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Viagra (sildenafil) facts

What is Viagra?

Viagra is the trade name for a drug called Sildenafil. Viagra is one of a class of drugs known as PDE-5 (Phosphodiesterase type 5) inhibitors.

Viagra and the other PDE-5 inhibitors can help men with erectile dysfunction (male impotence) by enhancing the erectile response when a man is sexually stimulated. Aside from Viagra, the other drugs in this class are Cialis (Tadalafil) and Levitra (Vardenafil).

How does Viagra work?

Viagra does not cause a man to be sexually aroused. Viagra is only effective if you are sexually aroused. To understand how it works you need to understand the mechanics of how a man gets an erection. When you get sexually stimulated, the nervous system in the erectile tissue of your penis releases nitric oxide (NO).

The nitric oxide stimulates an enzyme that produces something called a messenger cyclic guanosine monophosphate (cGMP). The cGMP relaxes the smooth muscle cells. One result of this is that the arteries in your penis dilate and the blood can flow into your penis more easily. Another result is that the erectile tissue itself fills with blood. Both of these process result in an erection. Viagra works by maintaining the level of cGMP in the smooth muscle cells.

If you are not turned on, your brain will not stimulate the release of any nitric oxide and you will not produce any cGMP.

Is Viagra effective?

Clinical studies have shown that when compared to placebo, Viagra and the other drugs in the same class, result in significant improvement in erectile function. Although established to be a safe and effective drug, Viagra isn’t appropriate for everyone and may not work in all cases.

How does it affect blood pressure?

Viagra can slightly lower blood pressure. This is not a problem for most men. But Viagra’s effect on blood pressure is exaggerated if the Viagra is taken with a nitrate drug.

Nitrates are one of the treatments doctors prescribe for angina. If you take Viagra when you are also taking nitrates, the combined effect of the Viagra and the nitrates can lower your blood pressure to such an extent that it could prove fatal. Never take Viagra at the same time as taking nitrates.

If I have a heart condition can I take it?

If you have a heart condition it is important that you discuss this with the doctor before taking Viagra. Viagra may not be appropriate because of the danger of interacting with the nitrates.

Can women take it?

Viagra is not currently licensed for use by women.

How quickly does it work?

On average, Viagra becomes effective in just under an hour when you take a tablet on an empty stomach. Viagra can remain effective for between four and six hours. If you take it after a meal that has a high fat content, it may take longer than an hour to become effective.

Why are there different doses?

Viagra is available in three dosages: 25mg, 50mg and 100mg. Some men may respond to a lower dose of Viagra. Some men may already be taking medicines that interact with Viagra and thus need to adjust the Viagra dosage they are taking.

What dose is right for me?

The doctor needs to decide which dosage of Viagra is most appropriate. The doctor will take into account potential drug interactions, your age, the severity of your erectile dysfunction and any previous experience you have had with Viagra.

What if it does not work the first time I use it?

Viagra might not work the first time you take it. Most doctors advise taking Viagra at least eight times before trying a different medicine.

What are the side-effects?

Viagra’s Side effects are generally mild and brief. Viagra’s most common side-effects are headache and facial flushing. Less frequently, men taking Viagra have reported indigestion, a stuffy nose and a blue tint to the vision.

Does it interact with other medicines?

Viagra interacts with many drugs. The following list is not complete but it is important to inform the doctor of all prescription and non-prescription medication taken, especially:

  • nitrate medications (e.g. glyceryl trinitrate (GTN), nitroglycerin, isosorbide mononitrate or dinitrate)
  • nitroprusside
  • cimetidine
  • erythromycin
  • azole antifungals (e.g. itraconazole, ketoconazole)
  • mibefradil
  • rifamycins (e.g. rifampicin)
  • Alpha blockers, prescribed for prostate disease or high blood pressure
  • Ritonavir, Amyl, Butyl or Isopropyl nitrates (‘Poppers’)

Who shouldn’t use it?

Men who have any of the following conditions should also avoid taking it:

  • severe heart or liver problems
  • recent stroke or heart attack
  • low blood pressure
  • certain rare inherited eye diseases

Does it treat the underlying causes of impotence?

Viagra will resolve the underlying cause of erectile dysfunction although if the cause is primarily psychological, it may help to break the cycle of anxiety and failure associated with being unable to achieve a satisfactory erection.

What kind of tests might highlight the underlying causes of male impotence?

A blood test for diabetes should be performed along with cholesterol and triglyceride blood tests. It is becoming increasingly accepted among doctors that sex hormone levels (Testosterone) should also be checked by way of a blood test.

What other impotence treatments are available?

The other drugs, Levitra and Cialis work in similar ways. Viagra is generally prescribed as the first line treatment. Cialis has a much longer half-life than Viagra and Levitra and therefore its effect lasts much longer.

This does not mean one has prolonged erections but the length of time available for further erections is increased without the need to take further doses. It also means however that the side effects if present will last longer. Levitra, like Cialis, can be taken with food whereas Viagra should be taken on an empty stomach.

Some studies have shown Levitra to be more suitable for men suffering from diabetes. Other treatments include Caverject (‘Alprostadil’), which is a medication injected directly into the penis and MUSE (another form of ‘Alprostadil’), which is a pellet inserted into the urethra. These may be of use for men who have to take Nitrates and are therefore unable to take the PDE5 inhibitors.

The use of vacuum pumps and other mechanical devices for producing and maintaining erections are alternatives to taking medication.

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What To Expect First Time Using Viagra

What To Expect First Time Using 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, What To Expect First Time Using 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, What To Expect First Time Using 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 What To Expect First Time Using Viagra welcomes you as you explore our small town steeped in history and tradition but alive with charm and activities.

Comment from: Jason9, 35-44 Female on Treatment for 1-2 years (Patient) Published: October 07

Very effective. Take without food to help absorption quickly and last longer. Effect does *not* run out in 4 hours. I have taken as little as 10-15 mg and felt the benefits for well over 12 hours. This of course will be different for everyone. Would recommend starting with a very, very low dose. My first dose of 25mg made my penis hurt due to the long lasting and persistent erections. Here are my recommendations and items to consider based on my personal experience: 1. Take without food 1 hour before love-time. It takes a bit to kick in. I have always felt a little “preview” effect of Viagra in about 15 minutes. but then it really kicks in after an hour. To get the Viagra flowing through your penis, manipulate yourself a little (may not take much. just an extra few giggles in the restroom). 2. Drink lots of water. Dehydration is BAD for erections. 3. Pop a couple of tums or rolaids. Viagra can make your stomach acidic. 4. Pop a breath mint as it can give you tart breath. 5. Take a very, very low dose the first time. Also, take it while you are alone so you can get used to how much you really need and the benefits. DON’T take it for the first time with your partner. 6. Don’t take it too often because it can make your prostate swell up. So don’t take it every other day so you can masturbate for 3 hours. 7. Headaches are common. pop a couple Advil with it. 8. Once you are having sex, it will keep your erection going even if what you are doing doesn’t feel that good. This is BAD. You don’t want to get used to having sex in positions that don’t feel good to you, since your erection will continue, but you may not be able to “get back into it” and have an orgasm. Certainly, there are times when this may be okay, but it gets awkward when you are in bed with a woman, have a rock hard erection, and you can’t have an orgasm. Women ask questions. And if she doesn’t know you are taking Viagra, she will probably figure it out. Good luck.

Comment from: New_user, 45-54 Female on Treatment for less than 1 month (Patient) Published: October 20

This drug worked extremely well for me. My doctor recommended that I start with 100 mg which I did with results that would put a teenager to shame. I experienced a mild headache the next morning and some nasal stuffiness. I also experience a very slight sensitivity to light. (These are all documented side effects and not considered unusual). I cut the dosage to 50 mg and the side effects virtually disappeared. without any noticable decrease of the drug’s effectiveness. I even tried 25 mg with good results. With 100 and 50 mg dosing, the effect of the drug kicked in after only 15-20 minutes. And the results lasted much longer than the advertised 4 hours – as much as 12 -14 hours for me. With this drug, I’ve been able to ejaculate every time and the erection does go away as promised (something I was concerned about after hearing the warning of the “4 hour erection” in the commercials). This drug has given me back my lovelife and in a way that has made it better than it’s ever been. If you’re having issues, but not sure what to do, I strongly encourage you to visit with your doctor and see if this drug (or similar) will work for you. I guarantee that, if it does (and my doctor tells me it is almost always effective), you will be the happiest guy on your block! Good luck!!

Comment from: working at it, 45-54 Female on Treatment for 2-5 years (Patient) Published: February 11

Guys, listen up.This is not a cure all. You have to experiment to see what works for you. First, you are paying by the pill and it’s crazy exspensive. Buy a pill splitter and cut your price in half or by 75% depending on the dossage you need. It takes practice to get a perfect cut but i’ts worth the effort. If you drink alcohol you’ll have to see how much you can consume with out diminishing results which is about 6 beers for me. Also I have found that I can take it at 10 or 11 at night and wake up with a raging hard on the next day which works out perfectly in my relationship and lasts till late afternoon. By the way I’m 50 and had a heart attack when I was 42.

Comment from: 35-44 Female on Treatment for less than 1 month (Patient) Published: December 24

Works great. I am only 40. Started having problems about a year ago. Got a sample pack from Dr. with 6 pills. The first three I took worked perfectly. Took on empty stomach or at least one hour after a meal. Within an hour, took effect. Makes my face flush and nose run (common side effects) The fourth time I took it, I split the pill in half to see if it would work at lower dose (I was taking a 50mg dose) This DID NOT work. I dont know if it was the lower dose, if it had something to do with what I ate beforehand (Mexican food), or if your not supposed to split them. Also, most of the time, it still has effects several hours after. Even up to the next morning if taken at night.

Comment from: CallhimMrHappy, 45-54 Female on Treatment for less than 1 month (Patient) Published: August 26

Am 46 years old and just started having problems getting erections. Tried “herbal” remedies, was hit or miss, mostly miss. Also libido was on the down turn, I just didn’t feel like I needed or wanted sex. Talked to Dr and was given free trial of 50 mg. Took one a hour before bed, and was very amazed at the erection it gave me when the wife and I started messing around! Not to mention waking up with morning wood, something that hasn’t happened in a LONG time!

Patient Comments are not a substitute for professional medical advice, diagnosis, or treatment. Never delay or disregard seeking professional medical advice from your physician or other qualified health provider because of something you have read on RxList. The opinions expressed in the comments section are of the author and the author alone. RxList does not endorse any specific product, service or treatment.

If you think you have a medical emergency, call your doctor or 911 immediately.

Report Problems to the Food and Drug Administration

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

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Do Doctors Give Viagra Samples

Do Doctors Give Viagra Samples 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, Do Doctors Give Viagra Samples is the perfect place to spend a relaxing weekend or a lifetime.

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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 Do Doctors Give Viagra Samples welcomes you as you explore our small town steeped in history and tradition but alive with charm and activities.

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

- Fourth Amendment to the United States Constitution

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

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

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

Changes in Technology Have Outpaced the Law

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

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

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

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

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

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

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

Guiding Principles for ECPA Reform

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

We are guided by the following concepts:

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

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

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

Specific Background on ECPA Reform Principles

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

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

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

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

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

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

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

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

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

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Viagra Alternatives

If Viagra (sildenafil citrate) is not adequately treating your erectile problems, there are several alternatives to consider. Some of these alternatives can include other prescription medications, vacuum devices, surgery, herbal treatments, and lifestyle changes. Because there is no single impotence treatment that works for all men, make sure to talk to your healthcare provider about which option is best for your situation.

An Overview of Viagra Alternatives

Viagra ® (sildenafil citrate ) is a prescription medication used to treat problems with obtaining or maintaining an erection (known as impotence. erectile dysfunction. or ED ). It was the first medication of its kind. However, there are now a wide variety of similar medications available.

In addition to these similar medications, there are other treatments that may be effective alternatives to Viagra. Some of these possible substitutes include:

  • Other prescription medications, such as:
  • Other phosphodiesterase inhibitors, similar to Viagra
  • Penile injections or pellets
  • Testosterone injections, gel, or skin patches
  • Vacuum devices
  • Surgery
  • Various nonprescription supplements and herbal treatments
  • Counseling and lifestyle changes.

Prescription Medication Substitutes for Viagra

Fortunately, there are several different prescription medication alternatives to Viagra. Currently, there are a few different Viagra-like medications available. Each has its own particular advantages and disadvantages, and sometimes one medication will work better than others for an individual. These Viagra-like medications (known as phosphodiesterase inhibitors) include:

You should not use any of these prescription medications if you are also taking nitrates (medications for chest pain). Also, some people may not be able to take these medications due to side effects or drug interactions.

Another option in such situations is injectable or pellet medications. These medications include:

  • Alprostadil injection (Caverject ®. Edex ® )
  • Alprostadil urethral suppositories (Muse ® )
  • Papaverine hydrochloride injection
  • Phentolamine injection.

Papaverine, phentolamine, Caverject, and Edex are injected directly into the penis, while Muse is a urethral suppository (a small pellet that is inserted into the urinary opening of the penis). These treatments can be very effective, but are more difficult to take than the oral Viagra-like medications.

Lastly, some men with testosterone deficiencies and impotence may benefit from taking testosterone, which comes in many forms, including injections, gels, and skin patches.

Natural Alternatives To Viagra

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

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

Examine Yourself

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

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

Gentlemen, Start Your Engines

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

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

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

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

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

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

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

Comments

Melissa Conrad Stöppler, MD

Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler’s educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

For centuries, men have tried all sorts of natural remedies for erectile dysfunction (ED ) — the repeated inability to get or maintain an erection firm enough for sexual intercourse. But do they really work? It is simply not scientifically known at this point. Furthermore, you take these remedies at your own risk, because their safety profiles have not been established. What follows are commentaries by experts and reviews in the field of alternative treatments that are available over the counter for erectile dysfunction and impotence .

Causes of erectile dysfunction (impotence)

“Just because there is evidence doesn’t mean it’s good evidence,” says Andrew McCullough, MD, associate professor of clinical urology at New York University Langone Medical Center in New York City, and one of the original clinical investigators for the ED drug Viagra (sildenafil ). “And before men with ED start down the naturopathic route, it’s smart to make sure that there isn’t some underlying medical condition that needs to be corrected.” Moreover, it is estimated that 30 million American men have erectile dysfunction. and 70% of cases are a result of a potentially deadly condition like atherosclerosis. kidney disease. vascular disease. neurological disease, or diabetes. Additionally, ED can also be caused by certain medications, surgical injury, and psychological problems.

Medically Reviewed by a Doctor on 6/29/2016

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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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Consider these surprising facts: Older adults comprise 13% of the population but account for 34% of all prescriptions and 30% of all over-the-counter drugs used in the United States. In addition, a survey of 17,000 Medicare beneficiaries conducted in 2007 found that two of every five patients reported taking five or more prescription medications. This same survey also revealed that older patients often have more than one prescribing physician, making it difficult to track the total number and types of medications elders take. At the same time, physiological changes related to aging affect the absorption, distribution, metabolism, and excretion of drugs, as well as food.

What these facts add up to, says Joel Zive, PharmD, vice president of Zive Pharmacy & Surgical, Inc in Bronx, NY, and a spokesman for the American Pharmacists Association, “is a greater risk of food-drug interactions in older Americans.”

Below are the ill-advised combinations that Zive believes comprise the top 10 types of drug-nutrient interactions affecting older adults, along with his recommendations for preventing potentially deadly problems.

1. Warfarin and Vitamin K
Warfarin (Coumadin) is a blood-thinning medication that helps treat and prevent blood clots. Eating certain foods, especially those rich in vitamin K, can diminish warfarin’s effectiveness. The highest concentrations of vitamin K are found in green leafy vegetables such as kale, collards, spinach, turnip greens, Brussels sprouts, broccoli, scallions, asparagus, and endive.

“It’s not that patients should avoid foods that contain vitamin K,” advises Zive. “Rather, they should keep their intake consistent from day to day.”

He describes a scenario that could spell trouble for an older adult: “If a doctor tells a patient that they should lose weight and they, in turn, start to eat more greens, their vitamin K intake will go up, and this will counteract the anticlotting action of warfarin.”

2. Insulin, Oral Diabetic Agents, and Alcohol
An alcoholic drink can increase or prolong the effects of insulin or oral diabetic agents (pills) and thus lead to hypoglycemia or low blood sugar. The glucose-lowering action of alcohol can last as long as eight to 12 hours. Symptoms of hypoglycemia include nervousness, sweating, trembling, intense hunger, weakness, palpitations, confusion, drowsiness, and ultimately coma.

With a doctor’s approval, and in the absence of other health conditions such as pancreatitis, elevated triglycerides, and neuropathy, older adults with diabetes may be able to enjoy up to two drinks per day. A drink is defined by the American Diabetes Association as a 12-ounce beer, a 5-ounce glass of wine, or 1.5 ounces of a distilled beverage such as whiskey, vodka, or gin. Individuals can reduce the risk of low blood sugar by having alcoholic drinks at mealtime or by having a snack along with the drink.

In addition, certain oral diabetic medications such as chlorpropamide (Diabinese) can cause dizziness, flushing, and nausea when taken along with alcohol.

3. Digoxin, High-Fiber Diets, and Herbs
Digoxin (Digitalis, Digitek, Lanoxin) is used to strengthen the contraction of the heart muscle, slow the heart rate, and promote the elimination of fluid from body tissues.

Dietary fiber, specifically insoluble fiber such as wheat bran, can slow down the absorption of digoxin and lessen its effectiveness. To prevent this, elders should take digoxin at least one hour before or two hours after eating a meal.

Herb use can also affect digoxin. For example, ginseng can elevate blood levels of digoxin by as much as 75%, while St. John’s Wort decreases blood levels of this drug by 25%.

“It’s important for the patient to recognize signs of digoxin toxicity,” says Zive. “These include a yellow tint to vision and the appearance of halos around objects, as well as weakness, confusion, dizziness, and nausea and vomiting.”

4. Statins and Grapefruit
Statins are highly effective cholesterol-lowering drugs. Unfortunately, says Zive, “Drinking grapefruit juice or eating fresh grapefruit can increase the amount of some statins in your blood and lead to potentially greater side effects of these drugs.”

Side effects of statins include muscle soreness and liver abnormalities reflected in high transaminase levels (serum glutamic-oxaloacetic transaminase and serum glutamic pyruvic transaminase) on a blood test.

This interaction is especially strong with simvastatin (Zocor) and lovastatin (Altoprev), milder with atorvastatin (Lipitor), and nonexistent for pravastatin (Pravachol), so it’s important for elders to check whether their prescribed statin drugs do interact before giving up vitamin C-rich grapefruit.

5. Calcium Channel Blockers and Grapefruit
Calcium channel blockers are prescribed for high blood pressure. A natural element found in grapefruit latches onto the intestinal enzyme called CYP3A4, which alters the breakdown of the calcium channel blockers, possibly resulting in excessively high blood levels of the drug, along with an increased risk of serious side effects.

It doesn’t take a jumbo serving of grapefruit to produce a deleterious effect either. For example, a single 6-ounce glass of juice can reduce levels of CYP3A4 by nearly 50%. This effect dissipates slowly. One study indicated that one third of the impact on CYP3A4 from grapefruit juice was still evident a full 24 hours later.

The interaction between grapefruit and calcium channel blockers is strongest, for example, with felodipine (Plendil), nicardipine (Cardene), and nisoldipine (Sular) and weaker with amlodipine (Norvasc), diltiazem (Cardizem), and nifedipine (Adalat).

Tangelos, a cross between a tangerine and grapefruitlike pomelo and Seville oranges, a bitter citrus fruit used to make marmalades, can have the same deleterious effects as grapefruit on both statins and calcium channel blockers.

6. Erectile Dysfunction Drugs and Grapefruit
Although unproven, evidence points to the likely fact that grapefruit juice gives a boost to blood levels of erectile dysfunction drugs such as sildenafil (Viagra). This may seem like a boon to some men, but it could trigger headaches symptomatic of fatal or near fatal conditions, flushing, or low blood pressure.

7. Acetaminophen and Alcohol
The over-the-counter pain reliever acetaminophen (Tylenol) and alcohol don’t mix.
“Two or more alcoholic drinks per day can increase the liver toxicity of Tylenol,” says Zive. “This toxicity can happen even if a patient takes less than the maximum 4 grams, or eight tablets, of Tylenol per day.”

This interaction can be especially problematic in older adults, says Zive, since the liver’s ability to diminish drugs decreases with age. “The liver of a 65 year old doesn’t function the same way it did at age 25,” he says.

8. Antibiotics and Dairy Products
Dairy products such as milk, yogurt, and cheese can delay or prevent the absorption of antibiotics such as tetracyclines and ciprofloxacin (Cipro). This occurs because the calcium in such foods binds to the antibiotics in the stomach and upper small intestine to form an insoluble compound.

To avoid problems, Zive recommends taking an antibiotic one hour before or two hours after a meal.

However, there’s no need to avoid milk and dairy with all antibiotics. For example, it’s recommended that metronidazole (Flagyl) should be taken with water or milk to prevent stomach upset.

9. MAOIs and Tyramine-Containing Foods
Monoamine oxidase inhibitors are an older type of antidepressant still prescribed, albeit less frequently, due to their serious side effects.

“Foods containing tyramines, such as some red wines, malt beer, smoked fish, aged cheeses, and dried fruits, can cause a hypertensive crisis or severe and dangerous elevation in blood pressure when taken with this class of antidepressants,” says Zive.

10. Antithyroid Drugs and Iodine-Rich Foods
Antithyroid drugs are compounds that interfere with the body’s production of thyroid hormones, thereby reducing the symptoms of hyperthyroidism. According to a broad body of research, Americans’ high-iodine diets account for the lower remission rate of hyperthyroidism in those who are prescribed antithyroid drugs.

Antithyroid drugs work by preventing iodine absorption in the stomach. A high-iodine diet requires higher doses of antithyroid drugs. The higher the dose of antithyroid drugs, the greater the incidence of side effects that include rashes, hives, and liver disease.

The richest dietary sources of iodine are seafood and seaweed, such as kelp and nori. Iodine is also found in iodized salt and to a lesser extent in eggs, meat, and dairy products.

— Carol M. Bareuther, RD, is a St. Thomas, U.S. Virgin Islands-based writer who contributes to a variety of regional, national, and international publications.

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Calcium Channel Blocker 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, Calcium Channel Blocker 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, Calcium Channel Blocker 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.

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

TICKET PRICES

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

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

FLEX PASS

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

CONTACT INFO

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Addicted to Viagra: They should be at their most virile, but a growing number of young men can’t cope without those little blue pills

By Tanith Carey for the Daily Mail 21:54 GMT 03 Oct 2012, updated 00:31 GMT 04 Oct 2012

To the casual observer, bachelor Daniel Atkinson looks like any other healthy, athletic young man in the prime of his life.

Six foot tall with chiselled cheekbones and a trim physique, Daniel admits he never has any difficulty attracting the opposite sex.

But Daniel, 32, has a very intimate secret. When he wants to have sex with a woman, he needs up to two Viagra pills to perform.

The blue tablets, which are available on the NHS, have long been viewed as essential medication for men in their 50s, 60s and beyond.

But Daniel is one of a growing number of young males turning to the drug due to performance anxiety, triggered by a host of psychological issues from the proliferation of porn on the internet making ‘normal’ sex seem boring, to financial pressures.

Viagra was even blamed for its part in the suicide of a 24-year-old writer earlier this year, after his girlfriend discovered he was secretly using it.

James Andrews’s body was found on a railway line between Bristol and Bath on Valentine’s Day. An inquest into his death revealed how he’d rowed with girlfriend Eleanor Sharpe — a ballet dancer who appeared in the Olympic closing ceremony — over his use of the drug, despite the pair enjoying a ‘normal physical relationship’.

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Daniel, now an entertainment promoter, was just 20 and on a weekend with friends in Amsterdam when he took his first pill. It was supplied to him by a friend, after he had picked up a girl.

Even though he had never had erectile problems, he was so impressed by the extra stamina it gave him he continued to take the drug with subsequent girlfriends.

On two occasions, he was even prescribed it by his GP, albeit with warnings about the long-term effects such as blue-tinged vision, heart problems and hearing loss.

Now Daniel says he always has a stockpile of the drug — on which he says he spends up to £1,000 a year — either by consulting private doctors or by picking up supplies when he travels to Spain for work.

‘The doctors there will prescribe them to you on the spot. Then you go to the chemist and get a supply. There’s always English people queueing who are after the same thing.’

Yet Daniel, who lives in London, is in despair over his reliance on the drug:

He says: ‘I diet, I exercise at the gym regularly and I am almost as fit as I was when I was a teenager. I love the company of women and always have. But now I am in my 30s, I have been exposed to so much sex, I sometimes find it hard to do without Viagra.

WHO KNEW?

More than 70 per cent of male internet users aged 18 to 34 visit a pornographic site in a typical month

‘No matter how I’m feeling, what’s going through my head, or how attracted to the woman I’m with, it makes no difference. Now, if I know I’m due to see a woman, I discreetly take two pills beforehand.’ By taking up to six tablets a week, Daniel is aware of the health risks.

The drug contains sildenafil citrate and works by improving blood flow in the penis. Daniel admits he sometimes experiences ringing in his ears. But despite the dangers, he feels as a single man he has little choice.

‘I know it’s bad for my health,’ he says. ‘I can hear my heart palpitating when I take the tablets, and I come out in cold sweats. Sometimes the beating is so loud, I think I am going to have a heart attack. I need some help to stop.’

So why is a drug, once linked to greying, paunchy men past their prime, now taking over the sex lives of the young and seemingly virile?

What’s more, what does it say about our sexualised society where even the natural prowess of youth is not enough for the young men of today?

Harley Street psychosexual counsellor Raymond Francis says he sees about 15 men a month who feel dependent on Viagra. The average age is about 32 — his youngest client is just 27.

But Raymond, who is based at the Apex Practice, says: ‘I think this is just a small sample of the problem. These men don’t have any physical problems that would cause erectile difficulties. Instead they feel they need it because they are putting too many expectations on themselves — based on what they believe women want in the bedroom.’

In many cases, Raymond says his male patients have been influenced by seeing internet pornography from a young age. ‘Sometimes these men will have deeply embedded and unrealistic expectations of the women they want to have sex with — or what they should be able to do.’

One such patient is Sam, 31, who was dependent on the drug throughout much of his 20s before he sought help two years ago.

Sam places the root of his problem on internet porn, which he says he started viewing when he was 12 — long before he lost his virginity. ‘Seeing all these studs going for hours on end seemed to underline what I couldn’t do,’ he says.

‘I felt so ashamed. I once mentioned it to my GP but he was very unsympathetic so I never dared bring the subject up again with anyone. I started ordering them on the web, even though I was never sure what I was getting.’

But though Sam found the drugs nearly always helped him perform, ultimately they became a barrier to him finding a long-term, intimate relationship.

Sam says: ‘When I had a girlfriend, I’d take Viagra first thing in the morning, so I’d get the sex over and done with under controlled conditions.’

Keeping his reliance on the drug secret, however, placed unbearable pressure on relationships: ‘It meant I could never fully commit emotionally because I couldn’t be honest about this most basic thing. My relationships never got off the ground. It was all getting so stressful I started avoiding sex. The women I met seemed so confident, I felt I couldn’t live up to what they wanted. I felt like a failure.’

It was when Sam fell in love with his new partner Emily after they met at a party that he realised he needed help.

‘The first time we slept together, I took it secretly, but the expectations were high because she was so special to me. So that time, even Viagra didn’t work. I could see she was worried and upset it was her fault, so I decided I had to be candid — and told her everything.’

Sam now has a normal sexual relationship with his partner. ‘It took six months of counselling, but thanks to her, I found the courage to look at the underlying issues.’

Raymond says another common thing is men reporting they feel intimidated by the sexual confidence and demands of modern young women.

‘Women are now so empowered,’ says Raymond. ‘They feel they have as much right as men to dictate the pace sexually. We are not just talking about girls who would once have been seen as promiscuous.

‘These days a professional career woman who has been brought up in a culture of success wants to exercise that freedom and strength in her sex life, too.

‘In just one or two generations, there has been a turnaround. Before, it was always the expectation that the man was the predator. Now ladette culture has turned that on its head. Faced with this pressure, young men bring performance fears to the bedroom long before any sex takes place.’

One such sexually confident woman is Nicola, an attractive finance worker in her late 20s who admits it was partly the sexual demands she put on her partner which helped trigger the anxieties that contributed to his impotence.

‘When the sex wasn’t great, I was honest about how frustrated I was from the outset, which made the problem worse,’ she says.

‘We tried Viagra, but it felt like a planned event. So now I don’t want him to tell me if he’s taken it or not. I just want to think the sex was naturally great.’

Nicola says her attitude to sex is typical of her generation, and many of her girlfriends are reporting similar problems in the bedroom.

She says: ‘Women our age probably do have more of a sexual past. I’ve had 15 partners, while my partner’s only had five, so that’s another layer of pressure on him. Because I’m quite skilled sexually, he probably wonders where I learned it from and how he compares.’

Another reason male patients in their 30s turn to Viagra is the pressure on them to produce babies within a strict timeframe.

Raymond says: ‘These are men in conventional partnerships where the woman has chosen to defer birth until her career is established and then finds it difficult to get pregnant.

‘These men feel pressured to perform at a prescribed time and the sex becomes mechanistic, rather than borne out of passion and desire. The pressure on the man becomes horrific and he feels he needs to have Viagra up his sleeve.’

The NHS spends around ВЈ58 million a year handing out more than ВЈ17 million repeat prescriptions for impotence drugs.

At the moment, only men with health conditions — prostate cancer, diabetes, multiple sclerosis or kidney failure — that are known to reduce their sex drive are supposed to get them for free, though many psychosexual counsellors say it is being given to younger men with no physical reasons for impotence.

Managers at several NHS trusts are encouraging doctors to limit the number of tablets handed out to cut costs.

As the drug’s manufacturer Pfizer points out, the drug should be taken only with a prescription from a healthcare professional and used according to the guidance on the label. It says studies have found it is not physically addictive. But even if the addiction is all in the mind, there is no doubt the drug is distorting lives.

Over the past six years, Janice Hiller, a clinical psychologist who heads the Sexual Health Psychological Services team at Goodmayes Hospital in Essex, says she has seen an increase in the number of male patients dependent on Viagra. Her youngest patient has been 22.

Janice blames the trend on an increasingly sexualised society and the unrealistic expectations raised by the internet.

She says: ‘Young men feel women expect sex very early on in a relationship, perhaps on the first or second date, and that creates performance anxiety if they are not really confident.

‘After they have been exposed to a lot of internet porn, the major stimulus for men can become the pornographic image rather than the girl they are with. That can be damaging. These images go round in their heads and they then cannot become aroused with a real girl.

‘Usually men seek help when they meet a woman they really like and are desperate for it to work. In those cases, we have to talk about how the length of a sex session is not the most important thing for women, and how they really want all sorts of other things in a relationship, too.’

For married couples, the discovery that a husband is secretly taking Viagra can also be devastating, says Janice.

‘Women who do find out often feel they have become unattractive to their partners,’ she says. ‘Viagra is enormously helpful if used in a managed, thoughtful way among those who need it. But in younger men it does not solve a problem. More often than not it adds a new level of anxiety.’

Chartered Clinical Psychologist Dr Abigael San, who has treated patients caught in a circle of Viagra use, says: ‘These younger men believe they are only satisfying a woman because they are using the drug. The solution becomes the problem.’

The taboo around Viagra use among young men is so great that despite the embarrassment factor, Daniel is speaking up because he feels it’s time the issue was more openly discussed.

‘I am not ashamed of my dependence — I know so many guys my age with the same issues who started off using it recreationally and now find it hard to stop.

‘I think many of us wish we’d never taken it that first time. I, for one, would love to be free of it.’

The Apex Practice: 020 7467 8536, theapexpractice.org. Some names have been changed.

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

- Fourth Amendment to the United States Constitution

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

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

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

Changes in Technology Have Outpaced the Law

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

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

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

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

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

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

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

Guiding Principles for ECPA Reform

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

We are guided by the following concepts:

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

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

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

Specific Background on ECPA Reform Principles

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

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

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

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

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

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

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

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

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

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Viagra, Obat Disfungsi Ereksi

Pil viagra mengobati disfungsi ereksi

Viagra adalah obat anti disfungsi ereksi yang dapat membuat penis ereksi dengan keras ketika berhubungan intim. Disfungsi ereksi atau impotensi tidak lagi menjadi penyakit yang dikhawatirkan banyak pria sejak ditemukannya pil anti disfungsi ereksi Viagra.

Disfungsi ereksi adalah ketidakmampuan seorang pria mendapatkan ereksi yang keras dan mempertahankannya tetap keras saat berhubungan. Fungsi viagra adalah bekerja untuk menghilangkan hambatan dan ketidakmampuan tersebut.

Saat ini teknologi medis dan farmasi kita berada dalam tahap yang sangat maju, berbagai macam hal rumit seperti implantasi protesa, dan injeksi bisa dilakukan, bahkan sampai menciptakan pil praktis untuk menyembuhkan disfungsi ereksi seperti Viagra.

Fungsi viagra selain mengobati disfungsi ereksi. juga ternyata menimbulkan dampak sosial. Beberapa pria yang akhirnya bisa bercinta lagi ketahuan berselingkuh karena ingin mencoba efek viagra terhadap wanita lain.

Sebutlah kisah kakek dan nenek yang satu ini, Frank Bernardo (70) dan Roberta Burke (63) yang akhirnya harus bercerai gara-gara viagra. Menurut Burke, suaminya sudah menderita disfungsi ereksi sejak tahun 1994.

Tapi karena sama-sama cinta, dan usia juga sudah tua ketidakmampuan Bernardo tidak menjadi masalah bagi rumah tangga mereka. Sampai akhirnya Bernardo berkenalan dengan si mungil viagra, pil ajaib berwarna biru yang dapat mengembalikan keperkasaan dalam waktu singkat.

Dan benar, ternyata setelah Bernardo mengkonsumsi satu butir viagra, penisnya bisa ereksi keras dan tetap keras dalam waktu yang lama. Akhirnya bisa ditebak, Bernardo seperti mendapat mainan baru dan dia hidup seperti seorang perjaka lagi.

Dasar tua-tua keladi, ujar Burke, istri Bernardo. Setelah mendapatkan kembali keperkasaanya pada tahun 1998, Bernardo berselingkuh dengan beberapa wanita dan melupakan istrinya tercinta. Merasa terhina, Burke menceraikan suaminya dan menuntut ganti sebesar US 2 juta di pengadilan Mineola, New York.

Cerita Bernardo dan Burke adalah salah satu dampak sosial yang muncul sejak ditemukannya viagra. Viagra ibarat dewa penolong bagi jutaan pria di seluruh dunia. Tak heran jika pil ini laku keras dan terjual ke seluruh dunia meski harganya mahal.

Sebuah penelitian menyebutkan sampai saat ini terdapat sekitar 140 juta pria yang menderita disfungsi ereksi dalam berbagai tingkatan. Fungsi viagra adalah bagi penderita disfungsi ereksi yang disebabkan penyakit diabetes. gangguan syaraf tulang belakang dan prostatectomy. Karena pil biru ini dapat memperpanjang durasi ereksi maka dia cocok juga digunakan oleh penderita ejakulasi dini.

Viagra diproduksi dan dipatenkan di bawah bendera perusahaan Farmasi Amerika Serikat, Pfizer. Mengantongi ijin dari Lembaga Pengawasan Obat dan Makanan (FDA) AS pada tanggal 27 Maret 1998. Tidak sampai dua bulan sejak dijual ke pasar, sekitar 1,5 juta resep yang ditulis dokter setiap hari bagi para pria pemburu viagra. Karena adanya efek samping yang mungkin muncul, viagra memang disyaratkan oleh FDA untuk dijual hanya dengan resep dokter.

Harga resmi viagra adalah $US 16 per butir tapi dipasaran harganya bisa menjadi berlipat-lipat, belum lagi yang dijual di pasar gelap dan tanpa resep dokter. Bahkan di negara Thailand, orang rela membayar $US 60 hanya untuk mendapatkan satu butir viagra. Di Jerman DM 30 dan di Indonesia sekitar Rp. 258.000 per butir. Betapa mahalnya kesehatan seksual tersebut.

Di Indonesia, harga viagra bisa mencapai Rp.200.000 tergantung dari jenisnya. Beberapa obat viagra yang dijual di internet kemungkinan palsu karena bisa dibeli tanpa resep dokter. Untuk mengurangi terjadinya pemalsuan produk mereka, pihak pzifer selaku pemilik paten viagra juga menjual melalui toko online mereka di viagra.com.

Viagra Adalah Obat Disfungsi Ereksi, Bukan obat kuat

Viagra obat disfungsi ereksi

Manfaat viagra masih sering disalah artikan oleh sebagian orang. Pil biru ini dianggap sebagai obat kuat dan karena itu sering dikonsumsi tanpa resep dari dokter.

Ditemukannya viagra bisa dikatakan tidak sengaja. Semula sekelompok peneliti di perusahaan Pfizer merancang sebuah obat untuk mengatasi gangguan tekanan darah tinggi dan angina.

Para peneliti tersebut mulai merasa aneh ketika para pria yang menjalani tes obat tersebut tidak mengembalikan pil sisa sampel. Setelah melakukan pemeriksaan akhirnya ketahuan bahwa pil tersebut memiliki fungsi lain yang sangat menarik.

Bagaimana viagra bekerja?

Seorang pria yang menerima stimulasi seksual dari panca indera ataupun dari khayalan akan menyebabkan sistem syaraf mengirimkan sinyal ke penis dan menyampaikan pesan bahwa aktifitas reproduksi akan segera dilakukan, dan rangkaian sistematis tubuh pun bekerja otomatis menyebabkan penis ereksi.

Sinyal syaraf ke penis menyebabkan tubuh memproduksi hormon kimia yang disebut siklik guanosin monofosfat (cGMP). Zat kimia ini bertanggung jawab membuat otot pada dinding arteri penis menjadi relaks dan melebar. Satu zat kimia lainnya berkerja berkebalikan dengan cGMP yang bertugas menguraikan cGMP dan mengendurkan ereksi.

Semakin tua seorang pria, produksi cGMP nya semakin sedikit, hal inilah yang menyebabkan pria berusia tua umumnya menderita disfungsi ereksi, karena meskipun dia bisa terangsang tubuhnya tidak dapat memproduksi cGMP yang cukup untuk membuat penisnya ereksi dengan keras. Pembuluh darah dalam penis tidak bisa relaks dan melebar menyebabkan aliran darah tidak cukup banyak memasuki rongga penis.

Viagra bekerja dengan cara mencegah terurainya cGMP sehingga meningkatkan aliran darah yang masuk ke penis, menyebabkan penis terisi darah dan mengalami ereksi. Semakin banyak aliran darah yang masuk maka ereksi bisa berlangsung lebih lama. Sehingga manfaat viagra yang paling utama adalah menyebabkan ereksi penis keras dan tahan lama.

Percobaan viagra melibatkan 3.700 pria dengan usia bervariasi antara 19 sampai 87 tahun, dimana 550 orang diantaranya mengikuti tes tersebut selama satu tahun. Dari hasil percobaan diketahui bahwa manfaat viagra cukup bagus yaitu sekitar 60-80%.

Viagra diminum sekitar satu jam sebelum berhubungan, efeknya akan bekerja selama empat jam. Viagra bukan obat kuat untuk menciptakan ereksi jadi agar pemakai dapat ereksi dia harus menerima rangsangan seksual terlebih dahulu.

“Cara kerja Viagra adalah membantu anda mendapatkan ereksi yang keras tapi viagra tidak akan meningkatkan hasrat atau libido seks anda. Artinya pil ini bukan obat kuat atau aprodisiak”, ucap Dr. Harin Padma-Nathan, salah seorang direktur dari Male Clinic, Santa Monika.

Penderita disfungsi ereksi biasanya juga mengalami masalah lemah syahwat atau gairah yang rendah. Selama ini, mereka menggunakan beberapa alternatif pengobatan yang tidak praktis seperti suntik, implantasi protesa, dan penggunaan obat oles. Sekarang, mereka cukup meminum satu butir pil viagra dan masalah ereksi mereka dapat terselesaikan.

Pihak Pzifer, perusahaan Farmasi pemilik paten Viagra menyebutkan bahwa pil biru ini memiliki efek samping seperti iritasi pada perut, kepala pusing, dan penglihatan menjadi kabur. Bahkan bagi pengguna yang mengkonsumsi terlalu banyak tidak akan mampu membedakan warna hijau dengan biru.

Viagra tidak menimbulkan ereksi tapi mempermudah orang ereksi, jadi pil ini diminum dan tidak boleh disuntik ke badan. Penggunaan suntikan viagra sangat berbahaya dan menyebabkan priapismus. yaitu ereksi terjadi terus menerus selama berjam-jam meskipun ejakulasi telah terjadi dan terasa sakit, dampak paling berbahayanya adalah menyebabkan jaringan penis rusak permanen.

“Ereksi bisa terjadi karena ada pelebaran pembuluh darah dalam penis membuat pasokan darah meningkat dan penis pun ereksi. Viagra bekerja melebarkan pembuluh darah di penis bagi yang mengalami masalah pembuluh darahnya tidak bisa melebar. Setelah mengkonsumsi pil ini, barangkali ada bagian tubuh lain yang mengalami pelebaran sehingga menyebabkan efek samping”, ucap Dr. Akmal Taher, peneliti viagra wilayah Asia.

Viagra tidak boleh dikonsumsi bersamaan dengan obat jenis lain yang mengandung nitrat seperti obat untuk penyakit jantung sebab bisa menyebabkan kematian. Obat nitrat dan viagra bekerja saling menguatkan sehingga pelebaran pembuluh darah menjadi sangat hebat dan mendadak.

Gangguan Jantung dan Diabetes

Fungsi Viagra adalah bagi penderita diabetes

Setelah dijual bebas dipasaran, FDA (Lembaga pengawas obat di USA) melaporkan 16 orang meninggal setelah mengkonsumsi pil biru viagra. Bahkan sebuah laporan dari Wall Street Journal pada 29 Juni 1998 menyebutkan korban meninggal bertambah menjadi 30 orang, dengan korban tertua berusia 80 tahun dan termuda 48 tahun.

Walaupun sulit mengidentifikasi penyebab kematiannya, dari pemeriksaan diketahui bahwa rata-rata korban meninggal sedang menjalani pengobatan penyakit diabetes, jantung dan beberapa komplikasi penyakit lainnya.

Sebanyak 6 orang menderita penyakit jantung, dua orang sedang menjalani terapi hytrin, yang satu mengidap hipertensi dan stroke. Sementara yang lain mengalami gangguan denyut jantung tidak teratur yang sangat kronis, salah seorang korban juga menderita pembesaran prostat. Sebelum meninggal, dua orang sempat pingsan saat sedang berhubungan seks.

Dua lainnya mengalami serangan nyeri di dada dan tidak bisa diselamatkan melalui terapi resusitasi dan oemberian obat nitroglyserin. Terdapat dua korban yang meminum obat peneurun hipertensi dan aspirin sebelum mengkonsumsi viagra, mereka mengalami sesak nafas, wajah pucat dan akhirnya meninggal padahal belum berhubungan seks.

Enam dari 30 korban tersebut diketahui sedang mengidap penyakit diabetes. Bahkan salah satu diantaranya juga mengalami masalah kelainan fungsi paru-paru, ke enamnya meninggal satu jam setelah mengkonsumsi pil biru sildenafil sitrate tersebut.

Salah seorang korban meninggal setelah melakukan hubungan intim menderita detak jantung yang tidak teratur dan aliran darah dari jantung tidak lancar atau tersumbat. Korban tersebut meninggal saat pagi hari.

Obat Viagra Harus Dengan Resep Dokter

Meskipun penyebab kematian tersebut masih diperdebatkan, pihak FDA selaku penanggung jawab menyebut tidak ada bukti bahwa viagra adalah penyebab langsung kematian tersebut. Kemungkinan ada faktor lain seperti penyakit yang menjadi faktor dominan penyebab kematian.

Menurut seorang ahli, kemungkinan kematian disebabkan adanya komplikasi antara viagra dengan nitroglyserin (obat penyakit jantung). Sementara itu analisa dari Dr. Adolph Hutter, seorang ahli jantung klinis dari General Hospital, Massachusetts menyebutkan kematian kemungkinan akibat faktor emosi dan fisik yang tidak terkendali saat berhubungan, terlalu lama tidak bercinta menyebabkan mereka sangat bersemangat.

Dr Akmal Taher sependapat dan berujar, “ada 1 juta pria berusia di atas 50 tahun yang memiliki risiko meninggal yang sama meskipun tidak mengkonsumsi pil viagra, apalagi diantara mereka itu ada yang mengidap masalah jantung. Kemungkinan meninggalnya bukan karena viagra melainka karena terlalu bersemangat sehingga terjadi serangan jantung”.

Dan memang berdasarkan penelitian terhadap 4.000 orang di USA dan Eropa yang meminum pil Sildenafil tersebut, tidak satu pun yang meninggal, baik dalam jangka 3 bulan setelah percobaan maupun setelah 6 bulan.

Menyikapi kasus tersebut, negara selain Amerika saat ini masih wait and see. Sampai artikel ini ditulis, Badan Pemeriksa Obat dan Makanan Indonesia juga belum meloloskan obat ini ke tanah air. Di negara-negara Timur Tengah, viagra dinyatakan obat terlarang. Di Arab Saudi dilakukan tes terhadap 30 orang dengan tingkat keberhasilan 85%, tapi meski demikian pemerintah Arab Saudi belum meloloskan obat ini untuk dijual.

Negara pertama di luar Amerika Serikat yang menjual viagra adalah Thailand, tapi dengan persyaratan ketat, yakni harus dengan resep dokter. Pelolosan ini dijalankan dengan pengawasan ketat dari pemerintah yakni berupa pemantauan terhadap efek sampingnya selama 2 tahun ke depan. Setelah Thailand, menyusul Malaysia yang mengijinkan penjulan viagra.

Menyontek keberhasilan viagra dan antusiasme masyarakat mendorong perusahaan farmasi lain menciptakan produk sejenis yang konon katanya lebih aman, contohnya adalah cialis dan levitra. Adalah perusahaan farmasi Zonagen Inc yang berasal dari Texas memproduksi Vasomax sebagai obat disfungsi ereksi alternatif selain viagra.

Dengan semakin banyaknya obat sejenis viagra yang diklaim mampu menyembuhkan disfungsi ereksi maka perlu juga diperhatikan terjadinya perubahan perilaku dalam masyarakat terutama kaum pria. Beberapa laporan juga menyebut bahwa viagra menyebabkan tingginya penularan penyakit dan infeksi menular seksual .

Beberapa remaja yang sama sekali tidak menderita impoten tercatat menjadi konsumen setia pil biru tersebut. Jika kondisi ini terus terjadi maka si remaja tadi kemungkinan besar akan menderita impoten permanen saat usianya bertambah tua.

Kesimpulannya, viagra hanya bisa dikonsumsi oleh pria penderita disfungsi ereksi atau impotensi. Pil ini bukan obat kuat yang bisa dikonsumsi siapa saja, anda harus melalui pemeriksaan kesehatan yang ketat dari dokter sebelum meminum beberapa butir viagra.

***
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VIAGRA USA 100mg
Dipasaran bebas produk ini juga di kenal dengan istilah pil biru atau blue tablet, walaupun beda tetapi tetap sama hanya istilah saja yang berbeda.
Produk ” VIAGRA USA” dominan yang beredar di indonesia, malaysia dan belahan dunia lainya berasal dari USA dan AUSTRALIA.

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FUNGSI DARI ” VIAGRA USA”
* membangkitkan gairah libido.
* mengatasi impotensi.
* mengeraskan ereksi.
* tahan lama berulang-ulang.

* mengobati diabet/ kencing manis.
* baik sebagai suplemen sehari-hari, untuk menjaga kesehatan tubuh dan vit selalu.

ATURAN PAKAI
1 tablet di minum, 30menit sebelum berhubungan.

Viagra is an oral drug for male impotence, also known as erectile dysfuntion, viagra has a great safects track record and proven effects that start acting in 30minutes to 1 haur and last for about 4 hours.

these substances djrectly enter info the corpus cavernosum fo membrum to expand the vessels, improve blood ent ering. increase the content fo testosterone in human blood rapidiy, so as to make the erection of membrum thick, hard and vigorous, improving growth and development of the membrum tissue. reinforcing growth action further, and promoting the length thickness and bigness make the membrum develop again.

Administration and dosage: take one pill 10-30 minutes before sexual intercourse

( 1) Dont be anxious for success and take the drug in excess.

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( 3) Do not take this drug repeatedly in 24 hours.

HARGA ; 1.tablet Rp 70.000, -/ botol isi 30tablet Rp1.000.000, –
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PEMESANAN:
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081 326 666 630
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pemesanan ANTAR LANGSUNG se JABOTABEK, pemesanan di luar kota, luar jawa dan di LUAR NEGRI silahkan transfer di BANK
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Negara Asal: Amerika Serikat
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* menambah kekuatan vitalitas.
” VIAGRA AUSTRALIA” 100mg

Dipasaran bebas produk ini juga di kenal dengan istilah pil biru atau blue tablet, walaupun beda tetapi tetap sama hanya istilah saja yang berbeda.
Produk ” VIAGRA AUSTRALI” dominan yang beredar di indonesia, malaysia dan belahan dunia lainya berasal dari USA dan AUSTRALIA.

Produk ini sangat aman mampu menambah kekuatan vitalitas anda, pada dasarnya VIAGRA memacu jantung untuk bekerja sempurna dan mengalirkan darah ke penis, tablet mutahir mampu bangkitkan gairah laki-laki dewasa maupun yang sudah tua 60tahun ke atas, dalam mengatasi impotensi dan ejakulasi dini.

” VIAGRA AUSTRALIA”
* membangkitkan gairah libido.
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ATURAN PAKAI
1 tablet di minum, 30menit sebelum berhubungan.

HARGA ; Rp200.000, -PAKET EKONOMIS ISI 4TABLET.
PRODUK ASLI, JAMINAN MUTU DAN KUALITAS.

В¤ MENCARI AGEN DI LUAR DAERAH dengan harga SEPECIAL ( GROSIR) .

В¤ DAPATKAN HADIAH GRATIS SETIAP PEMBELIAN DI ATAS Rp 500, 000.-

KOING shop
” vitalitas center”
JL.JEMBATAN TIGA 33 JAKARTA.

PEMESANAN:
pembelian bisa melalui tlp/ sms di
085 729 799 993
081 326 666 630
087 833 740 730
pemesanan ANTAR LANGSUNG se JABOTABEK, pemesanan di luar kota, luar jawa dan di LUAR NEGRI silahkan transfer di BANK
BNI: 0192-438-556.
BCA: 3530-337-102.
MANDIRI: 13-5000-6753-998.
Atas nama: NUR IHSANUDIN.
uang masuk, sms ALAMAT TUJUAN barang langsuk kami kirim melalui JASA PENGIRIMAN: TIKI, JNE, EMS, POS, JAYA EXPRESS, PANDUSIWI dan lain-lain sesuai dengan kesepakatan. Dalam 1-2 hari sampai di tempat tujuan..
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Harga: Rp 200,000,-
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Negara Asal: Australia
Harga: Rp200,000,-
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tablet khusus kuatkan ereksi, tahan lama berulang-ulang.

DISFUNGSI EREKSI. VIAGRA CHINA 250mg SOLUSI TEPAT DENGAN HARGA WOW… SUPER HEMAT..

tablet ini terkenal di dunia internasional karna kehebatannya dalam memenuhi segala kebutuhan para pria dalam menjalankan tugasnya sebagai suami memenuhi kebutuhan sex pasanganya.

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VIAGRA CHINA 250mg 100% tidak menimbulkan efek samping.

konsumsi 1tablet VIAGRA CINA 30menit sebelum berhubungan sex. rasakan kehebatan tablet ini.

VIAGRA CHINA obat kusus untuk pria dewasa tidak untuk wanita dan anak-anak.

VIAGRA CHINA 250mg
isi 12 tablet.
harga. 200.000.-
negara asal china.

В¤ MENCARI AGEN DI LUAR DAERAH dengan harga SEPECIAL ( GROSIR) .

В¤ DAPATKAN HADIAH GRATIS SETIAP PEMBELIAN DI ATAS Rp500, 000.-

KOING shop
” vitalitas center”
JL.JEMBATAN TIGA 33 JAKARTA.

PEMESANAN:
pembelian bisa melalui tlp/ sms di
085 729 799 993
081 326 666 630
087 833 740 730
pemesanan ANTAR LANGSUNG se JABOTABEK, pemesanan di luar kota, luar jawa dan di LUAR NEGRI silahkan transfer di BANK
BNI: 0192-438-556.
BCA: 3530-337-102.
MANDIRI: 13-5000-6753-998.
Atas nama: NUR IHSANUDIN.
uang masuk, sms ALAMAT TUJUAN barang langsuk kami kirim melalui JASA PENGIRIMAN: TIKI, JNE, EMS, POS, JAYA EXPRESS, PANDUSIWI dan lain-lain sesuai dengan kesepakatan. Dalam 1-2 hari sampai di tempat tujuan..

PESANAN DI JAMIN KERAHASIAANNYA.
” PRODUK BERMUTU JAMINAN KUALITAS”

Negara Asal: China
Harga: Rp 200,000,-
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Kemas & Pengiriman: Box

CIALIS ( tadalofil) 50mg is used for treating erectile men’ s erectile dysfuncion ( e, g..Impotence) cialis starts working in 30minutes and lasts for about 36 haurs, while viagra effect lasts up to 5 haurs besides you can take cialis with or without food.

Function :
1.This product make the penis erect quicly, improve sexual intercourse quality, shorten the interval for a second intercourse and reduce fatigue. Remove prematur ejaculation, activate kidney function and increase secretion of testicle cell.
2.It contains many vigor factors required by male, long-term administration can increase spirit, prostate and other similar diseases, usage and dosage. take one pill 10-30 minutes before sexual intercourse.

Administration and dosage: take one pill 10-30 minutes before sexual inter course.

Cialis 50mg adalah obat perangsang untuk peria berbentuk pil atau tablet berfungsi untuk membuat ereksi pada penis.
Baik di gunakan pada peria dewasa yang lagi frustasi atau yang kehilangan nafsu seksual tetapi ingin melakukan hubungan intim dengan pasangannya.
Dalam 1box CIALIS 50mg berisi 10tablet.
Dosis 1tablet untuk sekali pegunaan.Obat kuat untuk tahan lama, keraskan ereksi.
AWAS.
Tidak untuk di konsumsi untuk wanita dan anak-anak.
Masalah kesehatan seperti jantung dan hati gunakan sesuai dosis.
Harga Rp 200, 000, –
Isi 10tablet.
В¤ MENCARI AGEN DI LUAR DAERAH dengan harga SEPECIAL ( GROSIR) .

В¤ DAPATKAN HADIAH GRATIS SETIAP PEMBELIAN DI ATAS Rp500, 000.-

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081 326 666 630
087 833 740 730
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BCA: 3530-337-102.
MANDIRI: 13-5000-6753-998.
Atas nama: NUR IHSANUDIN.
uang masuk, sms ALAMAT TUJUAN barang langsuk kami kirim melalui JASA PENGIRIMAN: TIKI, JNE, EMS, POS, JAYA EXPRESS, PANDUSIWI dan lain-lain sesuai dengan kesepakatan. Dalam 1-2 hari sampai di tempat tujuan..
PESANAN DI JAMIN KERAHASIAANNYA.
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Negara Asal: Inggris
Harga: Rp200,000,-
Cara Pembayaran: Transfer Bank (T/T)
Jumlah: isi 10tablet
Kemas & Pengiriman: box

tablet dari china yang berfungsi untuk spontan ereksi dan tahan lama saat berhubungan.

LANG YI HAO terbuat dari bahan-bahan alam sehingga tidak menimbulkan efek samping bagi pemakainya.

LANG YI HAO tablet sepecial tahan lama, kuatkan ereksi dan mencegah ejakulasi dini.tablet ini di china sering juga di sebut VIAGRA SRIGALA BIRU karna ke hebatannya menjawab semua prolem masalah sex pada kaum pria.

LANG YI HAO sering di konsumsi para artis porno di china untuk menunjang vitalitas dalam pembuatan adekan saat behubungan sex.

konsumsi 1tablet LANG YI HAO 30menit sebelum berhubungan sex. rasakan kehebatan dan dasyatnya tablet ini.

LANG YI HAO obat kusus untuk pria dewasa tidak untuk wanita dan anak-anak.

LANG YI HAO
isi 4 tablet.
harga. Rp 150.000.-
negara asal china.

В¤ MENCARI AGEN DI LUAR DAERAH dengan harga SEPECIAL ( GROSIR) .

В¤ DAPATKAN HADIAH GRATIS SETIAP PEMBELIAN DI ATAS Rp500, 000.-

KOING shop
” vitalitas center”
JL.JEMBATAN TIGA 33 JAKARTA.

PEMESANAN:
pembelian bisa melalui tlp/ sms di
085 729 799 993
081 326 666 630
087 833 740 730
pemesanan ANTAR LANGSUNG se JABOTABEK, pemesanan di luar kota, luar jawa dan di LUAR NEGRI silahkan transfer di BANK
BNI: 0192-438-556.
BCA: 3530-337-102.
MANDIRI: 13-5000-6753-998.
Atas nama: NUR IHSANUDIN.
uang masuk, sms ALAMAT TUJUAN barang langsuk kami kirim melalui JASA PENGIRIMAN: TIKI, JNE, EMS, POS, JAYA EXPRESS, PANDUSIWI dan lain-lain sesuai dengan kesepakatan. Dalam 1-2 hari sampai di tempat tujuan..

PESANAN DI JAMIN KERAHASIAANNYA.
” PRODUK BERMUTU JAMINAN KUALITAS”

Negara Asal: China
Harga: Rp 150,000,-
Jumlah: ISI 4 TABLET
Kemas & Pengiriman: Box

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Jual Viagra Asli Untuk Mengobati Disfungsi Ereksi dan Ejakulasi Dini

Viagra adalah obat yang di setujui FDA digunakan untuk mengobati masalah disfungsi ereksi pada pria. Setelah diperkenalkan pada tahun 1998, Viagra menjadi pengobatan yang paling populer untuk masalah disfungsi ereksi. Viagra adalah obat kuat spontan yang bisa bertahan hingga 6 jam. Viagra bekerja dengan baik untuk laki-laki dewasa pada usia berapapun, bahkan pria 60 tahun tetap joss.

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Viagra akan merusak produksi hormon yang disebut PDE5. Karena hormon inilah yang membuat alat vital anda menjadi susah ereksi. Kandungan yang terdapat dalam Viagra (Sildenafil ) akan membuka sel pembuluh darah di sekitar penis agar darah mengalir lancar selama aktivitas seksual. Dengan meminum viagra, seorang pria dapat dengan mudah mencapai ereksi yang kuat serta keras dan tahan lama.

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Viagra mulai bereaksi dalam waktu 15 menit. Ini adalah pengobatan sangat populer untuk masalah ED karena telah terbukti secara ilmiah membantu sekitar 80% pria penderita DE. Viagra adalah obat pertama yang sukses di setujui FDA dalam mengobati masalah seksual.

Uji klinis dari seluruh dunia telah menunjukan bahwa viagra sangat efektif mengobati masalah disfungsi ereksi.

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2. Minum Viagra kira-kira 30 menit hingga 1 jam sebelum melakukan hubungan intim. Obat kuat Viagra paling efektif jika diminum dalam rentang waktu tersebut, karena pil biru ini membutuhkan sedikit waktu untuk bereaksi dan merangsang ereksi.

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DefiniciГіn; Factores de riesgo; Mecanismo normal de erecciГіn; Tipos de disfunciГіn erГ©ctil y sus causas; Tratamiento; Vivir con disfunciГіn erГ©ctil. El consumo de Viagra podrГ­a provocar ACV Los mГ©dicos santiagueГ±os informaron que tuvieron varios casos de internaciГіn por mal uso de viagra. ВїCГіmo funciona la mГ©dula espinal? Para entender lo que ocurre a causa de una lesiГіn de la mГ©dula espinal, es Гєtil conocer la anatomГ­a de la mГ©dula espinal y. Aunque hay personas que pueden no sentir algГєn cambio al consumirla es innegable el efecto positivo en el organismo. Es fГЎcil encontrar anuncios relacionados con la. VisiГіn general del sistemanervioso autГіnomo Funciones del sistemanervioso autГіnomo que sustentan la vida ejerciendo el control sobre las funciones / sistemas. ВїQuГ© hace elsistema respiratorio por los otros sistemas del cuerpo humano. Elsistema respiratorio estГЎ compuesto por los pasajes nasales, la faringe, la laringe. Este post va con el proposito de informar a la sociedad que es elviagra y que consecuencias trae su consumo, ya que los jovenes estan haciendo uso del mismo solo por. Si, la diabetes es un verdadero problema para el sexo y esto ocurre en ambos sexos. El manejo del azucar en sangre trae problemas a diario, pero al hacerse cronica la. Quisiera dar mi opiniГіn sobre el mГ©todo Tomatis. Yo pertenezco a la asociaciГіn AltomTomatis. Se trata de una asociaciГіn que usa un equipamiento totalmente. Es curioso cГіmo algunos de los dolores mГЎs extremos que el ser humano puede experimentar vienen mayoritariamente de la propia naturaleza. Medusas que matan con.

16 Dic 2011 . Una reciente investigación señala el uso de Viagra ® como posible. La esclerosis múltiple afecta a unos dos millones de personas en todo el mundo. la respuesta inmune y las células del sistema nervioso central (SNC).Generic Viagra. La erección del pene depende del sistema nervioso central. Primero, una gran cantidad de azúcar en la sangre afecta la circulación.Cuando esto ocurre, hay una activación del sistema nervioso en el cerebro, que a su. En condiciones normales, Viagra no afecta otros órganos o sistemas.16 Mar 2016 .Viagra es un medicamento recetado comúnmente utilizado para la es una enfermedad autoinmune que afecta al sistema nervioso central.30 May 2015 . Pero ahora la investigación sobre los efectos Viagra del café: En el estudio. El proceso fisiológico de erección depende del sistema nervioso. Entrada anterior ¿Cómo la vida de nuestros abuelos afecta a nuestra. Los seres humanos tenemos un sistema nervioso limitado. El sistema nervioso es el encargado de procesar los estímulos del exterior y del interior de nuestro organismo, de responder ante. 5 Recetas caseras como alternativa al Viagra .Esto puede tener importantes consecuencias llegando a afectar la la excitación sexual se pone en marcha el sistema nervioso provocando que los vasos del. Los problemas de erección generalmente no afectan el impulso sexual. Depresión; Trastornos del sistema nervioso. como esclerosis múltiple o mal de Parkinson. Las pastillas para la disfunción eréctil que se toman por vía oral ( Viagra. 28 Oct 2013 . Jóvenes usan Viagra para iniciar su vida sexual que afectan el sistemanervioso central y el sistema cardiovascular", indicó el doctor José. 12 Mar 2010 . Cómo afectan a la sexualidad algunos trastornos neurológicos. accidentes cerebro-vasculares, los tumores del sistema nervioso. la esclerosis. En los últimos años, el desarrollo de fármacos como la Viagra ha marcado.

El consumo de Viagra podrГ­a provocar ACV Los mГ©dicos santiagueГ±os informaron que tuvieron varios casos de internaciГіn por mal uso de viagra. VisiГіn general del sistemanervioso autГіnomo Funciones del sistemanervioso autГіnomo que sustentan la vida ejerciendo el control sobre las funciones / sistemas. Este post va con el proposito de informar a la sociedad que es elviagra y que consecuencias trae su consumo, ya que los jovenes estan haciendo uso del mismo solo por. DefiniciГіn; Factores de riesgo; Mecanismo normal de erecciГіn; Tipos de disfunciГіn erГ©ctil y sus causas; Tratamiento; Vivir con disfunciГіn erГ©ctil. Es curioso cГіmo algunos de los dolores mГЎs extremos que el ser humano puede experimentar vienen mayoritariamente de la propia naturaleza. Medusas que matan con. Quisiera dar mi opiniГіn sobre el mГ©todo Tomatis. Yo pertenezco a la asociaciГіn AltomTomatis. Se trata de una asociaciГіn que usa un equipamiento totalmente. Aunque hay personas que pueden no sentir algГєn cambio al consumirla es innegable el efecto positivo en el organismo. Es fГЎcil encontrar anuncios relacionados con la. ВїQuГ© hace elsistema respiratorio por los otros sistemas del cuerpo humano. Elsistema respiratorio estГЎ compuesto por los pasajes nasales, la faringe, la laringe. Si, la diabetes es un verdadero problema para el sexo y esto ocurre en ambos sexos. El manejo del azucar en sangre trae problemas a diario, pero al hacerse cronica la. ВїCГіmo funciona la mГ©dula espinal? Para entender lo que ocurre a causa de una lesiГіn de la mГ©dula espinal, es Гєtil conocer la anatomГ­a de la mГ©dula espinal y.

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El viagra afecta el sistema nervioso

Barrow tenГ­a algunos amigos, agotado el tiempo que habГ­an permitido a sГ­ mismos para viajar. La ciudad de Berna destaca los Los siguientes extractos respetando Suiza se toman de los Viajes de Simond. bancos elevados de un rГ­o rГЎpido, el Aar, que el Rin en deuda por la mitad de sus aguas. Una curva repentina del rГ­o incloses todos lados, pero uno del promontorio que la ciudad estГЎ construida la pendiente todo en algunos lugares cubiertos de cГ©sped, con el apoyo de otros cialis cocaina efectos altos terrazas plantadas con ГЎrboles, y al mando de unas maravillosas vistas sobre la rica regiГіn circundante y el parapeto una pared estas terrazas, que ciento ocho pies de altura, lleva una inscripciГіn de grabar un accidente singular que ocurriГі allГ­, hace ciento sesenta y tres aГ±os. caballo que pasГі el pastoreo en la terraza, sus compaГ±eros asustГі al animal, y le hizo saltar por encima.

el piloto imprudente tenГ­a varios huesos que significa el medicamento sildenafil rotos sobrevivieron mirando por encima, puede observarse que los proyectos de pared gradualmente abajo, formando un plano inclinado, que, aunque poco desviaciГіn respecto a la vertical, debe haber retrasado Como si hubiera algo contagioso en una mujer condenaron la carretilla por algГєn delito, y empleГі en barrer la terraza con otros prisioneros, tomГі su oportunidad, y saltГі encima en el mismo lugar precio del viagra en farmacias espaГ±olas hace dos aГ±os, las calles, Edward preguntГі a su papГЎ, si las galerГ­as en las que se sitГєan las tiendas no se veГ­a como el Palais A lo que el Sr. Barrow respondiГі afirmativamente y aГ±adiГі, y al igual que muchos de los nuevos edificios en el mismo estilo, tanto en ParГ­s y Londres y que eran imitaciones del estilo de la construcciГіn en las ciudades lombardas, que, desde su civilizaciГіn estado superior, eran los modelos de las ciudades imperiales de Alemania y Suiza, como instituciones de arquitectura y municipales Г©l tambiГ©n pensaba caminos cubiertos, con el propГіsito de detecciГіn de pasajeros de las tormentas de invierno, parecen absolutamente necesaria en una situaciГіn como Berna, elevado a mГЎs de mil setecientos pies sobre El mГЎs notable edificio en Berna la Catedral construida en el estilo gГіtico fue construido a principios del siglo XV la terraza alta que se encuentra sesenta aГ±os mayor. Todos los dГ­as durante la semana que el seГ±or y la seГ±ora Barrow se puede tomar levitra a diario hospedamos en Berna hicieron alguna excursiГіn era ver, unas dos leguas de Berna, el monumento cГ©lebre MarГ­a Langhans. La Iglesia yardas alemГЎn Suiza estГЎn decoradas en un sabor extraГ±o con cruces fantГЎsticos cada tumba, engaГ±ado con pequeГ±as marionetas muestran figuras de santos o ГЎngeles, que colgaban sueltos en el viento, la madera curiosamente la patilla viagra natural tallado en dispositivos, y el conjunto llamativamente pintadas y dorado, formando un conjunto muy singular. Pero la tumba MarГ­a Langhans una descripciГіn muy diferente de la tapa de la tumba representaba romper en pedazos al oГ­r la trompeta el dГ­a del juicio y de una mujer joven y hermosa, apartando los fragmentos con una mano, se levanta con un bebГ© brazo.

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Hay gran dulzura en su rostro, mezclado con una cierta expresiГіn de asombro, sorpresa, al menos, y sin embargo la fe. mediados del siglo pasado, un artista alemГЎn, Nahl, una sola de Berna, que se separГі de su amigo, el seГ±or Seymour, mejor cialis 10 o 20 mg quien pretende restante Desde Berna Thun fue el viaje de su primer dГ­a de trabajo, que no mГЎs de seis leguas, sobre el mejor camino ya travГ©s del paГ­s mГЎs rico imaginable.

Era domingo los habitantes en sus vestidos de verano se divertГ­an a sus puertas, bajo los ГЎrboles de nogal sombra comodidad e independencia apareciГі visible en su apariencia, y observГі, que nunca habГ­an visto un aspecto mГЎs orgullosos hombres de ajuste que el campesinado Oberland.

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estrictamente observados allГ­ como en Inglaterra muchos los hombres juegan a los bolos y se divierten de diferentes maneras, durante el culto intervalos pГєblico. El castillo de Thun, donde los hijos del conde Kibourg pusieron finasteride anmat fin a su disputa un fratricidio, excitado enormemente su admiraciГіn su pintoresca situaciГіn una roca, con cada torretas efecto de media viagra apГ©ndice adecuadas y almenas y todavГ­a mГЎs digno de admiraciГіn Alfred pronunciГі las montaГ±as finos back ground, que, a pesar de ocho leguas de distancia en lГ­nea recta, coronada el castillo de su superficie azul aterciopelado negro, y los glaciares de bordes plateados, tenГ­a un suave y hermoso infrecuente Sr.

Barrow expresГі un deseo ver salir el sol detrГЎs de la Jungfraw, y le dijo a los chicos, si quisieran, podrГ­an acompaГ±arlo, pero conviene tomar finasteride que tienen que levantarse a las tres de la maГ±ana si lo hicieron que tanto Edward y Alfred declararon que deberГ­an encantados en hacer, pero como la seГ±ora Barrow no se imaginaba que ella debe sentir mucho placer en hacerlo, ella no quiso hacer uno a la fiesta. IntenciГіn al llegar al lago antes de la salida del sol, el Sr.

Barrow y sus hijos caminado a lo largo del lado izquierdo de la rГЎpida Aar, pero el rГ­o pasando extraordinariamente alta, se encontraron con el campo y la ruta bajo el agua, y tenГ­a quitarse los zapatos y las medias, y Wade una milla completa en agua, que no muchas horas antes de que podrГ­a haber sido en una forma sГіlida el glaciar del Kander, para cualquier cosa que su temperatura se indica lo contrario. Llegaron antes del amanecer, y vieron sus primeros rayos dorar las cabezas del Schreekhorn, los dos Eighers y el Jungfraw, mientras que el rango inferior se encontraba todavГ­a en tinieblas, y antes de la Гєltima de las estrellas habГ­an descendido por debajo del horizonte occidental.

El viagra afecta el sistema nervioso

Estas cumbres luminosas parecГ­an mГЎs a los cuerpos celestes apenas crecientes, que cualquier cosa terrestre grande, ya la vez tan lejano, claramente visto, y sin embargo, nada visible toda la superficie lГєcida. DespuГ©s de haber ganado su punto de ver la salida del sol, el partido se volviГі hacia su lugar de descanso, y vadeando nuevo, alcanzГі Thun y la posada al igual que la seГ±ora Barrow estaba listo para el desayuno. Cuando se enterГі de la manera en que habГ­an hecho su peregrinaciГіn, ella declarГі que se consideraba haber sido mucho mГЎs cГіmoda en la que habГ­a permanecido, de lo que podrГ­a haber sido si ella hizo uno de su partido. Desde Thun, el carro que entraron, el Sr. Barrow ordenГі regresar de Ginebra, como el viaje previsto que coloque en el carbГіn-a-banc, o pequeГ±o carro del paГ­s esta novedad los chicos enormemente barco, equipado con un toldo y bancos a cada lado una mesa. TenГ­a un par de remos y una pequeГ±a vela de este Гєltimo, con un viento favorable, era suficiente para llevarlos a otro lado del lago, cuatro o cinco leguas, en dos horas y se procurГі un char-a-banc, lo que les lleva a rГЎpidamente Interlaken, situado en un fГ©rtil valle entre los lagos de Thun y Brientz, la amurallada con rocas y montaГ±as, que corren por su DespuГ©s de haber cenado, subieron al valle Lauterbrun, con el propГіsito de ver la caГ­da del Staubbach, que siendo ochocientos pies de altura, totalmente separado de la roca, reduce el vapor mucho antes de que alcances bien divirtiГ©ndose con la observaciГіn de los Rockets de apariencia singular agua, el derribo en la densa nube de vapor a continuaciГіn, algunas muchachas del paГ­s agradablemente los sorprendieron, cantando en concierto, en voz lanzГі excesivamente alto, mГЎs como el metal vibraciones o el vidrio de la voz humana, pero levitra precio en panama en el Ascenso perfecta Alero Alp desayuno la cumbre avalanchas Grindlewald Gran elevaciГіn que lugar Camas nieve DescripciГіn de un chalet o residencia de hutGeneva Voltaire A la maГ±ana siguiente se pusieron a la rotura dГ­as a caballo, con cuatro guГ­as, ascender al Alero Alp, la gira que los mГЎs pintorescos de DespuГ©s de casi cinco horas laboran llegaron a un chalet de la parte superior de la montaГ±a, donde se detuvieron, y con implementos para golpear fuego, unos palos secos hicieron un resplandor alegre el pastores trajeron un cubo de leche muy rica, con un cafГ© caldera marca y muy grandes cucharas o cucharones de madera contestadas las copas de propГіsito.

Viagra Y Sistema Nervioso

El viagra afecta el sistemanervioso – 3ys5.mcphersoncpa.com TODO LO QUE USTED QUERГЌA SABER SOBRE VIAGRAY NO SE ATREVГЌA A PREGUNTAR CГіmo se. El cerebro humano es el centro del sistemanervioso humano siendo un Гіrgano. DisfunciГіn ErГ©ctil: Una PreocupaciГіn para los Hombres Con. DisfunciГіn ErГ©ctil: Una PreocupaciГіn para los Hombres. un trastorno del sistemanervioso que puede afectar las vГ­as neuronales. o sildenafil (Viagra ) Similar ViagraSistemaNervioso | rocnsoc.com dosis de diclofenac reacciones Similar ViagraSistemaNervioso adversas exelon pflaster nebenwirkungen alzheimer krankheit mein kampf gegen denn krebs brimex zovirax. Duracion del sildenafil 50 mg en el cuerpo El Citrato de sildenafilo (compuesto UK-92,480), vendido bajo la marca Viagra. Revatio y otros. incluye al sistemanervioso parasimpГЎtico causando la liberaciГіn. DisfunciГіn ErГ©ctil (DE). la causa puede ser un problema en el sistemanervioso. de problemas con el sistema endocrino y puede explicar. Viagra. Levitra y Cialis pertenecen a. El viagra afecta el sistemanervioso – revistaparaleer.com El viagra afecta el sistemanervioso. Estas cumbres luminosas parecГ­an mГЎs a los cuerpos celestes apenas crecientes, que cualquier cosa terrestre grande. PDF TEMA 9: FILOGENIA DEL SISTEMANERVIOSO – Psicocode TEMA 9: FILOGENIA DEL SISTEMANERVIOSO PsicobiologГ­a 2 la actual, ya que de otra forma no podrГ­a dirigirse en el sentido de El ViagraSistemaNervioso | bamagicmassage.com selbsthilfegruppe osteoporose stuttgart unechtes viagra schulbГјcher diabetes El ViagraSistemaNervioso diarrhea cipro colitis beipackzettel diazepam ginkgo biloba. Viagra En Spray SistemaNervioso Central | alcottgroup.com renfe de la diabetes holger Viagra En Spray SistemaNervioso Central reiners depression litt que fue zolpidem alergia al niquel Viagra En Spray SistemaNervioso. Sistemanervioso central ysistemanervioso perifГ©rico. El sistemanervioso central consta del cerebro y la mГ©dula espinal. El sistemanervioso perifГ©rico estГЎ constituido por todos los nervios perifГ©ricos.

ВїCOmo afectan las drogas y el alcohol al sistemanervioso.

Since Viagra is used as needed, you are not likely to miss a dose. Respiratorio, en la nutricion, la piel, los musculos y el sistemanervioso. Viagra reduce los sГ­ntomas de la esclerosis mГєltiple en el. la substancia grasa que protege las fibras nerviosas en el sistemanervioso central. Viagra es un medicamento bien tolerado y ha sido usado para tratar la. similar al viagrasistemanervioso – CPS The Office of Student Health and Wellness is composed of four departments that work together to accomplish the Healthy CPS vision. Todo Lo Que Usted QuerГ­a Saber Sobre ViagraY No Se AtrevГ­a a. TODO LO QUE USTED QUERГЌA SABER SOBRE VIAGRAY NO SE ATREVГЌA A PREGUNTAR. Cuando esto ocurre, hay una activaciГіn del sistemanervioso en el cerebro. El SistemaNervioso – YouTube El SistemaNervioso estГЎ formado por el EncГ©falo, la MГ©dula Espinal y millones de cГ©lulas llamadas Neuronas. Juntos, forman una red Sildenafil potenciar – 1s7.marykateslegacy.com Vea los riesgos y bene. CГіmo tomar Sildenafil. El Sildenafil. SistemaNervioso Central. Antidepresivos SistemaNervioso Central. AntipsicГіticos NeurolГ©pticos. La Maca, el viagra natural – Alimentacion Sana. que sus alcaloides actГєan sobre el SistemaNervioso Central produciendo. La MACA, conocida tambiГ©n como el Ginseng de los Andes y la Viagra de los. Cerebro y nervios: MedlinePlus en espaГ±ol Sistemanervioso autГіnomo, Trastornos ver Trastornos del sistemanervioso autГіnomo; Sistemanervioso perifГ©rico, Enfermedades del ver Enfermedades del sistema. Andiarios | AsociaciГіn Colombiana de Editores de Medios. La AsociaciГіn Colombiana de Editores de Diarios y Medios Informativos, ANDIARIOS, es una organizaciГіn sin ГЎnimo de lucro, instituida el 15 de septiembre de 1961 Inhibidores PDE5(Viagra-Cialis-Levitra)uso en UrologГ­a y no. Inhibidores PDE5(Viagra-Cialis-Levitra)uso en UrologГ­a y no UrologГ­a. Dr. Ricardo szemat Nikolajenko. Gastrointestinales y del SistemaNervioso Central.

Marapuama Archivos – viagra natural

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