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Recently diagnosed w/ PSVT. I underwent brain CAT Scan, heart ultrasound, ECGs, & blood testing; all were normal. Only after a Holter was PSVT diagnosed. Cause unknown and I do have blood tests scheduled to check for adrenal / thyroid problems. My heart rate is normally 60-70 BPM resting & BP 120-130 Systolic / 80-86 diastolic (w/o medication) but at times it goes to 100-130 BPM & 150-160 Systolic / 90-110 Diastolic. Sometimes I noticed it & sometimes not but Holter showed it.

It has been working for me without questions. I am on Cholesterol meds and hypertension meds(Metoprolol. Altace and Norvasc) which I have been taking for the last two years. Recently I used some viagra two hours before an encounter with my date. I started drinking after the taking the Viagra. The viagra did not work. I took another one and waited awhile and it still didn’t work. I took one more and waited a while with no results. I have used alcohol with viagra before and I performed well.

Not libido, but maintaining a firm erection. I went off Zocor, and Dyazide 3 months ago for financial reasons and the problem went away. I have started to take the Dyzazide againg and the problem seems to be starting again. It appears the problem is therefore Dyazide related. I am going to see my doctor in a couple of weeks and am trying to be informed before I see him.

Another one is breath to orgasm. Study these exercises and pick up those which resonate with you.The herbs and medicines you have mentioned are well known. You may consult any expert for these meds.

MY FATHER HAS THE SAME PROBLEM. COULD THIS BE INHERITABLE? I AM 46 YRS. OLD AND MY DAD AND UROLOGIST THINKS THIS IS BECAUSE OF THE MEDICATIONS I’M ON AS FOLLOWS: 1) IBUPROFEN 800MG. 2X DAY, 2) PERPHENAZINE 4MG. 2X DAY, 3) BENZTROPINE 2MG. 2X DAY, 4) MONTELUKAST 10MG. 1X DAY, 5) VALACYCLOVIR 500MG 2X DAY, 6) ZIPRASIDONE 80MG. 2X DAY, 7) BUSPIRONE 15MG. 2X DAY, 8) METOPROLOL 25MG. 2X DAY, 9) THEOPHYLLINE 300MG. 2X DAY, 10) METOCLOPRAMIDE 5MG. 4X DAY, 11) LEVETIRACETAM 1,000MG.

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I think everything is over and I clean up. I walk out of the toilet and in about 2 minutes time the stomach cramp and the fainting sensation comes back (I’ve fainted only once to date from this and was out for about 15-20 minutes). 6. When I get back to the toilet I have a really violent Diarrhoea episode in pure liquid state.

All beta blockers used to day are essentially the same — atenolol is cheaper than metoprolol and can be taken once per day instead of twice per day. your insurance company would love to see you on atenolol and to be honest, it is just as effective. If you have no symptoms, you could increase the beta blocker. Given my age, is ablation as safe for me as other younger people with this problem. Since I my episodes were 20 months apart, what do you feel is the best approach.

Aside from high blood pressure and heart disease, these medications are also used for headache control and anxiety prevention. sildenafil (Viagra ), vardenafil (Levitra), and tadalafil (Cialis) dilate blood vessels, and this class of medication may cause orthostatic hypotension.

On the plus side, this beta-blocker seems to provide the best heart rate control and did not cause me sleep problems, nightmares, cold hands and feet etc..(like older beta blockers) I believe BISOPROLOL (ZEBETA)though an older beta blocker, is currently the better beta blocker, but it does not provide the greatest heart rate control.

ANY OTHER SOLUTIONS TO THIS DILEMA. I’VE TRIED CIALIS, LAVITRA, AND VIAGRA. NONE OF THESE SEEMED TO HELP MUCH. I ONLY GOT A PARTIAL ERECTION NOT STRONG ENOUGH TO HAVE SEX WITH MY WIFE AND BARELY ABLE TO MASTURBATE MYSELF TO EJACTULATION. ALSO I STILL HAVE A FLAP OF FORESKIN AT THE HEAD OF THE PENIS THAT PULLS PARTLY UP DURING SEX AND MASTURBATION. COULD THIS POSE A PROBLEM AS WELL?

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Hi If this is not something your doctor has given you, I think it would be best if you go over this with him, he knows you background better than us.

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Viagra for Her

From the WebMD Archives

July 22, 2008 — Viagra, often prescribed to help men’s erectile dysfunction. also helps women who experience sexual problems from antidepressant use, according to a new study.

Sexual dysfunction is a well-known side effect of some antidepressants. with up to 70% of men and women on antidepressants reporting sexual problems. It’s a major reason depressed patients stop taking their medication. according to H. George Nurnberg, MD, the study’s lead author and a professor at the University of New Mexico School of Medicine in Albuquerque. The study is published in TheJournal of the American Medical Association.

In the study, Nurnberg and his colleagues found that when women being treated with an antidepressant were given Viagra, they were more likely to have orgasms than those on the placebo .

”Seventy-two percent of the women on Viagra vs. 27% of the women on placebo got to ‘much improved’ or ‘very much improved’ on a scale [of sexual functioning],” says Harry A. Croft, MD, medical director of the San Antonio Psychiatric Research Center in Texas and a co-author on the study.

”What Viagra did was increase the orgasm and the time to orgasm,” says Croft, noting that orgasm difficulties are common in women on antidepressants. The Viagra also improved the satisfaction of the partner, he says. But ”it didn’t increase drive and desire.”

The findings are no surprise to Irwin Goldstein, MD, director of sexual medicine at Alvarado Hospital in San Diego and editor-in-chief of The Journal of Sexual Medicine. “I actually prescribe a lot of Viagra for women,” says Goldstein, who reviewed the study for WebMD.

Viagra for Her: Study Details

The researchers evaluated 98 women on antidepressants, average age 37 and all premenopausal, assigning half to the Viagra group and half to the placebo group for the eight-week study. Viagra doses started at 50 milligrams a day, taken one or two hours before expected sexual activity, and could be increased to 100 milligrams. No one knew which pill they were taking.

On average, the women had been taking antidepressants for two years and had suffered sexual problems for at least four weeks.

Continued

The study was conducted at seven U.S. research centers between September 2003 and January 2007.

Because sexual problems are a prime reason patients give for stopping the antidepressants, experts think it is important to find a way to relieve the sexual problems.

Before starting the study, the women reported a variety of sexual problems, including lack of libido. difficulty becoming aroused or becoming lubricated, lack of orgasm, or delay in achieving orgasm.

Viagra for Her: Study Results

Researchers used standard measures to evaluate sexual functioning and had the women keep a sexual activity log. They also assessed hormone levels.

When Nurnberg’s team looked at overall sexual functioning, they found that 73% of the women on placebo had no improvement in sexual functioning but only 28% of the women taking Viagra reported no improvement.

When they looked at the individual measures, they found women treated with Viagra were significantly more likely to reach orgasm than those in the placebo group. When they looked at the individual measures, such as desire or lubrication, they did not find significant differences.

There was a significant difference, Croft says, in the partner’s satisfaction.

The higher a woman’s testosterone levels, the researchers also found, the more likely a positive treatment response occurred, regardless of group assignment.

The women reported some side effects, with the most common being headache. reported by 43% of the women on Viagra and 27% of those on placebo. Transient vision disturbances were reported by 14% of those on Viagra and 2% of those on placebo. No one dropped out of the study because of their side effects. In those women who continued their dose of antidepressants, their depression didn’t worsen during the study, regardless of their group assignment.

The study was supported by an independent grant from Pfizer, which makes Viagra. The grant was initiated by the researchers and the pharmaceutical company had no other role in the study, the researchers say.

The study, Croft says, ”is the first and only double-blind, randomized trial that shows it works for this.” Viagra, he notes, is not approved by the FDA for use in women, so the use is ”off-label” and not typically covered by insurance .

Continued

Viagra for Her: Second Opinion

Evaluating a woman’s hormone levels before prescribing Viagra for sexual problems is important, says Goldstein, who is also a clinical professor of surgery at the University of California, San Diego. Normal testosterone levels, he says, are crucial for the successful effect of the drug.

“What Viagra does in women with normal testosterone [levels] is engorge their clitoris [with blood ], which allows them to have orgasm,” he tells WebMD. “Viagra acts on a man’s penis and a woman’s clitoris.”

The finding that the drug did not affect desire or arousal comes as no surprise, either, he says. “Viagra has never been shown to increase desire in men or in women.”

WebMD Health News Reviewed by Brunilda Nazario, MD on July 22, 2008

Sources

News release, The Journal of the American Medical Association.

Irwin Goldstein, MD, director, sexual medicine, Alvarado Hospital, San Diego; clinical professor of surgery, University of California, San Diego; editor-in-chief, The Journal of Sexual Medicine; director, San Diego Sexual Medicine.

Harry A. Croft, MD, medical director, San Antonio Psychiatric Research Center.

Nurnberg, H. The Journal of the American Medical Association; July 23, 2008; vol 300: pp 395-404.

В© 2008 WebMD, LLC. All rights reserved.

Rev Up a Low Libido

It happens to a lot of guys, but few of them want to talk about it — especially when “it” is a low libido. After all, virility plays a big role in our concept of manhood. There’s this idea you’re supposed to live up to: “Real men are always in the mood.”

But that’s not true. Lots of men have low sex drive. for a lot of reasons. And there are many ways to treat it.

What Causes It?

Any number of things, some physical and some psychological. Sometimes it’s both.

Physical issues that can cause low libido include low testosterone. prescription medicines, too little or too much exercise. and alcohol and drug use. Psychological issues can include depression. stress, and problems in your relationship.

About 4 out of 10 men over age 45 have low testosterone. While testosterone replacement therapy remains somewhat controversial, it’s also a common solution to the problem.

“Replacement therapy with any of the various testosterones available can boost libido,” says M. Leon Seard, II, MD, a urologist in Nashville, TN. “Also, simply getting healthy can help.”

No one thing causes low libido. So it’s crucial to talk to your doctor if you’re worried your sex drive has dropped.

Once he figures out the causes, he can tell you the best course of action, or refer you to another doctor who can.

How Is It Treated?

Depending on the cause, possible treatments include:

  • Healthier lifestyle choices. Improve your diet, get regular exercise and enough sleep. cut down on the alcohol, and reduce stress .
  • Change to a new medication. if the one you’re on is affecting your libido
  • Testosterone replacement therapy
  • Counseling

Your doctor may recommend therapy if the issue is psychological. In many cases, a low libido points to a desire for a closer connection with your partner — one that isn’t sexual, but still intimate. It can help to talk through these issues with a therapist, either alone or with your partner. If the issue is depression. antidepressants can help. Some of them actually lower your sex drive, though.

What about the meds you may have seen in TV and magazine ads, like Cialis. Levitra. and Viagra? These don’t boost libido. They help you get and keep erections.

The bottom line: Know your body and tell your doctor what you’re feeling. Don’t hold back. That’s the only way he’ll know whether the root of the problem is physical, psychological, or both.

And the sooner you know, the sooner you can get back to feeling like yourself again.

WebMD Feature Reviewed by Melinda Ratini, DO, MS on December 13, 2015

Sources

M. Leon Seard, II, MD, urologist, Nashville, TN.

Hormone Health Network: “Decreased Libido.”

Andrology Australia: Your Health: “Low Libido.”

Urology Care Foundation: “What Is Low Testosterone (Hypogonadism)?”

Clinical Medicine Insights: Cardiology. 2015; 9:33-37. “Testosterone Replacement and Cardiovascular Safety: No Straight and Narrow!”

NetDoctor: “Lack of Sex Drive in Men (Lack of Libido).”

В© 2008 WebMD, LLC. All rights reserved.

‘Better than Viagra': The new libido drug which boosts sex drive AND causes arousal

By GRAHAM GRANT

Last updated at 02:09 19 May 2008

The ‘wonder pill’ could generate sex drive in both men and women who struggle with their libido, going one better than Viagra

Scientists claim to have discovered the secret of sexual desire in a breakthrough that could change millions of lives around the world.

They are developing a “wonder pill” to generate sex drive in both women and men who struggle with their libido.

The medication could also have the potential to boost fertility rates and is believed to have the side- effect of encouraging weight-loss.

If successful, it could outsell the market-leading impotence drug Viagra, as it bolsters the brain’s desire for sex, whereas Viagra boosts only physical capability.

Loss of libido affects more than a third of women and up to one in six men, but experts report a growing problem with a decline in sexual desire among stressed-out males.

The pill would use a hormone that releases Type 2 gonadotropin, which drives the reproductive system in animals and humans.

Tests on animals have proved successful and researchers at the Medical Research Council’s Human Reproductive Sciences Unit in Edinburgh are working on an equivalent for humans.

Professor Robert Millar, the unit’s director, initially thought the drug would work only on women – but now believes there is no reason for it not to work on men and is planning further tests.

Professor Millar said that when female musk shrews and marmoset monkeys received injections in laboratory tests, they displayed classic mating behaviour towards their male counterparts.

In musk shrews this was shown by “rump-presentation and tail-wagging” and in monkeys it included “tongue-flicking and eyebrow-raising”.

An unexpected side-effect was that the laboratory animals ate significantly less food than usual – in some cases a third less than their usual daily diet.

In the animal tests, the drug could at first be injected only into the brain. But they have now been able to inject the drug into the bloodstream instead – a crucial move towards making a human version of the drug that could be released for a global mass market.

In time, they hope to produce the drug in pill form and believe it would make Viagra, the tablet that has so far been used by 27million men around the world, redundant.

Professor Millar said: ‘This drug would cut out the need for Viagra completely – Viagra does not produce desire, it simply leads to an erection but not to the desire for sex.

“This drug would arouse and produce the desire for sex at the same time, in both men and women.

“It is very exciting that we have made so much progress, as the stimulation of libido would mean a great deal to a huge number of people.

“One of the next steps will be to produce a pill, as at the moment we can only inject, although surveys show many people, particularly men, are happy to inject and diabetics seems to manage it without too much trouble.

“Certainly we want to produce an oral form of this so that it could be taken very easily by both men and women.”

Share or comment on this article

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    "The right of the people to be secure in their persons, houses, papers, and effects, against unreasonable searches and seizures, shall not be violated, and no Warrants shall issue, but upon probable cause. "

    - Fourth Amendment to the United States Constitution

    The Electronic Communications Privacy Act (ECPA) was a forward-looking statute when enacted in 1986. It specified standards for law enforcement access to electronic communications and associated data, affording important privacy protections to subscribers of emerging wireless and Internet technologies. Technology has advanced dramatically since 1986, and ECPA has been outpaced. The statute has not undergone a significant revision since it was enacted in 1986 – eons ago in Internet time.

    As a result, ECPA is a patchwork of confusing standards that have been interpreted inconsistently by the courts, creating uncertainty for both service providers and law enforcement agencies. ECPA can no longer be applied in a clear and consistent way, and, consequently, the vast amount of personal information generated by today’s digital communication services may no longer be adequately protected. At the same time, ECPA must be flexible enough to allow law enforcement agencies and services providers to work effectively together to combat increasingly sophisticated cyber-criminals or sexual predators.

    The time for an update to ECPA is now. Privacy advocates, trade associations, think tanks, legal scholars, start-ups, and major Internet and communications companies have developed consensus around the notion of a core set of principles intended to simplify, clarify, and unify the ECPA standards; provide clearer privacy protections for subscribers taking into account changes in technology and usage patterns; and preserve the legal tools necessary for government agencies to enforce the laws and protect the public.

    Changes in Technology Have Outpaced the Law

    Justice Brandeis famously called privacy “the most comprehensive of rights, and the right most valued by a free people.” Of course, privacy must be balanced against other societal interests. Electronic communications and associated data can provide key evidence in the investigation of many crimes, and the assistance of service providers is often necessary to access such evidence. With respect to communications privacy and law enforcement investigations, the courts and Congress have sought to develop rules for government surveillance that balance three interests: the individual’s constitutional right to privacy, the government’s need for tools to conduct investigations, and the interest of service providers in clarity and customer trust.

    Since enactment of ECPA, there have been fundamental changes in communications technology and the way people use it, including –

    • Email: Most Americans have embraced email in their professional and personal lives and use it daily for confidential communications of a personal or business nature. Because of the importance of email and unlimited storage capabilities available today, most people save their email indefinitely, just as they previously saved letters and other correspondence. The difference, of course, is that it is easier to save, search and retrieve digital communications. Many of us now have many years worth of stored email. Moreover, for many people, much of that email is stored on the computers of service providers.
    • Mobile location: Cell phones and mobile Internet devices constantly generate location data that supports both the underlying service and a growing range of location-based services of great convenience and value. This location data can be intercepted in realtime, and is often stored in easily accessible logs files. Location data can reveal a person’s movements, from which inferences can be drawn about activities and associations. Location data is augmented by very precise GPS data in many devices.
    • Cloud computing: Increasingly, businesses and individuals are storing data “in the cloud,” with potentially huge benefits in terms of cost, security, flexibility and the ability to share and collaborate.
    • Social networking: One of the most striking developments of the past few years has been the remarkable growth of social networking. Hundreds of millions of people now use social media services to share information with friends and as an alternative platform for private communications.

    In the face of these developments, ECPA does not provide protection suited to the way technology is used today:

    • Conflicting standards and illogical distinctions: ECPA sets rules for governmental access to email and stored documents that are not consistent. A single email is subject to multiple different legal standards in its lifecycle, from the moment it is being typed to the moment it is opened by the recipient to the time it is stored with the email service provider. To take another example, a document stored on a desktop computer is protected by the warrant requirement of the Fourth Amendment, but ECPA says that the same document stored with a service provider may not be subject to the warrant requirement.
    • Unclear standards: ECPA does not clearly state the standard for governmental access to location information.
    • Judicial criticism: The courts have repeatedly criticized ECPA for being confusing and difficult to apply. The Ninth Circuit in 2002 said that Internet surveillance was “a confusing and uncertain area of the law.” In the past 5 years, no fewer than 30 federal opinions have been published on government access to cell phone location information, reaching a variety of conclusions.
    • Constitutional uncertainty: The courts have been slow to address the application of the Fourth Amendment to new services and information. So far, among the regular federal appellate courts, only the Sixth Circuit has held that the Constitution protects stored email (Warshak), while the Ninth Circuit has held that there is a Constitutional privacy right in stored text messages (Quon). The Supreme Court has ruled that prolonged tracking with a GPS device is a search under the Fourth Amendment, but it has not yet ruled on use of cell tower data for tracking over time.

    This murky legal landscape does not serve the government, customers or service providers well. Customers are, at best, confused about the security of their data in response to an access request from law enforcement. Companies are uncertain of their responsibilities and unable to assure their customers that subscriber data will be uniformly protected. The current state of the law does not well serve law enforcement interests either, as resources are wasted on litigation over applicable standards, and prosecutions are in jeopardy should the courts ultimately rule on the Constitutional questions.

    The solution is a clear set of rules for law enforcement access that will safeguard end-user privacy, provide clarity for service providers, and enable law enforcement officials to conduct effective and efficient investigations.

    Guiding Principles for ECPA Reform

    The overarching goal of our ECPA reform principles is to balance the law enforcement interests of the government, the privacy interests of users, and the interests of communications service providers in certainty, efficiency and public confidence.

    We are guided by the following concepts:

    • Technology and Platform Neutrality: A particular kind of information (for example, the content of private communications) should receive the same level of protection regardless of the technology, platform or business model used to create, communicate or store it.
    • Assurance of Law Enforcement Access: The reform principles would preserve all of the building blocks of criminal investigations – subpoenas, court orders, pen register orders, trap and trace orders, and warrants – as well as the sliding scale that allows the government to escalate its investigative efforts.
    • Equality Between Transit and Storage: Generally, a particular category of information should be afforded the same level of protection whether it is in transit or in storage.
    • Consistency: The content of communications should be protected by a court order based on probable cause, regardless of how old the communication is and whether it has been “opened” or not.
    • Simplicity and Clarity: All stakeholders – service providers, users and government investigators – deserve clear and simple rules.
    • Recognition of All Existing Exceptions: Over the years, a variety of exceptions have been written into the ECPA, such as provisions allowing disclosures to the government without court orders in emergency cases. These principles should leave all those exceptions in place.

    Rather than attempt a full rewrite of ECPA, which might have unintended consequences, our recommendations focus on just a handful of the most important issues – those that are arising daily under the current law: access to email and other private communications stored in the cloud, access to location information, and the use of subpoenas to obtain transactional data.

    Our principles do not seek to answer all questions or concerns about ECPA. Though members of the coalition may differ on the specifics, and some individual members would support additional changes, we all agree that these principles provide a framework for opening a public dialogue on the issue.

    Specific Background on ECPA Reform Principles

    1. The government should obtain a search warrant based on probable cause before it can compel a service provider to disclose a user’s private communications or documents stored online.

    • This principle applies the safeguards that the law has traditionally provided for the privacy of our phone calls or the physical files we store in our homes to private communications, documents and other private user content stored in or transmitted through the Internet "cloud"– private emails, instant messages, text messages, word processing documents and spreadsheets, photos, Internet search queries and private posts made over social networks.
    • This change was first proposed in bi-partisan legislation introduced in 1998 by Senators John Ashcroft and Patrick Leahy. It is consistent with appeals court decisions holding that emails and SMS text messages stored by communications providers are protected by the Fourth Amendment, and is also consistent with the leading legal scholarship on the issue.

    2. The government should obtain a search warrant based on probable cause before it can track, prospectively or retrospectively, the location of a cell phone or other mobile communications device.

    • This principle addresses the treatment of the growing quantity and quality of data based on the location of cell phones, laptops and other mobile devices, which is currently the subject of conflicting court decisions; it proposes the conclusion reached by a majority of the courts that a search warrant is required for real-time cell phone tracking, and would apply the same standard to access to stored location data.
    • A warrant for mobile location information was first proposed in 1998 as part of the bipartisan Ashcroft-Leahy bill. It was approved 20 to 1 by the House Judiciary Committee in 2000.

    3. Before obtaining transactional data in real time about when and with whom an individual communicates using email, instant messaging, text messaging, the telephone or any other communications technology, the government should demonstrate to a court that such data is relevant to an authorized criminal investigation.

    • In 2001, the law governing “pen registers and trap & trace devices”—technologies used to obtain transactional data in real time about when and with whom individuals communicate over the phone—was expanded to also allow monitoring of communications made over the Internet. In particular, the data at issue includes information on who individuals email with, who individuals IM with, who individuals send text messages to, and the Internet Protocol addresses of the Internet sites individuals visit.
    • This principle would update the law to reflect modern technology by establishing judicial review of surveillance requests for this data based on a factual showing of reasonable grounds to believe that the information sought is relevant to a crime being investigated.

    4. Before obtaining transactional data about multiple unidentified users of communications or other online services when trying to track down a suspect, the government should first demonstrate to a court that the data is needed for its criminal investigation.

    • This principle addresses the circumstance when the government uses subpoenas to get information in bulk about broad categories of telephone or Internet users, rather than seeking the records of specific individuals that are relevant to an investigation. For example, there have been reported cases of bulk requests for information about everyone that visited a particular web site on a particular day, or everyone that used the Internet to sell products in a particular jurisdiction.
    • Because such bulk requests for information on classes of unidentified individuals implicate unique privacy interests, this principle applies a standard requiring a showing to the court that the bulk data is relevant to an investigation.

    To simplify, clarify, and unify the ECPA standards, providing stronger privacy protections for communications and associated data in response to changes in technology and new services and usage patterns, while preserving the legal tools necessary for government agencies to enforce the laws, respond to emergency circumstances and protect the public.

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    Sildenafil est cotГ©e sur le marchГ© sous le nom de viagra. Le principal d’une utilisation la plus courante de ce mГ©dicament est pour traiter la dysfonction Г©rectile. Les dysfonctions sexuelles sont associГ©s avec beaucoup de stigmatisation, par consГ©quent, l’achat et l’utilisation viagra est souvent fait secrГЁtement. Certains effets secondaires courants associГ©s Г  l’utilisation de viagra comprennent petits pains cardiaques, des maux de tГЄte, et rougeur de la peau. Viagra peut Г©galement causer des effets secondaires graves et prolongГ©es y compris la perte soudaine de l’audition et des Г©rections prolongГ©es qui peuvent entraГ®ner des dommages du pГ©nis. Les Г©tudes rГ©alisГ©es sur l’utilisation de viagra pour traiter la dysfonction sexuelle chez les femmes ont peu fait pour clarifier elle effectue. Pour cette utilisation de l’intention de la raison de viagra est souvent observГ©e chez les hommes, bien que les cas de droguer des femmes malveillant pour provoquer l’excitation a Г©tГ© signalГ©.

    Outre usage mГ©dical, viagra est Г©galement utilisГ© Г  d’autres fins, comme les loisirs et une meilleure performance dans les sports. L’utilisation accrue de viagra dans la culture populaire suit le croient que le mГ©dicament amГ©liore la performance sexuelle, augmente la libido, ou conduit Г  une augmentation permanente de la taille du pГ©nis. Cette croyance rГ©pandue. Cependant, est sans fondement car les Г©tudes montrent aucune preuve que l’utilisation de viagra par des personnes qui ne souffrent pas de la dysfonction Г©rectile est d’effet significatif. L’utilisation de viagra ne pas augmenter la qualitГ© de l’Г©rection, bien que rГ©duit le temps rГ©fractaire post-Г©jaculatoire, cette utilisation sans ordonnance de viagra est particuliГЁrement Г©levГ©e chez les usagers de drogues illicites qui l’utilisent dans le but de contrecarrer l’effet de drogues illicites. L’utilisation sans ordonnance de viagra est Г©galement Г©levГ© chez les athlГЁtes professionnels. Les athlГЁtes croient que l’ouverture des vaisseaux sanguins causГ©s par viagra enrichit les muscles et l’amГ©lioration de la performance par inadvertance.

    viagra
    L’utilisation sans ordonnance de viagra est mal conseillГ© parce qu’il ya plusieurs facteurs qui doivent ГЄtre pris en considГ©ration avant que l’on est en clair d’utiliser le mГ©dicament. Une considГ©ration particuliГЁrement importante est de savoir si on est sous tout mГ©dicament parce qu’il existe des mГ©dicaments qui ont une relation antagoniste avec viagra, par exemple, les alpha-bloquants comme la doxazosine. L’utilisation de viagra aux cГґtГ©s doxasin peut causer des Г©tourdissements et peut conduire Г  l’Г©vanouissement. Autres facteurs qui doivent ГЄtre pris en considГ©ration avant que l’on utilise viagra comprennent la grossesse, les allergies, le priapisme Г©rection prolongГ©e et douloureuse, et les problГЁmes cardiovasculaires. Les femmes enceintes et celles qui allaitent doivent Г©viter l’utilisation de viagra. Toute personne qui veut utiliser viagra Г©galement besoin d’informer, il mГ©decin si elles sont allergiques Г  toute substance afin que le mГ©decin peut les informer des rГ©actions allergiques possibles de l’utilisation de la pirogue. Individuais avec une histoire de priapisme sont en danger de causer des dommages permanents y pГ©nis Г  travers l’utilisation de viagra, par consГ©quent, ils doivent Г©viter Г  tout prix. Les personnes ayant des antГ©cГ©dents de problГЁmes cardiovasculaires, y compris les crises cardiaques, accidents vasculaires cГ©rГ©braux, et un rythme cardiaque irrГ©gulier qui est la vie en danger augmenter le risque d’Г©prouver ces problГЁmes grГўce Г  l’utilisation de viagra.

    MalgrГ© la popularitГ© de viagra dans le traitement des dysfonctionnements sexuels comme la dysfonction Г©rectile, il est prГ©fГ©rable de prendre le mГ©dicament Г  la suite d’une prescription par un mГ©decin afin de minimiser le risque de subir les effets secondaires du mГ©dicament.

    Viagra Belgique

    De plus en plus d’adultes en France se plaignent de ne pas durer assez. Beaucoup de femmes se plaignent aussi que leurs maris ne sont pas assez satisfaisants au lit. Est-ce que vous voulez en faire partie? Non, je ne pense pas. La solution: acheter du viagra. Pour cela, assumez votre devoir d’homme viril qui se doit de combler sa femme dans la vie de tous les jours comme au sein de votre intimitГ©. Et le meilleur moyen pour y arriver, c’est d’acheter du viagra. Quoi de mieux que de pouvoir faire l’amour Г  votre femme une heure continue sans devoir trouver d’excuse bidon? Quoi de mieux que de pouvoir raccompagner une jeune demoiselle le soir en Г©tant sГ»r de pouvoir la satisfaire sur tous les plans? Oui messieurs, cela est enfin possible, vous n’avez qu’Г  acheter du viagra.
    Certains d’entre vous seront plutГґt sceptique Г  l’idГ©e d’acheter du viagra. Mais croyez-le ou non, acheter du viagra est devenu aussi normal que de prendre des prГ©servatifs Г  la pharmacie. Acheter du Viagra peut vous sauver la mise. Acheter du Viagra peut ГЄtre un tournant pour votre vie sexuelle. Acheter du viagra peut vous changer. Donc quoi de mieux que d’ГЄtre sГ»r d’avoir la meilleur qualitГ© qui soit? Nous vous proposons ce qu’il y’a de meilleur, de plus sГ»r et de plus efficace pour vous. Nos produits ont Г©tГ© testГ©s et tout ce que vous risquez d’avoir, c’est des nuits torrides pour surprendre votre compagne. Donc que vous soyez cГ©libataire Г  la recherche de l’amour, en couple et que vous avez envie de surprendre votre moitiГ© ou mariГ© et envie de donner du peps Г  votre relation: acheter du viagra peut stimuler votre relation. Acheter du viagra est un grand pas en avant dans votre relation, quelle qu’elle soit. Acheter du viagra est un pas en avant vers une satisfaction qui peut changer votre vie de couple et qui aura un impact incroyable sur votre vie quotidienne. Acheter du viagra n’est plus tabou, personne n’a plus honte d’acheter du viagra.

    viagra belgique
    C’est assume une volontГ© forte de transformer sa vie de tous les jours et de sortir de la routine. Acheter du viagra vous fera dГ©couvrir tout votre potentiel au lit avec toutes les rГ©percussions que peut avoir une vie sexuelle saine sur votre quotidien. Plus de dГ©bandage honteux, plus de fiancГ©e insatisfaite et vous pourrez dormir sur vos deux oreilles en ayant conscience tranquille aprГЁs avoir satisfait votre moitiГ©. Acheter du viagra est le meilleur conseil d’ami qu’on peut vous donner. La majoritГ© de vos amis de bureau sont peut-ГЄtre dГ©jГ  nos clients. Acheter du viagra est devenu habituel chez les gens dГ©sireux donner un peu plus de mouvements Г  leurs nuits intimer. Alors pourquoi pas vous? Lancez-vous et dГ©couvrez notre gamme de produits. Acheter du viagra maintenant et lancez-vous dans la reconquГЄte de votre vie sexuelle. Acheter du viagra maintenant et faites votre devoir d’homme en faisant jouir votre femme comme avant! Acheter du viagra maintenant et prГ©parez-vous au bouleversement que subira votre quotidien. Acheter du viagra maintenant et ouvrez-vous les voies du bonheur sexuel grГўce au viagra.

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    Viagra. quels effets secondaires ?

    Le Viagra est un traitement mГ©dicamenteux efficace pour lutter contre l’impuissance masculine. Son agent actif, le SildГ©nafil permet d’accroitre l’afflux sanguine vers le pГ©nis et ainsi d’en favoriser l’Г©rection. Cependant, comme tout mГ©dicament, le Viagra peut aussi entrainer chez certaines personnes des effets secondaires plus ou moins importants. Pour autant la plupart des patients ne rencontrent pas d’effets secondaires. A vrai dire seul 1% des patients expГ©rimentent des effets secondaires dits “sГ©rieux”. Ci-dessous un aperГ§u des principaux effets secondaires du Viagra et des moyens d’en rГ©duire le risquГ© ou l’intensitГ©.

    Viagra. quels sont les principaux effets ?

    Etourdissements, maux de tГЄte, maux d’estomac sont les plus communs Certaines altГ©rations de la vision telles qu’une plus forte sensibilitГ© Г  la luminositГ©, une vision floue, ou une perception altГ©rГ©e des couleurs bleues et vertes peut parfois survenir. Si l’un de ces troubles persistent ou empirent parlez en sans attendre Г  votre docteur ou pharmacien.

    Coeur

    L’activitГ© sexuelle peut parfois solliciter votre cЕ“ur de faГ§on excessive, en particulier si vous souffrez de problГЁmes cardiaques. Si vous avez dГ©jГ  eu des troubles cardiaques et que vous rencontrez un ou plusieurs de ces effets secondaires lors de vos rapports sexuels, cessez le traitement et consultez votre mГ©decin. Г©tourdissements sГ©vГЁres, Г©vanouissement, nausГ©es, douleurs dans la poitrine, la mГўchoire ou le bras gauche.

    Vue et ouГЇe

    Bien qu’extrГЄmement rare, une diminution soudaine de la vision peut se produire dans l’un ou les 2 yeux, de par l’effet du sildГ©nafil. Si ce trouble sГ©rieux se produit, arrГЄtez le traitement et demandez aussitГґt l’aide d’un professionnel mГ©dical. TrГЁs rare aussi, une diminution ou une perte de l’ouГЇe peuvent Г©galement se produire, avec parfois des bourdonnements dans les oreilles et des Г©tourdissements soudains. Si ces effets se produisent cessez de prendre le traitement et obtenez de l’aide mГ©dicale immГ©diatement.

    Erection prolongГ©e

    Dans le cas peu probable d’une Г©rection douloureuse et prolongГ©e de 4 heures ou plus, cessez de prendre le traitement et demandez l’assistance d’un docteur ou pharmacien sans attendre. A dГ©faut, certaines complications parfois permanentes pourraient se produire.

    Note : ceci n’est pas une liste complГЁte des effets secondaires possibles du Viagra. RГ©fГ©rez vous Г  notre section plus bas В« Liste exhaustive des effets secondaires du Viagra В»

    Comment rГ©duire le risque d’effet secondaire ?

    Si vous rencontrez des effets secondaires la premiГЁre chose est d’en parler Г  votre mГ©decin. Sachez par ailleurs que certains comportements favorisent les effets secondaires. vous pouvez donc agir dessus afin de les rГ©duire.

    Eviter l’alcool. La prise de 2 unitГ©s d’alcool (ou plus) peut non seulement allonger le dГ©lai d’efficacitГ© du Viagra (normalement de 4heure aprГЁs la prise du comprimГ©) mais Г©galement amoindrir la capacitГ© d’un homme Г  obtenir une Г©rection.

    Eviter les substances В« rГ©crГ©atives В» telles que le В« Poppers В» et certains parfums d’ambiance qui peuvent contenir des Nitrates et ainsi conduire Г  des interactions nГ©fastes avec le Viagra.

    Prendre une dose plus faible. En prenant une dose infГ©rieure de Viagra il est possible de rГ©duire les effets secondaires tout en maintenant les bГ©nГ©fices du mГ©dicament. Consultez nГ©anmoins votre mГ©decin avant d’entreprendre cette dГ©marche.

    Prendre Viagra lors des repas. Il est gГ©nГ©ralement recommandГ© de prendre Viagra l’estomac vide pour favoriser un dГ©lai d’action court ; cependant en cas d’effets secondaire, s’alimenter en mГЄme temps que la prise du mГ©dicament peut Г©galement rГ©duire la gГЄne occasionnГ©e.

    Liste exhausitive des effets secondaires du Viagra

    TrГЁs frГ©quents (touche 1 personne sur 10)

    Communs (touche entre 1% et 10% des patients)

    • Nez bouchГ©
    • Indigestion
    • Vertiges
    • AltГ©ration de la vision (teinte bleue ou le flou)
    • Rougeurs sur le visage

    Peu frГ©quents (touche entre 0,1% et 1% des patients)

    • Douleurs musculaires et thoraciques
    • DГ©shydratation
    • HypersensibilitГ© Г  la douleur et au toucher
    • Vomissements
    • AcouphГЁnes
    • Palpitations cardiaques et augmentation du rythme cardiaque
    • Sensation de vertiges
    • Eruptions cutanГ©es
    • Traces de sang dans l’urine ou le sperme
    • Douleurs ou maux dans l’Е“il – peuvent inclure une vision floue ou double, des yeux larmoyants, des yeux injectГ©s de sang, une hypersensibilitГ© accrue Г  la lumiГЁre

    Rares (toucher entre 0,01 et 0,1% des patients)

    • Etourdissements conduisant Г  l’Г©vanouissement
    • ProblГЁmes d’audition
    • Saignements du nez
    • Augmentation ou diminution de la pression artГ©rielle
    • Accident vasculaire cГ©rГ©bral

    FrГ©quence inconnue mais trГЁs rare

    • Priapisme
    • Battements cardiaques irrГ©guliers
    • Crises d’Г©pilepsie
    • Mort subite suite Г  une crise cardiaque
    • NГ©crose Г©pidermique toxique
    • Syndrome de Stevens-Johnson (vaste cloquage de la peau)

    Quels sont les effets secondaires du Viagra ?

    Le Viagra est un traitement pour les troubles d’érection, ce mГ©dicament est Г  base de citrate de sildГ©nafil. Le Viagra s’est dГ©mocratisГ© ces dix derniГЁres annГ©es au point que certains hommes ne jurent plus que par lui pour restaurer une dysfonction Г©rectile. Et malgrГ© ces avantages indГ©niables, le Viagra n’est pas Г  l’abri d’effets secondaires. Mais avant d’évoquer ces effets indГ©sirables, il est judicieux de savoir utiliser le mГ©dicament et surtout de connaГ®tre ses contre-indications. Des cas rares d’effets secondaires graves ont Г©tГ© rapportГ©s, mais il faut avouer que le jeu en vaut la chandelle si les contre-indications et le dosage sont respectГ©s.

    Comme pour tout médicament, il existe des contre-indications qui limitent l’utilisation du Viagra. Le traitement de la dysfonction érectile avec le Viagra est fortement déconseillé aux hommes qui ont des problèmes d’allergie au Sildénafil, de cardiopathie grave, d’insuffisance hépatique sévère, de problèmes cardiaques, de maladie héréditaire des yeux ou de perte de vue suite à une neuropathie optique. Ainsi, une consultation médicale est obligatoire avant tout traitement.

    Les effets secondaires

    En dehors de contre-indications prГ©citГ©es, l’utilisation de Viagra prГ©sente des effets secondaires. Les effets secondaires les plus frГ©quents lors du traitement de l’impuissance avec ce mГ©dicament Г  base de sildГ©nafil sont: le mal de tГЄte, troubles visuels, altГ©ration de la perception des couleurs, sensations vertigineuses, rougeur et congestion nasale ont Г©tГ© aussi rГ©vГ©lГ©s. Ces effets secondaires restent toutefois passagers et se dissipent au fil du temps.

    D’autres effets secondaires plus graves ont Г©tГ© rapportГ©s, mais leurs apparitions sont plus rares (1 Г  10 personnes sur 10 000). On peut citer entre autres l’hypertension ou hypotension accompagnГ©e d’un Г©vanouissement, l’accident vasculaire cГ©rГ©bral, la perte d’audition et les arythmies cardiaques. Une Г©rection prolongГ©e et douloureuse est aussi un cas rapportГ© aprГЁs une prise de Viagra. Il faut consulter immГ©diatement un mГ©decin si le cas se prГ©sente et persiste pendant plus de 4 heures. A noter que le Viagra doit ГЄtre pris qu’une fois par jour. Un surdosage ne peut que renforcer les effets indГ©sirables. Aussi, il faut ГЄtre particuliГЁrement vigilant sur les Viagra contrefaits en vente sur Internet pas cher, celui-ci pourrait ГЄtre contrefait.

    Similaire

    Qui suis-je ?

    Claire, bloggeuse sexo autoproclamГ©e. ;-) J’ai créé le site ForumViagra en 2011 aprГЁs avoir constatГ© un manque d’infos sexo Г  destination des hommes dans la blogosphГЁre franГ§aise. J’ai donc dГ©cidГ© de prendre les devants et d’écrire pour aborder des problГ©matiques dГ©licates qui nous touchent tous (oui, mГЄme toi !). Sachant que les problГЁmes d’hommes sont des problГЁmes qui touchent le couple, mes articles se destinent aussi aux femmes. Retrouvez-moi aussi sur Hellocoton by Femme Actuelle .

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    The PDE5 inhibitors: Viagra, Levitra, and Cialis

    Approved by the FDA in 1998, sildenafil (Viagra) revolutionized the way we think about — and treat — erectile dysfunction (ED), largely because it is effective and easy to use. In 2003, the FDA approved two closely related drugs, vardenafil (Levitra) and tadalafil (Cialis). Five years later, in January 2008, low-dose Cialis for daily use came onto the market, creating an option that — theoretically, at least — makes having sex a possibility without advance planning.All three drugs work in a similar fashion, by affecting the normal physiology of the penis. In particular, they block PDE5, an enzyme that breaks down the erection-producing chemical cyclic guanosine monophosphate. This enables the penis to fill with blood and to stay erect long enough for intercourse. Of course, it’s important to realize that none of these drugs is an aphrodisiac. You must feel sexually aroused in order for them to work.The main differences between the three drugs have to do with timing: how quickly they begin to work, and how long their effects last (see Table 4). The biggest divide lies between Cialis for daily use, which keeps a steady supply of the drug in the bloodstream, and the as-needed dosing offered by the original form of Cialis, as well as by Levitra and Viagra. Among the nondaily pills, Levitra may start working slightly faster than Viagra (within a half-hour instead of an hour) although the FDA says that like Viagra, it should be taken about an hour before sexual activity. Some studies suggest that Levitra may help some men who don’t respond to Viagra. And while some doctors are skeptical about this claim, there’s no harm in trying Levitra or Cialis if Viagra doesn’t work for you.

    Cialis stays active in the body much longer than the other drugs. Viagra and Levitra last about four to five hours (and sometimes up to 12 hours). But with Cialis, the window of opportunity ranges from 24 to 36 hours, which is why it’s sometimes called “the weekend drug.” The low-dose daily option aims to allow a man to be prepared for sex anytime (see “Why take a daily ED pill?”). Another difference among the three drugs is that while Viagra’s action may be delayed or impaired when taken with food (especially high-fat foods), that’s not the case with Levitra or Cialis.

    Table 4: Comparing the treatments

    Duration of effectiveness

    Oral medication, very effective (about 70%), few side effects

    Cannot be used by men taking nitrates or those with unstable cardiovascular disease

    About $15–$20 per dose

    tadalafil (36-hour Cialis)

    tadalafil (Cialis for daily use)

    Steady low dose in bloodstream

    Any time sexual arousal occurs

    Oral medication. According to one small study, effectiveness varies depending on dose (2.5 mg or 5 mg) and level of ED, ranging from 27% for severe ED to 82% for mild ED.

    About $4–$5 per day

    2–3 weeks with daily use

    As long as therapy continues

    Oral medication, somewhat effective (40%), a good option for men who cannot use Viagra and related drugs

    Side effects include insomnia, increased heart rate and blood pressure, nervousness

    About $0.27–$0.54 per day

    alprostadil injections (Caverject, Edex)

    Highly effective (about 80%), few side effects

    Requires training; injections unpleasant for many men; may cause penile pain or painful sustained erections

    $4–$16 per band (reusable)

    Success rates

    Because Viagra has been available the longest, there’s more research available on this drug. Pooled data involving studies of 6,659 men have shown that Viagra helped 83% of men have intercourse at least once. On the other hand, Viagra is not a panacea. A 2001 study of its long-term effectiveness, published in The Journal of Urology. reported a somewhat lower overall success rate (69%). The success rates for Levitra and 36-hour Cialis are similar to those for Viagra (59% and 69%, respectively).Not as much information is available on the effectiveness of the daily Cialis pill. One small study found that effectiveness varies depending on dose — 2.5 milligrams (mg) or 5 mg — and level of ED:

    • severe ED: 27% (2.5 mg) to 33% (5 mg)
    • moderate ED: 56% (2.5 mg) to 61% (5 mg)
    • mild ED: 73% (2.5 mg) to 82% (5 mg).

    It’s worth noting that effectiveness of placebo was 57% for mild ED, 27% for moderate ED, and 9% for severe ED.Viagra has proved beneficial for many men with ED resulting from spinal cord injuries. In one study, 83% of such men who took Viagra had improved erections. But for men with diabetes or advanced heart disease, the drug helped only about half of the time. The response was even lower — about 30% — for men who have had a radical prostatectomy.

    ED and the single man

    In addition to the psychological and medical issues facing all men with ED, men without long-term partners who wish to be sexually active face their own set of questions and concerns.

    If you’re in this situation, you may wonder how much to tell a new sexual partner. There is no right or wrong answer. It depends on how much you’re comfortable revealing and, to some extent, on which therapy you’re using. For example, if you’re taking a pill, you don’t have to reveal as much as you would if you’re using one of the other treatments.

    If treatment is successful, you may not have to say anything about your ED, even if you develop a steady relationship with someone. But if the problem recurs periodically, you may want to discuss it with your partner. The best time to do this is usually not when sexual intimacy is actively under way, but rather during a quiet, private time when you are feeling at ease with each other.

    Tell your partner about your condition and what you know about its causes. Discuss the types of treatment, if any, that you are using. Answer any questions your partner has and, when the time for sexual intimacy arises, take it slowly. You may find that having discussed the subject improves your sexual experience.

    Side effects

    So far, the risks and side effects of these three drugs seem to be roughly the same. They all work by relaxing smooth muscle cells, which widens blood vessels — primarily in the penis, but also in other parts of the body. The most common side effect is a headache, which occurs in about 16% of users (see Figure 7). Other reactions include flushing, upset stomach, nasal congestion, and urinary tract infections. But when the drugs are used properly, these side effects are relatively mild, and most disappear after a few hours. In rare cases, some men experience temporary, mild visual problems — mainly a blue tinge to the vision, but also increased sensitivity to light and blurriness. However, men with retinitis pigmentosa, a rare eye disease, should be very cautious about using these medications.

    In 2005, reports linked Viagra use to another rare eye disease, nonarteritic anterior ischemic optic neuropathy, which can lead to blindness. However, fewer than 50 possible cases were reported as of 2006, compared with the millions of men who have used erectile drugs without problems. Still, these reports serve as a reminder to men over 50 to get regular eye check-ups and to check with a physician about any unusual vision problems that occur after taking a PDE5 inhibitor drug.

    Sudden hearing loss is another rare side effect documented as a possible risk of PDE5 inhibitors. In 2007, the FDA noted that this type of hearing loss was almost always one-sided. At that time, it had proven temporary in about one-third of the cases.

    Figure 7: Side Effects of Viagra

    Drug Interactions

    Within several hours after a man takes a PDE5 inhibitor drug, his blood pressure tends to drop slightly: the top (systolic) number dips 8 to 10 millimeters of mercury (mm Hg), while the bottom (diastolic) number goes down by 5 to 6 mm Hg. So it’s very important to avoid taking these drugs with medications that contain nitrates, which also lower blood pressure. Interactions between these two types of drugs can cause life-threatening drops in blood pressure. (The nitrates and nitrites found in food don’t pose a problem.) Men who take long-acting nitrates, including isosorbide dinitrate (Isordil, Sorbitrate, and others) and isosorbide mononitrate (Imdur, Ismo, and others) or who use nitroglycerine patches or paste should not take PDE5 inhibitor drugs. And they should not use short-acting, under-the-tongue tablets or a spray form of nitroglycerine within 24 hours of taking either Viagra or Levitra. For Cialis, the ban extends to 48 hours.

    Men who take medications known as alpha blockers should be cautious about taking PDE5 inhibitors. These drugs, which include doxazosin (Cardura), terazosin (Hytrin), and tamsulosin (Flomax), are used to treat BPH and high blood pressure. If you take an alpha blocker, ask your doctor before taking any PDE5 inhibitor. For example, Viagra shouldn’t be taken within four hours of taking an alpha blocker.

    Yet another common medication that interacts with PDE5 inhibitors is cimetidine (Tagamet), used to treat severe heartburn and stomach ulcers. Tagamet slows the breakdown of these drugs, which can effectively double the level of Viagra, Levitra, or Cialis in the bloodstream. Because of this, men who take Tagamet should start with a lower dose of a PDE5 inhibitor. No adverse effects from taking the drugs together have been reported, but the risk of side effects such as headache or flushing may be higher.

    Why take a daily ED pill?

    Cialis comes in a version designed to be taken daily, for continuous effect. If you are contemplating using a daily pill for ED, discuss these and other essential issues with your doctor:

    • How often do you have sex? If it’s two or more times a week, a daily pill might be a reasonable choice, since the drug continually circulates in your bloodstream.
    • How important is spontaneity? Taking a daily pill clears the flight path for sex at any given time if you’re among those for whom the drug is effective (remember, just like other ED drugs, it won’t work for every man). On the other hand, the 36-hour window offered by the nondaily version of Cialis might offer quite enough spontaneity.
    • How important is cost? While the manufacturer suggests that a 30-day supply of daily Cialis should cost approximately the same as eight pills of 36-hour Cialis a month, there’s no way to enforce this. Check your insurance policy and local pharmacies for price information.
    • What other medications do you take? Men taking nitrate medications are advised not to take any of the ED drugs. Ask your doctor if any medications or supplements you take might interact unfavorably with the daily ED pill, including blood pressure drugs, alpha blockers, antifungal drugs, and HIV drugs.
    • Have side effects of your current ED pill been bothering you? Taking a daily low-dose pill may reduce side effects, though it may reduce effectiveness as well (see “Success rates”). In studies, the most common daily pill side effects were headache, muscle pain, dyspepsia, and back pain.
    • How much alcohol do you drink? Drinking until intoxicated isn’t a good idea anyway, but men taking Cialis for daily use risk inducing a worrisome drop in blood pressure if they drink too much. The same is true for conventional ED drugs, but since these are shorter-acting, this may be less of an issue.

    At this writing, Cialis is the only ED pill that comes in a low-dose form for daily use. The starting dose is 2.5 milligrams (mg); if that fails to work, the daily dose can be bumped up to 5 mg. Splitting Levitra or Viagra pills to get a lower dose would be ill-advised since no data are available on safety or effectiveness.

    Other Considerations

    The PDE5 inhibitors are expensive (about $15–$20 per pill), but many health insurance plans (including Medicare) cover them, although most have a limit of four pills per month. Perhaps even more important considerations are the sometimes complicated and unexpected challenges that these medications may present to your sexual relationship. Some partners who’ve grown comfortable in a relationship without intercourse may need time to shift gears, if the drug is successful. Use of these drugs may raise other issues for couples. Should you tell your partner before or after you’ve started taking it? Will this put pressure on your partner to have sex? Should you take the medication and just hope your partner will be in the mood? The best way to address these questions is to talk about them with your partner. Particularly if you’re in an established relationship, your partner should know that you have a prescription for one of the drugs, and the two of you can decide together how and when to use it.

    Who leads ED drug sales?

    Viagra, introduced in 1998, was the pioneer in the ED drug market and the only ED medication available for five years. When challengers came on the market in 2003, Viagra’s strong name recognition, brand loyalty, and longer history kept it at the top of the ED drug heap. According to the most recent data available from the makers of the three ED medications, Viagra continues to outsell its competitors, but the margin is growing smaller, with Cialis nipping at its heels.

    While Viagra experienced a 2% dip in sales in 2009 and a 2% rebound in 2010, Cialis sales grew by 8% in 2009 and 9% in 2010. That growth is due in part to the aggressive marketing campaigns that have made Cialis, like Viagra, a household name. But two other factors may be even more important: Cialis is the only drug available for daily use, and it is effective much longer than its competitors — allowing for an erection to occur anytime in the period of 24 to 36 hours after taking the drug, compared with four to five hours for Viagra and Levitra.

    The sales figures are staggering, with both Viagra and Cialis selling in the billions of dollars worldwide in 2010 (see Figure 8): Viagra sold $1.934 billion worth, and Cialis hit the $1.699 billion mark. Levitra lags significantly behind. Its parent company, Bayer, provides sales figures in euros, not dollars. For 2010, Levitra recorded sales of €429 million (which, using the conversion rates at the time of this printing, was the equivalent of $614 million).

    With the patent for Viagra expiring in the United States in 2012, that drug will soon face competition from generic drugs. That has industry insiders speculating that Viagra’s reign as king of the ED market may be coming to an end, with Cialis taking over the throne.

    Figure 8: Annual Sales of Viagra, Cialis, and Levitra

    Viagra and Cialis both sold in the billions of dollars from 2008 to 2010 (the most recent year for which the data are available), while Levitra trails with hundreds of millions in sales.

    *Editor’s note: Converted from euros based on rates from July 2011

    Source: Annual reports of Eli Lilly and Co. Pfizer, and Bayer.

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    Using Cialis With Viagra Together

    Using Cialis With Viagra Together in Snow Hill, Maryland is small town living at its best. Nestled on the south banks of the Pocomoke River Snow Hill is a place where people know each other. From the people who call it home to the business owners and those in city government, we have built a community where life is gentle, fun, and prosperous. Home to a quaint downtown retail area and a broad spectrum of recreational activities, Using Cialis With Viagra Together is the perfect place to spend a relaxing weekend or a lifetime.

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    The popularity of Viagra has skyrocketed over the past year. This marvelous little blue pill has brought passion and excitement back into people’s sex lives. Viagra has proven to be a bestseller with good reason: it’s effective for many people. Despite side effects such as headaches and anecdotal reports of possible links to heart attacks. it has helped millions.

    The problem with a short-term solution such as Viagra, is that it encourages people to forget about seeking treatment. Instead of visiting a doctor to correct the penile dysfunction, most men just pop a pill for instant (thirty minute) results. Viagra is currently the best treatment, but it should be used as a last resort and only after consulting a doctor.

    Examine Yourself

    No one can argue that popping a pill is convenient, but sexual dysfunction is a complex issue with many causes and manifestations. I caution people against the idea of taking a quick-fix approach to symptoms that are often part of a bigger problem.

    The first thing you should do before even thinking of taking Viagra or any other supplement, is review your overall health and current medications with your doctor. It’s also essential to address any psychological or relationship issues through counseling or other forms of therapy. This is very important, because sometimes the problem might be treatable. By taking a quick-fix pop-a-pill approach without investigating the problem, you will only be adding to the delay of treatment and lowering your probability of fully recuperating.

    Gentlemen, Start Your Engines

    Viagra is very effective and fast acting — it typically boosts blood flow within 30 minutes to several hours — but some people prefer non-drug alternatives. Is there an alternative to Viagra, something more “natural” like an herb or supplement? And are any of these safe? Not every man requires the magic touch of Viagra; sometimes all one needs is a healthy diet, exercise and a little of Mother Nature’s touch. Several interesting supplements have recently come to light and may provide benefits within days to weeks.

    Ginkgo Biloba. An herb that is commonly taken as a memory booster may provide benefits. It presumably acts by enhancing blood flow and seems relatively free of side effects. In a study conducted at the University of California, ginkgo reversed sexual problems in 84% of men who were taking antidepressant drugs such as Prozac. The ones who might benefit from it are men on Prozac or other antidepressants. The suggested dose is 80 mg three times a day, standardized to contain 24% flavone glycosides and 6% terpene lactones.

    Arginine. An amino acid that also enhances blood flow. In a study of 50 men at Tel Aviv University, 31% of those with impotence improved after six weeks of taking arginine. The ones who might benefit from it are men who have circulatory disorders that may be contributing to sexual problems. The suggested dose is 1 gram three times a day; sold as L-arginine.

    As with Viagra, you should avoid arginine if you are taking the heart medication nitroglycerin because the combination may cause a dangerous drop in blood pressure. For the same reason, you should probably not take arginine with Viagra.

    DHEA. This supplement may also provide benefits for men who have low levels of this hormone. DHEA helps our bodies make estrogen and testosterone, and a recent trial at the University of Vienna found it helped men with impotence. The suggested dose is 5 mg each morning for men.

    Yohimbe. Some studies have shown that this herb may correct impotence. However, this herb can cause a dangerous rise in blood pressure, as well as anxiety and other side effects. Many doctors prefer the purified form of the herb, the FDA-approved drug yohimbine, instead, because it has a guaranteed purity and potency. I suggest that you opt for the prescription drug yohimbine instead. See your doctor.

    As for passion potions such as Super Sex and Biagra sold at health-food stores or pharmacies, there is no real evidence showing that they restore sex drive. These potions are made with blends of herbs such as those mentioned above and other questionable ingredients. Check the label to make sure the product contains an adequate dose of the herbs mentioned above. If it does not have the recommended dosages, then the product is not likely to be effective. Instead of a blend, you may be better off purchasing an individual ingredient tailored to your particular condition.

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    TODO LO QUE USTED QUERГЌA SABER SOBRE VIAGRA Y NO SE ATREVГЌA A PREGUNTAR

    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.

    PIN Number: Password: Registered Dealers: Have you forgot your password or PIN number or first-time login. Universidad de cГіrdoba monterГ­a Colombia universidad pГєblica. Comunicados. LA VICERRECTORГЌA ACADГ‰MICA DE LA UNIVERSIDAD DE CГ“RDOBA INFORMA: Una experiencia con el Viagra narrada por un protagonista (AsГ­ lo contГі en una carta que escribiГі durante el tratamiento y que pidiГі fuera publicada en. La viagra es muy usada en EEUU, tal y como se indica en la zona gris. Anteriormente la pastilla tenia unos 8cm de diГЎmetro y no podГ­a ser ingerida por ser humano. Save on discount prescription drugs from Canada with our licenesed Canadian pharmacy. What Does Viagra Make You Last Longer. Cheapest drugs online – buy and save money. He escuchado, en boca de pacientes o en grupos de adolescentes, y leГ­do en distintos medios, sobre un uso frГ­volo o. Worldwide delivery (1-3 days). Canadian Prescriptions Drugs. Cheap prices and no prescription required. Where Can I Buy Viagra In The Usa. No prescription needed. Se reglamenta mediante el Acuerdo 28 de 2010 del Consejo AcadГ©mico. El Sistema de AcompaГ±amiento Estudiantil es un conjunto de agentes (Estudiantes, Profesores. Portal Institucional do Conselho Nacional de Secretarias Municipais de SaГєde. Comprar Viagra en linea con, precios de descuento competitivos exclusivas y embalajes discretos. Compra barato Viagra Sin Receta! Comprar Viagra – en linea! Compra.

    Encuentre información acerca de cómo tomar VIAGRA ® (citrato de sildenafilo). Actualice su navegador para usar alguna de las opciones gratis a continuación. Cuál es exactamente el efecto de la viagra. Lea todo sobre el funcionamiento de la erección y el efecto de Viagra al respecto.En este informe te explicamos todo lo que debes saber sobre la Viagra .5 Jun 2009 . falso. pastillas como el viagra que sirve para la ereccion tambien. dos personas an muerto despues de usar las pastillas de viagra no las. El Sildenafil. mejor conocido como Viagra. es utilizado para tratar problemas. 3 métodos:Decide si tomar Sildenafil o noTomar Sildenafil para mejorar tu. English: Take Viagra. Italiano: Prendere il Viagra. Português: Usar Viagra ( Sildenafil ). 13 Oct 2013 . Jóvenes toman el Viagra sin necesidad. Así resume Carlos su primera experiencia con la Viagra. "Es mejor usarlo para no quedar mal.Una experiencia con el Viagra narrada por un protagonista. En ese momento el doctor me sugirió que además de la terapia usara el viagra. Yo con todo el. Parece quedar atrás el tabú o el temor a hablar de él, y Viagra ha dado pie para que. No deben usarlo hasta que haya alguna razón científica que lo avale.Instrucciones para tomar viagra. El Viagra. el nombre de marca para el citrato de sildenafil. es un medicamento de venta con receta utilizado para tratar la. Consulté con otro médico y él me preguntó si quería probar Viagra. y yo dije que sí. Nunca. Tenía una receta desde hacía seis meses y me decidí a usarla.

    La viagra es muy usada en EEUU, tal y como se indica en la zona gris. Anteriormente la pastilla tenia unos 8cm de diГЎmetro y no podГ­a ser ingerida por ser humano. PIN Number: Password: Registered Dealers: Have you forgot your password or PIN number or first-time login. Comprar Viagra en linea con, precios de descuento competitivos exclusivas y embalajes discretos. Compra barato Viagra Sin Receta! Comprar Viagra – en linea! Compra. Portal Institucional do Conselho Nacional de Secretarias Municipais de SaГєde. Se reglamenta mediante el Acuerdo 28 de 2010 del Consejo AcadГ©mico. El Sistema de AcompaГ±amiento Estudiantil es un conjunto de agentes (Estudiantes, Profesores. Universidad de cГіrdoba monterГ­a Colombia universidad pГєblica. Comunicados. LA VICERRECTORГЌA ACADГ‰MICA DE LA UNIVERSIDAD DE CГ“RDOBA INFORMA: He escuchado, en boca de pacientes o en grupos de adolescentes, y leГ­do en distintos medios, sobre un uso frГ­volo o. Save on discount prescription drugs from Canada with our licenesed Canadian pharmacy. What Does Viagra Make You Last Longer. Cheapest drugs online – buy and save money. Worldwide delivery (1-3 days). Canadian Prescriptions Drugs. Cheap prices and no prescription required. Where Can I Buy Viagra In The Usa. No prescription needed. Una experiencia con el Viagra narrada por un protagonista (AsГ­ lo contГі en una carta que escribiГі durante el tratamiento y que pidiГі fuera publicada en.

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    Ahora podrГЎs aumentar tu deseo sexual con el nuevo Viagra para mujeres

    MГЎs vale grabarse bien esta palabra, pues la escucharemos a menudo en el futuro cercano: Lybrido.

    Se trata un medicamento producido por Pfizer para tratar el trastorno del deseo sexual hipoactivo, un padecimiento que provoca una nulificación del deseo sexual en 10% de las mujeres, según la International Society for Sexual Medicine. Pero Lybrido no es propiamente un “Viagra femenino”, como se dice: mientras el Viagra aumenta el flujo sanguíneo del hombre para lograr mantener una erección (mecanismo fisiológico), Lybrido reduce el “freno sexual” y le permite a la mujer excitarse físicamente (y aquí viene lo importante) siempre y cuando esté excitada emocionalmente.

    Lybrido no produce una excitación artificial, sino que permite que la excitación “natural” se manifieste cuando esta está impedida por una baja en la testosterona de la mujer. Aunque el medicamento no estará disponible sino hasta el 2016, los escépticos del Lybrido ya afirman que se trata de una pastilla para volver “ninfómanas” a las mujeres, y en medios como el New York Times (“salvar la monogamia”) se han reflejado dudas sobre la pertinencia de producir una droga que permita al deseo femenino manifestarse –argumentos, cuando los hay, que parecen hacer ver como que la hegemonía falocentrista tiembla nuevamente de miedo. ¿Por qué? Porque darle testosterona a una mujer les presenta a la imaginación las caricaturas de hordas de mujeres sedientas de sexo. La realidad es mucho peor.

    El doctor Jos Bloemers, director de operaciones de Emotional Brain B.V. en Holanda, donde se desarrolla Lybrido, afirmó que “hay una relación entre la administración de testosterona y la agresión, pero esto sólo se presenta cuando se administran altas dosis cada día. Necesitarías tomar más de 100 tabletas de Lybrido o Lybridos al día por un largo periodo de tiempo para ver tales efectos.”

    Y es que, al igual que el Viagra, Lybrido vuelve al cerebro más sensible al estímulo sexual, pero por sí misma ninguna droga es mágica: “Un estímulo sexual puede inducir una respuesta sexual”, afirma Bloemers, “pero el estímulo necesita ser suficientemente potente.” Dicho de otro modo, si la pareja sexual de una mujer no es apta para encender su deseo sexual durante las 3 a 6 horas que dura el efecto de la pastilla, Lybrido no hará el trabajo por sí mismo.

    Más que la preocupación por las posibles complicaciones de Lybrido, sus “críticos tienen miedo de que signifique que la mujer puede tomar el control de su propia sexualidad de esta manera”, dice la doctora Susan Harper, socióloga, antropóloga y profesora de sexualidad, salud femenina y estudios de género en Texas. “Tienen miedo de que las mujeres que usen Lybrido serán capaces de usarlo para tener sexo cuando quieran, por su propia voluntad, más que esperar a que los hombres tomen la iniciativa. Nadie expresó preocupaciones similares sobre el Viagra.”

    El problema de fondo, la terrible realidad, sigue siendo cultural: un dossier de Sin Embargo analiza desde diversas ópticas la manera en que la violencia de género no sólo se manifiesta con total impunidad en México, sino que las mismas autoridades suelen ser cómplices de la perpetuación de la cultura de la violación al consecuentar el maltrato físico de un hombre hacia la mujer si esta “no cumple con sus obligaciones” como mujer, a saber, el estar disponible sexualmente cuando el hombre la requiera, como un objeto sexual.

    Publicada por: TOMADO DE LAPATILLA.COM

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