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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.
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 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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- Hey yeah I'm eagerly waiting :/ it's extremely stressful. Y.
- You are working for a clinical immunology laboratory, which is responsible for performing all immunophenotyping tests in your hospital. For Allopathic schools, it will clearly say SubI on the transcript.
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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
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- The studies that have accounted for effort have uniformly found no cognitive differences. This week I got my first rejection, which mildly bummed me out but it was also nice because it's the first news I have had from any of my schools, so at least I'm not in limbo there anymore.
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- Can't really say much because I have seen it go differently based on the year/time you apply.
- Any such threads will be closed or deleted.
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- It has a direct program now in the States not as a fellowship. Some passages are long and some are short.
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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 .
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.
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).
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