jusi, un jo dzimumlocekДјa nervu raЕѕo NД’, bet ar cGMP daudzumu gatavota, nav pietiekami, lai uzturД“tu erekciju.

TДЃ, kДЃ Viagra iet par ЕЎo problД“mu atrisinДЃt ir diezgan ДЈeniДЃls, un attiecas uz ЕЎДЃdu jautДЃjumu: KДЃ JЕ«s varat radД«t zДЃles, kas ietekmД“ tikai dzimumlocekДјa vДЃrsts?

ApstrДЃdДЃjot ED With Viagra
Ja jЕ«s vД“laties radД«t zДЃles, kas palielina asins pieplЕ«de dzimumloceklД«, ir vismaz trД«s veidi, kДЃ to izdarД«t:

1. PalielinДЃt summu, slДЃpekДјa oksД«ds, penis
2. PalielinДЃt apjomu cGMP raЕѕoti dzimumlocekДјa, atbildot uz slДЃpekДјa oksД«da
3. Novērst PDE in penis lai cGMP uzkrājas vietā saņemt sadala pa PDE

Nobela prД“mija
1998.gadДЃ trД«s zinДЃtnieki – Robert F. Furchgott, Dr Ferid Murad un Louis J. Ignarro – ieguva Nobela prД“miju fizioloДЈijДЃ vai medicД«nДЃ, lai pierДЃdД«tu, ka slДЃpekДјa oksД«ds darbotos kДЃ signalizДЃcijas ierД«ce no sirds ЕЎЕ«nДЃm. See NobelPrize.org: Nobela prД“mijas fizioloДЈijДЃ vai medicД«nДЃ 1.998 balvu, lai uzzinДЃtu vairДЃk.

Viagra izmanto metodi, No 3 – tas novД“rЕЎ PDE, kas ir trЕ«dД“ЕЎana the cGMP, tДЃpД“c cGMP uzkrДЃjas dzimumlocekДјa un ir lielДЃka ietekme uz artД“riju sienДЃm. Jo lielДЃka summa cGMP lielДЃku asins plЕ«smu, un jo lielДЃka asins plЕ«sma lielДЃka pakДЃpes erekciju.

TДЃdД“Дј, ka Viagra izmanto ЕЎo metodi, ir ar to interesants triks no PDE.

IzrДЃdДЃs, ka cilvД“ka Д·ermenД« ir vismaz 11 daЕѕДЃdu veidu PDE, ka viЕ†ЕЎ raЕѕo. Tikai viens no ЕЎiem PDE veidi – PDE5 – ir konstatД“ts galvenokДЃrt dzimumlocekДјa. Kad zinДЃtnieki atklДЃja ЕЎo faktu, un Viagra В® izveide bija samД“rДЃ vienkДЃrЕЎs. Viss, kas Pfizer lai rastu ir Д·Д«miska viela, kas selektД«vi bloД·Д“t PDE5 un nekas cits. Ar PDE5 bloД·Д“ti, cGMP varД“tu veidot ar dzimumlocekДјa un palielina asins plЕ«smu tur, neietekmД“jot citas Д·ermeЕ†a daДјas.

Ja tur nebЕ«tu unikДЃls veids PDE atrodas dzimumlocekДјa, mД“s nebЕ«tu Viagra ЕЎodien.

TДЃ kДЃ Viagra bloД·Д“t PDE5?

PDE5 ir tas, kas ir pazД«stams kДЃ enzД«mu. Ferments ir Д«paЕЎi salocД«ts proteД«ns, kas spД“j paДЃtrinДЃt Д·Д«miskas reakcijas. PiemД“ram, raksts KДЃ Е Е«nas darba apraksta maltДЃzes fermentu. MaltДЃzes ir veidota tДЃ, lai maltoze molekula var ietilpt tiesД«bas, un ja tas tДЃ ir, maltДЃzes ferments pДЃrtraukumiem maltoze molekulas divДЃm glikozes molekulДЃm, kДЃ parДЃdД«ts ЕЎeit:

PDE5 ir ferments, kas pieņem cGMP un pārtraukumus tā uz leju. Pfizer nepieciešama ķīmiska viela, kas gumija līdz PDE5 un glabājiet to no darot savu darbu. Ķīmiska viela, Pfizer atklāti sauc sildenafil citrate. Tā iekļaujas labi uz PDE5 fermentu un izslēdz to.

Viagra satur sildenafil citrate iepakota kā tableti. Kad cilvēks ņem Viagra pill, tad sildenafil citrate plūsmu visā viņa ķermenis, bet tas tiešām skar tikai PDE5 fermentu dzimumlocekļa. Narkotikas paliek asinīs aptuveni četras stundas, un tad izskalo no asinīm ar aknām un nierēm.

Un tas ir par ", kДЃ tas darbojas" daДјu Viagra stДЃsts beigДЃm:

* CilvД“ks Е†em Viagra pill.
* Sildenafil citrate nonāk viņa asinīs un plūsmu visā viņa ķermenī.
* Sildenafil citrate piešķir PDE5 fermentu viņa dzimumlocekļa un izslēdz lielāko daļu no tā.
* Kad cilvēks kļūst seksuāli modināja, smadzenes sūta parastās īsziņas uz NANC šūnu viņa penis, kas rada slāpekļa oksīds kā parasti.
* Slāpekļa oksīds rada cGMP, kas sākas, atvieglojot viņa dzimumlocekļa artēriju.
* SДЃkot ar PDE5 ir atspД“jots, jo dzimumlocekДјa cGMP nav izjukt. GluЕѕi pretД“ji, tas uzkrДЃjas un Дјauj ar dzimumlocekДјa artД“riju pilnД«gi izplesties.
* Viņa penis piepūsts ar asinīm, un cilvēks saņem pilnu erekciju.

Pilnīgi Tas darbojas lielākā daļa vīriešu, izņemot dažas nelielas problēmas.

Side Effects of viagra

Ļoti maz narkotikas darbu perfekti, un Viagra nav izņēmums. Tikai par katru narkotiku ir blakusparādības, kas rodas tāpēc, ka narkotiku plūsmu visā organismā un var ietekmēt ķermeņa daļu netīši. Piemēram, aspirīns ir zāles, kas atvieglo sāpes, bet tajā pašā zāles var mazināt kuņģa gļotādas un šķidrina asinis. Šīs ir blakusparādības aspirīnu.

Viagra ir vairДЃkas blakusparДЃdД«bas, kas pacientiem ir jДЃapzinДЃs.

Pirmā problēma nāk jo Viagra notiek, ir pāriešanas efektu. Tas bloķē PDE5, bet tam ir arī ietekme uz PDE6. Izrādās, ka PDE6 lieto konusa šūnu tīklenes, tāpēc Viagra var ietekmēt krāsu redzes. Daudzi cilvēki, kuri pieņem Viagra paziņojums izmaiņas veidā, kādā tie uztver zaļā un zilā krāsa, vai arī redzēt pasauli ar zilgana nokrāsa vairākas stundas. Šī iemesla dēļ, pilotiem nevar Viagra, 12 stundu lidojumu.

OtrДЃ problД“ma nДЃk cilvД“ki, kuri lieto narkotikas, piemД“ram, nitroglicerД«ns, lai stenokardija. NitroglicerД«ns darbojas, palielinot slДЃpekДјa oksД«du, un tas palД«dz ar stenokardiju atverot artД“rijas, kas apgДЃdДЃ sirdi ar skДЃbekli. Ja JЕ«s lietojat nitroglicerД«ns un Viagra kopДЃ, palielinДЃjДЃs slДЃpekДјa oksД«ds plus bloД·Д“ PDE5 var radД«t problД“mas.

Citas problēmas ar Viagra var būt nedaudz lietām, piemēram, galvassāpes (, narkotiku, kā blakusparādība dažiem vīriešiem, paver artērijas smadzeņu odere un izraisa pārmērīgu spiedienu) un lielās lietas, piemēram, sirds lēkmes. No sirdslēkmes iespēja ir viens no iemesliem, kāpēc Viagra ir recepšu medikaments, nevis ārpusbiržas apkarotu narkotiku, piemēram, aspirīnu. Ārsts jāizprot savu medicīnisko vēsturi un pārliecinieties, ka Viagra neradīs sirdslēkme. Occasional pacientiem, kuri lieto Viagra ® saņemt sāpīga, ilgstoša erekcija un ir redzēt ārstu, lai atrisinātu problēmu.

Visbeidzot, pastāv bažas, ka dažiem vīriešiem, īpaši jauni vīrieši, kuri pieņem Viagra ® recreationally un kas nav īsti tas ir vajadzīgs fiziskiem iemesliem, var galu galā ar atkarību no narkotikām. Tas ir, tie var kļūt nespēja saglabāt erekciju, neņemot Viagra.

What about Cialis un Levitra?
Viagra ir ļoti veiksmīgu narkotiku un citu narkotiku uzņēmumi vēlējās gabals darbību. Tās izstrādājušas dažādas ķimikālijas bloķēt PDE5 fermentu un izveidoja divas jaunas zāles: Cialis (tadalafilu) un Levitra (vardenafilu).

Jo Cialis un Levitra bloķēt PDE5 fermentu, viņi strādā tieši tāpat kā Viagra. Tie palīdz vīriešiem, kuriem ir grūti saglabāt erekciju, jo asins plūsmas problēmas, un viņi darbotos tikai tad, ja cilvēks ir seksuāli izraisījuši.

Jo tie bloД·Д“t PDE5 ar daЕѕДЃdДЃm Д·imikДЃlijДЃm, tomД“r ir daЕѕas nozД«mД«gas atЕЎД·irД«bas starp trim zДЃlД“m. PiemД“ram:

* Attiecas tikai Viagra izraisa krДЃsu redzes problД“mas.
* Cialis izraisa muskuДјu sДЃpes aptuveni 5 procentiem pacientu.
* Viagra un Levitra ilgst ДЌetras stundas asinsritД“. Cialis paliek asinД«s daudz ilgДЃk (tas ir 17,5 stundu eliminДЃcijas pusperioda), un tДЃdД“Дј ir spД“kДЃ vairДЃk nekДЃ dienДЃ.

MeklД“ЕЎana

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Thus, by definition, "traffic court" in California is real court and all of the standard rules of court and rules of evidence still applies? Interviews: UNE (11/22), Samuel Merritt (1/25 – turned down), Sacred Heart University (1/24 – turned down), D'Youville (no interview)Medial Cord: Same as LT, but EIP is clean. App submitted last week of May, completed first week and half of June. If you're not interested in it, don't lie. This is one of the few that I am dreading, the prompt really is unusual. Why do you need an ETT and RSI. FavColorBlue, Oct 6, 2013, in forum: Dental Residents and Practicing DentistsSecondly,like your advisor said, it will look good having a minor( I am not sure how much it will help). Given that, I'd say the trend is that your predicted score range has been flat based on your scores. I know this patient has CHF and he is currently exhibiting some pulmonary edema. Latest: win the ENTIRE Lippincott's Illustrated Reviews Series.

Figured I would post in this fairly recent thread than start my own. The only thing I could see is that a 12V 12B 11P would be slightly better than a 14V 11B 10B. It was just an observation. 03 ogpa and a 2. Hmmm. Pay attention to the clinical stuff, but it is awfully hard to "logic" your way through a question that is solely a matter of written law. Even with all the news, it isn't exactly high on my differentials for.

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  • Kelilah, blueharbor, lyra928 and 1 other person like this. Although UPMC is a large academic and research center, you can tell they really emphasize the clinical experience and teaching. DPTcoarsal: Do you mind me asking what are your other stats.

    Got voice mail, but the email came out about same time, so got that first (phone was not charged). Como viagra esta la situacion en general en America Latina. You aren't even telling the story and you still took the time to call them out. You haven't taken the MCAT yet, and so really you don't know how well you'll do. And i have go back and forth between questions before it corrects itself. lectures on your area of expertise), scientific responsibilities (e.

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    (I'm not here to make excuses, but I did find it hard to be at a school like Temple, which by the way has a great clinical program. Gunner makes a good point that while this budget won't pass–some of this will still trickle through by other means. I had mad hook-ups (1) The med school office compiles a list of potential roomates from the class, with living, cleanly, and $$ preferences (2). Their "admission counselors" operate like sales staff, and they use pretty naive first and second year students in their student videos to make it sound like their programs are a joy ride for 5 years. I'm a 3rd year trying to figure out a few places to do an elective at later this year. The beautiful thing about Philadelphia is that it's home to a lot of universities which means there are always grad students looking for roommates.

    As in (cyanosis ' blueness due to cold or hypoxia)This would have to be a collaborative effort by anyone else that wanted to help, but I don't think it would take too long. I filed for delayed consolidation in May of my 4th year in med school, application processed/consolidation in November and

    You will be surprised how many people get away with it? Discussion in 'Allopathic Class Threads' started by lockian, Aug 14, 2014. So just keep telling the bright-eyed bushy-tailed hopefuls that its just a bunch of BS, that there's too many complainers out there that need to step aside and get out of the way. Post by: kthxbai, Friday at 4:59 PM in forum: Pre-Medical Allopathic [ MD ]That message was too ill received by everyone. Mednet. anyway ive already taken wrebs, law and ethics exam, everything is ready to go, just needed to pass part viagra 2's. Well mine was in the midwest AND. The girlfriend says she then lost contact with Martin and heard sounds as if his ear piece had been knocked from his ear. August is one of the busiest times for admissions as many of the non early birds submit their materials. Techs who don't show up for work/do crappy work/harass other techs/lose specimensHad been delayed with SROM, and needed to go for a c-section not emergently but ASAP. Edu/neurology/ed.

    He added that they and Vandy have vied for the top spot each year. Directory of Family Medicine Residency Programs (includes fellowships)Still a online viagra four year program very similar to medical school, but you do not need the MCAT. I've had a decent bit of exposure as a nurse but I think when I'm closer to finishing up classes it'd be good to formally shadow some and this could be a possible option. A little stuffy for me. When I took FL MCATs I obviously completed the verbal sections, but that was about it.

    And what are my chances of getting a residency program in. I do not much of the details regarding the other items. EVMS does consider OOS/IS separately for admissions and it seems like IS students does have easier time getting in. I've been refreshing and playing tetris since 4 haha. In some cultures, the woman never changes her last name, and their children end up online viagra with the name "FirstName, Mom's last name, Dad's last name. Both have passed everything, both honors in psych. (This only applies to non-EU citizens who graduate from a UK viagra online medical school or EU citizens who graduate from a EU medical school or EU citizens who graduate from a UK medical school)There are also studies that compare "master" therapists of different approaches. My clinical hours are mostly at a small/mixed practice. They told me a ton of great stories. It is natural for the admin to low-ball the. Discussion in 'Public Health Degrees (Masters and Doctoral)' started by egh11, Sep 1, 2014. How much is waiting time-period for CPE exam slot in Canada (with CVMA), not in USA or with AVMA.

    BU, EVMS, RFU, VCU, Loyola and Tulnce ACP are on the top of my list.

    [LTEXT-NOKEY-20-35]

    1. But I've lived in Brazil for most part of my life (as you can probably see, not even my english is that good anymore) and I didn't take the USMLE steps yet.
    2. If people are constantly asking for raises, chances are you're paying too little in the first place.
    3. If possible, try to stimulate the testing environment at home so that you feel more comfortable on testing day. Why I choice NJMS, besides being a student there and thus being most comfortable and familiar with it, was the balance between public (university hospital, almost all charity care viagra online patients, just lost its big surg onc attending so did take a big hit, but generic viagra great trauma, critical care, complex general surgery (chairman gets large ventral hernias that no one else will touch)) and private (Hackensack, which is no slouch of a hospital when it comes to known attendings, and we operate like crazy), plus a VA experience.
    4. Trolls will lie, exaggerate, and offend to get a response. " Does not this fact alone bespeak of inner moral and ethical bearings of our leaders.
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    7. First of all, they say at this point all the finalists "passed" their screening process or met their selection criteria (Pheewwww). HST or Sleep center or Sleep consultant to Primarary DocOn the inside I despise every second here.
    8. I didn't take the MCAT yet, but I cannot emphasize this enough. They then may complete coursework and teach classes before doing internships.
    9. You've fooled me in the past, but I have completely moved on, and will never allow it to happen again.
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    Price of the little blue pill, Viagra, has plummeted from $85 to $14 as generic brands offer more choice for men

    By Daniel Mills 07:26 GMT 27 Jul 2014, updated 07:33 GMT 27 Jul 2014

    • Pfizer’s patent expired in May and generic brands now flooding chemists
    • The impotency drug has now dropped to the price of a cup of coffee
    • Chemist Warehouse, Blooms and Terry White are passing on cheap costs
    • The discernible diamond-shaped blue pill now comes in different forms

    More Australian men will now have access to one of the world’s most revolutionary drugs, Viagra, with its price per-pill plummeting to less than the cost of a cup of coffee.

    At full-cost, consumers were being slugged $85 for the Pfizer-owned product, but since the medical giant’s patent expired in mid-May it has opened up a new market for generic brands to swoop.

    The gap in the market is proving a huge winner for consumers and now more men can pay to turn their troubled sex life around for just $3.

    The cheaper varieties are being stocked in chemists throughout the country – and according to the Sydney Morning Herald – Chemist Warehouse, Blooms and Terry White are passing on the reduced cost for $14 for four 100mg pills of the drug.

    The once discernible diamond-shaped blue pill is now being marketed in all different shapes and sizes but the active ingredient, Sildenafil, will remain.

    Erectile dysfunction expert Chris McMahon said the high price has been a major stumbling block for consumers in the past, and cheaper varieties such as APO-Sildenafil are now giving men greater access.

    ‘The high price has always been a stumbling block preventing many men from being able to afford to use the drug regularly,’ he said.

    It also means men who were previously healthy, but were left impotent as result of cancer or diabetes, can benefit too.

    Cialis is one of a number of new generic Viagra brands flooding the market in chemists across Australia

    In cases where erection problems are associated with diseases most men in Australia received no financial compensation, with very few private health funds paying for such treatments.

    National Chairman of Prostate Cancer Foundation David Sandoe said women with breast cancer receive government support for reconstruction from mastectomies, but men do not receive the same luxury for impotency as a result of prostate cancer surgery.

    ‘It’s never made sense that male cancer victims are treated so differently from women,’’ he said.

    In Britain, Viagra was costing the National Health Service more than £40 million ($72 million) a year before Pfizer’s patent ran out in June last year.

    Many are hoping the new cheap Viagra will dissuade men from ordering potentially dangerous erection drugs online.

    It might also mean it cuts some of the embarrassment associated with buying the recogniseable blue pill many feel ashamed about doing over the counter because it will be marketed in different forms.

    Next Stories 1/30

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    • A hug for mummy! Countess of Wessex is greeted by daughter Lady Louise and a VERY excited Prince Edward as she completes 450-mile cycle at Buckingham Palace
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    Viagra

    Cory Silverberg, M.Ed. is a sexuality educator, author, media contributor and researcher collaborator. You can read more about Cory’s work on his Google profile: Cory Silverberg

    Updated August 22, 2016.

    Viagra (Sildenafil) was the first oral medication approved by the Food and Drug administration (FDA) for the treatment of erectile dysfunction. Introduced into the market in 1998 Viagra has arguably had the largest social and cultural impact (in terms of sexuality) of any prescription medication since the birth control pill .

    Viagra is a common cultural reference for anything from a quick sexual thrill to the complicated ways that large companies can manipulate the media and individuals to purchase products they design.

    Continue Reading Below

    Viagra has also had a significant impact on the sex lives of individuals taking the drug (and those who have sex with them) but this impact is less straightforward than marketing materials lead one to believe.

    How Viagra Works
    Viagra works by relaxing muscles and increasing blood flow to particular areas on the body. Viagra was originally studied for the use in people with high blood pressure and cardiac problems. The studies uncovered an interesting side effect, which was that men who were experiencing erectile dysfunction reported that their erections were returning.

    Viagra only works with sexual stimulation, so taking a pill will not give a man an erection, but it will increase the likelihood he’ll get an erection once he is sexually stimulated.

    How to Take Viagra
    Viagra comes in three doses, 25mg, 50mg, and 100mg. The manufacturer recommends the 50mg pill as the dose for most people. While online Viagra is widely available, I strongly recommend talking to a real live doctor, preferably one you know, before taking Viagra. After you take a pill it should work within 30 minutes to 1 hour, and lasts about 4 hours.

    Continue Reading Below

    You should not take more than one pill in a 24-hour period.

    How Much Does Viagra Cost?
    Viagra you purchase from a pharmacy using a prescription you get from your doctor should cost between $4 to $5 per pill. However you can get online Viagra at a significant discount. The problem is that online pharmacies may not be trustworthy, and it is never recommended that you start taking Viagra without first talking to a doctor.

    Viagra Side Effects
    The most common side effects of Viagra are:

    • headache
    • facial flushing
    • dizziness
    • upset stomach
    • visual problems (bluish vision, blurred vision, sensitivity to light)

    Viagra Hazards
    Do not take Viagra if you use nitrate drugs, which are used to treat cardiac problems. If used in combination with Viagra, these types of drugs can cause the blood pressure to drop to unsafe, sometimes even life-threatening levels.

    People with cardiac problems, anatomical malformations of the penis such as Peyronie's disease, multiple myeloma (a form of cancer), leukemia, liver problems (especially severe liver disorders), kidney problems men with a predisposition to prolonged erections caused by sickle cell anemia, and people taking certain medications used for HIV or those over 65 should NEVER take the drug unless prescribed by a medical practitioner.

    In the event of an erection lasting more than 4 hours, seek immediate medical help to avoid long-term injury.

    There have been a few cases of men reporting sudden vision loss or hearing loss. If either of these occur you should stop taking Viagra and see your doctor.

    Giannitsas, K. Konstantinopoulos, A. Patsialas, C. Perimenis, P. “Preference for and Adherence to Oral Phosphodiesterase-5 Inhibitors in the Treatment of Erectile Dysfunction” Patient Preferences and Adherence Vol. 2 (2008): 149–155.

    Casey: At $40 a pill, Viagra’s no cheap thrill

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    Sams, Robert Lee

    Robert Lee Sams, 90, of Roanoke, Va. passed away on Wednesday, September 21, 2016. The Graveside Service will be held at 1 p.m. on Monday, September 26, 2016, at Alleghany Memorial Park, Low Moor. Arrangements by Oakey’s North Chapel, 540-362-1237.

    Sisson, Mary Elizabeth Walthall

    Mary Elizabeth Walthall Sisson, 87, of Roanoke, passed away peacefully on Friday, September 23, 2016. She was preceded in death by her parents, Frederick and Maude Walthall; husband of 66 years, Asa Branham Sisson Jr.; and son, Asa (Andy) Sisson.Mary was a dedicated nurse at the VA hospital in Salem for a great many years. After retirement, she devoted her time working at many nursing homes around Roanoke. She was a long time member of West End United Methodist Church in Roanoke. Mary enjoyed gardening, reading, and being with her family.Family left to cherish her memory include her children, Carol S. Eaton, Kathy S. Journell, and Frederick B. Sisson and wife Tina, all of Roanoke; sister, Frieda W. Hiner, of Troutville; grandchildren, Christy M. Mason, James B. Sisson, Stephen L. James, Troy R. Sisson, Joshua R. Eaton, Joseph A. Sisson, and Jessi M. Sisson; five great-grandchildren; and numerous nieces and nephews.The family will receive friends from 6 until 8 p.m. on Monday, September 26, 2016 at John M. Oakey & Son Funeral Home in Salem. A funeral service to honor Mary’s life will be at 11 a.m. held on Tuesday, September 27, 2016 in the funeral home chapel with the Rev. Lyle Morton officiating. Burial will immediately follow at Sherwood Memorial Park in Salem. The family wishes to express heartfelt thanks to the nurses and staff of South Roanoke Nursing Home for their loving care. In lieu of flowers, please consider donations to West End United Methodist Church (1221 Campbell Ave SW, Roanoke, VA 24016). Online condolences may be expressed at www.johnmoakey.com. The Sisson family is being served by John M. Oakey & Son Funeral Home in Salem, 540-389-5441.

    Dunnaville Jr. David I.

    David I. Dunnaville Jr. 88, of Galloway Township, N.J. and formerly of Roanoke, Va. passed away Thursday, September 22, 2016. Memorial service will be held in Roanoke, Va. at a later date. Arrangements by Hamlar-Curtis Funeral Home, 540-344-1271.

    Stuart, Jimmy Ray

    Jimmy Ray Stuart, 81, of Roanoke, Va. went to be with the Lord on Friday, September 23, 2016. He was preceded in death by his parents, Gilmer and Henrietta Stuart; brothers, Robert and G.R. Stuart; and sister, Helen Sayers.Jimmy is survived by his wife of 40 years, Carol J. Stuart; brothers, Douglas, Jerry and Mickey Stuart; sister, Betty Carol Paschal; son, Joel Stuart and wife, Terri; daughters, Karen Goode and her husband, Jay, and Jennifer Pappas and her husband, Christopher; grandchildren, Tiffany Stuart, Molly Wilbourne, Megan Wilbourne, Maggie Wilbourne, Gracie Davis, Evan Davis and Anna Pappas; and great-grandchildren, Bryleigh Barnett, Kennedi Barnett, Colston Owens and Myla Owens.He served his country in the United States Navy. Jimmy was a graduate of Richmond Professional Institute and The University of Virginia. He spent most of his adult life in public education where he served as a teacher, coach, school principal and superintendent of schools. He was a member of Phi Delta Kappa.Jimmy was active in various churches during his lifetime: teaching children’s church, assisting with Vacation Bible School, serving on committees and boards, visiting shut-ins, serving as a session member, helping with church yard sales and dinners.After retiring, Jimmy loved working in his yard and giving away plants and tomatoes to friends and neighbors. He developed a passion for buying, refinishing and selling antique furniture. He never found a yard sale that he could pass by!Funeral Services will be held at 11 a.m. on Monday, September 26, 2016, at Colonial Presbyterian Church with the Rev. Brent Williams officiating. A private interment will be at Southwest Virginia Veterans Cemetery. The family will receive friends from 5 until 7 p.m. on Sunday, September 25, 2016, at Oakey’s South Chapel.In lieu of flowers, memorials may be made to Colonial Presbyterian Church and Good Samaritan Hospice. Online condolences may be expressed at www.oakeys.com.

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    Summary

    Drug interactions are reported among people who take Escitalopram oxalate and Viagra together. This review analyzes the effectiveness and drug interactions between Escitalopram oxalate and Viagra. It is created by eHealthMe based on reports of 559 people who take the same drugs from FDA and social media, and is updated regularly.

    Personalized health information

    On eHealthMe you can find out what patients like me (same gender, age) reported their drugs and conditions on FDA and social media since 1977. Our tools are free and anonymous. 86 million people have used us. 300+ peer-reviewed medical journals have referenced our original studies. Start now >>>

    Escitalopram Oxalate

    Escitalopram oxalate has active ingredients of escitalopram oxalate. It is often used in depression. (latest outcomes from Escitalopram oxalate 5,021 users )

    Viagra

    Viagra has active ingredients of sildenafil citrate. It is often used in erection problems. (latest outcomes from Viagra 46,520 users )

    < 1 month:
    • hypotension
    • sickle cell anaemia with crisis
    • fatigue
    • cardiac failure congestive
    • dyspnoea
    • chest discomfort
    • headache
    • overdose
    • cardiomyopathy
    • feeling abnormal
    1 – 6 months:
    • pulmonary oedema
    • cardiomyopathy
    • cardiac failure congestive
    • drug ineffective
    • hypotension
    • sickle cell anaemia with crisis
    • aspartate aminotransferase increased
    • blood cholesterol increased
    • blood triglycerides increased
    • cardiac failure
    6 – 12 months:
    • erectile dysfunction
    • coronary artery disease
    • elevated mood
    • major depressive disorder
    • polymyalgia rheumatica
    • ptsd
    • sleep apnea
    • tinnitus
    • blood glucose increased
    • blood thyroid stimulating hormone decreased
    1 – 2 years:
    • road traffic accident
    • death
    • bone and joint pain
    • depression
    • drug ineffective
    • emotional distress
    • erectile dysfunction
    • erection increased
    • fatigue
    • headache
    2 – 5 years:
    • anaemia
    • cardiac failure congestive
    • gastrointestinal haemorrhage
    • syncope
    • contusion
    • asthenia
    • depression
    • fatigue
    • melaena
    • bloody discharge
    5 – 10 years:
    • coronary artery disease
    • elevated mood
    • erectile dysfunction
    • major depressive disorder
    • polymyalgia rheumatica
    • ptsd
    • sleep apnea
    • tinnitus
    • road traffic accident
    • depression
    not specified:

    Most common drug interactions by gender *:

    female:
    • dyspnoea
    • oedema peripheral
    • fatigue
    • headache
    • nausea
    • death
    • palpitations
    • constipation
    • bronchitis
    • dizziness
    male:
    • depression
    • anxiety
    • drug ineffective
    • cardiac failure congestive
    • fatigue
    • dyspnoea
    • pain
    • erectile dysfunction
    • emotional distress
    • gastrointestinal haemorrhage

    Most common drug interactions by age *:

    10-19:
    • abdominal discomfort
    • alanine aminotransferase increased
    • aspartate aminotransferase increased
    • blood lactate dehydrogenase increased
    • chest pain
    • contusion
    • dyspnoea
    • epigastric discomfort
    • epistaxis
    • fatigue
    20-29:
    • vomiting
    • abdominal pain upper
    • bronchitis
    • cardiac failure congestive
    • hypertension
    • nausea
    • atrial fibrillation
    • back pain
    • blood glucose increased
    • cardiomegaly
    30-39:
    • hypotension
    • sickle cell anaemia with crisis
    • dyspnoea
    • chest discomfort
    • headache
    • overdose
    • fatigue
    • appendicitis
    • chest pain
    • disease progression
    40-49:
    • cardiac failure congestive
    • fatigue
    • anxiety
    • diabetes mellitus
    • dyspnoea
    • oedema peripheral
    • chest pain
    • chronic obstructive pulmonary disease
    • hypotension
    • pulmonary oedema
    50-59:
    60+:
    • dyspnoea
    • oedema peripheral
    • anaemia
    • cardiac failure congestive
    • syncope
    • gastrointestinal haemorrhage
    • contusion
    • drug ineffective
    • asthenia
    • atrial fibrillation

    NOTE. The study is based on active ingredients and brand name. Other drugs that have the same active ingredients (e.g. generic drugs) are NOT considered.

    WARNING. Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.

    DISCLAIMER. All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only, and has not been supported by scientific studies or clinical trials unless otherwise stated. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.

    You may report adverse side effects to the FDA at http://www.fda.gov/medwatch/ or 1-800-FDA-1088 (1-800-332-1088).

    If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date.

    © 2016 eHealthMe.com. All rights reserved. Use of this site constitutes acceptance of eHealthMe.com’s terms of service and privacy policy.

    Viagra: Most 39 year olds would not need viagra. Taking a drug you don’t need with or without additional drugs(alcohol is a drug) is not a good idea. If a person needs viagra and has appropriate condition and medications which don’t raise risk, it could be safe. Likewise the beers could be ok. A blanket ‘its safe’ isn’t prudent without knowing more about the person concerned in the question. . Read more

    1 doctor agreed:

    Dr. Bennett Machanic Dr. Machanic

    1 doctor agreed:

    No problem: Gabapentin has few if any drug-drug metabolic interactions due to renal clearance. So, you should be fine. . Read more

    1 doctor agreed:

    Dr. Richard Pollard Dr. Pollard

    1 doctor agreed:

    Yes: Most wisdom teeth extractions are done under local anesthesia with a sedative. not full general anesthesia. Talk to your provider and confirm the procedure. If it is general anesthesia you will need to tell your anesthesiologist so that they can take precautions. However, at 39 years old it is not likely that you need viagra for erectile dysfunction. . Read more

    Common use

    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.
    Sildenafil Citrate may also be used for other purposes not listed above.

    Dosage and direction

    Usually the recommended dose is 50 mg. It is taken approximately 0,5-1 hour before sexual activity. Do not take Viagra more then once a day.
    A high fat meal may delay the time of the effect of this drug.
    Try not to eat grapefruit or drink grapefruit juice while you are being treated with Sildenafil Citrate .

    Precautions

    Before you start taking Sildenafil Citrate. tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.
    Aged people may be more sensitive to the side effects of the drug.

    Viagra is contraindicated in patients who take another medicine to treat impotence or using a nitrate drug for chest pain or heart problems.
    This medicine should not be taken by women and children as well as in patients with a known hypersensitivity to any component of the tablet.

    Possible side effect

    The most common side effects are headache, flushing, heartburn, stomach upset, nasal stuffiness, lightheadedness, dizziness or diarrhea.
    A serious allergic reaction to this drug is very rare, but seek immediate medical help if it occurs.
    Many people who use this medicine do not have serious side effects.
    In case you notice any side effects not listed above, contact your doctor or pharmacist.

    Drug interaction

    This drug should not be used with nitrates and recreational drugs called “poppers” containing amyl or butyl nitrite; alpha-blocker medications; other medications for impotence; high blood pressure medicines, etc.
    Consult your doctor or pharmacist for more details.

    Missed dose

    Viagra is used as needed, so you are unlikely to be on a dosing schedule.

    Overdose

    If you think you have used too much of this medicine seek emergency medical attention right away. The symptoms of overdose usually include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

    Storage

    Store your medicines at room temperature between 68-77 degrees F (20-25 degrees C) away from light and moisture. Do not store the drugs in the bathroom. Keep all drugs away from reach of children and pets.

    Disclaimer

    We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

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    Erectile Dysfunction Health Center

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    What Are the Differences Between These Drugs?

    Cialis, Levitra, Staxyn, Stendra, and Viagra work similarly. There are subtle differences in how long the drug works and how quickly it works.

    Levitra works a little longer than Viagra. They both take effect in about 30 minutes. With Levitra, the effects last for about 5 hours. With Viagra, they last about 4 hours.

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    Staxyn dissolves in your mouth. It contains the same active ingredient as Levitra, but it should not replace Levitra. It also can begin working in about 15 minutes.

    If One of These Doesn’t Help Me, Can I Try Another?

    Yes. But because these drugs work the same way, you’re likely to have similar results.

    What Precautions Should I Take Before Trying One of These Drugs?

    There are situations where these drugs may not be safe. Before you take them, tell your doctor:

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    • If you take alpha-blockers for blood pressure or prostate problems. These can lower your blood pressure when taken with ED pills. You should not start on Staxyn unless your doctor has prescribed you Levitra before.

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    Don’t believe the hype: watermelon isn’t a natural Viagra

    Summer is just around the corner, which mean the time is ripe once again for headlines proclaiming that watermelon is “nature’s Viagra .”

    The idea: eating watermelon or drinking its juice can help treat erectile dysfunction

    Watermelon includes citrulline, which indirectly increases blood flow

    The idea seems to have been planted by a 2008 press release put out by Texas A&M University. In it, professor Bhimu Patil describes how he and other researchers had been studying the many nutritional benefits of watermelon — including the fact that one of its nutrients, citrulline. indirectly causes blood vessels to dilate, the same mechanism through which Viagra works.

    As a result, the press release was titled “Watermelon May Have Viagra-effect,” and it garnered all sorts of coverage. introducing an idea that would surface over and over on the web.

    The evidence for it

    There’s not much. A 2011 Italian study looked at the effect of citrulline supplements on men with mild erectile dysfunction. Over the course of a month taking these pills, half of the men reported slight improvements in their erections.

    The researchers noted that, inside the body, citrulline is converted into another chemical, arginine. which is known to increase blood flow by relaxing your blood vessels.

    The evidence against it

    No one’s rigorously tested whether eating lots of watermelon would have the same effect as concentrated citrulline supplements — but basic logic tells us that there’s absolutely no way it could be a “natural Viagra,” press releases be damned.

    When WebMD responded to the idea back in 2008, the editor-in-chief of The Journal of Sexual Medicine was quoted as saying that ” to even vaguely hope that eating watermelon will alleviate ED is misleading.”

    The problem is that the vast majority of men with erectile dysfunction already have enough citrulline

    There are two problems with the idea. One is that it’d be really difficult to eat enough watermelon to substantially boost your body’s levels of arginine, the product of citrulline that actually aids in blood flow. A 2007 study that had people drinking 55 ounces of watermelon juice per day saw their blood levels of arginine increase by just 22 percent, a level that’d be doubtful to enhance sexual performance.

    But the bigger problem is that even if you increased arginine levels enough, you still probably wouldn’t treat most cases of erectile dysfunction, because the vast majority of men with ED already have enough arginine in their bodies.

    Yes, arginine is involved in increasing blood flow, but it does so all throughout the body. Producing an erection is a particularly complex process. and Viagra helps men do it by raising levels of a chemical called cGMP in penis tissue specifically. Just increasing the amount of arginine in your blood won’t do this — the reason why in the original press release, Patil cautioned that “Watermelon may not be as organ specific as Viagra.”

    Eating tons of it in hopes of treating erectile dysfunction will accomplish exactly one thing: it’ll have you peeing a lot. since the melon is a diuretic and is about 92 percent water.

    Was this article helpful?

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    This content has not been reviewed within the past year and may not represent WebMD’s most up-to-date information.

    To find the most current information, please enter your topic of interest into our search box.

    “>WebMD News Archive

    July 1, 2008 — Men hoping for some fireworks in their love life this Fourth of July may want to skip the burgers and beer at the barbecue and eat plenty of watermelon.

    Watermelon may be a natural Viagra, says a researcher. That’s because the popular summer fruit is richer than experts believed in an amino acid called citrulline, which relaxes and dilates blood vessels much like Viagra and other drugs meant to treat erectile dysfunction (ED).

    “We have known that watermelon has citrulline,” says Bhimu Patil, PHD, director of the Fruit and Vegetable Improvement Center at Texas A&M University, College Station. Until recently, he tells WebMD, scientists thought most of the citrulline was in the watermelon rind. “Watermelon has more citrulline in the edible part than previously believed,” he says.

    How could watermelon be a natural Viagra? The amino acid citrulline is converted into the amino acid arginine. Patil says. “This is a precursor for nitric oxide, and the nitric oxide will help in blood vessel dilation.”

    So, the burning question: How much watermelon does it take?

    “That is a good question,” Patil says. Unfortunately, “I don’t have an answer for that.”

    He does know that a typical 4-ounce serving of watermelon (about 10 watermelon balls) has about 150 milligrams of citrulline. But he can’t say how much citrulline is needed to have Viagra-like effects.

    He’s hopeful that someone will pick up on his research and study the fruit’s effect on penile erections.

    13 Common Sex-Drive Killers

    Watermelon’s Viagra-Like Effects

    On hearing about the Texas finding, Irwin Goldstein, MD, editor-in-chief of The Journal of Sexual Medicine, was underwhelmed. Suggesting a man feast on watermelon to boost performance, he says, “would be the equivalent of someone dropping a beer bottle in Minneapolis, where the Mississippi River starts, and hoping to see it make an impact on someone in New Orleans.”

    “To say that watermelon is Viagra-like is sort of fun,” says Goldstein. “But to even vaguely hope that eating watermelon will alleviate ED is misleading.”

    “The vast majority of Americans produce enough arginine,” adds Goldstein, medical director of Alvarado Hospital Medical Center, San Diego, and clinical professor of surgery, University of California San Diego School of Medicine. “Men with ED are not deficient in arginine.”

    Researcher Says Popular Summer Fruit May Have Viagra-Like Effect on Blood Vessels

    July 1, 2008 — Men hoping for some fireworks in their love life this Fourth of July may want to skip the burgers and beer at the barbecue and eat plenty of watermelon.

    Watermelon may be a natural Viagra. says a researcher. That’s because the popular summer fruit is richer than experts believed in an amino acid called citrulline, which relaxes and dilates blood vessels much like Viagra and other drugs meant to treat erectile dysfunction (ED).

    “We have known that watermelon has citrulline,” says Bhimu Patil, PHD, director of the Fruit and Vegetable Improvement Center at Texas A&M University, College Station. Until recently, he tells WebMD, scientists thought most of the citrulline was in the watermelon rind. “Watermelon has more citrulline in the edible part than previously believed,” he says.

    How could watermelon be a natural Viagra? The amino acid citrulline is converted into the amino acid arginine, Patil says. “This is a precursor for nitric oxide, and the nitric oxide will help in blood vessel dilation.”

    So, the burning question: How much watermelon does it take?

    “That is a good question,” Patil says. Unfortunately, “I don’t have an answer for that.”

    He does know that a typical 4-ounce serving of watermelon (about 10 watermelon balls) has about 150 milligrams of citrulline. But he can’t say how much citrulline is needed to have Viagra-like effects.

    He’s hopeful that someone will pick up on his research and study the fruit’s effect on penile erections.

    Watermelon’s Viagra-Like Effects

    On hearing about the Texas finding, Irwin Goldstein, MD, editor-in-chief of The Journal of Sexual Medicine, was underwhelmed. Suggesting a man feast on watermelon to boost performance, he says, “would be the equivalent of someone dropping a beer bottle in Minneapolis, where the Mississippi River starts, and hoping to see it make an impact on someone in New Orleans.”

    “To say that watermelon is Viagra-like is sort of fun,” says Goldstein. “But to even vaguely hope that eating watermelon will alleviate ED is misleading.”

    “The vast majority of Americans produce enough arginine,” adds Goldstein, medical director of Alvarado Hospital Medical Center, San Diego, and clinical professor of surgery, University of California San Diego School of Medicine. “Men with ED are not deficient in arginine.”

    Though arginine is required to make nitric oxide, and nitric oxide is required to dilate blood vessels and have an erection, “that doesn’t mean eating something that is rich in citrulline will make enough arginine that it will lead to better penile erections,” Goldstein says.

    Goldstein has served as a consultant for many companies that make ED drugs.

    Calling watermelon a natural Viagra is “clearly premature,” says Roger Clemens, DrPH, adjunct professor of pharmacology and pharmaceutical sciences, University of Southern California, Los Angeles, and a spokesman for the Institute of Food Technologists.

    Clemens studied the amino acid arginine himself, researching a supplement to improve vascular flow for patients with hardening of the arteries or atherosclerosis. He has since abandoned that line of research, he says.

    It can require a lot of watermelon to boost blood levels of arginine, he adds. In a study published in 2007 in Nutrition. he says, volunteers who drank three 8-ounce glasses of watermelon juice daily for three weeks boosted their arginine levels by 11%.

    Watermelon is low in caloriesand provides potassium and the phytonutrients lycopene and beta-carotene, in addition to the citrulline.

    Clemens’ advice on watermelon and the Fourth of July? “Put salt on it and enjoy.”

    Just don’t expect fireworks anywhere but in the sky.

    SOURCES: Bhimu Patil, PhD, director of Texas A&M University Fruit and Vegetable Improvement Center, College Station. Roger Clemens, DrPH, adjunct professor, pharmacology and pharmaceutical sciences, University of Southern California, Los Angeles; spokesman, Institute of Food Technologists. Irwin Goldstein, MD, editor-in-chief, Journal of Sexual Medicine ; medical director, Alvarado Hospital Medical Center; clinical professor of surgery, University of California San Diego. Clevidence, B.A. Nutrition, March 2007; vol 23: pp 261-266.

    ©2008 WebMD, LLC. All Rights Reserved.

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

    TICKET PRICES

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    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

    Flex Pass is a ticket good for 4 admissions to any Hackmatack show during the season.
    Adults: $100
    Seniors: $80 (65 or older)
    Click here to purchase Flex Pass

    CONTACT INFO

    Tickets can be purchased online. Please note all tickets purchased online are subject to a third party processing fee. To avoid this fee, tickets can be reserved by calling the box office.

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    Hackmatack Playhouse was founded in 1972 by S. Carleton Pomegranate Juice Like Viagra. He envisioned a summer stock theatre that would showcase the talents of professional and developing thespians from the regional area.

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    Prior to the year of 1972 when the theatre was established, the Pomegranate Juice Like Viagra 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 Pomegranate Juice Like Viagra 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.

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    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 Pomegranate Juice Like Viagra 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 Pomegranate Juice Like Viagra 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.

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    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 Pomegranate Juice Like Viagra 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 Pomegranate Juice Like Viagra 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.

    Manufacturer link: Moots
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    “>WebMD News Archive

    July 1, 2008 — Men hoping for some fireworks in their love life this Fourth of July may want to skip the burgers and beer at the barbecue and eat plenty of watermelon.

    Watermelon may be a natural Viagra, says a researcher. That’s because the popular summer fruit is richer than experts believed in an amino acid called citrulline, which relaxes and dilates blood vessels much like Viagra and other drugs meant to treat erectile dysfunction (ED).

    “We have known that watermelon has citrulline,” says Bhimu Patil, PHD, director of the Fruit and Vegetable Improvement Center at Texas A&M University, College Station. Until recently, he tells WebMD, scientists thought most of the citrulline was in the watermelon rind. “Watermelon has more citrulline in the edible part than previously believed,” he says.

    How could watermelon be a natural Viagra? The amino acid citrulline is converted into the amino acid arginine. Patil says. “This is a precursor for nitric oxide, and the nitric oxide will help in blood vessel dilation.”

    So, the burning question: How much watermelon does it take?

    “That is a good question,” Patil says. Unfortunately, “I don’t have an answer for that.”

    He does know that a typical 4-ounce serving of watermelon (about 10 watermelon balls) has about 150 milligrams of citrulline. But he can’t say how much citrulline is needed to have Viagra-like effects.

    He’s hopeful that someone will pick up on his research and study the fruit’s effect on penile erections.

    13 Common Sex-Drive Killers

    Watermelon’s Viagra-Like Effects

    On hearing about the Texas finding, Irwin Goldstein, MD, editor-in-chief of The Journal of Sexual Medicine, was underwhelmed. Suggesting a man feast on watermelon to boost performance, he says, “would be the equivalent of someone dropping a beer bottle in Minneapolis, where the Mississippi River starts, and hoping to see it make an impact on someone in New Orleans.”

    “To say that watermelon is Viagra-like is sort of fun,” says Goldstein. “But to even vaguely hope that eating watermelon will alleviate ED is misleading.”

    “The vast majority of Americans produce enough arginine,” adds Goldstein, medical director of Alvarado Hospital Medical Center, San Diego, and clinical professor of surgery, University of California San Diego School of Medicine. “Men with ED are not deficient in arginine.”

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    Una experiencia con el Viagra narrada por un protagonista

    (Así lo contó en una carta que escribió durante el tratamiento y que pidió fuera publicada en su momento para un medio gráfico y ahora para esta página)

    Mi problema comenzó hace unos dos años cuando empecé a salir con una chica que me gustaba mucho. La primera vez que fuimos a la cama sentí como que no iba a poder hacerlo, pero igual fui. Y tal cual lo habпїЅía supuesto: fracasé. Me quería matar.

    La verdad es que ella me encantaba. Ese día me justifiqué diciendo que estaba muy cansado, que estaba pasando por un momento de stress. Ella lo entendió y nos fuimos del hotel tal cual habíamos entrado.

    Yo había quedado preocupado pero no tanto, en realidad alguna vez aislada me había pasado, sobre todo la primera vez pero siempre después me recuperaba.

    Seguí saliendo con la misma chica con la cual teníamos mucha onda y lo volví a intentar. Tengo que reconocer que me quería poner a prueba. Ya en las situaciones previas tenía miedo de no poder, estaba obsesionado de que tenía que lograr la erección sí o sí.

    Ese día me pasó algo distinto: tenía la erección pero cuando quería ponerme el profiláctico se me bajaba, al final yo la hice terminar a ella de otra manera pero no pude penetrarla. Me sentí mal y creía que nunca iba a poder hacerlo con ella.

    En esa semana probé con otra chica, una amiga que tenía de hacía tiempo y no tuve problemas, con lo cual entré a pensar si no sería que no me gustaba tanto, si no era mi tipo. Por otro lado no la quería perder.

    Intenté de nuevo y. a veces, pude penetrarla, medio apurado para que no se me bajara, pero acababa rápido. Un desastre! Yo quiero aclarar que las mujeres me gustan aunque en ese momento se me cruzaban algunas fantasías raras.

    Le comenté a un médico y me aconsejó a un urólogo que me dio unas pastillas (preparado de farmacia). al comienzo parecía que iban a funcionar. me sentía más seguro y un día tuve una relación bastante buena, quiero decir que pude penetrarla, aunque fue algo más bien corto.

    Después me volví a caer. Ella se entró a quejar de que yo no la tenía en cuenta, de que no la quería. cosa que no era cierto.

    Así pasó casi un año de mal en peor. al final evitaba el encuentro sexual con distintas excusas, prefería no tener relaciones a pasar el papelón, porque me ponía loco. Pensé en dejarla porque yo con la otra chica podía, lo que pasa es que mi amiga no me interesaba mucho. y si yo me intentaba masturbar tenía buenas erecciones.

    Por la cartilla de mi obra social consultè a otro urólogo que me hizo una prueba con una inyección que me impresionó mucho: allí tuve una supererección y el doctor me explicó que yo mismo me la podía inyectar. Ni loco lo hubiera podido hacer.

    Entonces decidí consultar a un sexólogo que era conocido de mi familia y que era un médico psiquiatra bastante renombrado. La verdad es que me daba una verguenza bárbara y debo reconocer que en eso me ayudó la chica de la que te hablé, a pesar de que las cosas no iban tan bien, decidió acompañarme al sexólogo. Fue la primera vez que la habían citado a ella.

    El doctor me aconsejó que leyera un libro que me tranquilizó bastante y encaramos una terapia a la cual a veces venía también ella. La verdad es que mejoró bastante la cosa, en el sentido que me di más tiempo, ya no me ponía tan loco. Pero te digo que me seguía costando, siempre me faltaba un cachito de rigidez o se me bajaba antes.

    En ese momento el doctor me sugirió que además de la terapia usara el viagra. Yo con todo el candombe del corazón y los muertos le dije que no, pero él me explicó la verdad de las cosas: de que no actuaba en el corazón, además como yo jugaba al fútbol me dijo que un acto sexual es menos exigente para el corazón que un partido. Además no fumo y tengo los anáslisis bien.

    Yo no estaba convencido porque, además, a mi edad iba a estar tomando el viagra. pero también había visto que al consultorio iban muchachos más jovenes que yo, bah no sabía si era por el mismo problema. Para tranquilizarme el sexólogo me propuso que hiciéramos una prueba en el mismo consultorio: fui un día, me dio la pastilla, me tomé la presión, el pulso, me auscultó. yo me avivé que eso lo hacía para dejarme tranquilo.

    Incluso me explicó que no lo necesitaba del todo y que lo hacía porque me veía asustado (era la verdad). Como vi que no me hacía nada malo, sólo sentí un poco de calor en la cara y en las orejas y un poco de congestión en la nariz, me decidí a usarlo con ella.

    Me explicó que lo usara con el estámago vacío, sin alcohol y que lo tomara media hora antes y que me diera tiempo para los juegos previos. Mi chica sabía que lo había tomado. Ese día sentia que iba a poder, y funcionó bárbaro. pude durar más y hacerla gozar a ella. Tuve una rigidez descomunal, como esas que yo tengo a las mañanas cuando me levanto.

    Después lo volví a a usar un par de veces más y siempre muy bien con la de 50 mg. Una vez tuve relaciones sin la pastilla y también anduve bien. Ahora estoy alternando pero tengo la idea de dejar de tomarla y continuar con la terapia que el sexólogo me dijo que sería unas pocas sesiones más.

    Si acaso algún día llegara a necesitar la píldora la uso, pero prefiero valerme por mí mismo, siento que gané seguridad, que era lo que me faltaba, pero que también aprendí cosas que sólo con la medicación no lo conseguía, me refiero a lo que leí, a lo que me enseñó el tratamiento y lo que me ayudó esta pareja, que no es el amor de mi vida, pero me interesa para seguirla.

    Gracias por prestarle atención a mi caso. Lo saluda, Claudio

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    Tomar Viagra con el alcohol y las comidas

    En mi caso, el efecto del Viagra disminuye sensiblemente si lo tomo antes o durante la comida. Los resultados son superiores si no se come ni se bebe alcohol. пїЅBob, 63 aпїЅos, California.

    Yo tambiпїЅn he notado que beber alcohol disminuпїЅa la efectividad del Viagra. Mi soluciпїЅn era NADA de alcohol antes de las relaciones sexuales, con sпїЅlo una dosis de 25 mg. Excelentes resultados y sin efectos secundarios. пїЅPhil, 60 aпїЅos, California.

    No puedo comer nada antes de tomarlo o, si no, los efectos disminuyen considerablemente.

    He descubierto que despuпїЅs de hacer ejercicios, con el estпїЅmago relativamente vacпїЅo, la respuesta es muy rпїЅpida e intensa. Si lo tomo con las comidas, me provoca una disminuciпїЅn del efecto. пїЅBob, 45 aпїЅos.

    Me duele la cabeza, pero vale la pena. 50 mg con el estпїЅmago vacпїЅo da mejores resultados.

    El Viagra funciona mejor con el estпїЅmago vacпїЅo, y sin probar el alcohol. -51 aпїЅos.

    Las dos veces lo tomпїЅ con la comida y tambiпїЅn bebпїЅ unas cuantas cervezas despuпїЅs de tomarlo, y no tuve problemas. -44 aпїЅos, Nueva York.

    Soy soltero pero tengo relaciones sexuales mпїЅs o menos una vez a la semana gracias al Viagra. Actualmente, tomo la pпїЅldora de 50 mg y me da mejores resultados si no como antes. Es bastante ineficaz si se toma con el estпїЅmago lleno. -81 aпїЅos.

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    Ya me había aburrido de coger con mi último novio. Duramos cuatro años juntos y para el tercero mi libido estaba tan desaparecido como mi clítoris para mi novio. Él sabía que yo no me podía molestar, hasta nuestro Chihuahua lo sabía. Estaba tomando pastillas, lo que puede hacer que tu cuerpo rechace la idea del sexo por completo (anticonceptivos de otro nivel).

    Al final, no teníamos sexo nunca, ni siquiera cuando nos odiábamos, que es el mejor momento para coger con alguien. En retrospectiva, quizá no habríamos tenido que comprar el maldito Chihuahua si no hubiera sido tan sexualmente indiferente. Nos habría evitado la necesidad de ese estúpido lazo chihuahueño que no dejaba de ladrar.

    ¿Sabes que me habría facilitado la vida durante esos años oscuros? Una buena dosis de Viagra. Si funciona con los viejos que tienen el pito más flácido que el saludo de Andy Warhol, ¿por qué no funcionaría conmigo? Pasé una semana probando todos los tipos de Viagra para mujer que pude encontrar en Inglaterra, con la esperanza de que al menos uno me convirtiera en una ninfa desquiciada.

    ¡Viva el Viagra!

    DÍA 1: Pink Venus Shot – (£4, Ann Summers)

    Este es un shot de libido sabor cereza. Además de saber a sexo con menores, contiene el doble de cafeína que una taza de café, lo que, irónicamente, me provocó un terrible dolor de cabeza que me dejó sin poder pensar en sexo. Supongo que si lo tuyo es chupar, puedes echárselo a tu novio en el pito y agasajarte (sólo no te emociones y se lo muerdas, o algo).

    Esa sería la única satisfacción sexual que podría salir de esto. Seguro habría funcionado mejor si tiraba el lubricante por el escusado y usaba el bote tubo como dildo. Me hizo sentir tan sexy como una paloma que intenta violar a otra en el techo de una capilla.

    DÍA 2: Viafem – (£13.89, Holland & Barrett)

    Las cápsulas de Viafem contienen una mezcla de ocho hierbas, que supuestamente aumentan el flujo sanguíneo y la sensibilidad de tu flor. Según su página, bajo ninguna circunstancia debes tomar Viafem si no tienes ganas de coger, lo que parecía sugerir que las pastillas te convierten en una verdadera ninfa lo quieras o no.

    La idea me gustó, y después de meterme un par, estaba lista para sonreírle a todos los jóvenes en la pista de baile. Por desgracia, la gran noche que teníamos planeada en el Roxy de Oxford Street (es tan fácil acostarte con alguien en ese lugar) quedó en el olvido cuando, para pesar de mi vagina, mi compañera de cuarto decidió que las pizzas al dos por uno eran más importantes que mi experimento sexual.

    En lugar de salir a mi safari fálico, vimos American Pie y quedé inexplicablemente extasiada por los senos de Nadia. Como era de esperarse, terminé sola en mi cama con un cuerno. Supongo que no puedo culpar al Viagem por eso; nenes, no fueron ustedes, fui yo.

    DÍA 3: Gold MAX – (£6.95, Harmony)

    Escucha, no quiero asustarte, pero Gold MAX es estúpidamente intenso. Me tomé dos cápsulas antes de cenar, y sin previo aviso mi cuerpo gritó SÍ, y el Río Nilo se desbordó en mis calzones. Gracias a GM tuve sexo por primera vez en dos meses. ¡SÍ! Mi presa me describió como “más húmeda que una marmota”, lo que me tomé como un cumplido.

    Después, el cabrón se quedó dormido y me dejó ansiosa toda la noche; intenté despertarlo “accidentalmente” frotándome (intensamente) contra él. En el paquete de Gold MAX dice que es un remedio chino y por lo tanto “no tiene efectos secundarios no deseados”, pero tengo la sensación de que si lo tomara más seguido, me convertiría en una violadora. Y ése es el peor efecto secundario que se me pueda ocurrir.

    Calificación: 8.5/10 (-1.5 puntos por lo de violar gente)

    DÍA 4. Gold MAX (otra vez)

    Estaba decidida a probar mi hipótesis sobre la violación. No violé a nadie. No fue necesario, porque mi nuevo amigo me dejó echarle un poco a su té. Gold MAX, eres lo mejor.

    DÍA 5. Bai He Di Huang – (£10, Natural Wellness London)

    La señorita en la tienda medicinal china me dijo que éste era sólo para chicas, pero mintió. En internet dice que es para hombres, pero a quién le importa, el género es un invento social, ¿cierto? Así que me lo tomé de todas formas. Pasé la tarde trabajando en una fiesta de 21 años, enamorándome de todos los hermosos niños ricos sin moral; como me gustan. Si la cantidad de coca que te ofrecen determina el número de feromonas que produces, entonces creo que todo mi ser era una enorme feromona, pero a pesar de recibir una docena de invitaciones a sus after-parties, decidí regresar a casa.

    A las 4AM me despertó una llamada de un ex que quería quedarse en mi departamento porque acaba de perder el último tren a casa. Ansiosa por poner el BHDH a prueba, lo dejé entrar a mi cama. ¿Mi apatía general por este güey se disolvió en una incontrolable calentura y una nostálgica fiesta sexual? No. ¿Esto me reconforta? Por supuesto. Pero eso no habla bien de tus poderes, Bai He Di Huang.

    DÍA 6. Spanish Fly – (£10, Jonas Bros)

    Cantárida contiene cantaridina, el nombre científico para la orina venenosa de escarabajo. ¡Qué rico! Se supone que la orina irrita tu tracto urinario y, en el proceso, aumenta tu deseo sexual. A pesar de sonar como un método de tortura ancestral, es uno de los afrodisiacos más antiguos y populares del mundo; y si era suficientemente bueno para hacer que las personas se revolcaron en el lodo en el medievo, supongo que debía suficientemente bueno para mí.

    Ahora es ilegal en muchos países, pero a veces hay que tomar riesgos. Fui al bar con mis compañeros de trabajo, pero no empecé a ladrar ni vomité sangre sobre ellos, y la lengua no se me puso peluda. Qué decepción. Eso me habría puesto tan caliente. Cantárida fue una verdadera decepción; tomar sidra habría sido más eficiente. Al menos el empaque es genial.

    DÍA 7: Magnum Tonic Wine (£2.99)

    Vaya, esta madre es genial. Además de tener el video con el mejor soundtrack, el vino Magnum contienen alcohol (16 por ciento) y “vitalidad sexual” embotellada, lo que falta en todos los otros Viagras. Por desgracia, a pesar de prometer convertirte en la Reina del Sexo, sabe a cenizas y muerte, y tienes que taparte la nariz mientras te lo tomas para no ahogarte.

    Después de fondearme un par de botellas, fracasé en mi intento de tirarme a mi compañero de cuarto, así que me preparé unas galletas y me quedé dormida en el sillón.

    CONCLUSIÓN: Como resultado de los terribles dolores de cabeza por la cafeína (y la lamentable falta de sexo) que sufrí esta semana, me alegra poder decir que el catártico Gold MAX es el claro ganador. ¡Déjalo fluir!

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