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

CГіmo se toma? CuГЎntas pastillas se deben ingerir? CuГЎnto dura el efecto? Alrededor de Viagra existen muchos interrogantes. Las respuestas surgidas de la sabidurГ­a popular tienen mucho de cierto, y bastante mГЎs de falso. La Гєnica verdad contundente es que se trata de un medicamento contra la disfunciГіn erГ©ctil o impotencia. Nada mГЎs.

 31 de mayo de 1998

Un nuevo tratamiento, el mГЎs revolucionario segГєn los expertos, parece haberse convertido en la punta del iceberg que destapГі un problema mundial, la impotencia.

Los que siempre habГ­an ocultado su problema, ahora salen a la luz pidiendo con vehemencia la nueva droga, una tableta con forma de diamante, de color azul intenso, que por un lado dice VGR 50 y por el otro Pfizer.

Es tal el revuelo causado por este nuevo medicamento, cuyo principio activo es el Sildenafil, que ya los especialistas se preguntan de dГіnde salieron tantos impotentes (hombres que sufren de disfunciГіn erГ©ctil).

Por supuesto, no era un secreto que habГ­a un subregistro de casos y que muchas personas preferГ­an ocultar su problema a tener que consultar.

SegГєn Alonso AcuГ±a, urГіlogo sexГіlogo de la ClГ­nica Shaio, el problema no ha aumentado, sino que se estГЎ descubriendo. Parece quedar atrГЎs el tabГє o el temor a hablar de Г©l, y Viagra ha dado pie para que esto suceda.

En Estados Unidos y en MГ©xico, en donde el Viagra, ya fue aprobado y estГЎ a la venta, el revuelo ha sido tal que las ventas han superado lo que se presupuestaba para un aГ±o en tan solo dos meses.

En otros paГ­ses como Colombia, en donde apenas se aprobГі hace dos dГ­as y aГєn no estГЎ a la venta, Viagra tambiГ©n ha dado mucho de quГ© hablar. Miles de hombres preguntan en dГіnde se consigue, para quГ© sirve, cГіmo se toma, quГ© efecto tiene.

TambiГ©n se han creado muchas ideas errГіneas: que la duraciГіn es de cuatro horas ( cuatro horas con el pene erecto?), quГ© no es solo para hombres con disfunciГіn erГ©ctil sino que le sirve a cualquiera, que es un nuevo afrodisiaco, que debe tomarse en cuenta la hora en la que se toma, porque a los 25 minutos ya hace efecto ( y si usted no alcanza a llegar a la cita con su novia antes de ese tiempo?).

En fin, Viagra ha dado mucho de quГ© hablar en materia sexual. Por ello, EL TIEMPO ha querido resolver muchas de las inquietudes de la comunidad y para ello consultГі con expertos en urologГ­a, con directivos del Invima (instituciГіn que lo aprobГі hace dos dГ­as) y sobre todo con directivos de Laboratorios Pfizer, la casa farmacГ©utica que lo dio a conocer en el mundo.

QuГ© quiere saber? Estas son las respuestas a las preguntas que mГЎs se hacen los colombianos sobre Viagra, con la asesorГ­a de urГіlogos, estudios, documentos, y de Manuel Enrique Chaves RodrГ­guez, mГ©dico internista, director mГ©dico de Laboratorios Pfizer para Colombia, Venezuela y Ecuador.

QuiГ©nes pueden tomar Viagra? El medicamento estГЎ indicado para personas con disfunciГіn erГ©ctil.

No es para que todo el mundo lo tome y se vuelva super hombre; es para personas que tienen una patologГ­a y, por lo tanto, su uso tiene que ser racional, segГєn las indicaciones del mГ©dico, previo diagnГіstico individual .

SegГєn los expertos, tampoco es una droga recreativa sino un medicamento absolutamente Г©tico que, como todos los de su especie, requiere intervenciГіn del mГ©dico para su uso.

Viagra es un afrodisiaco? Viagra es un medicamento que responde bien en los pacientes con disfunciГіn erГ©ctil (impotencia) sin que haya necesidad de discernir el tipo de disfunciГіn erГ©ctil que tiene la persona.

No importa si la causa es orgГЎnica, sicГіgena o mixta, el producto responde de manera favorable y por lo general, de manera similar. Es un tratamiento para la disfunciГіn erГ©ctil, no es un afrodisiaco.

Se sabe que se va vender bajo fГіrmula mГ©dica. QuiГ©n la puede recetar: un mГ©dico general, un urГіlogo, o cualquiera de los dos? Es un producto que deberГЎ ser manejado por el cuerpo mГ©dico, tanto especialistas como mГ©dicos generales.

Estoy tomando antidepresivos. Puedo tomar Viagra? Viagra no tiene una interacciГіn farmacolГіgica con antidepresivos, ni los antidepresivos con Viagra.

De otra parte, hay que tener en cuenta que un alto porcentaje de hombres con depresiГіn pueden tener un trastorno erГ©ctil.

Un subestudio de Pfizer analizГі a 136 pacientes deprimidos. Mientras que con placebo hubo un porcentaje de mejorГ­a en las erecciones del 21 por ciento, con Viagra fue del 70 por ciento.

CuГЎles medicamentos no se deben combinar con Viagra? Realmente los Гєnicos medicamentos con los que tiene interacciГіn farmacolГіgica clГ­nicamente significativa son los nitratos (medicamentos para el manejo de la angina de pecho, bien sea parches de nitroglicerina o aquellos tomados por vГ­a oral). Si usa estos productos, no debe consumir Viagra.

Tampoco se debe tomar con otras drogas que sean donadores de Гіxido nГ­trico (medicamentos que se utilizan para reducir la presiГіn arterial cuando hay crisis hipertensiva).

Solo se toma por vГ­a oral? El Sildenafil es un medicamento que se administra por vГ­a oral, y es ahГ­ donde estГЎ parte de su secreto y novedad.

Como todo medicamento que se administra por vГ­a oral, tiene que sufrir un metabolismo y actuar sobre una serie de sistemas en el organismo, hasta que empieza su momento de acciГіn. En otras palabras, no es un medicamento de acciГіn inmediata.

Pueden pasar entre 25 minutos y una hora antes de que actГєe. Esto varГ­a de persona a persona, pero hay factores que se deben tener en cuenta. Por ejemplo, si se toma con comidas grasas, disminuye un poco su absorciГіn.

Viagra produce erecciГіn automГЎtica o se requiere estimulaciГіn sexual? Para que haya erecciГіn se debe recibir un estГ­mulo sexual. Cuando esto ocurre, hay una activaciГіn del sistema nervioso en el cerebro, que a su vez envГ­a las Гіrdenes para que se produzca la erecciГіn. Si no hay estГ­mulo no hay erecciГіn.

Cuando se padecen problemas de impotencia y se usa la droga, cuГЎnto puede durar una erecciГіn? Time hablГі de cuatro horas.

La mayorГ­a de las erecciones que se logran con Viagra son muy buenas y permiten una penetraciГіn adecuada. Duran, por lo general, 16 minutos.

Viagra mantiene el ciclo normal de la actividad sexual, pero si todavГ­a hay acciГіn del medicamento y estГ­mulo sexual, el paciente podrГ­a tener otra erecciГіn y luego otra y otra, hasta por cuatro horas.

No es para fabricar erecciones. El hecho de que permita que haya una actividad sexual normal, con sus diferentes fases (estimulaciГіn, fase coital y luego una tercera fase de gratificaciГіn donde finalizГі el coito), hace que se restaure no solo la actividad sexual sino la calidad de la relaciГіn.

Con los mГ©todos existentes hasta hoy para tratar la impotencia, habГ­a el riesgo de una erecciГіn muy prolongada (priapismo) y el paciente debГ­a ser tratado de urgencia. Con Viagra, se calcula la dosis necesaria segГєn el paciente, es decir, hay dosis personalizada. Se corre el riesgo de una erecciГіn indeseada bien prolongada? Finalizada la actividad sexual, el individuo regresa a sus condiciones normales. No permanece con una erecciГіn continuada ni menos aГєn llega a situaciГіn emergencia clГ­nica que es el priapismo.

SegГєn diferentes estudios consultados por EL TIEMPO, con Viagra, en mГЎs de 4.000 analizados, no ha habido un solo caso de priapismo.

CuГЎl es la dosis adecuada? La dosis la determina el mГ©dico segГєn cada caso particular. Sin embargo, la mayorГ­a de estudios dejan ver que con la dosis de 50 miligramos, una vez al dГ­a, es suficiente (hay que aclarar que tambiГ©n hay una dosis de cien miligramos).

En los estudios clГ­nicos se ha visto que los pacientes con disfunciГіn erГ©ctil mejoraron con esta dosis el nГєmero de actividades sexuales exitosas y lograron tener casi seis actividades sexuales por mes, cuando con placebo a duras penas tenГ­an una.

Si el individuo con disfunciГіn erГ©ctil responde bien a Viagra, puede tomar diariamente su dosis recomendada y tener relaciones satisfactorias.

CuГЎles son los efectos secundarios? Los estudios clГ­nicos realizados hasta la fecha seГ±alan los siguientes efectos adversos: cefalea (dolor de cabeza), enrojecimiento de la cara, malestar digestivo y en algunos casos algo de congestiГіn nasal. En general, se trata de efectos relacionados con vasodilataciГіn.

La tasa de deserciГіn (pacientes que dejaron de tomar la droga) por efectos colaterales en los estudios clГ­nicos con Viagra fue del 2,6 por ciento, mientras que con placebo llegГі al 2,3 por ciento.

Algunos pacientes (alrededor del 2,7 por ciento) han sufrido alteraciones de la visiГіn muy transitorias y leves, que fundamentalmente se caracterizan porque ven halos alrededor de los objetos, o porque ven cambios de colores.

Esto se debe tambiГ©n a que el producto, en algГєn pequeГ±o porcentaje de pacientes, puede afectar una fosfodiesterasa (enzima que se encuentran en distintas partes organismo cumpliendo funciones especГ­ficas segГєn su localizaciГіn), diferentes a la 5 (la 6) que se encuentra en la retina, y es la responsable de permitir que el ojo vea los colores en la frecuencia correspondiente.

Esto no significa que Viagra cause ceguera, ni impide que el paciente conduzca, por ejemplo.

QuГ© puede pasar si se abusa de la droga (por ejemplo, si se consumen dos o tres dosis en una sola toma)? Si el paciente omite la prescripciГіn mГ©dica y por su propia cuenta empieza a tomar Viagra y a exceder las dosis, no duplicarГЎ ni aumentarГЎ de manera significativa la efectividad del producto. En cambio, sГ­ se va a aumentar de manera considerable el riesgo de efectos colaterales (los mismos efectos pero con mГЎs frecuencia).

El producto tiene una acciГіn muy especГ­fica sobre la fosfodiesterasa 5 (que se encuentra en el pene y es la enzima que destruye la actividad del Гіxido nГ­trico y permite que el pene vuelva otra vez a su estado de flacidez. Viagra actГєa inhibiendo la fosfodiestereasa 5 y permite por lo tanto mantener la erecciГіn, al aumentar la duraciГіn de la acciГіn del Гіxido nГ­trico).

En condiciones normales, Viagra no afecta otros Гіrganos o sistemas.

Pero si se aumenta la dosis, entonces sГ­ puede empezar a afectar otros sistemas que utilizan fosfodiesterasas (hay seis definidas que actГєan a diferentes niveles).

CГіmo funciona en un enfermo del corazГіn y en casos de problemas renales o hepГЎticos? La pueden utilizar o no? En teorГ­a, no hay contraindicaciГіn, siempre y cuando el mГ©dico haya, inicialmente, evaluado que el paciente pueda tener actividad sexual sin problemas.

Si el mГ©dico ve que su paciente estГЎ en condiciones que no impliquen riesgo, usar Viagra no ofrece inconvenientes.

Pero si estГЎ muy comprometido en su aparato cardiovascular y un sobreesfuerzo fГ­sico lo pone en riesgo, no debe consumirla.

En este caso, el problema no es de Viagra, sino del riesgo propio de la actividad sexual.

El producto no afecta la funciГіn renal ni la funciГіn hepГЎtica, de manera que pacientes con disfunciones de este tipo no tienen contraindicaciones.

Si se consume Viagra bajo el efecto de alcohol o de otros estimulantes, quГ© pasa? En dosis moderadas de alcohol no se presentan interacciones con Viagra. Una o dos copas no afectan la farmacocinГ©tica del producto ni potencian la acciГіn del alcohol.

Obviamente, hay que recordar que el alcohol y el tabaco son nocivos para la salud.

Si uno tiene erecciones normales, que efecto produce tomar Viagra? Algo que es normal no se puede normalizar mГЎs, es decir, no habrГЎ una respuesta mГЎs allГЎ de lo normal. Si hay disfunciГіn erГ©ctil, entonces sГ­ actГєa el medicamento.

Las mujeres lo pueden consumir? QuГ© les pasa si consumen Viagra? No hay estudios en mujeres. No deben usarlo hasta que haya alguna razГіn cientГ­fica que lo avale.

Viagra sustituye totalmente los mГ©todos tradicionales (inyecciones, prГіtesis. ) Viagra es una excelente alternativa para el manejo de pacientes con disfunciГіn erГ©ctil, pero no quiere decir que reemplace el resto de terapias. Es el mГ©dico quien va a orientar al tratamiento.

HabrГЎ casos en donde hay que buscar una alternativa diferente, si el manejo farmacolГіgico es insuficiente, y habrГЎ que recurrir a colocar una prГіtesis.

Los hombres con prГіtesis peneanas pueden recurrir a Viagra y quitГЎrsela (la prГіtesis)? No hay evidencia clГ­nica al respecto. Hay que tener en cuenta que si el paciente tuvo que recurrir a una prГіtesis peneana es porque se han probado otras alternativas y su aparato erГ©ctil estaba tan deteriorado que no iba a poder responder a intervenciones farmacolГіgicas. La prГіtesis es una soluciГіn irreversible.

QuГ© pasa si se toma Viagra y no se tienen relaciones? Si no hay un estГ­mulo sexual no va a pasar nada. Los efectos colaterales pueden aparecer, pero no los beneficios.

Viagra cura la disfunciГіn erГ©ctil? No. Viagra no cura la disfunciГіn erГ©ctil: controla la enfermedad y, segГєn estudios, los pacientes con disfunciГіn erГ©ctil que toman Viagra logran una mejorГ­a significativa, como es lo esperado con el producto.

Si se les suspende Viagra y se les cambia por placebo y concomitante, la mejorГ­a desaparece. Si se vuelve a administrar Viagra, vuelve otra vez a encontrar la mejorГ­a.

Eso no significa que el medicamento genere dependencia; simplemente es la respuesta del medicamento que mejora la funciГіn erГ©ctil, pero no soluciona el problema de base, que es una manifestaciГіn de muchas patologГ­as consideradas factores de riesgo, entre las que se pueden mencionar la diabetes, la hipertensiГіn arterial, la arterioesclerosis, trastornos hormonales, traumas, secuelas de intervenciones quirГєrgicas (prostatectomГ­a radical), trauma medular y tambiГ©n problemas sicolГіgicos que van a llevar a la disfunciГіn erГ©ctil.

Por todo lo anterior, el manejo del tratamiento debe estar a cargo del mГ©dico.

Viagra responde de manera favorable, en mГЎs del 80 por ciento de todos los pacientes con disfunciГіn erГ©ctil.

Hay una edad lГ­mite (mГЎxima y mГ­nima) para tomar Viagra? Mientras que el individuo con disfunciГіn erГ©ctil tenga capacidad fГ­sica y mental para tener actividades sexuales, va a haber posibilidad de usarlo. SegГєn los estudios, responde tan bien en edades menores de 60 aГ±os como en mayores.

Un paciente poco acostumbrado a tener erecciones fuertes puede experimentar dolor? En los estudios clГ­nicos sobre el uso de Viagra, este caso no ha sido reportado como efecto colateral del medicamento.

Se han detectado efectos secundarios a largo plazo? En este momento, Pfizer dispone de estudios en los que se ha seguido a los pacientes por mГЎs de un aГ± o. La eficacia clГ­nica se ha mantenido y la incidencia de efectos colaterales no se ha modificado por el uso continuado del producto.

QuГ© se sabe de las muertes en las que se sospecha que Viagra intervino, en Estados Unidos? Pfizer en Estados Unidos dio a conocer, ayer, un comunicado en el que afirma que se siguen revisando los casos con la AdministraciГіn de Drogas y Alimentos de Estados Unidos (FDA, por su sigla en inglГ©s) y que no va a cambiar ni los empaques ni la presentaciГіn de Viagra.

La informaciГіn que hay hasta el momento sobre estos casos no sugiere que haya ningГєn riesgo para los pacientes, que no estГ©n descritos en las etiquetas del medicamento. dice el informe.

Aclara tambiГ©n que al parecer, los casos atribuidos se relacionan con eventos cardiovasculares asociados con actividad sexual en hombres mayores o a la combinaciГіn de Viagra con nitratos, acciГіn que estГЎ contraindicada en las etiquetas aprobadas por la FDA .

Hay riesgo de que suspendan su venta en Estados Unidos por esta razГіn? No. Todo lo contrario, no hay en este momento ningГєn otro producto, ni ha habido, que en tan poco tiempo haya sido probado por tantas personas.

Si a eso le suman el control de farmacovigilancia tan preciso que hace la FDA, los expertos dicen que se puede tener confianza de la eficacia y la buena tolerabilidad del producto.

QuГ© compuestos tiene? Sildenafil es el principio activo de Viagra. Adicionalmente tiene una serie de sustancias inactivas que acaban de conformar su composiciГіn.

Sildenafil estГЎ en forma de una sal que se llama citrato de sildenafil.

CГіmo el futuro comprador del producto reconoce que es el original y no alguno falsificado? En este momento se sabe que en muchos paГ­ses del mundo se puede conseguir Viagra o un medicamento con el nombre de Viagra, y puede haber falsificaciones importadas de manera ilegal.

Pfizer no se responsabiliza del uso de estas sustancias en Colombia, puesto que hasta la fecha el laboratorio no estГЎ vendiendo el producto.

Estamos haciendo todo lo posible para traer Viagra al mercado Colombiano lo mГЎs pronto, pero lo que hay hasta este momento en el paГ­s no estГЎ autorizado por la casa farmacГ©utica. dice un comunicado de esta firma.

El producto va a tener unas caracterГ­sticas que lo van a identificar de posibles falsificaciones.

Lo mГЎs importante es que cuando el producto salga al mercado se compre en puntos de venta reconocidos.

Al respecto, los directivos de Pfizer y el Invima sostendrГЎn esta semana una reuniГіn para definir los mecanismos de control que regirГЎn la venta de este producto.

Se puede suponer que el grupo poblacional adolescente es muy dado a probar todas las modas. Viagra es indicado para este tipo de personas? Viagra estГЎ contraindicado en niГ±os. Es un producto para la disfunciГіn erГ©ctil y en un adolescente es muy raro que se presente esta enfermedad.

La distribuciГіn del producto en el paГ­s se harГЎ previo o acompaГ±ado de campaГ±as de prevenciГіn y control para su consumo? El producto va a tener que ser prescrito mГ©dicamente y la principal funciГіn del laboratorio, segГєn sus directivos, serГЎ educar a la comunidad cientГ­fica para un buen uso del producto, y a la comunidad en general para apoyar las campaГ±as de educaciГіn sobre disfunciГіn erГ©ctil antes que campaГ±as relacionadas con el medicamento.

CuГЎnto tiempo se ha investigado sobre sus efectos en los seres humanos? En quГ© grupos poblacionales y/o perfil socioeconГіmico?.

Sildenafil es una molГ©cula que lleva en investigaciГіn muchos aГ±os. Las primeras experiencias del uso del medicamento en humanos datan de 1983, y para el manejo en disfunciГіn erГ©ctil desde esta dГ©cada.

Los estudios clГ­nicos se han hecho en diversas partes del mundo, con diferentes razas, perfiles socioeconГіmicos, condiciones patolГіgicas etc. siempre con consistencia en los resultados.

DetrГЎs de Viagra hay una empresa de investigaciГіn con 150 aГ±os de historia que invierte al aГ±o mГЎs de 2.000 millones de dГіlares en investigaciГіn y que incursiona cientГ­ficamente en diversidad de campos, como por ejemplo enfermedades cardiovasculares, sistema nervioso central, diabetes, aparato urogenital, enfermedades infecciosas, y muchas mГЎs.

En las pГЎginas sociales ya saliГі un aviso promocionando Viagra (daban un telГ©fono). Siendo que la droga no ha sido aprobada en Colombia, es legal promocionar su venta? Sobre la disponibilidad actual del producto, en este momento cualquier venta de Viagra o algo parecido, cualquier imitaciГіn de Viagra es, desde luego, ilegal.

El Invima acaba de darle a laboratorios Pfizer en Colombia la autorizaciГіn para que vender el producto en el paГ­s a travГ©s de las farmacias reconocidas de Colombia. Cualquier cosa aparte de esto es considerada un delito.

Con la imagen de Viagra se ha aprovechado de manera poco decorosa el medicamento para promover ventas de otros productos ajenos a la medicina, como camas. Esto no solo es un irrespeto al desarrollo cientГ­fico que hay detrГЎs de una molГ©cula tan importante como Viagra sino a la casa farmacГ©utica que ha invertido tantos aГ±os y tantos recursos para darle a la humanidad un producto como Viagra, afirman los directivos del laboratorio.

Nos gustarГ­a que en Colombia se normatice la publicidad para que situaciones como esta no sucedan .

QuГ© precio va tener en Colombia? En este momento no hay todavГ­a una definiciГіn de precios. Para ponГ©rselo se necesita un proceso, anГЎlisis internos de la compaГ±Г­a y macroeconГіmicos, pero la idea es mantenerse dentro de los estГЎndares internacionales. En Estados Unidos se cobran diez dГіlares por tableta.

Por quГ© viene en dos presentaciones y bajo quГ© parГЎmetros se escoge una u otra? EL TIEMPO pudo establecer que, muy seguramente en Colombia, la dosis que se va a utilizar para empezar es la de 50 miligramos, que se considera como la dosis mГЎs apropiada.

SegГєn los Гєltimos estudios, la dosis de 50 miligramos es la mГЎs recomendada. Es mГЎs, si el paciente responde bien, el mГ©dico puede bajarla a 25, si no, mГЎximo a la de 100.

Con que frecuencia se puede tomar viagra

Correos electrГіnicos interceptados por lo tanto ponen una campaГ±a total al riesgo. Por otra parte, mientras que un ascensor clГЎsica brasileГ±a requerirГ­a una intervenciГіn para su colecciГіn de grasa, este paso es muy omite en bioplastia, lo que significa que incluso las personas delgadas pueden ofrecerlo hecho sin necesidad de grasa para ser tomada a travГ©s de la liposucciГіn. La piel a travГ©s del ano es generalmente rica en depГіsitos de melanina. AdemГЎs, los medicamentos que el uso persona podrГ­a haber afectado a la circulaciГіn de la sangre. Pero Viagra serГ­a el mayor de medicamentos para problemas de impotencia en todo el mundo. Si usted ya es una vГ­ctima de este tipo de situaciГіn, entonces usted puede encontrarse con inmensa alegrГ­a interior hecho de que en este momento son las opciones naturales para el Viagra que producen unos efectos similares con absolutamente ningГєn efecto negativo. continГєa siendo encontrado a una persona por tener un padre alcohГіlico tiene mayores probabilidades de desarrollar una adicciГіn. Usted tiene una duda a trabajar a travГ©s de los miedos, recuerdos y asociaciones irracionales. ВїUtiliza los antagonistas directos que bloquear sus muchos beneficios. Con menor que proyecciones promedio y estГЎndar de la edad, por ejemplo, un puГ±ado de lГ­neas y arrugas, usted estГЎ en condiciones de reducir su visibilidad o deshacerse de ellos por completo. Hacer una cantidad asequible de corazГіn seguro de salud y la forma fГ­sica mejorarГЎ su durabilidad corazГіn, junto con mejorar las venas sangre circulaciГіn. Problema de los ojos, por ejemplo, rara problema de visiГіn heredada conocida como retinitis pigmentosa corazГіn, riГ±Гіn y problemas de hГ­gado. Stroke embarazada o si usted estГЎ deseando quedarse embarazada alimentaciГіn alГ©rgica y las reacciones inusuales a sildenafil o algunos otros medicamentos. La mayorГ­a de los hombres con penes pequeГ±os y pobres erecciГіn del pene durante el coito se debaten entre el uso de pГ­ldoras de la ampliaciГіn del pene o no usarlos provocada por las medidas de seguridad. Los cientГ­ficos estГЎn tratando de tomar Viagra GenГ©rico mejor y mucho mejor. Sin embargo, dentro de la gran flacidez, ademГЎs de las axilas, no van a ser una lГ­nea de cicatriz que puede ejecutar desde su brazo interior del codo. Volumen y la calidad del semen es realmente crГ­tico aquГ­ y es posible juzgar fГЎcilmente debido a la cantidad de suplementos de semen fГЎcilmente obtenibles en el mercado de Reino Unido. Sin embargo, la meta de crecimiento de la mala hierba sigue siendo un misterio. Hacer la mejor manera como una pГ­ldora todos naturales para rectificar la erecciГіn, es posible construir fГЎcilmente su camino para expresar el amor a la perfecciГіn. Impotencia contribuye a la disfunciГіn sexual y tambiГ©n un gran impacto psicolГіgico. AsГ­, la conclusiГіn general quieren saber, es que un estilo de vida normal y adecuado es muy Гєtil dentro de la prevenciГіn y el tratamiento de la impotencia masculina. La impotencia es a menudo una condiciГіn que sin duda es probablemente una de las experiencias mГЎs humillantes un hombre jamГЎs podrГ­a enfrentar. Todas estas formas estГЎn formulados por ingrediente similar del medicamento Viagra que puede ser conocido como citrato de sildenafilo.

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La mayorГ­a de la gente probablemente no sabrГЎn que por cientos en cualquier otro caso de miles de aГ±os, hubo culturas antiguas que utilizan hierbas naturales para tratar los problemas de erecciГіn con resultados positivos. ВїCuГЎl podrГ­a ser el nivel de experiencia en el diseГ±o de productos. Si desea disfrutar de aumento del deseo sexual se encuentra suplementos que han demostrado para reforzar la libido y producir sentir muy bien todo exactamente al mismo tiempo. En primer lugar debemos tener en mente que su temperatura corporal estГЎ directamente afectada por la temperatura y cambios de estaciГіn a estaciГіn. Los medicamentos utilizados para tratar la disfunciГіn erГ©ctil pertenecen a alguna clase de inhibidores de la fosfodiesterasa de medicaciГіn llamada. Todos los fГЎrmacos para inhibir la nueva expansiГіn de pelo en este momento requieren una receta mГ©dica. El uso de Viagra genГ©rico que simplemente no encontrarГЎ ningГєn tipo de problemas ni para el inicio de las actividades sexuales ni en el camino en el que sГ­. Terapias medicinales alternativos, por ejemplo la acupresiГіn y la acupuntura serГ­a a dicho ser extremadamente atractiva libido femenina baja. AsegГєrese de que el exfoliante facial es simplemente no demasiado duras en la piel. No es de extraГ±ar, que puede ser muy amado por los hombres que buscan el mejoramiento sexual. Todo el mundo tiene al menos una vez oyГі hablar de Viagra, que es la pГ­ldora de venta mГЎs beneficioso viniendo de todos los tiempos que incluye ayudaron literalmente miles y miles de hombres conseguir sus poderes sexuales hacia atrГЎs y vivir una vida plena. Tras el descubrimiento de kamagra por los hombres de farmacia Ajanta obtener suspiro de alivio para la asequibilidad. Celebridades como Madonna y Kate Moss han demostrado que comer Goji debido a sus beneficios. AversiГіn puede existir en los homosexuales o bisexuales que hacen un esfuerzo para llevar una vida heterosexual en contra de sus inclinaciones bГЎsicas.

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NavegaciГіn de entradas

El descubrimiento del Sildenafil para el tratamiento de los problemas de erección marco el inicio de la III revolución sexual cambiando para siempre, el abordaje de los problemas sexuales.

El sildenafil es el compuesto activo de la famosa pastilla Viagra. Este medicamento se considera tan valioso, que los doctores Furchgott, Ignarro y Murad fueron galardonados con el Premio Nobel de Medicina en 1998, por idear este fármaco.

NOMBRES

¿Cuáles son los nombres de los productos que contienen sildenafil?

En el mercado nacional existen varios compuestos que contienen la molécula de sildenafil. El primer producto comercializado fue Viagra, y hoy existen múltiples preparados similares: Herex, Sildenafil, Clavupen, Aposildenafil, Juventus, entre otros.

¿Cuál de todos ellos es el más recomendable?

No cabe duda de que el producto original funciona muy bien. Sin embargo, su precio suele ser alto para la inmensa mayoría de la población. En la consulta diaria del Instituto Costarricense de Sexología, preferimos emplear Herex por su excelente eficacia y porque su precio resulta accesible. Desde luego, el médico que realiza la prescripción es quien debe decidir cuál producto usar.

Para facilidad del lector, en este capítulo nos referiremos al sildenafil con el nombre más conocido: Viagra, y con el nombre del producto que utilizamos en el Instituto: Herex.

¿Viagra viene en diferentes concentraciones?

El sildenafil se presenta en pastillas con tres concentraciones: 25 mg, 50 mg y 100 mg. Usualmente el médico inicia con una dosis de 50 mg y, basado en la respuesta, opta por la dosis de 25 mg o la sube a 100 mg.

COMO SE TOMA

¿Cómo se toma Viagra o Herex?

Viagra o Herex se toma aproximadamente veinticinco a sesenta minutos antes de la relación sexual. Los estudios demuestran que es eficaz tomándola incluso con cinco o seis horas de anticipación. Se puede tomar en cualquier momento del día. Es recomendable tomarla dos horas después de comer, es decir, con el estomago vacío. Nunca se debe tomar más de una pastilla por día.

Es importante destacar que este medicamento funciona en el tanto exista un estímulo sexual, sea una caricia, un pensamiento, un beso o un encuentro sexual propiamente dicho. No provoca erecciones espontáneas.

COMO FUNCIONA

¿Cuánto tarda en hacer efecto?

El efecto de Viagra o Herex usualmente se presenta entre los treinta y sesenta minutos, o incluso antes.

¿Cuánto dura el efecto?

El efecto se mantiene por un período de cinco a seis horas.

¿Esto significa que Viagra o Herex provoca erecciones por seis horas?

De ninguna manera. Este medicamento permite que durante seis horas se pueda desencadenar la erección ante un estímulo sexual, pero no provoca erecciones por varias horas.

¿Cómo funciona Viagra o Herex?

Viagra o Herex actúan directamente sobre las arterias del pene favoreciendo la entrada de sangre y, por consiguiente, la erección.

EFECTOS SECUNDARIOS

¿Cuáles son los efectos secundarios más frecuentes?

Por lo general, los efectos secundarios son leves y transitorios. Los más frecuentes son el dolor de cabeza y el enrojecimiento de la piel de la cara y del resto del cuerpo. Estos efectos están presentes en cerca del 10% de los pacientes.

Son menos frecuentes las siguientes molestias: mareos, secreción y congestión nasal, molestias estomacales, palpitaciones, taquicardia, y trastornos visuales transitorios como sensibilidad a la luz, visión borrosa, alteración en la percepción de los colores, enrojecimiento de los ojos y dolor ocular.

Tomé una Viagra y comencé a ver todo de color azul ¿Por qué?

En algunos pacientes, Viagra o Herex pueden ocasionar cambios en la percepción de los colores. Esta alteración suele ser transitoria. Desde luego que siempre es recomendable consultar con el médico.

¿Cuáles otros efectos secundarios se pueden presentar?

Según lo señalan algunas investigaciones, en raros casos se pueden presentar dolor en los ojos, ojos rojos, sensación de desmayo, desmayos, diarrea, vómito, sangrado nasal y salpullido en la piel. Es inusual que se produzcan erecciones por largos períodos de tiempo, y más raro aun priapismo .

¿Qué se debe hacer cuando se presenta alguno de estos efectos secundarios?

Afortunadamente, estos efectos secundarios son poco frecuentes y ceden al cabo de unas horas. Sin embargo, siempre es recomendable consultar de inmediato con el médico.

Si se presentan efectos secundarios, ¿puede el paciente volver a tomar Viagra o Herex?

El médico es quien decide si el paciente puede volver a utilizar este medicamento. En general, si se presentan molestias, ocurren con las primeras dosis. Con las dosis subsiguientes, las molestias son cada vez menos frecuentes e intensas, hasta desaparecer por completo al cabo de unas dosis más.

¿Qué procede si, al tomar Viagra o Herex, se presenta alguna reacción que no está en las anotadas anteriormente?

Ante cualquier otra molestia o efecto secundario, se debe realizar de inmediato una evaluación médica.

QUIENES NO PUEDEN TOMARLA

¿Quiénes no pueden tomar Viagra o Herex?

El médico decide cuáles pacientes pueden beneficiarse con Viagra o Herex. En términos generales, se considera que no se debe recetar este medicamento a los siguientes pacientes:

• Personas alérgicas a los componentes del Viagra o Herex
• Personas en las que, debido a su deteriorado estado de salud, las relaciones sexuales resultan riesgosas
• Personas con problemas en el corazón que son tratadas con un grupo de medicamentos llamados nitratos

¿Qué son los nitratos?

Los nitratos son medicamentos especiales diseñados para tratar ciertos problemas del corazón. Viagra o Herex pueden aumentar el efecto de los nitratos, por lo cual nunca se debe usar cuando el paciente toma nitratos o si dejó de tomarlos recientemente.

¿Cuál es el nombre comercial de los nitratos?

Los nitratos tienen varias formas de presentación y diversos nombres. Entre los más utilizados están:

• Tabletas: mononitrato de isosorbide (nombres de marca: Ismo, Monoket, Imdur) y dinitrato de isosorbide (nombres de marca: Isordil, Sorbitrato)

• Tabletas sublinguales o aerosol de nitroglicerina (nombres de marca: Nitrostat, Nitrolingual Spray)

• Parches de nitroglicerina transdérmica o nitroglicerina en pasta (nombres de marca: Minitran, Nitro-Dur, Transderm-Nitro)

PRECAUCIONES

¿Cuáles precauciones se deben tomar cuando se utiliza Viagra o Herex?

El Viagra o Herex es un medicamento muy noble; pero, como todo medicamento, debe ser recetado por un médico. En algunas condiciones se requiere de una supervisión médica estricta, como por ejemplo:

• Alergias a medicamentos
• Anormalidades en el pene. como fibrosis, cicatrices o curvaturas
• Priapismo
• Anemia de células falciformes
• Leucemia, linfomas y otros tumores
• Úlcera gástrica o gastritis severa
• Problemas en los riñones o el hígado
• Sangrados anormales
• Problemas cardíacos
• Presión alta
• Problemas visuales o problemas en la retina
• Alcoholismo

¿Pueden las personas mayores beneficiarse con Viagra o Herex?

El médico decide quiénes pueden utilizar Viagra o Herex. En general, es bien tolerado por los adultos mayores. Algunos estudios indican que, después de los 65 años, el efecto del medicamento es mayor y también son más frecuentes los efectos secundarios. Por eso es usual que se utilicen dosis iniciales bajas, con el fin de observar la tolerancia y la respuesta al medicamento.

¿Se puede tomar Viagra o Herex con las comidas?

En nuestra sociedad, es común ligar la sexualidad con una cena bien preparada. Este medicamento se puede tomar con las comidas. No obstante, lo ideal es hacerlo dos horas después de comer, es decir, con el estómago vacío, para no retrasar su efecto. Cuanto más grasoso sea el alimento, más se atrasará la absorción del fármaco y su efecto.

VIAGRA Y LAS DROGAS

Después de una relación sexual, me gusta fumar un cigarrillo. ¿Puedo hacerlo si he consumido Viagra o Herex?

Según lo señalan los estudios, los fumadores no experimentan efectos secundarios diferentes, en frecuencia ni en intensidad, en relación con los no fumadores. Debe recordarse que el fumado afecta la erección a largo plazo.

Me gusta tomar unas copas de licor antes de la relación sexual. ¿Puedo tomar Viagra o Herex en combinación con el alcohol?

Este medicamento se puede utilizar cuando se ingieren dosis bajas de licor (una o dos copas). Sin embargo, si se toman mayores cantidades de licor, el mecanismo de la erección se ve afectado y, por ende, puede anular el efecto del medicamento. Teóricamente, es posible que el alcohol aumente los efectos secundarios de Viagra o Herex.

¿Se puede utilizar Viagra o Herex si se ha consumido drogas?

Algunas drogas ilegales contienen nitratos, sustancias que interactúan con Viagra o Herex y provocan efectos peligrosos. Por eso, no se debe combinar el uso de drogas con estos medicamentos.

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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.

Images

Viagra

How does this medication work? What will it do for me?

Sildenafil belongs to a group of medications called phosphodiesterase type 5 inhibitors.It is used for the treatment of erectile dysfunction (male impotence). It helps to achieve and keep an erection sufficient for sexual activity. It does this by allowing a greater blood flow into the penis when a man is sexually aroused. It works only with sexual stimulation and does not increase sexual desire.

This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.

Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.

Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.

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What form(s) does this medication come in?

25 mg
Each blue, round, diamond-shaped tablet, marked "PFIZER" on one side and "VGR 25" on the other side, contains sildenafil citrate equivalent to 25 mg of sildenafil. Nonmedicinal ingredients: anhydrous dibasic calcium phosphate, croscarmellose sodium, FD&C Blue No. 2 Aluminum Lake, hypromellose, lactose, magnesium stearate, microcrystalline cellulose, titanium dioxide, and triacetin.

50 mg
Each blue, round, diamond-shaped tablet, marked "PFIZER" on one side and "VGR 50" on the other side, contains sildenafil citrate equivalent to 50 mg of sildenafil. Nonmedicinal ingredients: anhydrous dibasic calcium phosphate, croscarmellose sodium, FD&C Blue No. 2 Aluminum Lake, hypromellose, lactose, magnesium stearate, microcrystalline cellulose, titanium dioxide, and triacetin.

100 mg
Each blue, round, diamond-shaped tablet, marked "PFIZER" on one side and "VGR 100" on the other side, contains sildenafil citrate equivalent to 100 mg of sildenafil. Nonmedicinal ingredients: anhydrous dibasic calcium phosphate, croscarmellose sodium, FD&C Blue No. 2 Aluminum Lake, hypromellose, lactose, magnesium stearate, microcrystalline cellulose, titanium dioxide, and triacetin.

Talk to your doctor

Tips for getting the conversation started so you can start feeling like yourself again.

How should I use this medication?

The usual recommended dose is 50 mg taken as needed, approximately 30 to 60 minutes before sexual activity. However, the medication may be taken any time from 4 hours to half an hour before sexual activity. Based on the effectiveness and side effects of the medication, the dose may be increased to 100 mg or decreased to 25 mg.

The maximum recommended dose is 100 mg and it is not recommended to take more than one dose per day. Sildenafil may be taken with or without food, but taking it with a high-fat meal may increase the time before the medication starts working.

Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

It is important to take this medication exactly as prescribed by your doctor. Do not take higher doses of this medication than those prescribed by your doctor. Contact your doctor if you take a greater dose of sildenafil than prescribed.

Store this medication in its original package at room temperature, protect it from moisture, and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Do you have low testosterone?

You may think your symptoms are a natural part of aging. Could low testosterone be to blame?

Who should NOT take this medication?

Do not take sildenafil if you:

  • are allergic to sildenafil or any ingredients of this medication
  • are taking any type of nitrate medication in any form (oral, sublingual [under the tongue], skin patch, or spray). Nitrate medications include nitroglycerin and related medications that are used for the relief of chest pain or angina. They also include amyl nitrite "poppers." Use of these medications with sildenafil could cause a sudden severe drop in blood pressure that could lead to dizziness, fainting, heart attack, or stroke.
  • are taking the medication riociguat
  • have been advised by your doctor not to engage in sexual activity
  • have a history of vision problems related to nerve damage to the retina caused by decreased blood flow

Nitrates are found in medications that are used to treat angina (chest pain). If you are not sure if you are taking nitrates, ask your doctor or pharmacist.

Nitrates must NOT be taken by anyone who is using sildenafil because they can cause your blood pressure to drop very low. This may cause dizziness, fainting, heart attack, or stroke.

What side effects are possible with this medication?

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.

The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

  • cough
  • dizziness, particularly when rising from a sitting or lying position
  • dry mouth
  • flushing
  • headache
  • sleepiness
  • stuffy nose

Although most of the side effects listed below don’t happen very often, they could lead to serious problems if you do not seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

  • dizziness, if severe
  • low blood pressure
  • muscle aches
  • nosebleeds
  • sudden loss or decrease of hearing
  • temporary memory loss
  • vision changes, including blurred vision, seeing shades of colours differently than before, sensitivity to light, temporary or partial vision loss, or double vision

Stop taking the medication and seek immediate medical attention if any of the following occur:

  • chest pains, an irregular heartbeat, or shortness of breath when starting or following sexual activity (if you have a heart condition)
  • prolonged (longer than 4 hours), painful, or inappropriate erection of penis
  • seizures
  • signs of an allergic reaction (e.g. rash, itching, shortness of breath; swollen face, lips, or throat)
  • signs of bleeding from the lungs (e.g. difficulty breathing, bluish colouring of the lips; and skin, cool, clammy skin)
  • signs of a severe skin reaction such as blistering, peeling, a rash covering a large area of the body, a rash that spreads quickly, or a rash combined with fever or discomfort
  • signs of stroke (e.g. sudden or severe headache, sudden loss of coordination, vision changes, sudden slurring of speech; or unexplained weakness, numbness, or pain in arm or leg)

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.

Are there any other precautions or warnings for this medication?

Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.

Alcohol: Consumption of alcohol in large amounts may decrease the ability to get an erection and may also temporarily decrease blood pressure, causing dizziness and fainting.

Blood pressure: Tell your doctor if you are taking medications to treat high blood pressure. The combination of these medications and sildenafil may add to the blood pressure-lowering effect of these medications. You should also let your doctor know if you have or have had low blood pressure.

Grapefruit juice: Grapefruit juice can increase the amount of sildenafil in your bloodstream. Do not drink grapefruit juice when taking this medication.

Hearing problems: If you experience a sudden decrease or loss of hearing you should seek medical attention immediately.

Heart conditions: If you have or have had heart disease or a heart attack or stroke, you should speak to your doctor before taking any medication for erectile dysfunction. If chest pains, dizziness, or nausea are experienced during sex, the exertion should be stopped and your doctor informed.

Kidney problems: If you have poor kidney function you may need lower doses of this medication. Kidney disease or reduced kidney function may cause this medication to build up in the body, causing side effects. If you have kidney problems, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Liver function: If you have poor liver function you may need lower doses of this medication. Liver disease or reduced liver function may cause this medication to build up in the body, causing side effects. If you have liver problems, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Nitrate-containing medications: Sildenafil should never be taken with any medications that contain nitrates. Blood pressure may suddenly drop to life-threatening levels if sildenafil is taken with any nitrate-containing medication (e.g. nitroglycerin tablets, spray, or patches) or any other nitrates (e.g. isosorbide dinitrate or amyl nitrite "poppers"). Dizziness, fainting spells, heart attack, or stroke may be experienced.

If use of a nitrate-containing medication is considered medically necessary, you must wait 48 hours after the last dose of sildenafil before taking a nitrate, and only under close medical supervision.

Penis deformation: As with other medications for erectile dysfunction, men with an anatomical deformation of the penis such as angulation, cavernosal fibrosis, or Peyronie’s disease should be closely monitored by their doctors if they take this medication.

Prolonged erection: If an erection lasts longer than 4 hours (a rare occurrence), seek immediate medical assistance. If this condition is not treated quickly, tissue damage and permanent loss of the ability to have an erection could result.

Prostate problems: Tell your doctor if you are taking medications, such as alpha-blockers (e.g. doxazosin), to treat prostate problems, as the combination of these medications with sildenafil may add to the blood pressure-lowering effect of these medications.

Sexually transmitted infections: Sildenafil does not protect against sexually transmitted infections such as HIV.

Vision problems/eye conditions: If you experience a sudden loss of vision in one or both eyes or other vision related problems, contact your doctor immediately. Vision loss may be partial or complete. While in some cases the condition may improve over time, it can also be permanent.

This rare condition is more likely to occur if you have heart disease, high blood pressure, high cholesterol, diabetes, or eye problems, are more than 50 years old, or if you smoke. If you have any eye conditions, such as retinitis pigmentosa or non-arteritic anterior ischemic optic neuropathy (NAION), tell your doctor.

Pregnancy and breast-feeding: Sildenafil is not intended for use by women.

Children: Sildenafil is not intended for use by children or adolescents under 18 years of age.

Seniors: If you are 65 years of age or older, you may need a lower dose of this medication.

What other drugs could interact with this medication?

There may be an interaction between sildenafil and any of the following:

  • abiraterone
  • alcohol
  • alpha agonists (e.g. clonidine, methyldopa)
  • alpha-blockers (e.g. doxazosin, terazosin)
  • alprostadil
  • amiodarone
  • angiotensin converting enzyme inhibitors (ACEIs; e.g. captopril, enalapril, ramipril)
  • angiotensin receptor blockers (ARBs; e.g. candasartan, irbesartan, losartan)
  • aprepitant
  • aripiprazole
  • "azole" antifungals (e.g. itraconazole, ketoconazole, voriconazole)
  • barbiturates (e.g. butalbital, pentobarbital, phenobarbital)
  • beta-adrenergic blockers (e.g. atenolol, propranolol, sotalol)
  • bicalutamide
  • boceprevir
  • bosentan
  • calcium channel blockers (e.g. amlodipine, diltiazem, nifedipine, verapamil)
  • carbamazepine
  • clonidine
  • cobicistat
  • conivaptan
  • deferasirox
  • dexamethasone
  • diuretics (water pills; e.g. furosemide, hydrochlorothiazide, triamterene)
  • dofetilide
  • dronedarone
  • enzalutamide
  • fusidic acid
  • guanfacine
  • HIV non-nucleoside reverse transcriptase inhibitors (NNRTIs; e.g. delaviridine, efavirenz, etravirine, nevirapine)
  • HIV protease inhibitors (e.g. atazanavir, indinavir, ritonavir, saquinavir)
  • hydralazine
  • macrolide antibiotics (e.g. clarithromycin, erythromycin)
  • methyldopa
  • metronidazole
  • mifepristone
  • mitotane
  • nefazodone
  • nitrates (e.g. nitroglycerin, isosorbide mononitrate, isosorbide dinitrate, or amyl nitrite "poppers")
  • norfloxacin
  • oxcarbazepine
  • peginterferon Alfa-2b
  • phenytoin
  • other phosphodiesterase 5 inhibitors (e.g. tadalafil, vardenafil)
  • pimozide
  • primidone
  • rifabutin
  • rifampin
  • riociguat
  • St. John’s wort
  • sapropterin
  • sertraline
  • siltuximab
  • simeprevir
  • "statins" (e.g. lovastatin, simvastatin, atorvastatin)
  • stiripentol
  • telaprevir
  • tocilizumab
  • tyrosine kinase inhibitors (e.g. dasatinib, imatinib, nilotinib, sunitinib)

Grapefruit juice may increase the amounts of sildenafil in the blood. A high-fat meal may reduce the effectiveness of sildenafil.

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

  • stop taking one of the medications,
  • change one of the medications to another,
  • change how you are taking one or both of the medications, or
  • leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than the ones listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

DRUG DESCRIPTION

VIAGRA (sildenafil citrate), an oral therapy for erectile dysfunction, is the citrate salt of sildenafil, a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5).

Sildenafil citrate is designated chemically as 1-[[3-(6,7-dihydro-1-methyl-7-oxo-3-propyl-1H-pyrazolo[4,3d]pyrimidin-5-yl)-4-ethoxyphenyl]sulfonyl]-4-methylpiperazine citrate and has the following structural formula:

Sildenafil citrate is a white to off-white crystalline powder with a solubility of 3.5 mg/mL in water and a molecular weight of 666.7.

VIAGRA is formulated as blue, film-coated rounded-diamond-shaped tablets equivalent to 25 mg, 50 mg and 100 mg of sildenafil for oral administration. In addition to the active ingredient, sildenafil citrate, each tablet contains the following inactive ingredients: microcrystalline cellulose, anhydrous dibasic calcium phosphate, croscarmellose sodium, magnesium stearate, hypromellose, titanium dioxide, lactose, triacetin, and FD & C Blue #2 aluminum lake.

What are the possible side effects of oral sildenafil (Revatio, Viagra)?

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of sildenafil.

Stop using sildenafil and call your doctor at once if you have a serious side effect such as:

  • sudden vision loss;
  • ringing in your ears, or sudden hearing.

What are the precautions when taking sildenafil citrate (Viagra)?

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.

Last reviewed on RxList: 10/3/2015
This monograph has been modified to include the generic and brand name in many instances.

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Myth #10: Taking Viagra Will Make Your Penis Larger

By PDE5Guy on November 6, 2011 11:58 AM

Some men report that Viagra does increase their penis size. Wellll. this may be true subjectively – in the sense that an overinflated tire may be slightly larger than one with normal air pressure.

What most of these users are saying is that their erections seem “bigger” while using Viagra. Which could be possible for some. A little bit. When Viagra is working at its optimum, the volume of blood it sends to the penis might be greater than what would normally occur during arousal without Viagra, making it engorge more fully and seem a little longer or thicker. But we’re not talking inches – probably a millimeter or two. In addition, for some users, Viagra produces a harder than usual erection, which, depending on your the shape of your shaft, could make it appear longer by straightening out a curvature.

Is it enough of a difference to be noticeable? Maybe to the owners of said appendages, but probably not to anyone else. But does Viagra actually make things larger, permanently? Seriously, if there was a pill that actually worked for that, don’t you think every guy would be taking it? Those other herbal “supplements” and pills don’t work either, so save your money.

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About this Entry

This page contains a single entry by PDE5Guy published on November 6, 2011 11:58 AM .

This is the blog for the Viagra Stories website, aka magicbluepill.com where real people share their experiences taking Viagra.

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.

Erectile Dysfunction Health Center

13 Common Sex-Drive Killers

What Are the Differences Between These Drugs?

Cialis, Levitra, Staxyn, Stendra, and Viagra work similarly. There are subtle differences in how long the drug works and how quickly it works.

Levitra works a little longer than Viagra. They both take effect in about 30 minutes. With Levitra, the effects last for about 5 hours. With Viagra, they last about 4 hours.

Cialis works much longer — up to 36 hours in some cases. Stendra can start doing its thing in as little as 15 minutes, and its effects last up to 6 hours.

Staxyn dissolves in your mouth. It contains the same active ingredient as Levitra, but it should not replace Levitra. It also can begin working in about 15 minutes.

If One of These Doesn’t Help Me, Can I Try Another?

Yes. But because these drugs work the same way, you’re likely to have similar results.

What Precautions Should I Take Before Trying One of These Drugs?

There are situations where these drugs may not be safe. Before you take them, tell your doctor:

  • If you are allergic to any drugs, including other ED medications.
  • About any prescription or nonprescription medications you take and any herbal and dietary supplements .
  • If you are scheduled for surgery, even dental surgery.
  • If you take nitroglycerin or a similar medicine for chest pain. The combination of ED medication and these drugs can cause dangerously low blood pressure .
  • If you take alpha-blockers for blood pressure or prostate problems. These can lower your blood pressure when taken with ED pills. You should not start on Staxyn unless your doctor has prescribed you Levitra before.

Always follow the directions on your prescription label carefully. Also make sure to ask your doctor or pharmacist to explain anything you don’t understand. Take these drugs exactly as directed.

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What is the name of the song in the Viagra Mustang commercial?

Armani Song There are two songs: One is “Scandalous” by MisTeeq, which is heard on the women’s perfume of Armani. The second one is a song composed by Nicolas Errera, wh … ich is heard on the men’s cologne of Armani. The second song was done only for the commercial. Try on youtube – The cinematic orchestra – opening title/ Arrival of the birds Towards the middle of the song where the Arrival of the birds section starts. (MORE)

19 people found this useful

Answer Half Acre, I think. Here it is on Youtube: http://www.youtube.com/watch?v=wMwoexR1evo

8 people found this useful

Answered by The WikiAnswers ® Community

Making the world better, one answer at a time.

09-07-2010, 05:55 PM

Okay, this isn’t the kind of question you think it might be from the thread title – there’s a Viagra commercial that gets played a lot during sports events on TV, depicting a guy driving a vintage muscle car. The theme is something like ". you’ve reached the age where you’ve gotten things figured out", blahblahblah.

My question is, does anyone know what that groovy blues riff is playing in the background? It’s very familiar, and I’d like to have the tabs for it.

09-07-2010, 05:57 PM

Sorry I donпїЅt know, but the title was pure genius LOL.

09-07-2010, 06:07 PM

My question is, does anyone know what that groovy blues riff is playing in the background? It’s very familiar, and I’d like to have the tabs for it.

Okay, I found it – what IS this tune?

VIAGRA TV Commercial – VIAGRA (sildenafil citrate) (http://www.viagra.com/viagra-tv-commercial.aspx)

09-07-2010, 06:08 PM

It sounds like the riff from Suzie Q, CCR, but I could be wrong. That was the first thing that popped into my head.

09-07-2010, 06:21 PM

your’ right on both counts.
suzie q

09-07-2010, 06:30 PM

your’ right on both counts.
suzie q

Yep. See, always follow what your gut tells you.

Try to synch them and play them together. ;)

09-07-2010, 06:39 PM

I have always gotten a chuckle out of the viagra commercial that features middle age guys in a closed bar, jamming on acoustics and then they all leave to go do their business, on their harleys. Demographics in action.

09-07-2010, 07:16 PM

This commercial makes me want to commit a random act of violence. YouTube – splendAd – Just For Men Touch of Gray – Beach commercial.flv (http://www.youtube.com/watch?v=qAsi-KTG3L0) At :12 Is when I need the restraints.

09-07-2010, 07:34 PM

Okay, this isn’t the kind of question you think it might be from the thread title – there’s a Viagra commercial that gets played a lot during sports events on TV, depicting a guy driving a vintage muscle car. The theme is something like ". you’ve reached the age where you’ve gotten things figured out", blahblahblah.

My question is, does anyone know what that groovy blues riff is playing in the background? It’s very familiar, and I’d like to have the tabs for it.

I saw that one last night and thought it was a little variation of Suzie Q. I was more amazed that this guy had things so figured out that he did not carry his own water for his car overheating and was lucky enough to run into a gas station out in the middle of nowhere. Yep he has it figured out allright!

09-07-2010, 07:38 PM

That’s what being alpha male and walking around with a boner does for you. It makes you Unconquerable. facepalm:

09-07-2010, 08:26 PM

Suzie Q was written by a guy named Dale Hawkins and the commercial is definitely more similar to his version, more roadhouse-ish YouTube – Dale Hawkins – Susie Q (http://www.youtube.com/watch?v=3vzBznukA60)

09-07-2010, 08:28 PM

They don’t call him smilin jack and have semi attractive hotties itchin to sit in his lap for nothin. ;-) You hear alot of those, "almost the song" things in ads. I guess if you change a passage or notes you don’t have to pay anything for it.

09-07-2010, 09:46 PM

09-08-2010, 01:14 AM

I’m ashamed of you guys. mad:

CCR, my left buttock!

That be "Smokestack Lightnin" by Howlin’ Wolf hisself. cool:

I am ashamed, I knew CCR didn’t sound right, Dale Hawkins sounded closer, but yeah you got it dead on.

Easy mistake though, look at how many "Original songs" are so closely related to another classic song. Hell put half of Led Zeppelins work in that category, as well as SRV, Gary Moore and Bonamassa.

09-08-2010, 01:43 AM

what guitar player who was playing with dale at the time wrote that riff?

Why I do believe it was James Burton who played on the original Dale Hawkins version.

09-08-2010, 01:52 AM

Dale Hawkins/James Burton – Susie Q Video by Dale Hawkins – MySpace Video (http://vids.myspace.com/index.cfm?fuseaction=vids.individual&videoid=43618897)

09-21-2010, 07:33 PM

The riff is from "Smokestack Lightning," by Howlin’ Wolf. It’s a bit surprising that no one on "Guitar Forums" recognized the track, which features the great Hubert Sumlin on lead guitar. Note, as well, the degree to which the track is cleaned up for the commercial. The original, from which the audio on the commercial certainly comes– no one could imitate the Wolf’s vocals that well–is loaded with noise.

"Suzy Q". Give me a break!

09-21-2010, 08:05 PM

The riff is from "Smokestack Lightning," by Howlin’ Wolf. It’s a bit surprising that no one on "Guitar Forums" recognized the track, which features the great Hubert Sumlin on lead guitar. Note, as well, the degree to which the track is cleaned up for the commercial. The original, from which the audio on the commercial certainly comes– no one could imitate the Wolf’s vocals that well–is loaded with noise.

"Suzy Q". Give me a break!

YouTube – smokestack lightnin’ – HOWLIN WOLF (http://www.youtube.com/watch?v=MBLzTD2wTzg)

Sounds like a winner.

09-21-2010, 08:16 PM

The riff is from "Smokestack Lightning," by Howlin’ Wolf. It’s a bit surprising that no one on "Guitar Forums" recognized the track, which features the great Hubert Sumlin on lead guitar. Note, as well, the degree to which the track is cleaned up for the commercial. The original, from which the audio on the commercial certainly comes– no one could imitate the Wolf’s vocals that well–is loaded with noise.

"Suzy Q". Give me a break!

Seriously. almost all riffs are some type of variation of another riff. Usually played a different way or with a different style. I don’t fault anyone here for thinking it sounded like Suzy Q because about 90 percent of it does sound like Suzy Q.

Oh and hello, nice to meet you too!

09-22-2010, 02:40 AM

The riff is from "Smokestack Lightning," by Howlin’ Wolf. It’s a bit surprising that no one on "Guitar Forums" recognized the track, which features the great Hubert Sumlin on lead guitar. Note, as well, the degree to which the track is cleaned up for the commercial. The original, from which the audio on the commercial certainly comes– no one could imitate the Wolf’s vocals that well–is loaded with noise.

"Suzy Q". Give me a break!

YouTube – smokestack lightnin’ – HOWLIN WOLF (http://www.youtube.com/watch?v=MBLzTD2wTzg)

Sounds like a winner.

Some folks jus’ can’t be bothered to read the whole thread before jumpin’ in.

Day late n’ a dollar short. See post #16.

09-22-2010, 03:15 AM

I’m ashamed of you guys. mad:

CCR, my left buttock!

That be "Smokestack Lightnin" by Howlin’ Wolf hisself. cool:

Some folks jus’ can’t be bothered to read the whole thread before jumpin’ in.

Day late n’ a dollar short. See post #16.

You be the fuckin MAN!

Hell ya! for one of the guitar forum members for figuring it out!

+1 and then some LATS!

10-11-2010, 05:21 PM

the recent viagra commercial features Howlin’ Wolf with his 1956 recording "Smokestack Lightnin’". featuring Hubert Sumlin and Willie Johnson on guitars, Hosea Lee Kennard, piano, Willie Dixon, bass, and Earl Phillips on drums. very surprised it took this long to get the answer. now i see there were more pages to this question.
i thought it was odd that guitarists didn’t know.
but isn’t it a beautiful double entendre to have "Smokestack Lightnin’" on a viagra ad.
and don’t miss the Howlin’ Wolf retrospective on NPR.org. excellent!

10-12-2010, 04:52 AM

Thanks for the heads-up NT.

There are I guess *subtle* differences.

Btw, ever hear him w/"Them" on "I Put A Spell On You" (on iTunes)?

Though Them was a formed band, for some reason they frequently used session musicians. One subtle difference is that Jimmy Page was sometimes used.
Yep have a copy of Them’s "I Put a Spell on You" I still prefer Alan Price of the old Animals version.

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Zoll-Regeln fГјr das Potenzmittel Viagra

Viagra ist ein Arzneimittel, das verschreibungspflichtig ist. Den peinlichen Besuch beim Arzt für ein Rezept, wollen sich viele Patienten jedoch sparen. Infolge bestellen viele Betroffene das Präparat online und müssen sich mit den entsprechenden zollrechtlichen Bestimmungen auseinandersetzen.

Das Angebot an Potenzmitteln wie Viagra (Sildenafil) im Online-Versandhandel ist immens. Trotz Warnungen zur Vorsicht bei der Medikamenten-Bestellung im Internet und verschiedener Zoll-Bemühungen, ist die Zahl der illegalen Arzneimittel-Importe enorm gestiegen, allen voran Viagra. Der Patient erhält bei Fälschungen Produkte in schlechter Qualität, mit falscher Dosierung oder bedenklichen Inhaltsstoffen.

Die Einfuhr von Viagra und rezeptpflichtiger Medikamente

Die Einfuhr von Viagra unterliegt dem Arzneimittelgesetz (AMG). Weitere Regelungen Гјber die Herstellung, Zulassung und das Inverkehrbringen nach Deutschland, Г–sterreich und der Schweiz sind beim Import einzuhalten.

Hinsichtlich der Einfuhr aus den unterschiedlichen Ländern gelten strenge Vorschriften, die zu beachten sind. Bei Bestellungen aus dem europäischen Ausland, wie Großbritannien oder Holland, ist nicht mit Zollproblemen zu rechnen. Bei Lieferungen, die aus Drittländern kommen, kann der Zoll die Bestellung abfangen. Ein Sitz des Lieferanten in der EU ist nicht ausreichend, entscheidend ist, dass ein Hinweis ersichtlich ist, der die Waren-Herkunft aus der EU bestätigt.

Online-Kliniken: eine sichere Alternative zum Arztbesuch

Eine sichere Möglichkeit bieten Online-Kliniken, die nur Potenzmittel aus registrierten Apotheken der Niederlande und Englands verschicken und zwar erst nach der Ausstellung eine Online-Rezeptes. Der Preis kann bei Online Kliniken höher ausfallen, garantiert dem Patienten allerdings Sicherheit.

Das Bundeskriminalamt warnt vor illegalen Online-Apotheken

Um die strengen Zollreglungen zu umgehen, werden die Präparate von einigen Anbietern illegal in die DACH-Staaten importiert. Allein in der Schweiz wurden im Jahr 2014 knapp 1900 verdächtige Sendungen vom Zoll konfisziert. Das bedeutet eine Zunahme von gut sechzig Prozent zum Vorjahr und eine Verdreifachung seit dem Jahr 2008. Nach Schätzung der Swissmedic (Schweizerische Zulassungs- und Aufsichtsbehörde für Heilmittel (Arzneimittel und Medizinprodukte)) liegt die Schätzung für illegale Medikamenten-Sendungen bei über 50.000 allein für die Schweiz.

Diese Arzneien bergen enorme Risiken durch schwerwiegende Qualitätsmängel. Vor allem bei rein pflanzlichen Produkten aus Asien ist besondere Vorsicht angesagt. Anfang Juli 2015 gelang dem Zoll am Frankfurter Flughafen ein großer Erfolg. Die bisher größte Menge an gefälschten Potenzmittel weltweit wurde sichergestellt.

Diese enthielten falsche Wirkstoffe gegenГјber den Original Medikamenten und bergen damit ein Gesundheitsrisiko. Im November 2014 wurden bereits Viagra-Nachahmungen im Wert von 6,6 Mio. Euro beschlagnahmt, die Sendung kam aus Indien.

Wer privat Viagra oder andere Potenzmittel im Internet bestellt, sollte auf die Einhaltung der Zollvorschriften achten. In manchen FГ¤llen werden fГјr die Ordnungswidrigkeit 35,– Euro verlangt, andere Patienten wiederum erhalten Schreiben von RechtsanwГ¤lten wegen illegaler Einfuhr von Medikamenten, welche das Schutzrecht bzw. bestehende Potenzmitte-Patente verletzen.

In solchen Fällen erhöht sich die Strafe und kann einige hundert Euro betragen. Oftmals erfolgt die Bestellung in den USA oder vermeintlich seriösen Ländern, geliefert wird jedoch aus Indien, wo die meisten illegalen Pillen hergestellt werden.

Zollbestimmungen in Deutschland, Г–sterreich und Schweiz

Einfuhr nach Deutschland

Rezeptpflichtige Potenzmittel dürfen nur nach Deutschland eingeführt werden, wenn sie nach dem Arzneimittelgesetz zugelassen und registriert sind oder über eine Genehmigung nach der EG-Verordnung verfügen. Nicht zugelassene Mittel dürfen nicht nach Deutschland verbracht werden. Für den Versandhandel rezeptpflichtiger Arzneimittel sind Island, Schweden, Tschechien und Großbritannien als Versender zugelassen. Wer die Medikamente selbst von einer Reise einführt, darf nur die Menge für einen Drei-Monats-Bedarf einführen. Der Import ist abgabenfrei und es sind keine Zollformalitäten erforderlich. Bei der Einfuhr aus Drittstaaten ist immer das Rezept vorzulegen. Bei einem Warenwert von über 1000 Euro ist eine Zollinhaltserklärung auszufüllen, die Einfuhr von gefälschten Arzneimitteln ist generell verboten.

Einfuhr nach Г–sterreich

Trotz einiger Gegenstimmen und teils groГџen Widerspruchs, ist laut dem Г–sterreichischen Arzneimittelgesetz В§ 59 Abs. 9: “Die Abgabe von Arzneimitteln in Selbstbedienung oder durch Versandhandel (. ) verboten .”

Ob bzgl. des Kaufs bei einer Online Apotheke im Österreichischen Inland oder per Export durch ausländische Vertreiber – Wer rezeptpflichtige Medikamente über Online Kliniken oder Internet Apotheken erwirbt, macht sich strafbar. Die Einfuhr und Ausfuhr medizinischer Präparate ist ausschließlich für rezeptfreie Produkte erlaubt, wie z.B. Aspirin, Ibuprofen oder andere freiverkäufliche Medikamente.

Ganz abgesehen von illegalen Fälschungen bekannter Produkte, wie z.B. Viagra, welche auch in anderen Ländern wie Deutschland oder Frankreich verboten sind, unterliegt Österreich einer strengeren Regelung, die außerdem auf im Ausland erhältliche (legale) rezeptpflichtige Präparate übergreift.

Einfuhr in die Schweiz

Etwas anders sieht es im DACH-Staat Schweiz aus, er gehört nicht der Europäischen Union an. Wird Viagra, das rezeptpflichtig ist, aus dem Ausland persönlich mitgebracht, muss beachtet werden, dass der Umfang der importierten Medikamente einen Monatsbedarf nicht übersteigt.

Bei Sildenafil ist die Menge, laut Angaben von Swissmedic, auf 3000 mg, fГјr Tadalafil (Cialis ) auf 200 mg und fГјr Vardenafil (Levitra ) auf 600 mg beschrГ¤nkt. Handelt es sich bei den bestellten PrГ¤paraten um legale Mittel, fallen keine ZollgebГјhren an, sofern der Warenwert unter 430,– Euro liegt.

Bei einem Betrag bis zu 700 Euro fällt der jeweils geltende Zollsatz (2.5 Prozent auf den Warenwert) an, dazu kommt noch die 19prozentige Einfuhrumsatzsteuer. Bei Bestellungen über den Versandhandel, kann es zudem zu Bearbeitungspauschalen für die Vorkasse-Leistung kommen (z.B. 20CHF bei UPS).

Gefahr von Potenzmittel-Fälschungen

Potenzmittel sind Arzneimittel – die unerlaubte Einfuhr verstößt gegen das Arzneimittelgesetz und ist Produktpiraterie. EingefГјhrt werden sie zum groГџen Teil auf dem Postweg, in einigen FГ¤llen per Schiffsverkehr. Der illegale Internet-Handel mit gefГ¤lschten Potenzmitteln blГјht. Der deutschen Wirtschaft entsteht durch gefГ¤lschte Arznei- und Potenzmittel jГ¤hrlich einen Schaden von etwa 5 Milliarden Euro, so lautet die SchГ¤tzung des Bundesministeriums fГјr Forschung und Bildung.

Die Pharmaunternehmen selbst beziffern den geschätzten Schaden auf 19 Milliarden, Tendenz steigend. Ein Top-Umschlagplatz für die Präparate ist die Hansestadt Hamburg, vor allem aufgrund seiner Nähe zu Skandinavien, dem osteuropäischen und englischen Raum. Jedes zweite Medikament, welches im Internet bestellt wird, ist inzwischen gefälscht.

Waren es im Jahr 2007 noch 4 Millionen gefälschte Arzneimittel, stieg die Zahl in 2008 auf 8,9 Millionen und betrug im Jahr 2009 bereits 11,5 Millionen. Der höchste Anteil der illegalen Importe kommt aus Indien, etwa 45 Prozent der verbotenen Präparate finden ihren Ursprung dort. Viagra des US-Pharmakonzerns Pfizer enthält den Wirkstoff Sildenafil, die Produktion ist in den USA patentiert.

In Indien hingegen gilt dieser Schutz nicht, jeder kann das Präparat kopieren und unter einem anderen Namen vertreiben. Eine Studie des österreichischen Bundesfinanzministeriums ergab, dass durch die gefälschten Medikamente aus einer Investition in Höhe von 500 US-Dollar für 1 Kilogramm Viagra durch den Verkauf von Fälschungen 100.000 US-Dollar werden können.

Die Einfuhr solcher Pillen in die DACH-Staaten ist illegal. Zum einen ist die Zusammensetzung der Präparate oftmals falsch zusammengestellt, zum Anderen weisen sie falsche Dosierungen auf. Hinzu kommt, dass manche der Fälschungen Lacke und Kleber enthalten. Entsprechend besteht nicht nur die Gefahr einer verminderten Wirkleistung, sondern auch erheblichen gesundheitlichen Schäden.

Zollanforderungen von 121doc

Die Online Klinik 121doc hat ihren Sitz in England sowie die zugehörigen Partner-Ärzte und Apotheken. Die Registrierung und Eintragung der Apotheker und Ärzte kann über die einschlägigen Register geprüft werden. Bei der Versendung der rezeptpflichtigen Arzneimittel, wie Viagra, halten wir uns an die entsprechenden EU- und Länder-Richtlinien der Zollstellen.

Ein besonderer Code auf der diskreten Verpackung ermöglicht zudem eine schnelle und sichere Abwicklung beim Zoll. Lediglich bei Sendungen in die Schweiz kommt es immer häufiger zur Zollüberprüfung, wodurch Patienten entsprechend mit einer Zollgebühr in Höhe von etwa 26CHF (Mehrwertsteuer, Zollwert und Bearbeitungsgebühr der Vorkassenleistung des Zustellers UPS) rechnen sollten.

Unser Patientenservice geht bereits bei Anforderung der Behandlung sicher, dass Zollbestimmungen, wie die maximale Bedarfsmenge, eingehalten werden und setzt sich bei Komplikationen direkt mit Ihnen in Verbindung.

Letzte Aktualisierung: 02.11.2015

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Viagra ile kullanılması sakıncalı ilaçlar, zararlı tehlikeli ilaç isimleri

Viagra ile kullanılması sakıncalı ilaçlar, zararlı tehlikeli ilaç isimleri, viagra ile hangi ilaçları birlikte kullanmak sağlığa zararlıdır ve risklidir:

EЕџim 40 yaЕџД±nda. 20 yД±ldД±r epilepsi ilacД± kullanД±yor. Son 10 yД±ldД±r cinsel yetersizlik geliЕџti. EЕџim Viagra ve E vitamini kullanabilir mi? U.A./Sinop
Viagranın çok ender de olsa epilepsi krizlerini tetikleme olasılığı bildirilmiştir. Bu nedenle epilepsi hastalarının bu tür ilaçları kullanması sakıncalı olabilir.

EДџer bir hipertansiyon hastasД± tansiyon dГјЕџГјrГјcГј ilaГ§ alД±yorsa ve viagra kullanacaksa bu ilaГ§larД± 24 saat kesmesi gerekiyor. Viagradan Г¶nce 24, sonrasД±nda da 24 saat boyunca bu ilaГ§larД± kullanmamasД± gerekiyor. Kalp krizinden sonra genellikle cinsel iliЕџki iГ§in hastalarД±mД±za 45 gГјn beklemelerini Г¶neriyoruz. SД±klД±ДџД± da haftada 2-3’Гј geГ§memeli.
Г–zetle kalp hastalarД± cinsellikten korkmayacaklar ama dikkatli olacaklar” diyor.

Kalp krizi sırasında hayat kurtaran etkisi ile bilinen dil altı haplar herkes için uygun değil. İlacın viagra türü ilaçlarla birlikte kullanımı sakıncalı.

Kimler Viagra Kullanamaz?

İlacın piyasaya sürülüşünün üzerinden 10 yıl geçmiş olmasına karşın kalp hastalarının viagra kullanıp kullanamayacağı sorusu hala gündemde.
Viagra’nД±n nitrat iГ§eren ilaГ§larla birlikte kullanД±lmasД± sakД±ncalД± olduДџu iГ§in kesinlikle yasak. Nitrat iГ§eren ilaГ§lar kalp hastalД±klarД± iГ§in kullanД±lan ilaГ§lar ki bunlar dil altД± hapД±, tansiyon ilaГ§larД± tГјrГјnden ilaГ§lar. Bu ilaГ§lar ne yazД±k ki heryerde bulunabiliyor ve Г§ekinmeden kullanД±lД±yor. Viagra gibi ilaГ§lar iГ§in kullanД±mД± kesin yasak olan durumlar var;

Karaciğer yetmezliği olanlar, tansiyonu düşük olanlar ve yüksek tansiyon nedeniyle çok sayıda ilacı bir arada kullananlarla, halk arasında tavuk karası diye bilinen göz hastalığı olanlar riskli grup. Beyin kanaması ya da kalp krizi geçirmiş kişilerin, ülseri olanların da bu ilacı kullanması yasak.

Viagra 4-6 saat sГјren ereksiyon saДџlar(yanlД±Еџ)
Bu bir efsanedir. Viagra alınca kendiliğinden ereksiyon olmaz. Doğal cinsel uyarılarıyla gelen, doğal cinsel ilişki deneyimi sağlar. peniste kan dolaşımının artmasını sağlayarak sert bir ereksiyona neden olur. Ancak bunun için doğal cinsel uyarı gerekir. Bu ereksiyon cinsel ilişki sonunda kaybolur.

Viagra sadece yaşlı insanlar içindir
(yanlД±Еџ)
Erektil sorunu her yaЕџta gГ¶zlenebilir. 40-70 yaЕџ arasД± erkeklerin yГјzde 50’si bu sorunu yaЕџД±yor. YaЕџlarД± 40’tan küçük olan erkeklerde de sertleЕџme sorunu olabilir.

Viagra kadınların kullanımı için de lisanslanmıştır(yanlış)
Г‡alД±Еџmalar Viagra’nД±n kadД±nlarД±n cinsel deneyimlerinde olumlu bir rolГј olduДџunu gГ¶stermedi ve Viagra kadД±nlar iГ§in onaylanmadД±.

Viagra kalp krizi riskini artД±rД±r (yanlД±Еџ)
BelgelenmiЕџ olan 120’yi aЕџkД±n kardiyak araЕџtД±rmada Viagra’nД±n ciddi kardiyak etkisi olmadД±ДџД± gГ¶rГјlmГјЕџtГјr.

Viagra bir afrodizyaktД±r. SertleЕџme sorunuolmayan erkeklerde de performansД± artД±rД±r
(yanlД±Еџ)
Viagra sadece erektil sorunu olanlarda etkilidir, libidoyu etkilemez.

Viagra baДџД±mlД±lД±k yapar
Bunu destekleyen bir kanД±t bulunmuyor.

Viagra KullanД±mД± ve ZararlarД±:

Son yılların en çok kullanılan ve tartışılan cinsel güçsüzlük tedavi ilacıdır. Bu ilaç cinsel ilişkiden bir saat önce alınır. Tek başına yeterli etki oluşturamaz. Yani uygun bir ortam ve cinsel ilişki öncesi ön sevişme gereklidir. Hemen her türlü cinsel yetmezlik tedavisinde kullanılmasına rağmen çeşitli cinsel hastalık tiplerinde etkisi de değişiktir. Mesela damar kaçaklarında ve cinsel organın sinir hasarında etkisi daha düşük gözükmektedir. İlacın 25, 50, 100 mg’lık dozları vardır ve hangi dozlarda alınacağına hekim karar vermelidir. Bu ilacın kimi hastalıklarda ve bazı ilaçlarla alınmasında sakıncalar vardır. Özellikle bazı kalp hastalıkları ve ilaçları ile kullanımı sakıncalıdır. Dil altı alınan kalp hapları bunlardan biridir. Bu nedenle mutlaka hekim önerisi ile alınmalıdır. Ancak bu ilacın kendi başına kalp hastalığı oluşturması gibi bir etkisi yoktur. Bu ilacın kullanım süresi de hekim tarafından belirlenmelidir.
Bu ilacД±n bir faydasД± da erkek hastanД±n cinsel hastalД±ДџД±nД±n tanД±sД±nД±n konulmasД±nД± kolaylaЕџtД±rmasД±dД±r. ArtД±k hastalara bir kan tahlili ve sakД±ncasД± yoksa bir viagra verilmesi ile Г§oДџu hastalД±kta tanД± konulabilmesi olanaklД± duruma gelmektedir.

Diğer bir ilginç konuda ülkemiz gibi kapalı sayılabilecek ülkelerde kadınlarda cinsel bozukluk sıktır ve evliliklerde bu nedenle bir çok problem yaşanmaktadır. Viagra bu kadınların tedavisinde de kullanılmaya başlanmıştır. Bu şikayeti olan kadınların üroloji, kadın-doğum ve psikiyatri hekimlerince uygun teşhis ve tedavileri yapılmaktadır.

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How to Get Viagra

Make an appointment with your doctor. There are online sources that will provide “Viagra” without a prescription, but this is an illegal action and, in the interests of your own safety, you should only consider purchasing Viagra from reputable and legal sources. One way to ensure it’s legal and safe to buy is that the site or seller requires a doctor’s prescription. You should make an appointment with your doctor to get a prescription before trying to buy Viagra.

  • Make sure your doctor is covered under your health insurance plan. If you have health insurance and do not want to be stuck with an unexpected bill, make sure to call your insurance company before making an appointment to confirm your doctor is covered under your plan.
  • Though it can be emotionally difficult to broach the subject of taking Viagra with your doctor, studies have shown that 80% of men feel better after discussing erectile dysfunction with their physicians. [1]

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Prepare for your doctor’s appointment. To make the most out of your doctor’s appointment, you should prepare questions and answers ahead of time. You’ll want to make sure to inquire about the potential side effects, contraindications (or conditions that make Viagra untenable for you, such as a history of heart problems, stroke, liver or kidney disease, etc.), and risks of taking Viagra. You should also ask what results should expect from using the medication. Be prepared as well to submit to a full medical history and answer the following specific questions about why you are interested in taking Viagra: [2]

  • Why do you want Viagra?
  • When did your erectile dysfunction start?
  • Is your erectile dysfunction always a problem? How often do you experience it?

Get your Viagra prescription. After discussing your erectile dysfunction and your medical history, ask your doctor for a prescription for Viagra. You may have your doctor’s office directly submit the script to your preferred pharmacy, or you can take it with you and use the script to purchase Viagra at a pharmacy or online.

  • Note that Viagra is only available in three doses: 25 mg, 50 mg, and 100 mg. You doctor will prescribe whatever he deems is best for you. [3]

Consider your insurance coverage. If you have health insurance, confirm your coverage online or with a customer service representative. Along with other basic personal information (such as your birth date and social security number), remember to have your health insurance ID number handy for when you log-in online or speak to a representative on the phone. Find out whether Viagra is covered under the prescription coverage component of your insurance plan.

  • If Viagra is not covered, you may want to check to see if similar drugs that help treat erectile dysfunction, like Cialis or Levitra, are covered by your health insurance plan. You can then ask your doctor if these might work for you.
  • If you don’t have any health insurance, consider purchasing a plan. You don’t need a health insurance plan to purchase Viagra, but prescriptions are usually cheaper with one. There are many factors to considering when shopping for health insurance including rate, coverage, HMO vs. PPO vs. EPO plans, deductibles, etc. Should you choose to buy health insurance, take your time to shop and compare before making a purchase.
  • Knowing whether or not you have insurance to cover the medication will make a difference in how you obtain it. If Viagra is covered by your insurance, the prescription co-pay is usually the same at all pharmacies, so there is no need to shop around for the best price. And having your doctor’s office directly submit the script means that your prescription will be ready faster. However, if your Viagra is not covered by insurance, taking the script with you gives you the time to shop for the best price.

Part Two of Two:
Obtaining Viagra Edit

Take your Viagra prescription to a pharmacy. This is the more traditional method of getting Viagra. Your doctor may send the script directly to your pharmacy of choice, or you can take the script into a pharmacy. After the pharmacy receives your prescription for Viagra, it may take a few minutes, or even a day for the pharmacy to fill your prescription.

  • When you pick up your prescription, be prepared to pay your co-pay if you are insured, and the entire cost of your prescription if you are not insured. If you have health insurance, make sure you bring your health insurance ID card with you and give it to the pharmacists.
  • The pharmacist may want to talk to you about usage and risks. This is standard for any new prescriptions and may be useful for you.

Purchase Viagra online. The online world does big business in selling Viagra and, unsurprisingly, online scams are quite common. If you opt to buy Viagra from an online retailer, you should take some precautions and do your research. Make sure the online pharmacy or other retailer is legitimate. The National Association of Boards of Pharmacy has a website where you can check to see if an online pharmacy is licensed and accredited as a Verified Internet Pharmacy Practice Site (VIPPS). [4]

  • Watch out for the following warning flags: the price seems much cheaper than other online sellers; there is no contact information, such as a phone number or address, provided on the website; the seller doesn’t require a prescription for Viagra in order to sell it to you; the medication comes in different forms other than the three doses (25 mg, 50 mg, and 100 mg), such as “fast-dissolving strength,” “soft-tab,” etc.
  • Be careful when ordering the medication online that you have input the right prescription and dose. Check as well when you receive the medication that it is the exact dose and type of medication that your doctor instructed you to take. [5]

Never purchase Viagra from online sources that do not require a prescription. This is illegal and dangerous. Harmful substances, such as blue printer ink, amphetamine, Metronidazole (a powerful antibiotic that can cause an allergic reaction, diarrhea or vomiting), and binding agents (such as drywall), have all been found in “fake” or “counterfeit” Viagra. [6]

  • Viagra is actually one of the most counterfeited drug in the entire world. In one study, 80% of websites selling Viagra were not selling the real drug but fakes.
  • To stay healthy and avoid these harmful substances and potential adverse consequences, only obtain Viagra at your local pharmacy or through an accredited online source.

Use your Viagra. Once your Viagra arrives at your house, you can start using it. Be sure that you follow your doctor’s explicit instructions regarding dose and frequency of Viagra use. Typically, this medication is taken on an empty stomach about one hour before sexual intercourse. Note that deviating from your doctor’s instructions can be life threatening. [7]

  • Do not use Viagra recreationally.
  • Do not combine Viagra with amyl nitrite as this combination can be fatal.
  • Very few men report any side effects, such as flushing, stuffy or runny nose, headache, changes in vision, and dizziness, from taking Viagra. You should, however, seek medical attention if you experience any loss in vision or hearing or if you experience an erection that does not go away on its own (after more than four hours). [8]

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Is it illegal to buy generic Viagra from a pharmacy in Canada?

People in Michigan, especially in the Detroit area, often drive to Canada to fill their prescriptions at Canadian pharmacies because they can save a substantial amount of money by doing so. And it is just a short trip to Canada over the bridge or through the tunnel or, farther north, by ferry.

My post, though, was mostly referring to a recent study done on internet sales of drugs. What may seem a bargain price online, or a nice evasion of the law, may turn out to be neither in reality.

Purchasing Viagra or generic versions of Viagra in Canada requires a prescription from a Canadian doctor. It will be safe because Canadian medication safety and quality standards are higher in Canada than the US. However, if you purchase Viagra or generic versions of Viagra in Canada without a prescription, then:

a) it is probably not Viagra or a generic version of Viagra;
b) it is probably illegal in both Canada and the US; and
c) it is probably from a place like China or India or similar (Albania and Nigeria come to mind) where medication quality and safety standards are considerably lower (if they exist at all) than in Canada and the US.

People in Michigan, especially in the Detroit area, often drive to Canada to fill their prescriptions at Canadian pharmacies because they can save a substantial amount of money by doing so. And it is just a short trip to Canada over the bridge or through the tunnel or, farther north, by ferry.

My post, though, was mostly referring to a recent study done on internet sales of drugs. What may seem a bargain price online, or a nice evasion of the law, may turn out to be neither in reality.

True story: when I first started working in the States, I’d get care packages full of goodies like. Marmite. Maltesers. and Feminax. The latter was basically for period pain, and contained codeine amongst other things. For the longest time it was OTC, in the aisles. Then they decided that it would be better to keep it behind the pharmacy desk (it was still OTC though).

Unfortunately it was discontinued (the original formula, at least) a few years ago.

Millions of worried husbands have to make an extra effort during those times of the month. our men are nothing if not sensible

True story: when I first started working in the States, I’d get care packages full of goodies like. Marmite. Maltesers. and Feminax. The latter was basically for period pain, and contained codeine amongst other things. For the longest time it was OTC, in the aisles. Then they decided that it would be better to keep it behind the pharmacy desk (it was still OTC though).

Unfortunately it was discontinued (the original formula, at least) a few years ago.

Millions of worried husbands have to make an extra effort during those times of the month. our men are nothing if not sensible

I have found over the years that it is far more sensible, and requires less effort on my part, to simply drug myself during those times.

True story: when I first started working in the States, I’d get care packages full of goodies like. Marmite. Maltesers. and Feminax. The latter was basically for period pain, and contained codeine amongst other things. For the longest time it was OTC, in the aisles. Then they decided that it would be better to keep it behind the pharmacy desk (it was still OTC though).

Unfortunately it was discontinued (the original formula, at least) a few years ago.

Millions of worried husbands have to make an extra effort during those times of the month. our men are nothing if not sensible

I have a funny story myself about something similar. My ex brother in law’s wife, (in Italy) was allergic to all kinds of medications but for some reason she was not allergic to Bufferin (buffered aspirin, I cannot even remember if its still sold here). Anyway, it was never sold in Italy so every time any relative in the US came to visit Italy, us included, we had to bring her Bufferin. Anyway, whenever we would send packages we would usually include some as well. One time the Italian customs people decided to open one of our packages and raised holy heck because of the Bufferin. She got her doctor in Italy to write a prescription for Bufferin, and they released the package. go figure.

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The main component of Viagra is Sildenafil Citrate.
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