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Luckily, the Viagra Preis 50mg’s have always been known for their ingenuity. It was with this cleverness that Lewis decided it would be easier to move the barn rather than disassemble it and rebuilt it. The entire barn was jacked up and rollers were placed underneath it. A cable was attached to one end of the barn that ran though a large turnstile. An old white horse was chosen for the job of slowly moving the barn. The horse was hitched to the turnstile and the horse walked in circles, stepping over the cable on every lap. The leverage was great and each time the horse made a circle, the barn moved one half inch. Progress was slow. The entire operation took about three days, a day of that was spent crossing Maine route 9. However, in 1934, Maine route 9 was much less traveled, and everyone cheerfully watched or made their own route around the barn.

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

The grounds of Hackmatack Playhouse and the area surrounding the theatre host many other buildings built and used by the Viagra Preis 50mg clan over the years. The yellow family of buildings just south of the theatre (now owned by the Mills family) was originally built by Samuel Viagra Preis 50mg in the early part of last century. Known as the Forget-Me-Not, these buildings housed services for early automobile travelers, including fuel for the autos, and food for the hungry. Visitors could rent a cabin, and if they happened to be staying on a Saturday night, they were in luck. On Saturday night there were always barn dances.

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

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The Viagra Preis 50mg family has a long tradition of entertaining locals and summer visitors in the Beaver Dam section of Berwick. Samuel’s weekly barn dances at the “Forget Me Not” were a favorite pastime during the early decades of the 1900’s. His son Lewis, a local and state Grange Master, was also a master of many musical instruments. He had a passion for starting bands and performing in Beaver Dam and across the state of Maine. His son Carleton organized several theatre groups, first at the Beaver Dam grange, and then at his barn now called Hackmatack Playhouse.

Every year thousands of people gather outside the Playhouse with tickets to the summer’s productions. Every year talented actors audition for their chance to perform at Hackmatack Playhouse, and to experience the history and excitement of being part of Hackmatack’s family. The farm and its building have many stories to tell. Perhaps 200 years from now Viagra Preis 50mg great, great grandchildren will be telling this story to aspiring actors nervously waiting for their audition slot, and to friendly crowds waiting to take their seats; of how the barn became home for the Hackmatack Playhouse.

After the death of the founder in 1995, the S Carleton Viagra Preis 50mg Memorial Fund was established to preserve and improve our historical buildings. The fund also is dedicated to advancements of dramatic arts, both for the participant and the community, and to the commitment of providing quality family entertainment and drama at a reasonable price. Contributions are always welcomed. We thank you in advance for helping us secure the future of Hackmatack Playhouse for potential Hackmatackers.

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

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

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

FLEX PASS

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

CONTACT INFO

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

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

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

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

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

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

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Garlic and Erectile Dysfunction

Is Garlic a natural cure for male impotence?

Garlic has been heralded as a wonder drug for thousands of years and has been used for medicinal purposes by the Babylonians, Greeks, Egyptians, Romans and Chinese. It has been used to combat the plague, prevent gangrene, treat hypertension and ward off evil spirits.

But is it the dietary equivalent of Viagra?

“Having a problem maintaining an erection can be socially embarrassing”

Having a problem maintaining an erection can be socially embarrassing – 2.3 million men in the UK are predicted to have erectile dysfunction but most are too embarrassed to admit it.

For most men erectile dysfunction is physiological and not psychological. In order to maintain an erection the arteries need to have an efficient blood flow. Erectile dysfunction indicates a hardening of the arteries, which means it could be an early biomarker of impending cardiovascular disease.

Garlic contains allicin, which improves blood flow. We took eight willing volunteers with erectile dysfunction and fed them four cloves of raw garlic every day for three months to see if we could improve their chances of maintaining an erection, and, in the long-term prevent more serious risks of disease.

Most erectile dysfunction is biological and can therefore be helped with medical or dietary intervention such as Viagra or garlic. If the problem is psychological a change in diet will not help. Our study was not large enough to show conclusively that garlic can help restore a man’s erection but six out of seven of our group did see an improvement just by eating four cloves a day.

To make the most ofyour garlic intake look at our Healthy Takeaways Tips .

The consultant for the test was Dr Graham Jackson, consultant cardiologist at Guys and St Thomas’ NHS Trust.

Related links

Elsewhere on bbc.co.uk

BBC News Garlic and the immune system BBC Food A beef and raw garlic recipe BBC Food A salad and raw garlic recipe

Elsewhere on the web

SDA Concerned about impotence? Garlic Info Everything about garlic CBS News Is garlic a wonder plant? Garlic Festival Isle of Wight Garlic Festival Garlic and Shots Gourmet garlic Nutrition Journal Garlic and cardiovascular disease

The BBC is not responsible for the content of external sites.

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Garlic Vs Viagra

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Viagra protects the heart: back to the future for the love pills

New researchpublished today in BMC Medicineshows that Viagra could be used as a safe treatment for heart disease. In this guest post, lead author on the paper, Andrea M. Isidori of Department of Experimental Medicine at Sapienza University of Rome, tells us more about the background to this research and what they found out.

Everybody’s heard of Viagra (sildenafil). It was the first phosphodiesterase type 5 inhibitor (PDE5i) marketed for the treatment of erectile dysfunction. But few people are aware of the other beneficial effects and potential new uses for this class of drugs.

Viagra was originally tested for heart problems – angina pectoris, a chest pain associated with coronary heart disease – on the basis of its vasodilatory effects (in other words it widens the blood vessels). Its results as an anti-angina drug were only modest, but patients reported the unexpected “side effect” of improved erections. The focus of interest in this drug shifted rapidly from the heart to the bedroom.

In the first decade (1998-2008) after its approval, Viagra revolutionized the sex lives of millions and became one of the most commercially successful drugs in the world, with over 1.8 billion pills used by about 35 million people. The number is still growing.

However, the success of the blue pill was accompanied by isolated early reports of cardiovascular events and sudden deaths. Nonetheless, subsequent large surveillance studies merging data from placebo-controlled clinical trials, the prospective observational cohort study and the International Men’s Health Study (IMHS) demonstrated that myocardial infarction and all-cause mortality rates for Viagra were similar to placebo, suggesting that its use was not associated with any greater risk.

So how can we explain the early reports of cardiovascular side effects?

Mainly through its incorrect use alongside nitro compounds (NO-donors). This can produce an acute drop in blood pressure that, combined with the increased oxygen required during sex, can be detrimental in men with heart disease.

Clearly, this is the result of a series of conditions occurring simultaneously. When Viagra is taken correctly, it is no longer a concern. Nevertheless, in the mind of the public, use of the “love pill” was at this time invariably considered dangerous for patients with heart disease.

Now is the time to change public opinion on this type of drug

Today, these drugs can be taken daily to treat other conditions: pulmonary arterial hypertension and lower urinary tract symptoms, for example.

Interest in continuously administered PDE5is is growing in several areas, such as andrology and urology, for rehabilitation of erectile function, relief of the symptoms of benign prostatic hyperplasia and treatment of some bladder disorders; respiratory medicine, for its effects on pulmonary hemodynamics; neurology, to protect the brain against ischemic injury; and rheumatology, for the treatment of Raynaud’s phenomenon .

What about cardiology?

Several animal studies have shown that Viagra attenuates cardiac remodeling, with an anti-hypertrophic and anti-fibrotic effect, and protects the heart against different types of injury.

Some small clinical trials have demonstrated that chronic PDE5 inhibition improves cardiac performance and geometry in various clinical conditions, including heart failure, myocardial infarction and diabetic cardiomyopathy.

In the last sixteen years pre-clinical and clinical research into the extra-urological effects of PDE5i has expanded dramatically, revealing previously unsuspected indications for these drugs. Once more, the blue pill could change the quality of life of millions of people.

Andrea M. Isidori

Our meta-analytic research just published in BMC Medicine originated to clarify some controversies emerging from the available human studies. We wanted to analyze if chronic PDE5i administration was cardioprotective and safe, and, if so, where the benefits were mainly seen: cardiac muscle, peripheral vessels, or both.

We showed that continuous administration of Viagra improves cardiac performance and has an anti-remodeling effect without a major impact on vascular parameters, suggesting that it does indeed have a direct effect on the heart.

The novelty of this meta-analysis is the identification of subgroups of patients that may benefit more from PDE5i: patients with cardiac hypertrophy and heart failure, and patients developing a maladaptive remodeling to different injuries, in which the cardiac pump no longer works well.

Our study is the first to show in a large patient cohort that chronic PDE5i administration improves cardiac output and decreases heart rate.This could result in longer survival, increased exercise tolerance and a better quality of life. Surprisingly, the magnitude of effects was similar to that seen with the drugs currently used to treat these clinical conditions, and was obtained in a relatively brief period (3 to 12 months).

Most strikingly, we found that PDE5is are among the very few drugs that are able to improve diastolic relaxation, thus helping the correct refilling of the ventricle after each contraction, a nearly unique feature in drugs used in cardiology, and with incredible potential for future development in the prevention of heart failure.

We also demonstrated their high tolerability and safety in a population that included elderly patients with various stages of cardiac disease and numerous comorbidities who were taking multiple pharmacological treatments. This setting resembles what we normally see in real life, supporting that daily administration is safe and involves no increase in the risk of adverse events compared to on-demand use.

It is now time for a large multicenter study of the effects of PDE5is on cardiac architecture, taking into account the evidence emerging from this meta-analysis. This publication sets the scene for a change in general opinion on PDE5is.

Love pills go back to the future: sex goes back to the heart.

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Viagra May Treat Other Ailments

From the WebMD Archives

Nov. 7, 2005 – The drug made famous for its treatment of erectile dysfunction appears to have another therapeutic use.

A study in the journal Circulation suggests Viagra could help treat a circulatory disorder called Raynaud’s phenomenon. which affects about 5% of the population. Raynaud’s phenomenon can be associated with other diseases such as lupus .

Raynaud’s phenomenon causes episodes of numbness, tingling, and pain in the fingers and toes, as well as skin sores or gangrene in severe cases. The attacks are spawned by spasms in small blood vessels in response to cold temperatures or emotional stress.

These spasms cause blood vessels to constrict and compromise blood flow to distal areas such as toes and fingers. The disorder is sometimes treated with medications to relax the blood vessels, but this is not always successful.

The Viagra study involved 18 patients (mostly women) whose Raynaud’s symptoms were not responsive to conventional therapies. While taking Viagra twice a day for four weeks, the patients experienced improved blood flow in the capillaries and fewer Raynaud’s attacks. Symptoms improved and the duration of attacks was also shorter. In those who had skin sores, the ulcers began to heal visibly.

These effects did not occur while patients were taking a placebo. At the end of the study, 16 of the participants asked to continue taking Viagra off-label (that is, for a purpose other than its FDA-approved use).

Viagra causes blood vessels to dilate in a different way from other vasodilating drugs, which may explain why it helped Raynaud’s patients who didn’t respond to standard treatments. The researchers conclude that drugs like Viagra could offer “a promising new approach in patients with microcirculatory disorders.”

Although Viagra has risk for serious side effects such as heart attack. stroke. and vision loss. none of the study participants reported any such adverse effect. The side effects reported by study participants included headache. muscle pain. flushing, mild nausea. dizziness. and nasal congestion.

One of the researchers has served as a consultant and speaker for Viagra’s manufacturer, Pfizer. Pfizer is a WebMD sponsor.

WebMD Health News Reviewed by Louise Chang, MD on November 07, 2005

Sources

SOURCES: Fries, Roland. Circulation. 2005; vol. 112. News release, American Heart Association. National Institute of Arthritis and Musculoskeletal and Skin Diseases.

В© 2005 WebMD, Inc. All rights reserved.

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  • Privat og fortrolig service Alle dine oplysninger er private og bliver kun brugt af vores lГ¦ge. Vi leverer i diskrete pakker uden information brand navn eller indhold.
  • Original og godkendt medicin Vores apotek ligger i England og vi udskriver kun original medicin. Vores lГ¦geteam sikrer at du fГҐr udskrevet og tilsendt korrekt behandling.
  • Dag-til-dag levering Vi sikrer, at alle behandlinger bestilt inden kl. 17.00, leveres til dig allerede nГ¦ste hverdag.

Velkommen til vores nye hjemmeside

  • Privat og fortrolig service Alle dine oplysninger er private og bliver kun brugt af vores lГ¦ger.Vi leverer i diskrete pakker, hvor hverken vores navn eller indhold stГҐr oplyst.
  • Original og godkendt medicin Vores apotek ligger i England og vi tilbyder kun originale behandlinger. Vores lГ¦geteam sikrer, at du modtager korrekte behandling.
  • Dag-til-dag levering Vi sikrer, at alle bestillinger foretaget inden kl. 17.00, bliver leveret nГ¦ste hverdag.

Viagra

Viagra virkning og fordele

  • Den originale potenspille og har vГ¦ret forhandlet siden 1998
  • Kan bidrage til at Гёge den seksuelle selvtillid
  • Viagra er det mest ordinerede lГ¦gemiddel til behandling af rejsningsbesvГ¦r
  • Effektivitet og sikkerhed bevist gennem kliniske test
  • Over 80% af brugerne er tilfredse med de resultater, de opnГҐr med Viagra

Hvordan giver Viagra en erektion?

Det aktive stof Sildenafil i Viagra virker som en såkaldt PDE5-hæmmer, hvilket betyder, at det hæmmer enzymet PDE5 (fosfordiesterase) således, at blodtilførslen til penis bliver øget. PDE5 er det stof, som normalt får blodet til at løbe væk igen, når erektionen falder efter udløsning. Hos mænd med rejsningsproblemer, er niveauet for højt. Grunden til at Viagra er effektivt er fordi Sildenafil hæmmer PDE5, og sænker niveauet til normalt.

Kort fortalt: Sildenafil stГёtter den naturlige proces nГҐr man fГҐr en erektion, og er derfor fГёrste skridt til seksuel ophidselse, sГҐledes at hjernen udsender de rette signaler.

Efter hvor lang tid virker Viagra?

Potenspillerne virker ved at fГҐ dine muskler omkring blodГҐrerne til at slappe af ca. 30 minutter efter, at du har taget en pille. Sildenafil bliver i kroppen i op til 4 timer, hvilket ogsГҐ er Viagras virkningstid.

Effektiv efter ca. 30 min.

Effekt i op til 4 timer

SГҐdan tages Viagra piller

Viagra er en lille blå pille, der indtages oralt med eller uden mad. For at opnå den bedste virkning, anbefales det at behandlingen tages på tom mave ½ time før seksuel aktivitet. Stoffet er aktiv i op til fire timer. Det betyder dog ikke at du vil have en erektion i fire, men derimod at du på ethvert tidspunkt i løbet af denne tid, nemt ville kunne få en erektion, der er egnet til samleje. Bruger du denne behandling, er det vigtigt aldrig at tage mere end én dosis inden for 24 timer. Hvis du oplever en bivirkning, der varer ved, bør du kontakte en læge. Præparater mod impotens bør ikke tages sammen med visse former for medicin. Læs mere om hvilke former for medicin her.

Hvilken dosis virker bedst for dig: 25 mg, 50 mg eller 100 mg?

Viagra fås i tre forskellige doser: 25mg, 50mg og 100mg. 50mg er den mest almindelige startdosis for mænd, der oplever impotens. Det er almindeligt at blive ordineret en lavere dosis, hvis man tager anden medicin, eller hvis der opleves en allergisk reaktion over for det aktive stof.

Viagra 25 mg

Den laveste tilgængelige dosis er en 25mg tablet, og vil blive ordineret til dig, hvis:

  • Du har oplevet bivirkninger.
  • Du tager alfa-blokkere.
  • Dosis kan Гёges, hvis nГёdvendigt.

Fordele ved at tage 25mg er:

  • Lavere risiko for bivirkninger.
  • Behandler erektil dysfunktion effektivt hos 63% af mГ¦nd.

Viagra 50 mg

Den mest almindelige Viagra dosis er 50mg, som er passende for dig, hvis:

  • Du tager impotens behandling for fГёrste gang.
  • Du tager ingen anden medicin.

Fordele ved at tage 50mg er:

  • Dosis kan Гёges eller mindskes afhГ¦ngig af, hvilken virkning den har pГҐ dig.
  • Behandler erektil dysfunktion effektivt hos 74% af mГ¦nd.

Viagra 100 mg

100mg Viagra er den stærkeste dosis tilgængelig på markedet og vil blive ordineret til dig, hvis:

  • Du lider af langvarig impotens.
  • Du ikke lider af bivirkninger.

Fordele ved at tage 100 mg er:

  • Denne dosis kan anvendes til at behandle de mest alvorlige former for impotens.
  • Behandler erektil dysfunktion effektivt hos 82% af mГ¦nd.

Pfizer Viagra (producent)

Pfizer er producenten bag Viagra. Pfizer er en amerikansk medicinalvirksomhed der blev grundlagt i 1849. Pfizer er verdens største medicinalvirksomhed med hovedsæde i New York. Pfizer har produceret og solgt Viagra siden 1998, og har lige siden været det mest anvendte middel imod rejsningsproblemer [1] .

I 2013 udlГёb Pfizers patent pГҐ det aktive stof Sildenafil i Viagra. Hvilket har resulteret i konkurrence fra generiske potenspiller der ogsГҐ indeholder Sildenafil.

Forholdsregler ved kГёb af Viagra

Der er en række forholdsregler, der skal tages, før du overvejer brugen af potensmidler. Du skal være sikker på, at din tilstand ikke er et symptom på et underliggende medicinsk problem, og at din erektile dysfunktion er fysisk og ikke psykisk. Under din lægekonsultation vil du blive stillet en række spørgsmål for at sikre, at det aktive stof Sildenafil er den mest hensigtsmæssige behandling for dig.

Udsatte grupper for Viagra:

  • MГ¦nd, der lider af nedsat eller beskadiget leverfunktion.
  • MГ¦nd, der lider af hjertekarsygdomme
  • MГ¦nd, der lider af blГёdningsforstyrrelser sГҐsom hГ¦mofili
  • MГ¦nd med et aktiv mavesГҐr
  • MГ¦nd, der har en penis med en fysisk abnormitet
  • Efter et nyligt hjertetilfГ¦lde
  • Efter et nyligt slagtilfГ¦lde
  • Hvis du har lavt blodtryk (hypotension)
  • Hvis du i Гёjeblikket tager nitrater
  • Hvis du lider af leversygdomme
  • Hvis du lider af alvorlige Гёjenlidelser
  • Hvis du er allergisk over for nogen af de aktive ingredienser

Når du tager potensstyrkende piller, skal du sørge for ikke at tage noget medicin, som du ikke har nævnt under din onlinekonsultation. Det er også vigtigt, at du ikke øger din dosis af Viagra, uden først at have konsulteret en læge. Tag ikke tabletter, der har overskredet deres udløbsdato, og sørg for at du ligeledes gemmer pillerne et køligt sted utilgængeligt for børn.

Viagra sammen med anden medicin

Medicin i hГҐndkГёb

Selvom de fleste naturlægemidler og kosttilskud ikke vil have nogen negative virkninger, når de tages sammen med Viagra, er det vigtigt at nævne dem under din onlinekonsultation.

Perikumpræparater er urtemedicin, der ofte anvendes til behandling af depression. De kan tages samtidig med Viagra uden at udgøre en sundhedsrisiko. Imidlertid kan præparatet reducere blodniveauet og dermed reducere effektiviteten af Viagra.

Receptpligtig medicin

Andre receptpligtige lægemidler kan få indflydelse på virkningen af Viagra, hvis det indtages samtidig. Det kan fx øge risikoen for, at du oplever bivirkninger. For at undgå dette, kan din dosis ændres, eller du skal muligvis prøve en anden type potenspille såsom Levitra. Spedra eller Cialis .

Du må ikke benytte receptpligtige potenspiller sammen med lægemidler der indeholder nitrater. Dette skyldes, at Viagra og nitrater har lignende effekter og får dine muskler til at slappe af og dine blodårer til at udvide sig. Når dette sker, falder blodtrykket, og når begge lægemidler forårsager fald i blodtrykket, falder det drastisk. Dette kan være til skade for din sundhed, især for patienter der lider af en hjertesygdom, såsom angina, da det kan indlede et hjerteanfald.

Medicin mod forhГёjet blodtryk

Det kan være farligt at kombinere blodtryksmedicin, såsom Lisinopril eller Amlodipin, med Viagra, da det kan medføre til et yderligere fald i blodtrykket.

BГҐde Viagra og nitrat udvidder blodkarene, hvilket fГҐr blodtrykket til at falde. Ved indtagelse samtidig kan blodtrykket faldet til et farligt lavt niveau.

Nitrat: Nitrat: Nitrater er f.eks. glyceryltrinitrat, isosorbidmononitrat og nicorandil.

Amyl nitrat: Mere almindeligt omtalt som poppers; amyl nitrit vil sænke dit blodtryk faretruende, hvis det anvendes i forbindelse med Viagra.

Alfa-blokkere: Anvendes de til at sænke forhøjet blodtryk, kan de tages sikkert med Viagra hvis det er kontrolleret af en læge. Dette gælder for alfa-blokkere såsom alfuzosin og indoramin. Tager du alfa-blokkere, vil din praktiserende læge starte med at udskrive en lav dosis af Sildenafil og overvåge din reaktion, før din dosis kan hæves.

Viagra og diabetes

Siden Viagra først kom på markedet i 1998, er midlet blevet brugt med succes i behandlingen af rejsningsbesvær hos mænd med diabetes. Undersøgelser angiver at størstedelen af diabetikere har oplevet forbedret erektion ved brug af Viagra. Diagnosen diabetes er derfor ikke nogen hindring for at tage Viagra, men kan i derimod hjælpe imod rejsningsbesvær [2] .

Ved brug af Sildenafil som diabetiker ses den stГёrste effekt ved andet forsГёg. Oplever man derfor ikke den Гёnskede effekt ved fГёrste pille, er der stor sandsynlighed for at opnГҐ en succesfuld effekt ved andet forsГёg [3] .

Bivirkninger ved Viagra

Bivirkninger kan opstå ved brug af receptpligtig medicin. Bivirkninger går normalt væk, når medicinen er ude af kroppen. Efter et par gange, kan din krop vænne sig til Sildenafil. Bivirkningerne vil herefter mildnes eller forsvinde af sig selv.

Hvis du oplever bivirkninger, der er vedvarende eller virker ubehagelige, skal du kontakte en læge.

Almindelige bivirkninger (1-10%)

De mest almindelige bivirkninger er lette og vil normalt gå væk inden for den tid, det tager medicinen at forlade dit system ca. 4 timer.

Kan man kГёbe Viagra uden recept eller i hГҐndkГёb i Danmark?

Det er ikke muligt at købe Viagra i håndkøb, derfor skal man til egen læge eller en online klinik. Hos euroClinix kan vi tilbyde dig muligheden for at få ordineret Viagra uden recept fra din egen læge. Vi har vores egne læger, som tilbyder dig en diskret konsultation over nettet. Du kan derfor sikkert købe Viagra på nettet hos os. Du kan sidde derhjemme eller hvor det passer dig bedst at besvare nogle medicinske spørgsmål. Herefter vil en af vores læger vurdere, om du er egnet, og udskrive din recept samt sende den til apoteket med det samme.

Vi sender alt medicin via vores London-baserede apotek, som er reguleret af “General Pharmaceutical Council”. Du kan lГ¦se om disse oplysninger pГҐ vores side om sikkerhed ved online medicin. inden du vГ¦lger at kГёbe hos os.

Sildenafils kemiske design – for dig der vil vide mere

NO molekylet i Viagras kemiske opbygning

Ser man på den kemiske opbygning, består det bl.a. af det lille molekyle nitrogenmonoxid (NO). Dette molekyle spiller en livsvigtig rolle som signalmolekyle i mennesker. Det starter nemlig adskillige vitale, biokemiske processer. Opdagelsen af NO og dets virkning førte da også til nobelprisen i medicin i 1998. NO indgår i flere behandlinger – bl.a. i hjertemedicin, som også den oprindelige forskning omkring Sildenafil var rettet imod. NO hjælper fx musklerne i kranspulsårene til at slappe af, så blodtilstrømningen øges til hjertet. Derfor kan nitroglycerin også bruges som hjertemedicin.

Mekanismen i Viagras virkning

Hvad sker der efter, at du har indtaget Viagra? NO frigives fra nerveenderne i svulmelegemerne af penis ved seksuel stimulering. Enzymet guanylat cyklase omdanner derefter guanosin trifosfat (CTP) til cyklisk guanosin monofosfat (cGMP). Det er cGMP, som resulterer i afslapning af den glatte muskulatur sГҐledes, at blodet strГёmmer til penis, og der opstГҐr en erektion.

Som nГ¦ste skridt i processen hydrolyseres cGMP tilbage til det inaktive GMP ved hjГ¦lp af enzymet fosfordiestrase type 5. MГ¦nd, som lider af impotens/ rejsningsproblemer, producerer ikke sГ¦rlig meget NO, og det betyder, at den smule cGMP, der bliver produceret, bliver nedbrudt med samme hastighed, som det bliver dannet. Viagra virker netop ved selektivt at hГ¦mme enzymet fosfordiesterase type 5, og pГҐ denne mГҐde bliver niveauet af cGMP holdt ‘kunstigt’ oppe. Derved afslappes den glatte muskulatur, sГҐ en erektion kan opnГҐs ligesom hos mГ¦nd uden rejsningsproblemer. Potenspillerne fra Pfizer gГҐr da ogsГҐ under navnet PDE5-hГ¦mmer ligesom Cialis og Levitra, som kom pГҐ markedet efterfГёlgende.

Sildenafil er en selektiv hæmmer af fosfordiesterase type 5

Der findes syv isoformer af enzymet fosfordiesterase i mennesker, og disse kalder man fosfordiesterase type 1-7, hvoraf Sildenafil er en selektiv hæmmer af fosfordiesterase af typen 5 (PDE 5). Det betyder, at Sildenafil er 80 gange mere aktivt over for type 5 end over for type 1 – mens det er mere end 1.000 gange mere aktivt over for type 5 sammenlignet med type 2, 3 og 4.

Desværre er selektiviteten over for type 5 i forhold til type 6 (en type, som findes i nethinden i øjet) kun en faktor 10. Dette kan være forklaringen på, at nogle patienter ser blåt eller grønt som bivirkning til den aktive ingrediens Sildenafil. Type 7 er ikke specielt relevant i denne sammenhæng, da den ikke har cGMP som substrat.

Produktion har minimal belastning af miljГёet

Syntesen af Sildenafil (Viagra) er en af de mest optimerede i forhold til den mængde affald, som produceres, når pillerne fremstilles. Syntesen består af syv reaktionstrin, og den er blevet designet på en måde, så der ikke er brug for nogen ekstraktion mellem hvert trin. Dertil bliver en stor del af de opløsningsmidler (solventer), som benyttes til produktionen, genbrugt.

Det har den miljГёvenlige effekt, at der bliver dannet sГҐ lidt som seks kg affald per kg produkt. Til sammenligning ligger den gennemsnitlige affaldsgenerering i medicinalindustrien pГҐ 25-100 kg per produkt-kg. Det er altsГҐ markant lavere og noget af en bedrift, at man har kunnet gГёre produktionen af Sildenafil sГҐ optimeret.

Viagra og andre komplekse lægemidler

Viagra – i udviklingen af komplekse lægemidler: Når man ser på opbygningen af lægemidler, er kompleksiteten øget gennem tiden. Man må formode, at den generelle udvikling fortsætter, og stigningen i strukturenes kompleksitet skyldes ikke mindst, at forskerne er blevet bedre i stand til at forstå sygdomme helt i detaljer – herunder hvilke molekylære mekanismer, der gør sig gældende for et givet sygdomsforløb. Dette bevirker, at kemikerne i højere grad bliver i stand til at designe lægemidler, som er specifikt rettede mod netop én sygdom og derfor har en relativt kompleks struktur.

Men selvom man er blevet bedre til at designe lægemidler, opdager man faktisk stadigvæk tit de rigtigt vigtige lægemidler ved et tilfælde – eller ligesom med Sildenafil, hvor lægemidler designes imod andre sygdomme, end dem, de efterfølgende ender med at bruges til behandling for.

Er det sikkert at kГёbe Viagra online hos euroClinix?

Hvordan fungerer en online konsultation pГҐ euroClinix.net ?

For at foretage en online konsultation hos euroClinix skal du igennem 3 trin:

  • VГ¦lg den Гёnskede behandling samt mГ¦ngde og besvar dine medicinske spГёrgsmГҐl anonymt. Besvarelse af medicinske spГёrgsmГҐl kaldes ogsГҐ online konsultationen og tager ofte kun et par minutter.
  • Indtast dit navn og adresse, hvor du Гёnsker pakken leveret. Du kan ogsГҐ vГ¦lge at hente pakken diskret i en postbutik efter eget valg.
  • VГ¦lg betalingsmГҐde og afslut.

Hos euroClinix er det muligt at bestille Viagra online med hurtig levering. Som en del af processen skal du udfylde en nem og diskret online konsultation hos os, der vil blive gennemgået af en af vores praktiserende læger. Er pillerne egnede til dig, vil en af vores læger udskrive en recept til vores apotek, som vil afsende pillerne til dig med gratis dag-til-dag levering. Får du behandling og køber Viagra online gennem os, er det således både sikkert, diskret og enkelt.

Er det original Viagra fra apoteket?

Du vil kun modtage originale tabletter hos euroClinix. Du kan altid få bekræftet, at dine Viagra piller er ægte ved at se på det hologram og batch nummer der er på pakken, dette kan bruges til at kontrollere ægtheden hos Pfizer.

Hvor lang er leveringstiden?

euroClinix leverer næste hverdag over hele Danmark og det meste af EU hvis du bestiller inden kl. 17. Dette betyder, at hvis du torsdag eftermiddag laver en bestilling, så vil du modtage pakken fredag formiddag.

Er euroClinix.net godkendt af E-handelsfonden?

euroClinix er godkendt af E-handelsfonden. E-handelsfondens jurister gennemgår løbende vores onlineklinik, og foretager stikprøver ved køb af Viagra online for at kontrollere, at vi lever op til de krav, der stilles til os som en ansvarlig netbutik. Du kan se vores certifikat og deres anmærkninger her.

Er medicinen godkendt af sundhedsstyrelsen?

Hos euroClinix kan du kun købe medicin, der er blevet godkendt af Sundhedsstyrelsen og Det Europæiske Lægemiddelagentur (EMEA). EMEA er ansvarlig for at vurdere lægemidler, der er beregnet til anvendelse i Danmark. Således er du sikker på, at vores potenspiller er af høj kvalitet, i overensstemmelse med de EU forordninger Danmark deltager i. Endvidere betyder dette også, at bestilling af Viagra hos os er lovligt, forudsat man får en recept på sin behandling.

Referencer

1. Pfizer.com: About Pfizer ↩
2. Diabetes Foreningen: Diabetes og potensproblemer ↩
3. American Disbetes Association: Acute and Prolonged Effects of Sildenafil on Brachial Artery Flow-Mediated Dilatation in Type 2 Diabetes ↩

Information pГҐ denne side

Medicinske fakta Produktnavn: Viagra Aktiv ingrediens: Sildenafil Producent: Pfizer Beskrivelse: Viagra er den originale potenspille med klinisk dokumenteret effekt Medicinsk status: Fås på recept Tages: Oralt Form: Tabletter Dosis: 25 mg. 50 mg. 100 mg Målgruppe: Mænd over 18 år, som lider af impotensproblemer Skal tages: Efter behov Lægemiddelgruppe: PDE5-hæmmer Indtagelse af alkohol: Kan påvirke effekten Ved amning: Ikke relevant Ved graviditet: Ikke relevant

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    -Variable penis texture and weight (flaccid+firm vs. lighter-than-normal vs. almost normal, etc.). -Occasional itching on the left and right side, near the base. -More visible veins throughout the penis. -Left-side vein prominence. One left-side vein is much darker than I remember, and st and s out the most amongst the a for ementioned prominent veins.

    Once ina while I take 1/2 a <span style = 'background-color: #dae8f4'>cialis</span> which helps maintain erection if i really work it, but have lost all sexual desire and most of sensation in my penis. i have come close to ejaculating once in 2 months, but as soon as it feels like i might be coming, everything vanished, only a feeling of pressure remains I have had a couple of one time partners who lost interest because i could not ***.

    As to what is normal. The doctor is correct. Age plays a factor. Download the Age vs (Average) Testosterone chart in the Files area. If you look it over you will see that at your level it would be "normal" but you would need to be over 100 years old! Not good. The average normal level at your age is over 600 ng/dL and the current thinking from the AACE guidelines is that levels under 325 ng/dL are the new treatment (or further diagnosis at least) indicated.

    it could be a medication he is taking and just a matter of changing it. There is <span style = 'background-color: #dae8f4'>viagra</span> and <span style = 'background-color: #dae8f4'>cialis</span> to help and for the most stubborn mind an injection which makes the little guy st and to attention no matter what. IF it is in the mind, its a tiny little needle they would not feel it. Ladies this takes a lot of tact and gentle care. imagine them as poor little souls that have.

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    Cialis vs. Viagra

    Both Viagra ® (sildenafil citrate ) and Cialis ® (tadalafil ) are used to treat erectile dysfunction (also known as ED ). Erectile dysfunction is a condition in which a man is unable to consistently maintain an erection that is firm enough for sexual intercourse. There are many similarities between these two drugs, but also some important points to keep in mind when comparing Cialis vs. Viagra.

    Cialis comes in tablet form and can be taken just when you need it (before anticipated sexual activity) or on a daily basis. A single dose of Cialis starts working in about 30 minutes and lasts for up to 36 hours. Viagra also comes in tablet form, but is only taken prior to sexual activity. A single dose of Viagra starts working in about 30 minutes and lasts for about 4 hours (perhaps longer in some men).

    A very important difference between Cialis and Levitra is that Cialis is approved to treat enlarged prostate symptoms as well as ED. Levitra is not approved for this use.

    Both medications have a similar effect on the body and work by inhibiting the chemical reaction that causes blood to flow out of the penis.

    Viagra and Cialis also have similar safety concerns men should be aware of before beginning treatment. For example, both drugs may not be appropriate for men with certain medical conditions, such as heart disease. angina. or liver disease. And both medications can cause potentially serious side effects, such as priapism; sudden blindness; and an increased risk of a heart attack. stroke. or sudden death.

    So which medicine is right for you? This will depend on a variety of factors and is a matter that should be discussed with your healthcare provider, who understands your situation best. Depending on your current health status, as well as what you expect from an erectile dysfunction medication. the two of you can come to a decision that is right for you.

    (Click Cialis and Viagra to learn more about the similarities and differences between these two medications. These articles discuss such topics as possible side effects, dosing guidelines, when and how to take these drugs, and more.)

    Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD

    tadalafil, Cialis, Adcirca

    PREGNANCY AND BREASTFEEDING SAFETY. Tadalafil is not approved for use in women.

    Tadalafil is not approved for women and has not been evaluated in women who are breastfeeding .

    STORAGE: Tadalafil should be stored at room temperature between 15 C to 30 C (59 F to 86 F).

    DOSAGE: For most individuals, the recommended starting dose of tadalafil is 10 mg per day taken before sexual activity (tadalafil for use as needed). Depending on the adequacy of the response or side effects, the dose may be increased to 20 mg or decreased to 5 mg a day. The effect of tadalafil may last up to 36 hours. Individuals who are taking medications that increase the blood levels of tadalafil should not exceed a total dose of 10 mg in 72 hours (See drug interactions ). For once daily use without regard to sexual activity the recommended dose is 2.5 to 5 mg daily. Tadalafil should not be taken more than once daily.

    The recommended dose for BPH, or BPH and ED is 5 mg daily taken about the same time each day. Tadalafil may be taken with or without food since food does not affect its absorption from the intestine.

    The dose of tadalafil may require adjustment for patients with reduced kidney or liver function.

    DRUG CLASS AND MECHANISM: Tadalafil is an oral drug that is used for treating impotence (the inability to attain or maintain a penile erection) and benign prostatic hyperplasia (BPH ). It is in a class of drugs called phosphodiesterase-5 (PDE5) inhibitors that also includes sildenafil (Viagra ) and vardenafil (Levitra ). Erection of the penis is caused by the filling of the penis with blood. Filling occurs because the blood vessels that bring blood to the penis increase in size and deliver more blood to the penis, and, at the same time, the blood vessels that take blood away from the penis decrease in size and remove less blood from the penis. Sexual stimulation that leads to an erection causes the production and release of nitric oxide in the penis. The nitric oxide causes an enzyme, guanylate cyclase, to produce cyclic guanosine monophosphate (cGMP). It is cGMP that is primarily responsible for increasing and decreasing the size of blood vessels carrying blood to and from the penis, respectively, and causing an erection. When the cGMP is destroyed by another enzyme, phosphodiesterase-5, the blood vessels return to their normal size, blood leaves the penis, and the erection ends. Tadalafil prevents phosphodiesterase-5 from destroying cGMP so that cGMP stays around longer. The persistence of cGMP leads to a more prolonged engorgement of the penis with blood.

    The mechanism whereby tadalafil improves the symptoms of BPH is not clear, but phosphodiesterase-5 also is present in the muscles of the bladder and the prostate, and it has been suggested that the relaxation of these muscles may make the passage of urine less difficult, for example, by reducing the pressure in the muscle surrounding the opening to the urethra that controls the flow of urine from the bladder. Tadalafil was approved by the FDA in November 2003.

    Medically reviewed by Eni Williams, PharmD

    REFERENCE: FDA Prescribing Information

    Medically Reviewed by a Doctor on 8/2/2016

    Quick Guide Erectile Dysfunction (ED) Causes and Treatment

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    How long before sex should I take Viagra?

    By Magic Blue Pill on January 8, 2010 9:00 PM

    How soon before sexual intercourse should I take Viagra?

    A good rule of thumb is to take Viagra 45 minutes or an hour before you expect to have sex. After a few hours, its effects lessen considerably, so timing is of a concern.

    Unfortunately, there’s no one-size-fits-all answer to this question. How quickly Viagra works will depend on how much you have eaten, whether you’ve had any alcohol, and other personal factors. The best way to find out the answer is through practice, either alone or with a partner. Experiment with the drug, find out how it works on you at a time and in a place where there’s no pressure to perform. Then you’ll be ready for another situation where time is more of the essence.

    Categories :

    Search

    About this Entry

    This page contains a single entry by Magic Blue Pill published on January 8, 2010 9:00 PM .

    More Avanafil News is the next entry in this blog.

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

    Categories

    I take 50mg 15 minutes before love making, and now I can spend hours with foreplay and not worry if I’m gonna go soft or lose interest.

    It takes effect in 15 minutes on the average and out love-making session goes for over an hour every time. – Age 65, Florida

    I could feel my penis get erect within 15 minutes, getting harder than usual and lasting longer too – YT, Age 45, Nigeria

    The effects last 3 or 4 hours, and it takes 30 to 45 minutes to kick in. – Art, Age 62, Texas

    It worked faster than a 1/2 hour and I had the first complete sexual experience in over 6 YEARS! William, Age 42, Texas

    It begins to work in about 15 minutes to a half an hour and lasts for 3 hours or so

    I find that 25 mg two hours prior to sex is best for me, and allows sensitivity, to remain at its peak. – Phil, Age 60, California

    The first time I took it, my wife and I had already made love that afternoon. Viagra worked well in producing another HARD erection for us that night. The next time I tried it was an hour before bedtime. This produced even greater results. – JimmyB, Age 45

    I’ve found I need to take it at least 30 minutes before sex. Not only is my erection harder, but the quantity of my orgasm and the force of it is greatly increased by Viagra

    I take it about an hour before making love (which for us is usually mid afternoon.)

    The doctor told me when he prescribed it that the first time I tried some it would take a little while to work, like almost an hour, and to be patient. So I took it, and set back to wait. I was surprised to find out that I didn’t have to wait near that long. I was ready to go in fifteen minutes, and went a little longer than she wanted me to go.

    But 30 mins after taking a 50mg dose of Viagra (with no side effects other than a very mild headache), then – boing. – my penis is as stiff as it used to be when I was 15! – Richard, Age 53, UK

    I started with 50 mg (good to rev my engine, I think) but ultimately found that 25 mg about 90 minutes before sex is ideal for me.

    I had a rock hard erection about a half hour after taking the pill. – Age 37. Utah

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