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The trouble is that when you go with a non phramaceutical drug its hard to know what you are getting. there are some Viagra like pills that are made in other countries however- and they are through medical sources– and cheap. In India, and Mexico, for example, there are local versons that seem to work ( at least my friendws in those countries think they do!).

I purchased some tablets for fun in Mexico and wondered if they are real. I bought them at a fairly large pharmacy. They are yells and look like the shape of viagra but only yellow. Are they real. Let me know. Thanx.

I had a similar situation; Erectile dysfunction set in in 1997. Viagra helped when it came on the market. Retrogressive ejaculation followed in 2001; it may be as a result of damage done during removal of kidney-stone although doctors seem to disagree on this. Found blood when masturbating (but none in urine) earlier this year. Saw doctor and had pta test done. It was normal. I went though hell while waiting on result. I was almost sure I has cancer. The condition cleared up.

I’ve been hitting the Rosetta Stone at least a minimum of 1 hour a day. When I was in Mexico on Saturday I was talking to a waiter and he told me to watch Spanish Television in conjunction with the Rosetta Stone, and You won’t believe the commercial I saw today. lol. Yep. I was lmao thinking about this thread. Their commercial was not as annoying as the one’s we have to tolerate.

I repeat, if they tied Viagra enhancement to HCV drugs, we would have Hillory’s attention. Out here in the Northwest our union is endorsing Edwards.

I don’t have any symptoms yet, except for my period being early once in a while. I am 44 years old, and have gone, in 2 weeks, from having 44 year old skin to skin of a 60 year old. Could someone please help? I’m very distressed.

Hello, I had unprotected oral sex in Mexico in November of 2007. I was taking Cialus and Viagra during the trip but not at the same time along with several beers. Did not ejaculate during oral sex but had it several times from the two prostitutes. I later found that one of the girls was smoking crack. Anyhow, a few days later I started having some discomfort urinating. I had Chlamydia in college but it did not have quite the discomfort as college.

I am going to put down lists of natural aphrodisiacs for women and men, hopefully this post will stay up, so people who do not want to turn to drugs for help can get it hopefully. Following is a small compilation of 10 such natural aphrodisiacs or libido enhancers for men: 1) Ginseng It was first discovered by the Chinese and has been used as a libido enhancers for thousands of years. Ginseng is one of the bestselling herbs in the United States.

by xbeany, 15 hours I recently had a crazy weekend in Mexico over memorial day weekend. Not only once did I had oral and intercourse I am afraid that I may be at risk of a STD. 1st encounter – Protected oral and vagina sex. We used two condoms for each act. But in between the sex she rubbed her vagina on my penis (not inserted) and then when we had protected sex again she put on the second. I went back to the hotel and washed myself thoroughly.

I recently had a crazy weekend in Mexico over memorial day weekend. Not only once did I had oral and intercourse I am afraid that I may be at risk of a STD. 1st encounter – Protected oral and vagina sex. We used two condoms for each act. But in between the sex she rubbed her vagina on my penis (not inserted) and then when we had protected sex again she put on the second. I went back to the hotel and washed myself thoroughly.

my problem is that i got the dvt in mexico. i am back in nairobi, kenya where i am working. this is something that i would not trust with any local doctors. is there any correlation between the blood clot in the leg and this. i am sure i screwed up with taking the viagra while being on the coumadin. any help would greatly be appreciated, i have a feeling i may have to come back to the states to solve the problem.

It is increasingly being used in treatment of erectile dysfunction. 5) Damiana Damiana is found in Mexico and the southern US. It is used as a libido enahncer for both men and women. 6) Tribulus Terrestris Tribulus terrestris has been long used nin the Ancient Chinese and Indian medicine systems to improve sexual desires and potency in men.

Anyway, these books and services allegedly give you a list of contacts and pharmacies in Mexico. But, they were never successful in procuring any opiate pills, just spent alot of money. This is a big scam that prays on the desperate addict. Maybe somewhere people are successfully getting them online, or by mail from foreign pharmacies, but it’s not common.

on the addresses of different pharmacies, IN SPAIN and MEXICO. etc. So that’s how it must be, and they bring it back to the US. But really, at the bottom of all of it is the simple question "Why?"Why would anyone want to take any of these things if they weren’t in horrible, horrible pain? It does not feel good for me at all. Not even a little bit. I think I told you earlier about a site I found before this one.

but I DID have to wear the pointy hat once and sit in the corner in grade school. Don’t complain too much about those ads on the sidebar. They started out as Pop-Ups! We used to have to click through them every time we viewed a thread or tried to post. It was HORRIBLE! I wrote to Phil here at Mad Help and explained the Riba situation and he toned it down to what we have now. If these things raise money for them them I’m all for them. Plus.

There is always a risk of contracting Hep A, all I was saying this risk much lower in North America than let’s say in Mexico or Africa. My DR told me end tx and then vaccinate (or do it before tx) since tx is already influencing my liver. Thats was I was told.

I also was told that injectables had to be gotten from a place in louisana, the price increased x5. I live in New Mexico. I totally flipped my lid. I think of myself as pretty level-headed, but this was so OUT OF MY CONTROL that I broke down. The rest of the day was "POOR ME". The next morning, it was obvious to me that quitting (if the tx is working) was not an option. I was able to get the pharmacy to send a week supply, so that I can work out a strategy.

If you don’t know any there are tons on the net. Have a lovely day ladies and in spite of what our days will be let’s all find something to smile about. A man comes home and his wife is waiting in the living room with her suitcases packed. He asks where she is going. She haughtily replies, "I just found out I can get $400.00 in Vegas for what I do for you for free". The man rushes upstairs packs a bag and comes back to the living room.

so, tomorrow i have to go in and fill out my contract and then figure out how in the hell to get my college transcripts (mexico ) from down there to here, cuz they need them. =/ and get them here! argh. what a hassle! We just found out that my dh’s best best friend, and his wife are expecting too. lol. and without even knowing it. we are 6 days apart. can you believe it. The sucky part. she went for an US at 6.5w and her hb was 140. mine was only 112.

Would anyone know where I can find his formula. Also, thanks for the replies. For the last two full weeks I have reduced the "doses" I take per day. Going from at least 5 and usually 7-8 per day, I am now just "needing" to have some in the morning, afternoon and before bed. I also have reduced the amount per dose by a few pills. I have been reading alot of info on some Narcotics Detoxification Under Anesthesia clinic.

I have been married 5 times and lived with 3 others. I am living with a 45 year old Mexican Lady down here in Mexico. We play around a lot and have sex 3 to 5 times a week. I have known her for about 20 years and she still turns me on a lot. Enjoy to see "catch" her in the nude. I am 67 yoa now. but when I was about 40. my sex drive dropped for a few years. But I was working long hours. Then when I was 58 I did 2 years in the Fed.

If I were you, I would ask what UCLA will charge, if it’s not too much I would go there and tell them if they can either offer you a lower price (given your finance and New Mexico insurance) OR if they can recommend someone competent in your neck of the woods. By approaching UCLA, you have nothing to lose. May I suggest once you find out the best person to see there you must email and NOT call him/her.

2 weeks ago i went to cancun mexico with my girlfriend, and although i’m not a chronic drug user, i do dabble here and there (1 to 2 times a month), i had always heard prescriptions were not required in mexico. i thought it’d be fun to pick up a few pain meds while on my trip, and the store owner of where i went told me tramadol would be similar to America’s percecet. i bought a bottle of 100mg capsules. i was on my trip for 1 week and took about 200mg a day. it seemed like fun (stuupid!

no major problems at all. i have recently had a very stressful point in my life. i am getting married in 4 weeks, and my ex boyfriend and i just went through a horrible custody battle with our son. and on top of that i had my first medical scare of my life. my last pap came back abnormal and the ob gyn did a colposcopy and a biopsy. everything came back fine but that night i seemed to have a panic attack, which i have had before. but this was weird.

I recently had a yeast infection and since I’d had them before and instantly knew what it was, I decided to try Monistat 3 day instead of making a trip to the doctor for the Diflucan, which is what I had done in the past. While I was using it I noticed that over the 3 day period it was getting harder for me to fit the application in and by day 3 I had completely swollen and it felt like it was on fire!

as this can do permanent damage to the nerve cells in your central nervous system(brain and apinal cord), cardiopulmonary system and smooth muscle in your digestive tract( mainly the large intestine as these are the areas of the body where opiate receptors are widely spread. Tapering as slowly as possible will almost eliminate withdrawal symptoms. Once you stop taking them you will probably feel some withdrawal symptoms so always taper as slowly as possible toward the end. xoxo- D.

not only was it so damn good to masturbate on speed, but I think my pleasure centres have been skewed in more ways than that, too. Luckily I stopped in time, and can still lead a quasi-normal life with the help of exercise and NO drugs.

Erectile Dysfunction Health Center

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

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

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

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

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

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

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

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

13 Common Sex-Drive Killers

Watermelon’s Viagra-Like Effects

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

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

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

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On-line di assistenza sanitaria starebbe guadagnando popolarità in Bangladesh. servizio di assistenza sanitaria digitale e la droga informazioni è là fuori a cittadini Bangladesh a: specialista medici metropolitane in Bangladesh Questo sito offre riferito in linea benessere idee e consigli dalla banda larga web e videoconferenza, così come prescrizione on-line utilizzando la posta elettronica e chat online.

Non si preoccupi. Nel caso in cui i farmaci cambiano, semplicemente farci sapere e possiamo gestire questo per voi. Nel caso in cui si utilizza il servizio di ripetizione prescrizione rivenditore, solo lasciare che il negozio che dispensa i farmaci sanno cosa ha modificato. Per coloro che utilizzano il servizio di ripetizione prescrizione on-line, semplicemente ordinare la nuova prescrizione on-line quando ГЁ dovuto e non ri-ordinare qualsiasi farmaco non necessari.

Quando si dispone di una malattia rara, si puГІ beneficiare di un gruppo nazionale per i problemi comuni (viagra generico) programma di assistenza farmaco. programmi di aiuto del NORD assistere le persone con disturbi non comuni il cui reddito ГЁ troppo elevato per beneficiare di Medicaid, ma troppo basso per pagare per i propri farmaci prescritti. Per i dati in piГ№, andare a / malati-e-famiglie / paziente assistenza.

L’importazione di un farmaco di prescrizione non approvato (non necessariamente una sostanza controllata) viola 21 viagra online, Part 301 (viagra online Italia), anche per uso personale. 26 La Food, Drug, and Beauty legge non permette Viagra online Italia farmacologici per non approvato nuovo farmaco per il quale non esiste una versione autorizzato viagra vendita online. Tuttavia, tale indennitГ  non consente per l’importazione di versioni straniere-made di farmaci Stati Uniti autorizzati.

Piani MedigapSecurity vengono forniti tramite Independence Blue Cross e Highmark Blu proteggere, licenziatari imparziale del Blue Cross e Blue Protect affiliazione. MedigapSecurity solo che non ГЁ in relazione con o approvato dalle autoritГ  statunitensi o il programma federale Medicare. Per intoppo, ГЁ necessario essere iscritti a Medicare parti A e B. Piano F e Piano N sono disponibili solo per i candidati che si iscrivono entro sei mesi seguenti l’iscrizione a Medicare mezza B o che sono garantiti il ​​corretto per comprare questi piani sotto rilevanti federale o statale le leggi. Si potrebbe procedere a pagare Medicare parte A (se applicabile) e premi Mezzo B.

The Dr. Oz Show lancerГ  una campagna di marketing che porta tanto quanto una notte Nazionale di evento Conversazione il 19 novembre per incoraggiare papГ  e mamma a parlare con i propri figli sulle droghe prescrizione dolore, l’eroina, e altri farmaci. Dr. Oz promuoverГ  questa iniziativa di prevenzione a milioni di americani per mezzo del suo presente, altre apparizioni sui media, e la sua colonna di giornale a diffusione nazionale.

Tutte le informazioni (insieme a informazioni private) di condividere in qualsiasi area quartiere in linea con una chat room, benessere gruppo, chiedere al nostro distacco professionale o il dialogo on-line legato alla progettazione aperta al pubblico e non ГЁ non pubblico. E ‘meglio considerare attentamente prima di pubblicare qualsiasi informazione personale in qualsiasi forum pubblico. Che cosa si posta si vedrГ , divulgato o raccolte da eventi terzo e puГІ essere utilizzato da altri in metodi che non possiamo controllare o prevedere, insieme a mettersi in contatto con voi per scopi non autorizzati. Come con tutti i forum di discussione pubblica su qualsiasi sito, i dati che mettere in su puГІ anche presentarsi in terza ottenere insieme i motori di ricerca come Google e Yahoo.

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Corporazioni Certo che servono annunci possono aiutare a loro Previene o l’accumulo di informazioni attraverso l’utilizzo di cookie. Al fine di agire, ГЁ necessario scegliere di tale assortimento conoscenze con ogni particolare sito web persona. E ‘anche possibile scegliere di cookie per diversi server annuncio visitando la rete promuovendo l’iniziativa del gateway viagra online scegliere-out o utilizzando Supervisore Preferenze del Programma Annuncio di fiducia su questo sito puГІ anche aiutarvi a valutare le polizze assicurative privateness di questi ad server. Scoprirete informazioni e risorse aggiuntive su come decidere di pubblicitГ  e cookie associati visitando il sito Web del World Privacy del bordo di discussione.

Siamo un datore di lavoro uguale impiego alternativo che valorizza la varietГ  forza porta in ufficio. Tutti i candidati certificati, senza distinzione di razza, colore, religione, sesso, orientamento sessuale, stato civile, l’identificazione o espressione di genere, l’origine nazionale, la genetica, l’etГ , lo stato di disabilitГ , protetto veterano in piedi, o di ogni altra caratteristica protetta dalla normativa applicabile, sono fortemente incoraggiati ad applicare.

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Perché così tanti giovani uomini soffrono di disfunzione erettile? Purtroppo si è verificato un errore. Non siamo in grado di raccogliere il feedback su questa data. Tuttavia, i vostri suggerimenti sono importanti per noi. Si prega di riprovare più tardi.

La disfunzione erettile sarГ  anche i risultati delle cause psicologiche come la paura e la disperazione. Problemi emotivi possono influenzare se si sente fisicamente in grado di avere un’erezione e mantenere. Se si dispone di nuovi problemi di relazione relazione o la creazione di un marchio, se si sente che non si sa cosa fare in caso di rapporto sessuale, se nel caso avete avuto punti sessuali hanno abuso sessuale finora o uno specialista, si potrebbe poi scopre che si verificano la disfunzione erettile. Consulting aiuterГ  a risolvere questi problemi.

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Se si sa che la disfunzione erettile al ciclo di trattamento, o se non siete Viagra, Cialis, Levitra o la pompa del vuoto da utilizzare, non risponde allora si potrebbe il medico capitare di scoprire consiglio di provare alprostadil (un ormone sintetico che aumenta il movimento del sangue nella proposta sia come iniezione nel pene o pene come pellet posizionato nell’uretra incluso). Si impara a essere addestrato in come iniettare o introdurre il pellet di alprostadil. Di solito ci vogliono effetto entro cinque a quindici minuti. La quantitГ  di tempo che l’erezione dura dipende dalla dose. Se il vostro animale domestico ГЁ in stato di gravidanza, ГЁ necessario effettuare l’uso di un preservativo durante il sesso.

La disfunzione erettile (DE), indicato anche come l’impotenza, il difetto ГЁ quello di raggiungere o mantenere l’erezione per il movimento sessuale soddisfacente. La disfunzione erettile ГЁ totalmente diverso da altre circostanze che interferiscono con l’attivitГ  sessuale maschile, come la mancanza di desiderio sessuale (diminuzione della libido) e problemi di eiaculazione e l’orgasmo (disfunzione eiaculatoria). Questo articolo si concentra sull’analisi e l’eliminazione della disfunzione erettile.

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Questo non ГЁ esattamente il caso, ma ci sono alcuni motivi di preoccupazione. Dal momento che la pubblicitГ  per il Viagra a etere battere piГ№ di un decennio fa, molti di noi possono citare fatti circa la disfunzione erettile (tra cui quello che devi fare quando l’erezione piГ№ di 4 ore). A lungo termine ED colpisce il 5% degli uomini di etГ  compresa tra 40. Questo numero salta al 25 per cento degli uomini di etГ  compresa tra sessantacinque. gli uomini piГ№ giovani si trovano a volte non parla di disfunzione erettile, ma sono di Viagra on line Italia a costo soffrire piГ№ di quanto precedentemente riportato.

detto si potrebbe avere il cancro puГІ essere spaventoso ed emotivamente, in particolare per il caso, si potrebbe desiderare di avere figli. Non avendo la possibilitГ  di avere figli (sterilitГ ) ГЁ di solito un breve periodo di tempo o un risultato di lunga durata di alcune cure per il cancro. Ci sono opzioni di successo per malati di cancro maschi che vogliono proteggere la loro fertilitГ  e padre di un bambino.

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Quando un uomo si trasforma in eccitazione sessuale, i muscoli del pene si rilassano. Questo rilassamento della muscolatura liscia permette un aumento del flusso di sangue attraverso le arterie del pene. Il sangue riempie due camere chiamati corpi cavernosi all’interno del pene. Come le camere si riempiono di sangue, il pene cresce rigida. Erezione termina quando il muscolo contratto e il sangue raccolto puГІ passare da sopra le arterie del pene.

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Viagra

GENERIC NAME(S): SILDENAFIL CITRATE

Uses

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

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

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

How to use Viagra

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

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

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

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

Tell your doctor if your condition does not improve.

Side Effects

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

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

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

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

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

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

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

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

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

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

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

Precautions

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

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

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

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

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

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

Interactions

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

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

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

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

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

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

Overdose

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

Notes

Do not share this medication with others.

Missed Dose

Storage

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

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

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

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Viagra Day for Pfizer as Valentines Pop Pill: Chart of the Day

Valentine’s Day, celebrated by lovers worldwide with candy, flowers and amateur poetry, also is the biggest time of year for new prescriptions of erection drugs, led by Pfizer Inc.’s Viagra.

The CHART OF THE DAY shows weekly new prescriptions of the two top-selling impotence drugs, Viagra and Eli Lilly & Co.’s Cialis, jump to yearly highs in the days leading to the Feb. 14 holiday. The blue line shows Viagra; the green line Cialis. The red circles point to prescriptions in the week before Valentine’s Day. The data are reported by retail pharmacies in the U.S. and compiled by Bloomberg.

Erectile dysfunction affects as many as 30 million men in the U.S. according to the National Institutes of Health in Bethesda, Maryland. Stress, guilt and fear of failure can exacerbate the disorder, especially around the holiday when men feel their love is being tested, said Gail Wyatt, a certified sex therapist and psychology professor at the University of California, Los Angeles.

“It’s almost like: ‘This is Valentine’s Day, so I must have sex,’” Wyatt said in a telephone interview. “All of this is media and marketing promoted, and I think we need to get back to what’s really important in life, and that’s really just being with people we care about.”

Prescriptions of Viagra, first approved in 1998, declined in recent years as increasing numbers of patients chose Cialis, which came to market in 2003. Viagra had $1.9 billion in sales last year for New York-based Pfizer, compared with $1.7 billion for Indianapolis-based Lilly’s Cialis.

Before it’s here, it’s on the Bloomberg Terminal. LEARN MORE

Why Valentine’s Day may soon be Viagra Day

Viagra sales spike before V-Day; abortion and rape in American politics; Heart Truth ladies look ravishing in red; the British super granny has been identified; and why you should let your teenager sleep in.

Feb 11, 2011 Lia Grainger 0

With Valentine’s Day just around the corner, it’s not unexpected that sales of flowers and chocolates are up – but Viagra? Apparently sales of the little blue erection-enhancing pill have spiked over the past week. up some 26 percent from the drug’s worst selling weekend, which happens to be Thanksgiving (apparently grandma and aunt Bea are not doing it for the fellas). Said one doctor, “It’s not Valentine’s Day, it’s Viagra Day.” How romantic.

It seems that whenever women’s sexuality and American politics mix, we ladies emerge with the short end of the stick, so to speak. The topics of both rape and abortion have reared their controversial heads in recent political debate south of the border. For a moment there, some conservatives were lobbying to create a distinction between “rape” and “forcible rape,” and then create legislation ensuring that only victims of “forcible rape” would be eligible for federally funded abortions. Riiight. That insanely contradictory and misogynistic piece of politicking has since been shelved, replaced by a push to end federal funding for Planned Parenthood, which provides, among other things, contraception advice and STD testing. Because helping prevent unwanted pregnancies and the spread of disease is a bad thing, apparently.

The annual Heart Truth fashion show shines a spotlight on women’s cardiovascular health, while also giving us the opportunity to ogle celebrities in fancy red dresses of their choosing. Here is a lovingly assembled (by Jezebel ) collection of some of the sexiest and bodacious ladies to strut the runway in the same of heart health.

Anyone lucky enough to be raising that fickle beast known as the Canadian teenager knows that the creatures are never at their cheeriest first thing in the morning. But apparently there is a scientific reason for this: according to numerous studies, teenagers are particularly well programmed to perform and be alert during the afternoon, evening and night hours, rather than the morning. Now, Eastern Commerce Collegiate Institute in Toronto is taking that knowledge to heart and offering a high school program that doesn’t start classes until 10 a.m. So far, the program is a hit with students, parents and faculty. As one teacher put it, “The difference is like night and day.” Cheeky.

And remember that British granny who foiled a pack of sledgehammer-wielding bank robbers with only her purse swinging skills? Well CBS has identified the woman as 71-year-old grandmother Ann Timson. Timson said she initially thought the robbers were beating up a kid, and so rushed over to defend the supposed child. Says granny of her victims: “He raised a hammer to me, so I kept hitting out and shouting for others to bring them down. I was amazed, they all seemed mesmerized.” It wasn’t long before she had “landed several blows against one lad on the back of a bike and brought him to the ground.” Let’s hope we’re all as feisty and fearless as Mrs. Timson by the time we hit our golden years.

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    Viagra sold over counter on Valentine’s Day

    LONDON Men will be able to buy impotence treatment Viagra over the counter in Britain for the first time from Valentine’s Day, chemist chain Alliance Boots said on Sunday.

    Three Manchester Boots pharmacies will sell the prescription-only medication made by U.S. drugs group Pfizer in a pilot program from February 14.

    Men aged between 30 and 65 suffering from erectile dysfunction will be able to buy four Viagra pills for 50 pounds ($97) without having to get a prescription from a doctor first.

    Instead, they will have a private consultation with a Boots pharmacist, when their medical history will be checked and measurements taken of their blood pressure, cholesterol and blood glucose levels.

    On a return visit patients will see a private doctor to ensure they are suitable for a further supply of pills.

    “By creating a service that is easily accessible on the high street we hope that we help many more men seek help for a very common condition,” said Boots Director of Healthcare Alex Gourlay.

    He said it was estimated that only one in 10 men suffering from erectile dysfunction were currently being treated.

    Boots already offers similar services for weight loss, hair retention and chlamydia treatment.

    A national roll out of the Viagra service will be assessed later in the year.

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    Free admission, weird and wonderful art, friendly dogs, classes, performances, movies, and farmer’s market: really, there’s no way why you should everleave Socrates Sculpture Park this summer. So leash up, we’ll see you there!

    Although Socrates Sculpture Park isn’t technically a dog park, it is dog friendly and it is a perfect excursion on a summer’s day. The park itself isa 4.5 acre green space in Long Island City that used to be an abandoned landfill, until it was reclaimed by a group of artists in 1986 and turned intoa beautiful outdoor museum. The park’s mission is to “create and exhibit large-scale sculpture and multi-media installations in a unique outdoorenvironment that encourages strong interaction between artists, artworks and the public”. Our interpretation of that is “we like cool stuff and wethink you probably do too, so come check it out.” 10 plantas que funcionan como viagra leer .

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    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.

    Viagra: How Young Is Too Young?

    From the WebMD Archives

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

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

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

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

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

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

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

    Continued

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

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

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

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

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

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

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

    Continued

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

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

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

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

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

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

    В© 2002 WebMD, Inc. All rights reserved.

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    A friend posed a question to me a few days ago that I found very thought-provoking. How has the availability of the erectile dysfunction drug Viagra affected marriages and monogamous relationships? The question came from a man who has no virility issues, so please leave assumptions at the door as we explore this topic. The question itself is insightful, but since Viagra is relatively new (first introduced in 1998), the answer is currently unknown.

    What we do know is that Viagra can help grandma and grandpa continue to reap the physical pleasures of sex by ensuring that grandpaпїЅs physical impairment wonпїЅt get in the way of opportunities for sexual fulfillment. Sexual fulfillment and sexual growth donпїЅt have to end at a preset age. But, as my friend put it, what if grandpa starts taking Viagra and begins thinking that he does not have to be with пїЅthis old bagпїЅ and starts to seek younger, hotter stuff?

    Although there have been reports that a divorce ensued as a result of a woman not wanting to have sex with her husband once he began taking Viagra, the drug itself did not cause the divorce. The underlying problem had to be that neither the wife nor the husband was willing to compromise on what mattered to the other. The wife was content with the other things marriage provided and had accepted that the coupleпїЅs sex life was over. On the other hand, the husband changed into someone his wife was not willing to accept who demanded sex all the time. He had found himself a miracle youth drug and wanted to begin sexing as frequently as he could.

    My take on the social implications of taking Viagra is based on the knowledge that Viagra addresses only the physical aspect of a manпїЅs ability to have sex. Viagra causes better blood circulation to a manпїЅs penis and, as a result, he can obtain and sustain an erection. That is all that Viagra does. Viagra does not increase a manпїЅs desire to have sex and it doesnпїЅt cause him to desire his partner more. Neither does Viagra cause a man to seek additional partners and commit adultery. Viagra merely gives a man the ability to act on whatever sexual desires he already has within him.

    >From this womanпїЅs perspective, the most trivial of all things considered when it comes to relationship and sexual fulfillment is a manпїЅs physical ability to sustain an erection versus his ability to touch and excite a woman on other levels. A woman is not necessarily left пїЅhangingпїЅ because a man cannot пїЅkeep it upпїЅ for extended periods of time or because he canпїЅt bring her into multiple orgasmic outbursts. In fact, looking for such physical sexual responses in women like how long it takes her to reach orgasm, how wet she becomes (as compared to anotherпїЅs wetness) or counting her orgasms will lead to a false understanding of her sexual pleasure. Aside from knowing a womanпїЅs sexual pulse, good sex encompasses knowing when, where and which lips to kiss, how to caress her breasts at just the right moment, when to gaze into her eyes, and when tugging gently at her hair provides her a sexually stimulating sensation. To know these things, a man has to accurately read that particular womanпїЅs sexual responses. Viagra does not give a man this sexual rhythm, cannot cause a man to be interested in пїЅknowingпїЅ a woman, and cannot help a man grow into the person that can fulfill these other physical pieces of lovemaking.

    Sexual fulfillment and growth come most often to those who can form a bond with their partner пїЅ the bond of trusting another to know about your private, personal, and raw nakedness, both physical and emotional nakedness. Men have also stated that they enjoy sex most when it is with someone they care about and have formed a special bond of trust. Loftus, Bancroft and Long indicated the best predictors of a womanпїЅs sexual distress in the survey пїЅDistress about sex: a national survey of women in heterosexual relationships.пїЅ According to their findings, one of the best predictors of a womanпїЅs sexual distress is her emotional relationship with the partner during sexual activity. Viagra cannot help a man grow into a trustworthy person capable of fulfilling a womanпїЅs emotional cravings. Equally, Viagra cannot cause a man to become untrustworthy leading possibly to a divorce.

    The strongest unions, and therefore, the strongest emotional bonds are formed by those committed to each other in monogamous relationships such as marriage where trust is already a key factor. Marriage and other monogamous relationships should cause sexual fulfillment and sexual growth to thrive absent physical incapabilities. Because Viagra is merely a medicine that fixes a physical impairment, I do not believe that Viagra can cause damage to such relationships and I do not believe that it can cause an increase in divorces where there was not already a problem. Viagra may help to expose other problems, such as lack of true appreciation for oneпїЅs partner, dishonesty in dealing with oneпїЅs partner over the years, sexual greed and a lack of respect for the relationship. But, these problems indicate poor character in the first place and cannot be blamed on Viagra. These problems may have been suppressed until Viagra came along, but suppressing feelings goes straight to honesty.

    Viagra alone should not cause a rise in divorce nor cause couples to breakup. Viagra might, however, swell up and expose hidden character flaws in addition to the swelling up of the penis. Optimistically, Viagra ought to cause couples dealing with sexual dysfunction to overcome that obstacle.

    About The Author

    AskBlax.com is a small, Black-owned web portal founded for the purpose of providing a resource to African Americans seeking answers to our unique set of questions and issues. As the only free web site featuring news, articles, events and pictures exclusively from the African-American public, we hope to get to the heart of what’s really on the minds of our people. We encourage discussions centering around serious topics, as well as, those meant to uplift the soul and make us smile.

    This article was posted on January 14, 2006

    Viagra may lead to divorce

    After a decade on the market, Viagra has helped thousands of men get back in the bedroom. But it may spark other problems in the home that can eventually lead to divorce, some marriage counselors maintain.

    The erectile-dysfunction drug was introduced into the market 10 years ago and became one of the best-selling drugs in history. According to Pfizer pharmaceutical’s official Web site about Viagra, 25 million men have taken Viagra since it was introduced.

    Experts say the biggest problem is that men take the drug without talking with their partners, making them instant Don Juans—which their partner may not be prepared for. And sometimes, their improved self esteem sends them looking for new, more willing partners.

    A report published by the Harvard School of Medicine entitled “Sexuality in Midlife and Beyond” suggests the drug may help resolve relationship pressure caused by erectile dysfunction, but can cause other issues.

    “When intercourse is suddenly a possibility again, relationship issues can emerge or resurface, as can dramatic differences in libido. The bottom line is that couples should try to regard these drugs as an opportunity to renew their sexual relationship, while realizing that ED drugs are neither a mandate to have intercourse nor a panacea for every problem in the bedroom.”

    Article Continued Below

    The 48-page report was edited by Dr. Alan Altman, assistant professor at Harvard Medical School. and Suki Hanfling, a licensed clinical social worker and certified sex therapist. The report helps readers understand how to deal with the emotional issues concerning sex, including taking Viagra. While there are millions of success stories about Viagra use, the study notes, “The medication works only if the man is feeling sexual desire for his partner.”

    Hanfling, founder and director of The Institute for Sexuality & Intimacy in Belmont, Mass. said, “Viagra should be a tool for a couple, not just him. Couples should work together to solve their sexual problems, but sometimes that doesn’t happen. That’s my biggest problem with Viagra.”

    According to Hanfling, when a man takes Viagra and his sex drive goes from a little to a lot, that can cause problems for his wife. However, if a couple works together, and the husband tells his wife beforehand, then it should enhance their marriage.

    “If someone is going to take Viagra, my advice is that they talk about it with their partner before getting it. Possibly they should even go with their partner to the physician’s office to find out how to best use it,” she said. “A lot of men will use it and have sex, but they leave out the woman.”

    If a divorce resulted from too much action in the bedroom or because he went out looking for someone else, she said it was unlikely the drug was the only problem in their marriage.

    “There is certainly the possibility that a husband could have an affair after taking Viagra. However, as a couple gets older and they spend their lives together an affair late in life doesn’t necessarily mean the end of their marriage, but it can complicate thing,” Hanfling said.

    Jenifer Jacobs, a spokesperson for Viagra, said wives dealing with oversexed husbands “are very rare situations.”

    She suggested that readers learn more about the drug by going to Viagra.com .

    Viagra ‘can lead to divorce’

    by LIZ HODGSON, Daily Mail

    Viagra has had an unfortunate and unforeseen side-effect – divorce.

    Marriage counsellors and divorce lawyers report that the anti-impotency drug is increasingly a factor in couples breaking up.

    Most cases involve men over 50 who used their new lease of sexual life to cheat on their wives, especially with younger women.

    Leading New York divorce lawyer Raoul Felder said he has handled at least 70 cases in which Viagra was partly to blame.

    ‘Older men are able to perform, so they are going elsewhere – they’re seeking younger, greener pastures,’ said Mr Felder. ‘They don’t put Viagra down as the reason for divorce, but it is certainly one of the factors.’

    Dallas divorce lawyer Kenneth Raggio said: ‘In some cases Viagra has been great for relationships.

    ‘In others, it has been terrible because it broke the truce – the kind of “I don’t bother you, you don’t bother me”.

    ‘If one side becomes sexually interested and the other isn’t, and if it’s the guy who is the one who becomes interested, it is like he has a new toy.’

    The comments come in a book, The Viagra Myth, by Dr Abraham Morgantaler of Harvard Medical School. It looks at the impact of the drug, which has changed the lives of millions around the world.

    ‘This is definitely what you could call the Viagra Age,’ said Dr Morgantaler. ‘It is second in brand name recognition only to Coca-Cola.

    ‘Nobody had bothered to ask, might there be a downside, a dark underbelly to Viagra?’ He describes one 55-year-old man married for more than 20 years who thought if he could satisfy his wife sexually they would be happy again.

    But while taking Viagra revived their sex life, it made them realise their problems went deeper than sex and they split up.

    ‘As I listened to my patients, I came to see that our culture has taken Viagra and created a legend out of it that went far beyond its actual pharmacological properties.

    ‘People had come to expect that taking a little blue pill could solve their personal and relationship problems.’

    Mr Felder warned of another, potentially dangerous, side effect – sexually transmitted diseases.

    ‘In Florida, a big retirement area, men are getting venereal diseases, these old men,’ he said. ‘They are picking up prostitutes, whereas before they never would have done it. They can perform now.’

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    Move over viagra, new drug to beat bedroom blues

    Jul 16, 2012, 04.16AM IST TNN

    CHENNAI: It’s not always that the release of a drug is celebrated by many, particularly men. A drug that was released in India last week is the recent in the list of drugs that has a cure for erectile dysfunction. The manufacturers say udenafil, which will be marketed under the brand name Udezire, will be long-acting, but with minimal side effects.

    Erectile dysfunction (ED) is an inability to achieve or sustain an erection suitable for sexual intercourse. Sexologists say at least 10% men in India may have to use these drugs at some point. Studies have shown that 40% of men up to the age of 40 years have ED and it goes up 70% by 60 years.

    The commonly prescribed drugs for the disorder in India are sildenafil (Viagra) and tadalafil, which belong to a category called phosphodiesterase type 5 drugs. Now, Zydus, a pharmaceutical company, has got exclusive permission to sell udenafil. The drug is manufactured by Korea-based Donga-A pharmTech Co. Ltd. and is being used in a dozen countries.

    The last drug for the disorder was introduced nearly five years ago in the market. “Most of the existing drugs have side effects. While sildenafil puts pressure on the user to complete intercourse within four hours, tadalafil that lasts for nearly 17 hours causes back pain and headache in some users. Manufacturers say the effect of the new drug will last up to 12 hours, without much side effects,” said sexologist Dr D Narayana Reddy.

    Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Problems in any of these can cause erectile dysfunction. Stress and mental health problems can also cause erectile dysfunction. “In some people it could be a combination of physical and psychological issues,” says Dr Reddy.

    Manufacturers say they will market the drug through senior psychiatrists, andrologists, sexologists and diabetologists. In 80% of erectile dysfunction cases, physical factors such as drugs, blood flow abnormalities, nerve impulse abnormalities or hormonal abnormalities are the causes. Patients with high blood pressure and diabetes are also at risk of having erectile dysfunction. Physical causes of erectile dysfunction include heart disease, clogged blood vessels, high cholesterol, high blood pressure, diabetes, obesity, alcoholism, smoking, Parkinson’s disease and other medical condition. Psychological causes of erectile dysfunction include depression, anxiety, stress or relationship problems.

    The new drug will be priced at 575 per tablet, a little lesser than Viagra. “We expect to have 20% of the market share in one year because our survey reveals there is a fatigue with old drugs,” said Zydus Pharma senior vice-president O P Singh.

    Viagra in india

    viagra

    Mean while I have ordred few Viagra from this compnay which have their manufactures in India. Just to try, worst to worst in will not work. What does you take? I ordered 50 mg. I wonder if Cialis or lavitra are better. My problem I am sure is I have had sex enough in my life that I don’t have that much desire left for women that’s why I thik I do not feel horeny and result less erection.

    Hi! If you were my patient, I would advise you that "performance anxiety" is fairly common. There is no harm in taking Viagra–it will not damage the sperm or increase the risk of any type of birth defect over baseline. A urologist is the type of doctor that would most likely be able to help you if your general doctor is uncomfortable prescribing it. Good luck!

    The trouble is that when you go with a non phramaceutical drug its hard to know what you are getting. there are some Viagra like pills that are made in other countries however- and they are through medical sources– and cheap. In India, and Mexico, for example, there are local versons that seem to work ( at least my friendws in those countries think they do!).

    I was using generic viagra for about two years (from India ). I started getting ugly sores, 1 or two at a time, that started out as itchy bumps and would last about a month or more. several got infected and grew to about a quarter in size. Sores were very red and ugly. Dermatologists (3) could find nothing wrong. likewise an infectous diease doctor. On a hunch, I stopped using the product and the sores stopped appearing.

    hi. can someone suggest me where can i find a vigra. in mumbai. india. how much will it cost and is it good to take one.

    Dear Rajatkumar: Sildenafil (Viagra ) is indicated to treat erectile dysfunction or impotence in men. However, patients will not get an erection just by taking sildenafil (Viagra). Viagra helps patients get and keep erection when they are sexually excited (stimulated). Here is more information on sildenafil (Viagra): http://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=0b0be196-0c62-461c-94f4-9a35339b4501#nlm34067-9 Viagra is in FDA Pregnancy Category B.

    5 wks ago after drunken night out I had unprotected vaginal sex (twice) and reciprocal oral sex with a Romanian callgirl in Amstdam, using viagra. Was first time wt a prostitute. Got full test at 1 wk post exposure whose result after another week was chlamydia. Nurse gave two azitromicines and told me not to have sex for 7 days and to come back after 3 months for another test. After urging, told can come for combo test at 7 wks. At 3 wks went to GP who took a swab.

    If she is still pregnant you have to wait until a little after she gives birth to try again. I don’t know about viagra and sperm viability. You should post this question in the forums where doctors answer your questions. They’re the ones who know for sure.

    I had a similar situation; Erectile dysfunction set in in 1997. Viagra helped when it came on the market. Retrogressive ejaculation followed in 2001; it may be as a result of damage done during removal of kidney-stone although doctors seem to disagree on this. Found blood when masturbating (but none in urine) earlier this year. Saw doctor and had pta test done. It was normal. I went though hell while waiting on result. I was almost sure I has cancer. The condition cleared up.

    I was going through some websites recently and found a Swedish website that has all the common medicines such as Viagra. Cialis, Lavita, etc along with many other products to enhance sex drives that are only available through a prescription in the United States. Now my question is, is buying from a foreign website really better than buying from USA, because they claim to have stronger medicines for cheaper rates?

    Already he has taken 1 viagra. and that didn’t do anything. It is very expensive here in Australia. It has been 9.5 weeks since his RP. I realise from reading the posts on the forum that it can take quite a while before things happen.

    It’s my understanding that most of the US meds originate in India. I read a while back that Gilead bought the rights to the new miracle drugs from the inventor who is East Indian. That’s been known for a while now. There is one giant drug company in India. Begins with a T. You can research it. They make all kinds of meds. Probably even make Viagra. LOL. They make most everything for the US.

    I repeat, if they tied Viagra enhancement to HCV drugs, we would have Hillory’s attention. Out here in the Northwest our union is endorsing Edwards.

    He says that he has never experienced ejaculation consciously although nightfall occurs once or twice in a month. I hope if anybody can help us in this in form of suggestion or telling about a good doctor in India Thanks.

    Hello There, I have taken sildenafil ( Viagra ) 50 Mg. Of late, I have observed that there are changes in vision such as loss of vision, blurred vision, eyes being more sensitive to light. I feel like something always pricks in both of the eyes. I feel blurry all the time. Tough, I have stopped taking sildenafil but I think the blurry vision is increasing day by day. Please advise as what should i do. Your promet response would be of geart help to me.

    Hello. I have a question. Recently, I began to have some problems with potency. In connection with this complicated relationship with his wife, I can not deal with it, does not always work. Friends have advised me Viagra or Cialis. I’ve heard about them, and read a lot, but I’m very embarrassed to buy them at the pharmacy. I do not want people to know about my problem. I know that you can buy such drugs at Internet pharmacies. What can you say about this?

    This is not a medical forum. For answers to your medical questions, repost this in the Urology Expert Forum, where the urologist can tell you about impeded blood flow to your penis. Here is some additional information for you. Lycogold is manufactured by a company in India called "Pharmed." It is an herbal supplement made of Lycopene, which is a bright red carotenoid pigment and phytochemical found in tomatoes. There are no data to indicate it has any affect on sexual functioning.

    i’m trying to 3to4 time to do sex with my girl friend but i m not able for it. but when i take viagra then i do sex. but i take viagra only 1 time and i completely enjoy of sex only 1 time in my life.

    Thanks for your response. I have had prescriptions in the past for Viagra from my doctor. I just started getting them through this company instead due to costs. Was concerned that maybe the quality of the generic may not has been as safe as the name brand.

    what should be done in sex. how much time should be the roleplay to reach climax. should there be my part in arousing him.

    1 million counterfeit tablets, capsules and vials in 42 countries in 2008. Pfizer seizure of counterfeit drugs in 2008 were up 28.9% over 2007. – Within a 7 day period, 250 different Internet-based Viagra purchases were seized in a single mail center. After chemical testing, it was determined that 100% of the tablets were counterfeit.

    6) Tribulus Terrestris Tribulus terrestris is a herb that has been used in the traditional medicine of China and India for centuries. It was only in the mid-90s when Eastern European Olympic athletes claimed that tribulus contributed to their success that tribulus became known in the North America. For more information about tribulus, read the Tribulus Fact Sheet. 7) Tongkat Ali ] Tongkat Ali is a tree native to Malaysia, Thailand, and Indonesia.

    Hey Mitch. You plan to take them again in 25 days? Or is this maybe a good chance to come off it?

    Dear Sir This is with ref to my one and only sexual encounter outside my marriage of 10 years and that too with a professional sex worker in Uttar Pradesh, India on 20th May 2014. It happened because my friends pushed me into it and gave me a viagra 50 to reduce my inhibition etc. The vaginal sex which was protected by a condom and i ejaculated in the condom with 2 mins and pulled out the erect penis along with the properly fitted condom filled with my semen.

    Secondly,what is the cost of 3 piece inflatable penile transplant in india. I have tried Viagra and other sex tablets but to no use.Desire to have sex is there but am unable to do due to ED.I have never had sex.

    Sometimes it just won’t come back and then I give up.One other thing that I have noticed that is different in him than in other men I’ve slept with is that he has a somewhat painful look on his face during intercourse and arousal and I’m unsure if it is just a weird "O" face or what. Plus I have to be on top almost 90% of the time.

    both can cause a decrease in your sex drive. Viagra is not used in patients with cardiovascular diseases, because it has effects on parts of the body other than the penile blood vessels. You must first consult if sex itself is contraindicated with your disease.Congenital diseases rarely get transmitted from sperm defects which develop, if at all, due to the usage of drugs in the male.

    I’ve had some exciting sexual encounters over the last few year and have only been able to maintain even acceptable erections by using Viagra or Cialis and usually I have not come in these encounters.

    S. In India these same pills, with the exact same effectiveness for what is called Erectile Deficiency fancy word for one, and only one type of male IMPOTENCE are being sold for less than 5 cents each). Maybe MedHelp.org could pay some serious attention to this problem that afflicts millions of men and women.

    I have to say, NEVER EVER buy med’s from another country online. It’s unreliable..> havent you heard about the Viagra pills in china that caused deaths here in the U.S? it had like ephedra or something in it. You need to go to the doctor, and if you truly don’t want to get pregnant or be pregnant, go the LEGIT way to abort. And from now on USE PROTECTION. ) Also, take a pregnancy test, and remember. there are ALWAYS other options like adoption.

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    Price competitive.
    Effect:
    Erection possible 30 minutes after taking the pill.
    Side-effects:
    Can be fatal for patients on medication with nitrates or for cardio-vascular patients.Temporary loss of colour vision, nausea and headache.

    This consequently increases the supply and leads to erection. It isn’t as if the disorder doesn’t have optional cures, but no treatment matches the drug in the sheer simplicity of its administration. Which explains the euphoric reception to its arrival.

    “We can now give oral tablets to the patients,” says Saxena, “and it will also stop them from going to the quacks.” For eminent Mumbai-based andrologist Vijay Kulkarni, “it’s one more tool for treating the patient”.

    Tempering the ebullience, however, are experts who sound a word of caution. Viagra is not, they emphasise, an aphrodisiac, as is widely assumed. The potential danger arising from its misuse is why it has been cleared only as a prescription drug.

    Says DCGI Ashwini Kumar: “It has been approved on the condition that it be used cautiously under therapeutic conditions.” For the genuine patient though, the readily available, cheap, effective tablet is nothing but good news.

    After Viagra’s four-year run in the market worldwide, the drug’s effectiveness is not disputed and is bound to have a big impact. But there’s a flipside. Sildenafil can be fatal for people on nitrates and those with cardio-vascular problems.

    If taken with nitrates, it reduces the patients’ blood pressure dramatically. Possible temporary side-effects are headache and nausea. A more serious effect is loss of blue-green colour vision. The correct dose is, hence, of prime importance; all Indian versions of sildenafil will be available in 25 mg, 50 mg and 100 mg doses.

    Misuse of sildenafil can also lead to tragicomic mishaps. Doctors cite numerous instances where normal people took Viagra to enhance their sexual performance. The result was an embarrassing and painfully prolonged erection that lasted for days and required surgery to rectify. Both doctors and manufacturers emphasise that sildenafil is a treatment, not a cure.

    It temporarily acts on a specific part of the body but it does not solve the underlying reason for the disorder. “Sexual dysfunction is about more than just Viagra,” says Kulkarni, “Psycho-sexual counselling is very important.” All companies Torrent, Cadila and Ranbaxy emphasise the need for patients to be educated by urologists, endocrinologists and psychiatrists.

    S.D. Kaul, Regional Director, Asia & Middle East, Ranbaxy

    Side-effects notwithstanding, the pharmaceutical companies are upbeat. “We’re on top of the world,” exclaims a jubilant S.D. Kaul, regional director, Asia and Middle East, Ranbaxy. He has reason to be. With India’s billion-plus population, the sheer numbers translate to tremendous market potential. “The market would run to about Rs 50-100 crore. It’s a blockbuster drug,” says Kaul.

    Other companies provide similar estimates. But with so many vying for a slice of the pie, a bit of shine may rub off soon. Stiff competition will define price and profit margins to the patient’s benefit. The approximate price of the new drug is Rs 20 per tablet, which is already a big gain for patients who are currently shelling out Rs 500 per tablet for the imported Viagra in the grey market.

    The affordability of the genuine sildenafil brands could also adversely affect the popularity of the anti-impotence herbal drugs.

    With the product being identical, marketing strategy will decide the winners and losers in the Great Indian Sildenafil Contest. Brand name, colour and even the shape of the tablets are being depicted as distinguishing features to gain an edge in the market.

    As for Ranbaxy’s brand, Caverta, “the name derives from the cavernosa, the part of penis that plays a vital role in erection”, explains Kaul. Torrent’s choice, Androz, derives from andrology a science that deals with the study of the masculine constitution, according to R. Balasubramanian, vice-president, marketing, Torrent.

    Penegra was Cadila’s choice both because it refers to problems of penetration, and the penis, says President Ganesh Nayak. Blue and diamond shaped, the Penegra pill is an exact copy of Viagra. Ranbaxy’s red triangular tablets are deliberately designed to be different, while Torrent’s tablets are blue and round.

    “We have made a conscious effort to retain the round shape like regular tablets to tell the patients that ED is neither fun nor serious. It’s just another curable condition,” says Balasubramanian.

    An India-specific marketing challenge for the companies is people’s reluctance to talk openly about sexual matters. Says Kaul: “We don’t just have to create a brand but also a market, as ED is a hush-hush affair here.” Besides, impotence is not just any other disease like diabetes or malaria.

    Striking at the very core of manhood, its impact finds an echo in every aspect of man’s life: the wife doomed to a celibate existence and the boss stuck with a depressed, less-productive employee. Small wonder then that the drug is seen as the best thing to happen to the Indian male in a long, long time.

    Some of the optional cures available to erectile dysfunctional patients in India are:

    • The most popular and affordable treatment so far has been the papaverine injection. At Rs 15-20 per shot, it is the price, not convenience, that dictates its popularity. The drug has to be injected locally into the phallus, a painful procedure that can lead to infection unless done in aseptic conditions, according to Professor N.K. Mohanty, head of urology at Delhi’s Safdarjung Hospital.
    • The vacuum erection device is the only non-invasive treatment that has no side-effects, says Mohanty. There are no injections, no tablets – only a hollow tube that creates a vacuum and sucks blood into the penis, leading to an erection. At Rs 10,000- 20,000 one-time cost, the price at least induces a sense of satisfaction.
    • Some men – such as traumatic paraplegics – suffer from extreme impotence. A penile implant is then the only option. The device is designed to last a lifetime. But, insists Ajit Saxena, senior consultant urologist at Delhi’s Apollo Hospital, implants should be prescribed only after a thorough psychological assessment, when all else fails. This procedure involves placing an artificial implant into the phallus. The price can range from Rs 40,000 to Rs 2 lakh but the result is near-normal function. The biggest drawback is infection and rejection by the body, which occurs in about 2 to 3 per cent of the surgeries.

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    Viagra may harm fertility

    Impotence drug makes mouse sperm peak too soon.

    Around 23 million men worldwide have taken Viagra since its launch in 1998. В© Alamy.com

    Viagra may affect male fertility, warns new research from Queen’s University Belfast. The famous impotence drug appears to scupper sperm and reduce pregnancies in mice, in contrast to human studies, which have found no adverse effects on fertility.

    Viagra is prescribed to treat the erectile problems often experienced by older men. But younger people are increasingly using it, sometimes as a recreational drug.

    Reproductive biologist Sheena Lewis and her colleagues found that mice given the equivalent of a human Viagra dose fertilized roughly 30% fewer female eggs than normal, and many of the eggs fertilized grew more slowly. She presented her results at the meeting of the British Fertility Society in Cheltenham, UK.

    The study raises questions about use of Viagra among men who are trying to conceive, Lewis says. Around 23 million men worldwide have taken Viagra since its launch in 1998. The exact proportion trying to conceive is not known, but according to the manufacturer, Pfizer, the majority of users are over 50 years old.

    This fertility finding contrasts with human data from clinical trials: Viagra’s effect on sperm movement and function was extensively studied, says Larry Lipshultz of Baylor College of Medicine in Houston, Texas who has been involved in trials of Viagra and its competitors, Levitra and Cialis. “I’ve reviewed all the data and never seen a fertility problem,” he says.

    The new study prompts further study of Viagra’s effects on humans, but Lipshultz believes the findings may only be applicable to mice. Lewis says she is testing this by studying the sperm of men after they have taken Viagra.

    Premature regurgitation

    Lewis’s team have an idea of how Viagra might be hindering pregnancies in mice. After adding Viagra to mouse sperm in a test-tube, the sperm swam more vigorously but matured too early, regurgitating enzymes that normally help them invade the egg. “Those sperm are of no use,” says Lewis.

    Exactly how Viagra might upset the sperm’s internal machinery is not known. The drug inhibits an enzyme called phosphodiesterase in human cells, which causes the accumulation of another molecule called cyclic GMP. This has a range of effects, including expanding the blood vessels that help men achieve an erection.

    Researchers say they do not yet know if Viagra might have long-term effects on mouse fertility, or any effects at all on fertility in humans. It is also unclear whether the drug might affect the fertility of women, who sometimes take Viagra to increase their arousal.

    Should the finding prove applicable to humans, it might be affecting the success rate of in vitro fertilisation, says Allan Pacey, who researches sperm biology at the University of Sheffield, UK. Men are sometimes given Viagra to help them produce a sperm sample in fertility clinics. If it actually reduces their ability to fertilise the egg, “you potentially defeat the point,” Pacey says.

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    Viagra and conception

    Viagra is pretty famous for helping older men continue to enjoy a normal bedroom life, but it’s also used by younger men, sometimes not so appropriately. And perhaps with unintended consequences for the family they hope to have.

    When I say “Viagra,” I mean that whole class of drugs, including Levitra and Cialis. These drugs are commonly used by older men with diabetes or hypertension, which are typical causes of impotence.

    However, there is also a large population of men who are younger using Viagra. They use it to prolong the experience, so to speak. It’s what we call “recreational use” as opposed to “therapeutic use” because they don’t need it to get the result. They just like it.

    Some studies dating back as far as 2004 noted that sperm treated with Viagra in vitro were damaged. Specifically, the enzymes produced in the head of the sperm were released too early, before the sperm reached the egg. Without those enzymes to break down the zona pellucida (the hard shell covering the egg), the sperm cannot penetrate the egg, and conception is impossible.

    What about if a man must take Viagra in order to have an erection and to ejaculate? What is he supposed to do? If the couple is already going through IVF, then intracytoplasmic sperm injection would make that problem irrelevant. There are two ways to achieve fertilization during IVF: one is simply put the sperm in the same dish with the egg and wait for a sperm to penetrate the egg. The second is to manually inject a sperm into the egg. What happens after that is up to God–doctors can fertilize an egg, but they can’t make an embryo grow.

    If you’ve been trying for a while, and your husband takes Viagra, you might try working without it.

    I think the lesson here is that conception is a complicated, delicate process. If you want a family, or a bigger family, you ought to evaluate all medications you and your partner take. Clean up your diet, take the right supplements for you, and if you need assistance, go sooner rather than later.

    Content copyright © 2015 by Stacy Wiegman. All rights reserved.
    This content was written by Stacy Wiegman. If you wish to use this content in any manner, you need written permission. Contact Stacy Wiegman for details.

    Website copyright © 2015 Minerva WebWorks LLC. All rights reserved.

    Viagra and Fertility

    Antagon – A New and Simpler Alternative to Lupron
    by David R. Meldrum, M. D.

    GnRH agonists have been routinely used for IVF cycles since they prevent ovulation before egg retrieval, improve the ovarian response, and increase the success rate approximately two-fold over IVF cycles without use of a GnRH agonist. These benefits are produced by suppression of luteinizing hormone (LH). Leuprolide acetate (Lupron) has been the most common GnRH agonist used for IVF, although Synarel (a form given by nasal spray) has been tried with similar success. Lupron is given by injections under the skin, sometimes overlapping with an oral contraceptive, but often given starting about one week after ovulation.

    For a GnRH agonist to suppress luteinizing hormone, it must first stimulate the release of gonadotropins (FSH and LH). This can complicate the IVF cycle by causing a cyst to form and by requiring extra time for LH and the estrogen level to be suppressed. Generally about 3 weeks of treatment is required but individual patients may require longer treatment.

    A new medication, Antagon (a GnRH antagonist) which suppresses LH within hours is now available. Therefore, it can be used only during the latter period of egg maturation when it is important to avoid excessive LH levels and when LH could rise enough to cause release of the eggs. It is usually used for only 3 to 5 days. Injection discomfort is similar or less than Lupron. Its most important advantage is in avoiding menopausal symptoms that occur with use of GnRH agonist after suppression and before estrogen rises with ovarian stimulation. In some women these can be severe with headache, moodiness or problems with recent memory. Such side effects could be more important with certain occupations (for example lapses in memory could be very disturbing for a trial lawyer or for someone giving lectures).

    Large trials in Europe and North America have compared Antagon to GnRH agonist. A slightly lower egg yield and success rate (about 5%) was noted. However, Antagon was compared to GnRH agonist protocols that have been refined for over 10 years and with which the investigators were very familiar. It actually seems remarkable that the results with Antagon came so close with a first pass at defining an optimal protocol.

    I have been involved in research on GnRH analogs for almost 20 years and Reproductive Partners was involved in the North America Antagon study. Based on the results I have advised using an oral contraceptive in the preceding cycle to improve egg yield and to allow flexibility in scheduling the egg retrieval. Since the LH levels were quite low on Antagon, and low LH levels could reduce egg quality, we are recommending that women on Antagon should take 1 or 2 ampules of hMG (Pergonal, Humegon or Repronex), that contains LH. These modifications should bring the Antagon results to levels very close or equal to Lupron. At Reproductive Partners we will be involved in additional studies to examine both of these variables over the next year or two, but I would feel confident that patients who wish to use Antagon would not significantly influence their results.

    The large trials described above excluded poor responders. Since poor responders can have improved results by avoiding suppression with a GnRH agonist, they may do particularly well on Antagon. We will be doing a controlled study comparing Antagon with the mini-Lupron flare, which is currently the protocol of choice for poor responders.

    In summary, Antagon should provide the same benefits as the GnRH agonist with fewer injections and no menopausal side effects, thus further simplifying ovarian stimulation for IVF.

    Viagra and Fertility

    A poster presented at the recent conjoint meeting of the American Society for Reproductive Medicine and the Canadian Fertility and Andrology Society concluded that men taking Viagra do not need to worry about its effects on their fertility.

    This study, which was performed in vitro (outside the body), involved incubating sperm with various concentrations of Viagra and a control solution. The test had to be performed in the laboratory rather than on test subjects because the length of time required to see an effect on sperm in vivo would require the test subjects to be on the drug constantly for almost three months. In this test, the authors concluded that Viagra had no effect on a normal sperm’s motility, viability or membrane integrity.

    Since this study was done in the laboratory and measured limited parameters, many further studies will be needed before couples can be reassured that Viagra has no significant effects on the chromosomes of the sperm in vivo or if it may have the potential to produce birth defects.

    Posted on September 30, 2000 at 3:11 pm | No comments | Categories: General | Receive new post updates: Entries (RSS) | Receive follow up comments updates: RSS 2.0

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