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Viagra Description

The drug Sildenafil citrate is sold under the brand name Viagra by the pharmaceutical company Pfizer. Other brand names for the drug are Revatio and both serve the same function. The drug is prescribed in cases of erectile dysfunction and pulmonary arterial hypertension. It is known to be effective in increasing exercise related stamina in both men and women. It has been available in the markets since then. In a clinical trial on 3000 patients, Viagra was found effective for sustaining erection in 60 to 80% of the patients. Viagra has received approval from the Food and Drug Administration of USA in March 1998.

Conditions Treated by Viagra

Viagra is mainly used to treat erectile dysfunction. It is a drug that is administered orally. The pill is a small one and can be easily taken. It needs to be between one and half to four hours before sexual intercourse. Taking the pill one hour before is the ideal time. Viagra is also effective in keeping high blood pressure under control. The drug is effective in both cases because of the mechanism of action. Sildenfil citrate helps to relax muscles and increases blood supply to certain organ. This is why the drug is effective for the above mentioned problems and has also been used by sportsmen for enhancing their performance.

Viagra Dosage Information

a.) Typical Dosage Recommendations

Viagra is available in the form of an oral pill. This tiny, blue pill comes in a diamond shape usually in a packet of four. There are a range of doses available from 25mg to 100mg. In case of erectile dysfunction Viagra needs to be taken a minimum of half an hour to four hours before sexual intercourse. The dose of Viagra for erectile dysfunction is usually 25 mg to 100 mg taken not more than once per day between 30 minutes and 4 hours prior to sexual intercourse.

b.) Missing A Dose

Viagra is not a medicine that is prescribed in a fixed dose format. Since it is linked to sexual performance it needs to be taken only before intercourse. So there are health problems in case of missing a dose.

c.) Overdosing

Excessive consumption of Viagra can pose health problems. If there is overdose, it is important to seek medical help immediately. Usually in such cases the individual will experience dizziness, pain in the chest and uneasiness. There could be nausea and some irregularities in heartbeats.

Viagra Warnings

Viagra can sometimes cause vision related problems. Therefore people who have a history of eye-related problems must exercise caution while taking the drug. Usually patients above 50 years of age are required to take a detailed medical examination before the doctor can prescribe the drug. As is always prescribed, patients must provide their compete medical history before the doctors prescribes the drug. Any pre-existing complications with erection should be reported. Also since Viagra can result in irregular heartbeats, patient need to inform the doctor if they have any history of hart related problems, or problems associated with the kidney or liver.

Viagra Side Effects

Remember that there are some precautions that the patient who takes Viagra must follow. For instance alcohol should not be taken with the drug, as it is more likely to have side effects. Usually Viagra can cause some amount of dizziness. There can also be some problems with urination. In a small minority, there have been vision related problems or even rashes on the skin. It is particularly important that these three problems should be reported as an emergency. There could be other side effects also such as swollen feet, especially around the ankles. At times there could be a change in the sense of hearing or even loss of hearing. These are uncommon though, and if observed, they should be reported soon. Some patients also experience a kind of pain or uneasiness in the chest. Often this pain could extend as far as the arm or one side of the body also. It could often begin as a slight tingling in the chest region, at the time of sexual intercourse. Although it might seem too minor, a doctor must be consulted immediately. Painful erection or one that lasts for too long is also something that needs to be reported to the doctor. Apart from these side effects there are also minor ones. There could be a headache or pain in the back and lumbar region. Some people might also experience a blocked nose or some kind of redness on their face. This could be accompanied by a warm sensation on the neck, chest or face. Some people also face problems related to their memory. None of these side effects should ever be overlooked. It is best to consult a doctor at the right time rather than attempting self-medication or any home remedies. If the patient experiences any of the above suddenly such as losing vision during sexual intercourse of feeling giddy then it must be treated as an emergency.

Drug Interactions With Viagra

Viagra works not only in erectile dysfunction cases but also those, which are related to blood pressure or hypertension. Therefore the drug interactions are likely to be several. It is necessary for patients to inform the doctor about all other medications that they might be taking. This is in order to avoid any interactions between two drugs and the ensuing complications.

Patients who are already taking some nitrate medicines are especially told to avoid taking Viagra. Many of the drugs used for the treatment of tuberculosis such as:

Similarly some drugs prescribed to people with HIV/AIDS can also cause complications. Most of the drugs used for heart disease and blood pressure such as:

This is also why patients with existing hypertension are not prescribed Viagra. Some drugs used in psychiatric conditions such as depression can also interact with Viagra. This includes the drug Nefazodone. Some kinds of antibiotic drugs or drugs used in fungal infections are also known to interact adversely with Viagra.

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Notice: The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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  • Murph79, Jul 31, 2005, in forum: Surgery and Surgical SubspecialtiesJust because someone sinks a lot of time into studying doesn't mean they are doing it efficiently.
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My GRE scores were all slightly above average but nothing super impressive (also nothing to be too disappointed in either).

Carlson is a big draw to come to this program. Many of us PAs don't like it either. It's definitely been in the press for a little whileIf I were reviewing your application, it would make me wonder what sort of roles you played in projects and if they were "authorship level" roles. Right now I just want to lay down and cry, so I'll just go and do that! As someone interested in medicine, assembling all the pieces of the puzzle can be overwhelming. " The environment for hypothesis driven basic research, and for translational and collaborative research at Northwestern University and the Northwestern Memorial Hospital is outstanding. I'm not saying the chances are good, but just hoping they are considering.

We don't have such thing as combined Rads and Nucs programs. I agree that online viagra the Kaplan tests are far more difficult than the AAMC tests. Thank you for the information. It''s like their own version of the 'blue book. Also, realize that there will be some experiences that the underserved experience that you will not be able to relate to, and that is okay. 0, varsity athlete and cured a form of cancer viagra lol. Going to a school with accreditation issues is not a good idea. Wyoming has a small population but you could put it in Cheyenne which isn't far from major metro areas in CO.

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Eh, it looks far more complicated than it actually is. The fact that women enter primary care in larger numbers is the absolute nitty-gritty of this debate, but the article only barely brushes on it. I was like man 5 bucks and all software (just like healthcare haha) should be free but its cheaper than a Chipotle burrito and is pretty good for what you get.

If he were teaching me during my intern, PGY-1, PGY-2, or PGY-3 year (assuming I end up in a 3 year EM program) you can bet I'd listen and soak up every ounce of wisdom he had to offer as well as any evaluation of my performance.

"No matter what, be truthful to yourself when studying" by G-dawgOf course this is all assuming medicare decides not to f#ck us on a whim, which really is what makes medicine so stressful.

As a resident- what to read besides tintinelli and rosenLuckily she said they can accept my Fine buy viagra art Appreciation class for the. Maybe someone can direct me. I'm going to say we won't hear anything until later next month (although I'd love for you to be right ). I tend to get along with most people.

Many of you suggested I find a way viagra to do this. It may be just the motivation they need to send out a second round of II's. 5 wks and found the test quite simple and straightforward but poorly written! I had serious health and family issues, and I should have deferred a year, but I was desperate to leave for school. The best preparation you can do is to do well in your classes at school; work hard and you will get a higher GPA AND be prepared for the OAT. Why pay "tax" for buying online DIT course. When do they online viagra begin sending out acceptances, and do they stagger the acceptances on a monthly cycle. For those of you that received interview invitation, did you submit the secondary application. Medical College of Wisconsin (can argue between 4 and 5)

500hrs lab animal (cotton rats, quail, rabbits, deer)Anyhow, I'm doin my last year of med school here in chicago, was born in Algiers (Hussein Dey to be precise), and came to the U. My question is, does anybody here know of the number or email of my local cheap viagra recruit (or any recruiter that could. In what direction must the boat be pointed to reach a point on the opposite shore that is directly across from the point of its departure in a time of 20 seconds. but I have not been a member for extremely long and the site has already grown on me. I just withdrew, so here's hoping that my interview slot goes to someone here.

I actually know a few residents and they seem very unhappy, like they were the children of wealthy parents and really didn't know what they were getting themselves into, everyone in their family is successful and goes to graduate school.

They all present their own unique challenges, and they're all surmountable. Residents don't have a hard time going where they want for fellowship or buy viagra getting a job, and Dr.

They are going to receive apps starting early July.

Then when i went back through my notes while studying for boards, it seemed like kid cheap viagra stuff. Downloading it to my iPad as I type, anyone else try it. Even though people always talk about all the money in Australia from mining, there is also a ton of money from their building sector. Some ppl take a post bac program, some are geared towards med schoolAnyone out there have any advice for those of us wait-listed. D. I took a few notes for reference (1/paragraph). I love buy viagra online you, but if you are depressed and refuse to seek help and make a good faith effort, I can't be with you anymore because it is driving me into the ground"if anything, that just shows you how silly those rankings are. Coding isn't that hard – being innovative is though. Working on one radiology project at a university, hoping to send it for publication soon(-third author)The 25% rule is ridiculous, there is a shortage of intensivists of which we are seeing dramatic increases in interested em applicants yet many programs have limited spots for em because of this rule. I just meant to confirm he is a legitimate source.

One group here has joined w cheap viagra a uro-rad type practice and all of a sudden their referrals have decreased substantially. CABG, Valve, Aortas etc are going to be the most senior resident/fellow.

It's probably what people with GAD with panic attacks feel.

It seems even more competitive to get into the Loan Repayment prgm. The only way to guarantee no injuries in dance is to not dance. I am now in the final year of my MSW program and I am happy with the route I chose. Then when I got the bedside the whole medicine team was there buy viagra and were planning on a stat CT. However, I suspect that you're shooting for a score in the 30's viagra and not a 45, so that's ok. Receiving II while at an interview in another schoolt=566404), and I was hoping that you could comment on them? It will take the packets a couple of days to make it out to state.

How important are pre reqs for the material you are learning in PA programs. You absolutely rocked the PAT and those scores are awesome. Just thought I'd let everyone know that there will be at least one seat open.

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Lastly, which is obvious, do great on your interview day. Links to threads about books for MS3 & rotations in generalWhat's the life of a typical cardiothoracic surgeon. I thought about enrolling in a MCAT prep course and doing really great on the MCAT to improve my chances, but online viagra with my science courses being almost 10 years old would I be wasting my time. viagra

'Rich' is having so much money that you or your kids never have to work againIf you don't find your answer in the following links, please feel free to add your post to that thread.

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Viagra: How Young Is Too Young?

From the WebMD Archives

Rafael Palmeiro seems an unlikely Viagra pitchman. The Texas Rangers slugger is only 37 and won’t admit to having erection problems, yet he recently agreed to appear in ads promoting the drug. The deal has made people wonder whether Palmeiro really represents men with erectile dysfunction. or whether Pfizer, the company that makes Viagra, wants to persuade young men to try it for fun.

It’s true that erectile dysfunction is more common in older men, but many potential Viagra users are hardly senior citizens: About 40% of 40-year-old men in the U.S. have some degree of erectile dysfunction. Most Viagra users today, according to Pfizer, are in their early to mid 50s. So it makes sense that the company would want to reach more men around Palmeiro’s age.

Urologist Myron Murdock, medical director of the Impotence Institute of America, says these men are likely to use Viagra because sexual performance is a high priority for them.

A younger man, Murdock says, “wants his V-12 Jaguar working just perfectly,” whereas an elderly gent may be content with less dependable erections. What’s more, the sexual partners of younger men “are more demanding of their performance,” Murdock says.

Pfizer denies that it’s promoting Viagra for recreational use. “We’ve consistently opposed that,” says spokesman Geoff Cook. Nevertheless, Murdock says it’s fine to pop the little blue pill to “optimize” your sexual performance.

We assume all young men have normal sexual functioning, “but they’re really not normal,” Murdock says. Hardening of the arteries. which restricts blood flow to the penis. can begin during the teen years, so that by the time a man is in his 20s, his ability to get and keep an erection has already begun to decline. Murdock says many men who seek Viagra for recreational use actually have minor erectile dysfunction.

There’s also some evidence that Viagra can shorten the time it takes a man to recover after sex and be ready for another round. This is called the “refractory period.” Normally it lasts 20 minutes or longer. One study, published in the journal Human Reproduction in January 2000, found that Viagra shortened the refractory period by about 10 minutes in healthy men .

Continued

What Viagra cannot do is increase your sexual appetite or make you ejaculate if you have problems reaching orgasm. Ira Sharlip, urologist in San Francisco, says you shouldn’t expect your erections to reach staggering new proportions, either. “I don’t believe that Viagra can increase an erection beyond 100% of normal,” he says.

“Viagra is a super-safe drug,” Murdock says, assuming you have a healthy heart and don’t take nitrates.

Nitrates include nitroglycerin — a drug that many men take for chest pain from heart disease — and “poppers.” Poppers are little vials of amyl or butyl nitrate. Breaking the vial releases nitrate vapor, which gives a brief high when inhaled. It’s most often used to enhance sexual pleasure, and mostly by gay men. Poppers are not all that safe to use on their own, and they’re especially dangerous when you’re on Viagra.

Nitrates widen blood vessels, and Viagra increases that effect. Mixing the two can cause your blood pressure to drop drastically. A sudden drop in blood pressure can make you pass out, and you may die if your blood pressure stays too low for too long.

Preservatives like sodium nitrate — found in processed food — do not cause this problem, so you won’t die from eating a hot dog while on Viagra. Even so, it’s best to take it on an empty stomach. That way, the drug absorbs into your bloodstream faster. Wine may contain nitrates, but not the kind that cause problems with Viagra. It’s fine to play some Marvin Gaye on the stereo and sip a glass of Chardonnay, if that’s what puts you in the mood.

Although you may be tempted to order Viagra discreetly from one of the hundreds of Web sites that sell it, don’t. “It’s bad medicine,” Murdock says. You really must bring your doctor into your sex life if you want to use Viagra.

When you buy from an online pharmacy, you just have to answer some health questions before you proceed to the checkout page. If you answer honestly — and that might be a big “if” for those determined to get what they want — the questionnaire may catch some possible complications. But the pharmacists who fill your order don’t know your medical history, and no questionnaire can diagnose the root cause of your problem. Erectile dysfunction can have serious underlying causes, like diabetes. heart disease. liver disease, or thyroid disease.

Continued

Cook says Pfizer is opposed to Internet Viagra sales. “Our goal with any of our marketing is simply to reach men and encourage them to see a doctor,” he says.

It seems that Viagra can make sex better for women, too. Like the penis. the clitoris is erectile tissue — spongy tissue that becomes engorged with blood during sexual excitement. By increasing blood flow to the clitoris, Viagra may heighten a woman’s sensation and arousal. It also seems to increase vaginal lubrication.

Murdock says many couples like to heat things up by splitting a dose of Viagra. “It’s an interesting sexual situation,” he says. The recommended dosage for men is up to 100 milligrams per day, and that seems to be just as safe for women. Young people may get results from a smaller dose: As little as 25 mg may be enough.

The FDA has not approved Viagra for women, but Murdock says, “It’s just a matter of time.” He says he and other doctors who specialize in sexual medicine prescribe it to women, which is perfectly legal. Doctors are allowed to use their best judgment. Drug companies, however, can’t advertise any use that isn’t FDA-approved.

The studies being done to test Viagra’s safety and effectiveness in women have shown good results so far. “We’re cautiously optimistic,” Cook says.

Martin F. Downs is a health writer in New York City. He was formerly an editor at CBS HealthWatch. He has also written for Health.com, Salon.com, and POZ magazine and is the editor of the Alicubi Journal (alicubi.com).

В© 2002 WebMD, Inc. All rights reserved.

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Common use

The main component of Viagra is Sildenafil Citrate.
Sildenafil Citrate affects the response to sexual stimulation. It acts by enhancing smooth muscle relaxation using nitric oxide, a chemical that is normally released in response to sexual stimulation. This smooth muscle relaxation allows increased blood flow into certain areas of the penis, which leads to an erection.
Sildenafil Citrate is applied for the treatment of erectile dysfunction (impotence) in men and pulmonary arterial hypertension.
Sildenafil Citrate may also be used for other purposes not listed above.

Dosage and direction

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

Precautions

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

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

Possible side effect

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

Drug interaction

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

Missed dose

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

Overdose

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

Storage

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

Disclaimer

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

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Common use

The main component of Viagra is Sildenafil Citrate.
Sildenafil Citrate affects the response to sexual stimulation. It acts by enhancing smooth muscle relaxation using nitric oxide, a chemical that is normally released in response to sexual stimulation. This smooth muscle relaxation allows increased blood flow into certain areas of the penis, which leads to an erection.
Sildenafil Citrate is applied for the treatment of erectile dysfunction (impotence) in men and pulmonary arterial hypertension.
Sildenafil Citrate may also be used for other purposes not listed above.

Dosage and direction

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

Precautions

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

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

Possible side effect

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

Drug interaction

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

Missed dose

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

Overdose

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

Storage

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

Disclaimer

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

Common use

The main component of Viagra is Sildenafil Citrate.
Sildenafil Citrate affects the response to sexual stimulation. It acts by enhancing smooth muscle relaxation using nitric oxide, a chemical that is normally released in response to sexual stimulation. This smooth muscle relaxation allows increased blood flow into certain areas of the penis, which leads to an erection.
Sildenafil Citrate is applied for the treatment of erectile dysfunction (impotence) in men and pulmonary arterial hypertension.
Sildenafil Citrate may also be used for other purposes not listed above.

Dosage and direction

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

Precautions

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

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

Possible side effect

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

Drug interaction

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

Missed dose

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

Overdose

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

Storage

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

Disclaimer

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

Common use

The main component of Viagra is Sildenafil Citrate.
Sildenafil Citrate affects the response to sexual stimulation. It acts by enhancing smooth muscle relaxation using nitric oxide, a chemical that is normally released in response to sexual stimulation. This smooth muscle relaxation allows increased blood flow into certain areas of the penis, which leads to an erection.
Sildenafil Citrate is applied for the treatment of erectile dysfunction (impotence) in men and pulmonary arterial hypertension.
Sildenafil Citrate may also be used for other purposes not listed above.

Dosage and direction

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

Precautions

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

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

Possible side effect

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

Drug interaction

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

Missed dose

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

Overdose

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

Storage

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

Disclaimer

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

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Presso la nostra farmacia Italiana online troverete questi ed altri preparati che si differenziano per il prezzo relativamente basso e per la qualitГ . Il nostro vantaggio consiste nel fatto che presso di noi troverete:

  • I prezzi piГ№ bassi su Internet
  • Un servizio online sicuro e di qualitГ 
  • Consegna rapida e garantita in tutto il mondo 24 ore al giorno
  • Non pretendiamo alcuna ricetta e presso di noi l’acquisto dei preparati avviene in modo rapido e comodo.

Presso di noi troverete inoltre medicamenti di qualità e a buon prezzo che vi verranno rapidamente consegnati ovunque voi risediate. Disponiamo di un enorme assortimento farmitaliana.com di merce affidabile al 100%, dal momento che tutti i nostri preparati sono soggetti ad un accurato controllo e ci vengono forniti direttamente dalle aziende farmaceutiche. Ciò permette di ridurre i prezzi ed altresì di aiutare i pazienti a condurre il corso di guarigione in modo migliore e più rapido.
Ora non ha piГ№ bisogno di andare in farmacia per comprare il Viagra. Cialis. Levitra. Kamagra. Priligy puГІ facilmente acquistarlo online.

Farmacia Italiana CittГ 

Address: Piazza Gabriotti, 1 – 06012 CittГ  di Castello – ITALY. Phone Number: (+39) 075-85491
Farmacia Italiana CittГ : Roma, Milano, Napoli, Torino, Palermo, Genova, Bologna, Firenze, Bari, Catania, Venezia, Verona, Messina, Padova, Trieste, Taranto, Brescia, Prato, Reggio, Modena, Parma, Reggio.

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Private vs NHS Prescriptions Explained

From the questions we receive, it is clear that there is a lot of public confusion with regard to prescriptions in the UK. Questions range from “I am eligible for NHS prescriptions so why do I have to pay more?” to “I have medical insurance, can I claim back on your service?” We hope this guide to UK prescriptions will help explain the difference between a prescription that has been issued privately and a prescription that has been issued on the NHS.

1) Cost – an NHS prescription is much cheaper!

An NHS prescription costs ВЈ8.05 (correct as of 1st April 2014). The price includes 2 components:

  • The cost of the doctor issuing the prescription
  • The cost of the medication – subsidised by the NHS

With a private prescription, you pay the full cost (unsubsidised) of the medication. In addition, you may or may not pay a fee to the doctor to issue the private prescription.

2) Availability – not all treatments are available on an NHS prescription.

Treatments definitely not available on the NHS include Propecia (hairloss), Priligy (Premature Ejaculation) and Intrinsa (Libido Loss).

Viagra, Cialis and Levitra (including Levitra Orodispersible, Cialis Daily, Nipatra and Sildenafil/ generic Viagra) are available on the NHS but you need to meet the NHS’s strict qualification criteria which, in practice, limits NHS treatment to about 10% of UK sufferers. Even if you do qualify for NHS treatment, you are only allowed x 4 tablets per month – see next FAQ for more detailed information on eligibility criteria.

Some treatments are notionally available on the NHS but it can come down to where you live in the UK – the so-called post code lottery. For example, Malarone (anti-malarial) and some of the more expensive oral contraceptives such as Yasmin are generally only available on a private prescription but might be available depending on your local surgery’s budget or your willingness and ability to push your doctor into prescribing what you want.

Champix (anti-smoking) is available on the NHS for first timers but generally will not be made available for lapsed smokers.

Medication for erectile dysfunction (ED) is only available on the NHS for a limited list of medical conditions.

Men whose ED is associated with any of the following conditions are eligible to receive treatment on an NHS prescription:

  • diabetes
  • polio
  • prostate cancer
  • removal of the prostate gland (prostatectomy, including men who have had a transurethral resection of the prostate)
  • kidney failure requiring dialysis
  • kidney transplant
  • multiple sclerosis
  • Parkinson’s disease
  • radical pelvic surgery
  • severe pelvic injury
  • single-gene neurological conditions
  • spinal cord injury
  • spina bifida.

If ED is considered to cause you severe stress or other psychological issues, you can also receive treatment on the NHS – although this will need to be assessed by a specialist.

Men who were already receiving NHS treatment for erectile dysfunction on 14 September 1998 can continue to receive it on the NHS.

Not all GPs charge a fee for issuing a private prescription so it is worth checking whether or how much your local GP charges. Most GPs do charge however. The standard fee for a GP to issue a prescription privately ranges from around ВЈ15-ВЈ20. With a private clinic, the fees start from ВЈ50 upwards.

An example of the difference in cost between a private and an NHS prescription?

A good example is Viagra

In the UK, only about 10% of people who suffer from erectile dysfunction are entitled to an NHS prescription for Viagra e.g. people with prostate cancer or Type 2 Diabetes sufferers. Where a patient is eligible for NHS treatment, medication is limited to 4 tablets per month.

As a result, we find an increasing number of customers come to us and use our service in order to “top up” their NHS monthly allowance.

Viagra 100mg x 4

Our prices include the cost of the medication + the cost of issuing a private prescription by our doctor. There is an additional charge for delivery. We offer an automatic discount of ВЈ7.50 on any repeat orders, making our service one of the cheapest online services in the UK.

With a private prescription, a doctor is not restricted to offering the minimum number of tablets or the cheapest treatment option. Indeed, a doctor may be happy to offer more than one treatment on the same prescription. For example, when treating erectile dysfunction, he might prescribe a combination of Cialis, Viagra and Levitra. allowing the patient to evaluate the different treatments and determine which of the treatments suits him best.

With the PharmaDoctor private prescription service, our doctors are happy to prescribe ED trial packs giving you the chance to try each of the different treatments under one prescription. Our doctors recommend this strategy for first-time patients as the best way to find the most suitable treatment.

There are 4 x ED Trial packs in the range offering savings of at least 20% compared with buying the treatments individually.

Any qualified doctor who is either registered with the GMC or with the equivalent body in the EU.

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Private Prescription Charges For Viagra

Private Prescription Charges For Viagra 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, Private Prescription Charges For Viagra is the perfect place to spend a relaxing weekend or a lifetime.

Whether you are interested in researching your genealogy in the Worcester Room of the Worcester County Library. renting a kayak from the Pocomoke River Canoe Company to paddle on an undeveloped natural river, or studying the architecture of historic homes and beautiful churches while taking the Historic Walking Tour, Private Prescription Charges For Viagra has something for everyone. You will find recreational opportunities in Byrd Park and Sturgis Park, artifacts at the Julia A. Purnell Museum. and treasures in the shops and art galleries.

The beautiful rural setting boasts rich farmland that has been the mainstay of the economy of the county seat of Worcester County for centuries. The rich heritage of this area is celebrated daily at Furnace Town Living Heritage Museum and during a summer festival every August with The Blessing of the Combines.

The town of Private Prescription Charges For Viagra welcomes you as you explore our small town steeped in history and tradition but alive with charm and activities.

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

TICKET PRICES

Viagra On Private Prescription sale
Adults: $25
Seniors: $20 (65 or older)
Students (HS & under): $10

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

FLEX PASS

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

CONTACT INFO

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

Viagra On Private Prescription

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Viagra

GENERIC NAME(S): SILDENAFIL CITRATE

Uses

Sildenafil is used to treat male sexual function problems (impotence or erectile dysfunction -ED). In combination with sexual stimulation, sildenafil works by increasing blood flow to the penis to help a man get and keep an erection.

OTHER USES: This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional.

Sildenafil is also available in other brands and strengths for treating high blood pressure in the lungs (pulmonary hypertension ). Do not take this medication with any other product that contains sildenafil or other similar medications for erectile dysfunction -ED or pulmonary hypertension (such as tadalafil, vardenafil).

How to use Viagra

Read the Patient Information Leaflet provided by your pharmacist before you start taking sildenafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

To treat erectile dysfunction -ED, take this drug by mouth as directed by your doctor, usually as needed. Take sildenafil at least 30 minutes, but no more than 4 hours, before sexual activity (1 hour before is the most effective). Do not take more than once daily.

A high-fat meal may delay how quickly the drug begins to work.

The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Tell your doctor if your condition does not improve.

Side Effects

Dizziness. headache. flushing, or stomach upset may occur. Vision changes such as increased sensitivity to light, blurred vision. or trouble telling blue and green colors apart may also occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Sexual activity may put extra strain on your heart. especially if you have heart problems. If you have heart problems and experience any of these serious side effects while having sex. stop and get medical help right away: severe dizziness, fainting. chest/jaw/left arm pain, nausea .

Rarely, sudden decreased vision. including permanent blindness, in one or both eyes (NAION) may occur. If this serious problem occurs, stop taking sildenafil and get medical help right away. You have a slightly greater chance of developing NAION if you have heart disease. diabetes. high cholesterol. certain other eye problems (“crowded disk”), high blood pressure. if you are over 50, or if you smoke.

Rarely, a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness, may occur. Stop taking sildenafil and get medical help right away if these effects occur.

In the rare event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and get medical help right away, or permanent problems could occur.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction. including: rash. itching /swelling (especially of the face/tongue /throat), severe dizziness, trouble breathing .

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before taking sildenafil, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months, chest pain/angina, heart failure), stroke in the past 6 months, kidney disease, liver disease, high or low blood pressure. a severe loss of body water (dehydration), penis conditions (such as angulation, fibrosis/scarring, Peyronie’s disease ), history of painful/prolonged erection (priapism), conditions that may increase the risk of priapism (such as sickle cell anemia. leukemia, multiple myeloma ), eye problems (such as retinitis pigmentosa. sudden decreased vision, NAION).

This drug may make you dizzy or cause vision problems. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Limit alcoholic beverages.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

This brand of the drug is usually not used in women. During pregnancy, sildenafil should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.

Interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

A product that may interact with this drug is: riociguat.

Sildenafil can cause a serious drop in your blood pressure when used with nitrates. A serious drop in blood pressure can lead to dizziness, fainting, and rarely heart attack or stroke. Do not use sildenafil with any of the following: certain drugs used to treat chest pain/angina (nitrates such as nitroglycerin, isosorbide), recreational drugs called “poppers” containing amyl nitrate, amyl nitrite, or butyl nitrite.

If you are also taking an alpha blocker medication (such as doxazosin, tamsulosin) to treat an enlarged prostate/BPH or high blood pressure, your blood pressure may get too low which can lead to dizziness or fainting. Your doctor may start treatment with a lower dose of sildenafil to minimize your risk of low blood pressure.

Other medications can affect the removal of sildenafil from your body, which may affect how sildenafil works. Examples include azole antifungals (such as itraconazole, ketoconazole), macrolide antibiotics (such as clarithromycin, erythromycin), HIV protease inhibitors (such as ritonavir, saquinavir), hepatitis C virus protease inhibitors (such as boceprevir, telaprevir), mifepristone, rifampin, among others.

Do not take this medication with any other product that contains sildenafil or other similar medications for erectile dysfunction-ED or pulmonary hypertension (such as tadalafil, vardenafil).

Overdose

If overdose is suspected, contact a poison control center or emergency room right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include severe dizziness, fainting, painful/prolonged erection.

Notes

Do not share this medication with others.

Missed Dose

Storage

Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

Information last revised October 2015. Copyright(c) 2015 First Databank, Inc.

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Is it safe for my husband to take cialis or viagra if past expiration date?

Thanks for sharing your question with the EmpowHER community! Even though you would think an expiration date on pills would mean that’s the last date you can take them, several medications can be taken past their expiration date.

It definitely depends on the type of medication you are taking, however. In the cases of Cialis and Viagra, it is ok to take the pills past the labeled expiration date. Especially if you are storing the medications properly by sealing them tightly and keeping them in the dark, they are safe to take and won’t cause any harmful symptoms. It’s also important to note that the effectiveness of medication may wear off the older it gets.

Based on my research, I found that many pharmaceutical companies mark medications with expiration dates based off tests that show the time period the medications stay most effective. Some pharmaceutical companies may also have policies stating they can only support medications for a certain number of years. In many cases, however, medications can last past the expiration date.

The accuracy of expiration dates depends on the type of medication in some cases. Certain medications for health issues like thyroid and heart conditions should be taken before the expiration date and not used after.

It’s a good idea to talk to your pharmacist about medications and expiration dates. Since they specialize in different types of medications, they can give you a good idea about medications that are safe to take past the expiration date and which ones are more time sensitive.

Hope this helped and please let me know if you have any other questions!

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This Comment

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What happens when you take expired Viagra?

Ok. I do not want thunderbolts and lightening to strike me for saying this. but many drugs retain their efficacy and safety values past the expiration date. how far past this date is another question! The expiration date is a date that establishes a legal guarantee of safety and effectiveness.

Some examples of drugs that are definitely NOT GOOD after the expiration date are nitroglycerin and antibiotics. How drugs are stored also play huge factors in whether they retain their “freshness” (even if they are not expired..like if you are storing allergy meds in your car and you live in Yuma, Arizona. duh.)

If I were you, I would call my doctor and ask him/her. most doctors I know will tell me if I can still use something I find any hidden in a drawer after a couple of years (ok, once I asked about a sample that was 14 years old). You can leave a message on the nurse’s voice mail and ask if there are any dangerous side effects of expired Viagra.

How Long Does Viagra Last After Expiration?

Not everyone gets through their prescriptions quickly, and they find themselves looking at the expiration date and wondering “Does this last?”

It does, sort of. Viagra, like any drug, loses its effectiveness over time as the molecules in the drug break down. This is why most pharmacies recommend taking medication within one year of prescription; after that point, the drug will be less effective.

However, there are no side effects that come from taking expired Viagra, except for the side effects the drug itself may cause. There’s simply less of it to affect you, in fact, so those side effects may be milder. You should still not take Viagra, even “expired” Viagra, if you have a severe reaction to a full dose.

Five years from manufacture, it will be completely inert. Until then, it will simply have a weaker effect than a full, fresh dose, and the older the drug, the weaker the effect will be. If you’d like to extend the life of your Viagra, put it in a refrigerator; the cold will keep more of the drug active for longer, due to the cold preventing molecular breakdown. Otherwise, you can take the Viagra: just don’t expect quite as much of a lift.

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    Is Viagra Haram In Islam

    Is Viagra Haram In Islam 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, Is Viagra Haram In Islam is the perfect place to spend a relaxing weekend or a lifetime.

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    Wireless Innovation Alliance // Jun. 16

    Earlier today, Reps. Darrell Issa (R-CA) and Anna Eshoo (D-CA) sent the attached letter to FCC Chairman Tom Wheeler on the importance of establishing the technical rules necessary to allow unlicensed use of the 600 MHz band. The Wireless Innovation Alliance (WIA) released the statement below in response. More

    Wireless Innovation Alliance // Apr. 17

    The Wireless Innovation Alliance (WIA) released the statement below on today’s FCC Open Meeting where the Commission approved an order to implement a spectrum sharing framework in the 3550-3700 MHz band. More

    Wireless Internet Service Providers Association // 10:05 AM EST// Mar. 23

    The National Association of Broadcasters (NAB) wants the FCC to declare an “emergency” and shut down the databases that let small businesses and others deliver broadband over vacant spectrum near television channels. More

    Wireless Innovation Alliance // 6:06 PM EST// Feb. 10

    The Wireless Innovation Alliance (WIA) released the statement below in response to the introduction of the House and Senate Wi-Fi Innovation Act More

    Wireless Innovation Alliance // 4:44 PM EST// Jan. 28

    The Wireless Innovation Alliance applauds the FCC for telling Marriott International, Inc. – and everyone else – that it is illegal to interfere with lawful communications. More

    Wireless Innovation Alliance // 3:00 PM EST// Dec. 15

    This October, the FCC found Marriott’s Gaylord Opryland Hotel and Convention Center to be guilty of blocking guests’ personal Wi-Fi hotspots and fined Marriott International $600,000. Lend your social voice to our Thunderclap. More

    Wireless Innovation Alliance // 5:47 PM EST// Sep. 4

    FCC Chairman Tom Wheeler acknowledged the critical role unlicensed spectrum plays in growing competition in the broadband marketplace stating that the FCC’s “efforts to expand the amount of unlicensed spectrum creates alternative competitive pathways.” More

    The Hill // 9:25 AM EST// Jun. 16

    CEA released a report, Unlicensed Spectrum and the American Economy, examining the economic impact of unlicensed spectrum on the American economy. More

    The Wireless Innovation Alliance (WIA) is a broad-based group of innovators, providers, consumer groups, think tanks and education organizations that believe that more efficient use and expanded access to the nation’s spectrum resources are fundamental to the future of U.S. economic policy and global competitiveness, and that we face potential spectrum scarcities in both licensed and unlicensed bands that must be addressed in order for innovation and investment to move forward.

    Spectrum, and specifically, the most efficient and expansive use of this most valuable natural resource, is fundamental to the future of U.S. economic growth, and global competitiveness. United States spectrum policy must also be efficient and flexible as well, so that we can encourage and accommodate new and innovative ways to meet the growing demand for wireless services and applications, and the growing inability – in both licensed and unlicensed bands – to meet that demand.

    Boko Haram Terrorists Hooked on the Jihadist Drug of Choice: Viagra

    CALABAR, Nigeria — Every time the Nigerian military raids Boko Haram hideouts in northeast Nigeria, soldiers report intriguing stockpiles quite apart from the predictable guns, bombs, and machetes. Often these include magical amulets and trinkets, and, frequently, quantities of Viagra and similar sex-enhancing pharmaceuticals.

    There is a reason for the obsession with erectile function, and it is common to most of the extreme jihadist movements, especially those, like Boko Haram, that have pledged allegiance to the so-called caliphate that claims the name “Islamic State”: the promise of sex is a great recruiting tool, and sexual prowess is deemed to have mystical powers.

    Thus in Iraq, ISIS has a record of enslaving women and girls deemed “non-believers,” then handing them over to the not-so-tender ministrations of men with years of pent-up frustrations. In Nigeria, Boko Haram has made the kidnapping of young women, like the girls taken from Chibok school two years ago. almost a trademark of its movement. Such practices, from the jihadist point of view, have a couple of benefits. They sow terror at the same time they attract young men to jihadist ranks.

    But we have to be careful here. The jihadists’ enemies are forever claiming they are sex-mad monsters more interested in concubines than the Quran.

    EPA

    “When the military captured their bases and training camps, they never found Quran or other Islamic books,” Nigerian army spokesman Sani Usman said in a statement released last September after a number of camps were raided. “What they found were ammunition, local charms, condoms and all sort of drugs including sex enhancing ones in their enclaves.”

    In fact, independent analysts confirm this general picture. The talismans, according to a non-military source, are not in the least Islamic, and they have a special purpose: “When the girls aren’t scared of dying even with a gun pointed at them, the militants use local charms to hypnotize and lure them,” said Yusuf Mohammed, a respected Arabic scholar and community organizer in the northeastern town of Maiduguri who also assists the city’s main vigilante group, the Civilian Joint Task Force, in intelligence gathering. “And because they sleep with so many girls in a day, they are forced to depend on sex enhancing drugs so as to last long in the act, and a condom when they suspect a woman has sexually transmitted disease.”

    Figures certainly seem to show that Boko Haram militants have a huge appetite for sex. A report by the United Nations Office for the Coordination of Humanitarian Affairs released early this year estimates more than 2,000 girls have been abducted since the jihadist group began its uprising in the northeast over six years ago. Other estimates put the number at 7,000, with the presumption that many if not all of them are used as sex slaves.

    Asabe Aliyu was about 23 years of age when she was abducted in 2014 by Boko Haram militants from Delsak, a village near Chibok in the northeast. The mother of four children was taken to the jihadist’s stronghold in the remote Sambisa forest where she was sexually assaulted day after day by different men and forced into marrying one of the militants.

    “They turned me into a sex machine. They took turns to sleep with me,” she told Daily Times . a Nigerian newspaper. “Now I am pregnant and I cannot identify the father.”

    A number of other girls have told stories of how they were raped and violated almost on a daily basis by the same unit of militants in Sambisa forest. Some of the victims are as young as 8.

    “Some victims have said the militants usually discuss among themselves the number of girls they’ll sleep with in a day,” said Yusuf Mohammed, who has interviewed and counseled a number of Boko Haram victims in Maiduguri. “The aim is so that they’ll be able to impregnate as many girls as possible and bear children who will continue in the jihad.”

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    Last year, Borno State Governor Kashim Shettima, told reporters that the urge to bear kids is driven by Boko Haram’s superstitious believe that their children will take after their cause.

    “These people have a certain spiritual conviction that any child they father will grow to inherit their ideology whether they live with the children or not,” Shettima said. “The sect leaders make very conscious effort to impregnate the women.”

    To fulfill this macho obligation, jihadists turn to performance enhancing medications. The army announced as recently as Friday that it recovered “sex enhancing drugs such as Viagra” from some militants as they tried to flee Sambisa forest on Thursday.

    Viagra and similar drugs used to treat erectile dysfunction work only with sexual stimulation and do not increase the desire for sex. But the fact that they could maintain an erection for up to five hours (a health hazard warned against on the package) is what Boko Haram militants find so appealing.

    A victim of Boko Haram’s sexual violence once told me that the jihadists love to boast among themselves about their sexual stamina, and that they bet on who will last the longest in having sex.

    “Anyone who has sex for the longest hours wins whatever bet has been placed,” she said. “They take whichever girl they want and they can have sex for hours.”

    In March, the government of Borno state, announced the closure of cattle markets in the capital city because agents working for Boko Haram sold cattle stolen by jihadists from neighboring villages in these markets and used the proceeds to buy food and drugs for the militants.

    Local vigilantes and security officials have identified sex enhancing drugs as the medicines these agents most commonly buy from retail pharmaceutical stores.

    “About five people were arrested by the military and they confessed to buying these drugs for the militants,” Yusuf Mohammed said. “They use proceeds from the stolen cattle they sell to buy these medicines.”

    With the number of girls Boko Haram has abducted, it is clear what the jihadists intend to achieve: to punish as many girls as possible through rape, and father as many children as they can by impregnating them.

    “The more girls they kidnap, the more sex enhancing drugs they’ll need,” Yusuf Mohammed said. “These militants just want sex with every girl in their custody.”

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

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    Research Stop Viagra

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

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

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

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

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

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

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

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

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

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

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

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

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

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    Viagra protects the heart beyond the bedroom, study finds

    Date: October 20, 2014 Source: BioMed Central Summary: Viagra could be used as a safe treatment for heart disease, finds new research. The study reveals that long-term daily treatment of Viagra can provide protection for the heart at different stages of heart disease, with few side effects. Share:

    Viagra could be used as a safe treatment for heart disease, finds new research published today in the open access journal BMC Medicine. The study reveals that long-term daily treatment of Viagra can provide protection for the heart at different stages of heart disease, with few side effects.

    Phosphodiesterase-5 inhibitor (PDE5i) is the main ingredient in Viagra and other drugs commonly used to treat erectile dysfunction. The inhibitor blocks the enzyme PDE5, which prevents relaxation of smooth muscle tissue. The presence of PDE5 in the heart has led to previous research on whether the inhibitor could treat non-urological conditions. But despite some promising results, the studies were largely based on animals and the cardioprotective effects of PDE5i remained unclear.

    Scientists from the Sapienza University of Rome carried out a meta-analysis of randomized controlled trials by searching for articles published between January 2004 and May 2014 to test the effectiveness of PDE5i in providing cardiac protection, and to find out whether it was well-tolerated and safe. They identified 24 suitable trials for analysis from four research databases: MEDLINE, EMBASE, Cochrane Library and SCOPUS. The trials involved 1622 patients from mixed populations who were treated with PDE5i or a placebo.

    For the first time, the scientists conducted a parallel analysis of the effects of the inhibitor on the size and shape of the heart and its performance.

    The analysis shows that PDE5i prevented the heart increasing in size and changing shape in patients suffering from left ventricular hypertrophy, a condition which causes thickening of the muscles in the left ventricle. The inhibitor also improved heart performance in all patients with different heart conditions, with no negative effect on the patients’ blood pressure.

    Lead author of the study, Andrea Isidori said: “We found that the main ingredient in Viagra can be used as an effective, safe treatment for several patients with heart disease. Large clinical trials are now urgently needed to build on these encouraging findings.”

    The study concludes that the inhibitor could be reasonably administered to men who suffer from heart muscle thickening and early-stage heart failure. However, since most of the studies included in the meta-analysis were on men, the researchers suggest the next step should be a larger trial on sex-specific long-term responses.

    Materials provided by BioMed Central . Note: Content may be edited for style and length.

    1. Elisa Giannetta, Tiziana Feola, Daniele Gianfrilli, Riccardo Pofi, Valentina Dall’Armi, Roberto Badagliacca, Federica Barbagallo, Andrea Lenzi, Andrea M Isidori. Is chronic inhibition of phosphodiesterase type 5 cardioprotective and safe? A meta-analysis of randomized controlled trials. BMC Medicine. 2014; 12 (1): 185 DOI: 10.1186/s12916-014-0185-3

    BioMed Central. “Viagra protects the heart beyond the bedroom, study finds.” ScienceDaily. ScienceDaily, 20 October 2014. <www.sciencedaily.com/releases/2014/10/141020090438.htm>.

    BioMed Central. (2014, October 20). Viagra protects the heart beyond the bedroom, study finds. ScienceDaily. Retrieved September 25, 2016 from www.sciencedaily.com/releases/2014/10/141020090438.htm

    BioMed Central. “Viagra protects the heart beyond the bedroom, study finds.” ScienceDaily. www.sciencedaily.com/releases/2014/10/141020090438.htm (accessed September 25, 2016).

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    Dec. 23, 2011 — Sildenafil, the active ingredient in Viagra, can alleviate heart problems, and now researchers can explain why. They studied dogs with diastolic heart failure, a condition in which the heart chamber. read more

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    Viagra has moved from the bedroom to the locker room. The buzz on the street was that Yankee superstar Roger Clemens had a bottle of Viagra disguised as vitamin pills stashed in his locker. Last May, Italian cyclist Andrea Moletta was removed from the Giro d’Italia after police found a cache of Viagra and syringes in his car. Not surprisingly, the tabloids had a field day following these incidents and charged that legions of athletes in baseball, football, bodybuilding and Olympic sports took Viagra to boost endurance and physical performance. The World Anti-Doping Association (WADA) considered banning Viagra before the Beijing Olympics, but backed off because it had no evidence that the drug provided a competitive advantage.

    What do firm erections have to do with sports like bodybuilding? Viagra improves blood flow control. Muscles need plenty of blood to remove wastes and deliver energy, oxygen, and hormones. Increased blood flow could speed the delivery of key amino acids to the muscles, which would promote muscle protein synthesis and growth. It seems reasonable that Viagra could boost performance and that bodybuilders might take it.

    A Stanford University study by Ann Friedlander and colleagues published in 2006 triggered the Viagra craze among athletes. The researchers found that Viagra improved cardiovascular capacity during exercise on a stationary bike at a simulated altitude of 12,710 feet but not at sea level. Viagra increased cardiac output (blood pumped by the heart per minute), stroke volume (blood pumped by the heart per heartbeat), and oxygen saturation (percent of red blood cells carrying oxygen). Cycling performance at altitude improved by 15 percent. The drug increased exercise capacity by reducing blood pressure in the lungs, which increases at high altitude. Not all subjects benefited from the drug— there were responders and non-responders. Other researchers confirmed the Stanford results and also showed that Viagra improved exercise capacity in people suffering from lung disease and heart failure.

    Bodybuilding is an incredibly difficult sport that requires years of backbreaking work to achieve success. Most athletes will do whatever it takes to increase muscle mass and win contests. It’s understandable that they take Viagra: it’s not on any banned substances list; it’s readily available; it has few side effects; and it might provide a significant edge. The fact that it only worked in some people above 12,000 feet altitude and didn’t work at sea level was somehow lost in the shuffle.

    Why Viagra Might Be an Effective Bodybuilding Drug

    Viagra (sildenafil) is one of three FDA-approved, erection-promoting drugs called PDE-5 inhibitors that also include tadalafil (Cialis) and vardenafil (Levitra). They work by inhibiting the PDE-5 enzyme, which then increases the concentration of a chemical called nitric oxide that promotes blood flow to the penis and other tissues throughout the body. Blood vessels, smooth muscle, skeletal muscle, blood platelets, and lung tissue contain this and similar PDE enzymes. In addition to promoting erections, PDE-5 inhibitors decrease systemic blood pressure, lung blood pressure, lung resistance, and promote coronary (heart) blood flow. Long-term use improves endothelial function, which is critical to blood flow control.

    The drugs reduce stress in pressure-overloaded hearts, which is important for bodybuilders because large increases in muscle tension restrict blood flow to working muscles. Increasing muscle blood flow during training could increase muscle strength, size, and fitness, while reducing stress on the heart. They also improve lung blood flow and boost quality of life in patients suffering from lung disease. These drugs have promising pulmonary and cardiovascular applications that go beyond firm erections.

    To date, no study has found that Viagra improves exercise performance in athletes at sea level. The drug is helpful in people with blood pressure limitations that interfere with oxygen transport to the tissues. For example, lung blood pressure increases substantially in some people at altitude, which makes it difficult to move oxygen from the air into the bloodstream. Viagra reduces lung blood pressure, which enhances oxygen consumption and the capacity to exercise.

    A small percentage of elite endurance athletes have a performance imbalance between the heart and lungs. Their powerful hearts exceed breathing capacity, which causes a mismatch between the pulmonary and cardiovascular systems. Viagra might increase lung function to match their superior heart capacity, which could give them a significant competitive advantage. However, other athletes might benefit as well.

    Physical inactivity, diets high in saturated and trans-fats and simple sugars, and reduced muscle mass impair the ability of insulin receptors to regulate carbohydrates, amino acids (building blocks of proteins) and fats. Insulin sensitivity affects the health of the endothelium, the cells that line the blood vessels. These cells release nitric oxide (NO) that opens blood vessels in tissues throughout the body. Long-term use of Viagra has training-like effects on the endothelium, which increases its capacity to release NO. While the Viagra-induced improvements in blood flow control might be greater in men suffering from poor metabolic health, they might also promote blood flow in the muscles and nervous systems in bodybuilders and physically fit adults. Viagra doesn’t appear to increase endurance performance following short-term use, but it might have long-term benefits in well-trained athletes.

    Long-term use of Viagra might also benefit metabolic capacity by enhancing blood sugar control and increasing testosterone levels. Scientists from Vanderbilt University School of Medicine found that the drug helped restore energy balance and boosted insulin metabolism in mice fed high-fat diets (compared to a placebo). The animals showed lower blood sugar and insulin levels and improved blood sugar regulation after a high-carbohydrate meal. They also lost bodyweight and fat mass during the 12-week study. In humans, long-term use of Viagra increased the production of the blood vessel controlling chemical nitric oxide, which has strong links to insulin metabolism.

    Viagra boosts testosterone, which is a critical hormone for increasing muscle mass, strength, and aggressiveness— all critical for athletes. Testosterone is linked to sexual arousal and performance. Middle-aged men who take testosterone supplements improve sex drive, capacity for erections, self-confidence, and aggressiveness. Italian researchers found that total and free testosterone levels increased by 50 percent in men treated for erectile dysfunction with Cialis or Viagra. It’s not clear whether these drugs increased testosterone directly or if they increased it indirectly through increased sexual activity. Frequency of sexual intercourse was greatest in men who took Cialis (a longer-acting PDE-5 inhibitor), which makes it the preferred drug for men in stable relationships. Men who had the most sex also had the highest testosterone levels.

    Factors affecting testosterone include psychological health, diet, exercise, and sexual activity. Men who have a lot of sex are happier, more confident, and have better-functioning sex organs than men who don’t. The sex organs— like your muscles— function best when you use them, so Viagra might give them a boost. We don’t know if Viagra increases testosterone levels in healthy, fit bodybuilders.

    Long-term use of Viagra might also increase muscle strength, power, and size by triggering biochemical pathways that increase protein synthesis and prevent protein breakdown in muscle cells. As discussed, Viagra increases nitric oxide (NO) release by the blood vessels. NO helps turn on protein synthesis in muscles, particularly when the fibers are under tension or stretch. NO also triggers the formation of satellite cells that add mass to the muscle fibers. To date, no study has shown that Viagra and similar drugs have steroid-like effects in athletes, but we can infer from biochemical studies that they might.

    Viagra is on WADA’s Radar

    WADA first took notice of Viagra following the Stanford University study and reports that the drug was given to greyhounds to improve running performance. They were concerned that Viagra might improve performance at lower altitudes and provide a competitive advantage at venues such as Denver, Mexico City, or areas hosting the Winter Olympics. The margin of victory is often a matter of seconds in endurance events in cycling and cross-country skiing, so a drug that provides even a small advantage could be very significant.

    WADA is currently funding a series of studies at Marywood University in Scranton, Pennsylvania and at the University of Miami, to determine the effects of Viagra on exercise capacity and performance at sea level, moderate altitudes, and in polluted environments. They also want to know if the drug has different effects in men and women. The results of these studies will determine whether Viagra ends up on the banned substances list.

    Will Viagra Make You a Superstar?

    Viagra can help make you a sexual Olympian, provided that you have game, good hygiene, and a reasonably firm body. It definitely won’t get you a spot on the Yankee’s roster or the Olympic team if you don’t have the talent. To date, no study has found that Viagra improves exercise capacity at sea level. However, long-term use of the drug might promote muscle protein synthesis and improve metabolic fitness enough to have a small effect on endurance or strength. Viagra and similar drugs have side effects; so don’t use them without following the advice of a physician. We need many more studies before we can adequately assess the effects of these drugs on exercise capacity and athletic performance.

    Ayala, J. E. et al. Chronic treatment with sildenafil improves energy balance and insulin action in high fat-fed conscious mice. Diabetes. 56: 1025-1033, 2007.

    Betters, J. L. J. H. Long, K. S. Howe, R. W. Braith, Q. A. Soltow, V. A. Lira, and D. S. Criswell. Nitric oxide reverses prednisolone-induced inactivation of muscle satellite cells. Muscle Nerve. 37: 203-209, 2008.

    Di Luigi, L. et al. The long-acting phosphodiesterase inhibitor tadalafil does not influence athletes’ VO2max, aerobic, and anaerobic thresholds in normoxia. Int J Sports Med. 29:110-115, 2008.

    Faoro, V. et al. Effects of sildenafil on exercise capacity in hypoxic normal subjects. High Alt Med Biol, 8:155-163, 2007.

    Ghofrani, H. A. et al. Sildenafil increased exercise capacity during hypoxia at low altitudes and at Mount Everest base camp: A randomized, double-blind, placebo-controlled crossover trial. Ann Intern Med, 141:169-177, 2004.

    Hsu, A. R. K. E. Barnholt, N. K. Grundmann, J. H. Lin, S. W. McCallum, and A. L. Friedlander. Sildenafil improves cardiac output and exercise performance during acute hypoxia, but not normoxia. J Appl Physiol, 100:2031-2040, 2006.

    Jackson, G. Hemodynamic and exercise effects of phosphodiesterase 5 inhibitors. Am J Cardiol, 96:32M-36M, 2005.

    Lewis, G. D. et al. Sildenafil improves exercise capacity and quality of life in patients with systolic heart failure and secondary pulmonary hypertension. Circulation. 116:1555-1562, 2007.

    Perimenis, P. Sildenafil for the treatment of altitude-induced hypoxaemia. Expert Opin Pharmacother, 6:835-837, 2005.

    Ricart, A. et al. Effects of sildenafil on the human response to acute hypoxia and exercise. High Alt Med Biol, 6:43-49, 2005.

    Rubin, L. J. and R. Naeije. Sildenafil for enhanced performance at high altitude? Ann Intern Med. 141:233-235, 2004.

    Siepmann, M. R. Rauh, O. Dill, M. W. Agelink, and M. Mueck-Weymann. The effects of sildenafil on heart rate variability in healthy subjects. J Cardiovasc Pharmacol. 50:598-600, 2007.

    Snyder, E. M. T. P. Olson, B. D. Johnson, and R. P. Frantz. Influence of sildenafil on lung diffusion during exposure to acute hypoxia at rest and during exercise in healthy humans. Eur J Appl Physiol. 2008.

    Spring, R. M. et al. Sildenafil for pulmonary hypertension: Dose-dependent improvement in exercise performance. Pulm Pharmacol Ther, 21: 516-521, 2008.

    Tatsumi, R. et al. Satellite cell activation in stretched skeletal muscle and the role of nitric oxide and hepatocyte growth factor. Am J Physiol Cell Physiol, 290:C1487-1494, 2006.

    Wozniak, A. C. and J. E. Anderson. Nitric oxide-dependence of satellite stem cell activation and quiescence on normal skeletal muscle fibers. Dev Dyn, 236:240-250, 2007.

    Wozniak, A. C. and J. E. Anderson. The dynamics of the nitric oxide release-transient from stretched muscle cells. Int J Biochem Cell Biol, 41:625-631, 2009.

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