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Puede una hierba enderezar el sexo de modo tan vigoroso como la Viagra. Si lo hace, quizГЎ haya gato encerrado. CientГ­ficos de la Universidad de Arcadia, en Glenside (Pensilvania), han comprobado que buena parte de los remedios naturales mГЎs usados contra la disfunciГіn erГ©ctil contienen sildenafilo, el principio activo de Viagra, u otras sustancias sintГ©ticas con efectos similares. El hallazgo es alarmante.

“El sildenafilo es una molécula sintética. Hasta donde yo sé, no está en ninguna fuente natural, como pueda ser un remedio herbal. Si se ha encontrado en algún producto que se comercializa para la disfunción eréctil, en mi opinión, además de un fraude es algo muy peligroso para la salud, pues el consumo de esta sustancia no está exento de efectos adversos”, responde Juan Carlos Espín de Gea, profesor de investigación del CSIC. No olvidemos que el sildenafilo, el medicamento rey contra la disfunción eréctil, puede causar daños colaterales: cefalea, mareo, neuropatías, amnesia transitoria, taquicardia, hipotensión e insuficiencia cardíaca, entre otros.

Ya en el Renacimiento, por un puГ±ado de hebras de azafrГЎn los hombres llegaban a pagar su propio peso en oro, buscando el vigor perdido. Pero el pretexto de la naturaleza es tambiГ©n falaz y poco convincente. Si fuese suficiente, las crГіnicas chinas habrГ­an echado por tierra el negocio de la Viagra con episodios como el de un emperador de la dinastГ­a Tang que tomaba a diario sopa de nidos de golondrina; al parecer, infalible para abastecer sexualmente a su harГ©n de mГЎs de dos mil mujeres. En caso de gatillazo, al cocinero se le decapitaba de inmediato.

El 93% de los hombres impotentes fueron o son fumadores empedernidos

Moctezuma, con un harén algo más modesto, tomaba más de cincuenta jarras de chocolate cada día y nunca le faltaba una dosis antes de visitar a una de sus concubinas. En el dietario histórico y erótico abundan, además de hierbas y plantas, los testículos de numerosos animales, tortugas, huevos…

Y tambiГ©n han provocado numerosos estragos. La cantГЎrida, por ejemplo, un insecto que contiene una sustancia vasodilatadora, lograba unas erecciones de envidia, pero que eran terriblemente dolorosas a causa de la irritaciГіn que sufrГ­an los genitales por su culpa. Una sobredosis pudo ser el motivo de la hemorragia cerebral de Fernando el CatГіlico cuando intentaba cumplir con su segunda esposa, Germana de Foix, bastante mГЎs joven que Г©l.

Y afortunadamente, de aquellos polvos vinieron estos lodos, porque la ciencia ha ido desmontando semejantes memeces y quedГЎndose con la autГ©ntica evidencia. Dice una leyenda china que si una cabra come la llamada hierba de la cabra en celo (Epimedium grandiflorum), tendrГЎ 100 orgasmos ese dГ­a. El doctor Jim Duke, de la Universidad de Carolina del Norte, quiso comprobarlo con 25 hombres y encontrГі que, efectivamente, el extracto de esta planta china mejorГі la satisfacciГіn y el desempeГ±o sexual hasta en un 60%.

Cuantos mГЎs aГ±os. mГЎs cuesta

En el caso del azafrГЎn y del ginseng, investigadores de la Universidad de Guelph, en CanadГЎ, revisaron varios estudios sobre diferentes plantas y confirmaron que estas dos mejoran sin duda el desempeГ±o sexual del hombre. De hecho, son buenas alternativas al sildenafilo y otros fГЎrmacos, como el tadalafilo, que se emplean para tratar la disfunciГіn erГ©ctil. A pesar de ello, la ciencia exige mayor evidencia.

¿Por qué se recurre a las plantas teniendo a mano fármacos como la Viagra? Según el urólogo Juan Carlos Ruiz de la Roja, director del Instituto Urológico Madrileño y autor de Potencia tu vida sexual, consejos de un médico: “En estos productos hay algún componente con un efecto similar al del sildenafilo, que es la liberación de óxido nítrico a nivel vascular lo que le aporta un efecto vasodilatador; en concreto, en los vasos sanguíneos del pene, lo que aumenta la cantidad de sangre que llega al miembro viril”.

Héctor E. Solórzano, presidente de la Sociedad Médica de Investigaciones Enzimáticas de México, también se pronuncia a su favor: “El uso de recursos naturales para el tratamiento de cualquier enfermedad va en aumento. En el reino vegetal, contamos con algunas plantas que pueden ayudar a este tipo de pacientes. La razón es que estas plantas casi siempre tienen la capacidad de mejorar la transmisión de la señal nerviosa, la irrigación sanguínea al tejido eréctil y la actividad del sistema glandular masculino”. También es cierto que hay clientela de sobra por surtir, tanto con fármacos como con hierbas.

Al 12% de los varones le ocurre con frecuencia que no logra la erecciГіn. Entre los 45 y 70 aГ±os, el porcentaje sube hasta el 51%

Y aunque no es una cuestión de edad –“muchos hombres son capaces de retener su virilidad sexual hasta bien entrados los 80 años”, advierte Solórzano–, sería absurdo negar que, como dice el refrán: “Cuantos más años a cuestas, más te cuesta y menos te acuestas”. Casi la mitad de los hombres mayores de 40 años sufre disfunción eréctil en algún grado. O sea, más de 150 millones. En el 80% de los casos, la causa es una escasa circulación sanguínea en el pene. “Es muy importante no confundir este problema con otros, como eyaculación precoz, pérdida de la libido, etc.”, insiste Héctor E. Solórzano.

Hierbas con fundamento

ВїCuГЎles son las opciones naturales mГЎs razonables? Aparte de los diez productos que mencionamos en el recuadro, y que son los que se llevan mayores elogios, existen otros.

La centella asiГЎtica ha demostrado su eficacia en el caso de disfunciГіn provocada por la llamada enfermedad de Peyronie, que afecta al pene. En este caso, mejora tambiГ©n con algunas enzimas, como la bromelina.

Solórzano menciona, además, la mara puama (Ptychopetalum olacoides). Esta planta se conoce como “leña de la potencia”. Es un arbusto nativo de Brasil y ha sido usado desde hace mucho como un afrodisíaco poderoso. Algunos estudios han podido respaldar su valor terapéutico en el tratamiento de la disfunción eréctil. Uno de ellos fue realizado por el Dr. Jacques Waynberg, del Instituto de Sexología de París: “Por lo que se considera una planta medicinal segura y efectiva en mejorar la libido y la función sexual en algunos pacientes”.

En general este tipo de productos es de libre dispensación en la farmacia, lo que significa que no suelen tener efectos secundarios, pero conviene que sea un urólogo el que diga cuándo y cómo es aconsejable consumirlos. “Al ser productos naturales, los efectos secundarios son prácticamente inexistentes, siempre que conozcamos su composición y que no se incluyan productos de síntesis, como son los derivados de sildenafil. También es cierto que su eficacia es menor que los elaborados de síntesis”, indica Ruiz de la Roja. Su uso ha de ser regular: su beneficio se da cuando se utilizan durante un tiempo, a diferencia de productos como Viagra, que surten efecto de forma puntual.

Son complementos, no alternativas

¿Pero son una alternativa realmente válida? “Sí en casos de disfunción eréctil leve”, responde Ruiz de la Roja. “Si es más aguda, servirían para potenciar el efecto de productos de síntesis.”

Por otra parte, los investigadores reclaman aún mayor evidencia científica. Para Juan Carlos Espín de Gea: “Una cosa es que puedan aumentar la libido, y otra distinta es que sean capaces de mejorar fisiopatológicamente la disfunción. Sería aventurado decir que cualquiera de estos productos es per se una solución para la disfunción eréctil”.

Si hablamos de tratamientos en pacientes, Espín de Gea prefiere el término “complemento”, no “alternativa”; y en el caso de la población general (personas no medicadas), recomienda un consumo responsable y prudente, sabiendo que ninguno de estos productos exime de llevar unos hábitos de vida saludables.

Por otra parte, obcecado por su rendimiento en la cama, el hombre a menudo olvida que la disfunción es un síntoma, un toque de atención para averiguar el motivo. “En algunos casos”, concluye Espín de Gea, “puede considerarse como marcador y preludio de enfermedad cardiovascular. Un correcto tratamiento farmacológico para ese riesgo cardiovascular incidiría en una mejora de la disfunción”.

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Is It Illegal To Possess Viagra Without in Snow Hill, Maryland is small town living at its best. Nestled on the south banks of the Pocomoke River Snow Hill is a place where people know each other. From the people who call it home to the business owners and those in city government, we have built a community where life is gentle, fun, and prosperous. Home to a quaint downtown retail area and a broad spectrum of recreational activities, Is It Illegal To Possess Viagra Without is the perfect place to spend a relaxing weekend or a lifetime.

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

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Hackmatack Playhouse was founded in 1972 by S. Carleton Is It Illegal To Possess 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 Is It Illegal To Possess Viagra family farmstead. The property was purchased by the first Is It Illegal To Possess Viagra (then Gubtail) to make the long trip to “New England” from native British Isles in the mid 1600’s. Thomas Is It Illegal To Possess 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 Is It Illegal To Possess 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 Is It Illegal To Possess 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 Is It Illegal To Possess Viagras.

Prior to the year of 1972 when the theatre was established, the Is It Illegal To Possess 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 Is It Illegal To Possess 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 Is It Illegal To Possess 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 Is It Illegal To Possess 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 Is It Illegal To Possess 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 Is It Illegal To Possess 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 Is It Illegal To Possess Viagra, prepare a load of lumber for the newest construction project.

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

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

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

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

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

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

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

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

After the death of the founder in 1995, the S Carleton Can I Get Viagra In Thailand 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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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.

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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.

Saiba tudo sobre ‘Viagra feminino’, que pode ser aprovado nos EUA nesta semana

Barbara Gattuso jГЎ tinha mais de 35 anos quando percebeu que estava perdendo o interesse em fazer sexo com o marido, Gregg. Passou vГЎrios anos usando desculpas e evitando-o, em vez de se abrir com ele. “AtГ© que comecei a me dar conta de que devia haver um grande problema comigo: eu amava meu marido, tinha um casamento incrГ­vel e filhos maravilhosos. O que estava acontecendo?”, lembra ela, hoje com 66 anos.

O problema era o desejo. Gattuso não sentia nenhuma vontade de se relacionar sexualmente – não só com seu marido, mas com ninguém mais.

Muitos sexólogos acreditam que essas oscilações no desejo sexual são perfeitamente normais – principalmente entre mulheres a partir de uma certa idade. Já outros especialistas defendem que a falta de desejo é um distúrbio que resulta do desequilíbrio de algumas substâncias químicas do cérebro e poderia ser tratado com medicamentos específicos.

Esta semana, a Food and Drug Administration (FDA), ГіrgГЈo dos Estados Unidos que regulamenta a produção e a comercialização de remГ©dios e alimentos no paГ­s, reГєne um painel de consultores para decidir sobre a aprovação do Flibanserin – medicamento que jГЎ foi apelidado de “Viagra feminino”.

A questão, no entanto, é polêmica – com argumentos fortes dos dois lados.

EquilГ­brio cerebral

Image copyright Getty Image caption Flibanserin jГЎ foi reprovado pelo FDA em 2010, mas foi reformulado desde entГЈo

Apesar de não ser uma exclusividade das mulheres – e o Viagra e seus similares estão aí para provar que os homens também enfrentam distúrbios sexuais ao envelhecerem -, a natureza do problema é bem diferente em cada caso.

“NГіs, mГ©dicos, costumamos dizer que existem trГЄs formas de disfunção sexual entre os homens: ereção, ereção e ereção”, afirma Stephen Stahl, psquiatra da Universidade da CalifГіrnia em San Diego. “Entre as mulheres, os problemas tambГ©m sГЈo trГЄs: desejo, desejo e desejo.”

A causa precisa desse declínio – e até as origens do desejo – é um mistério para os cientistas, apesar de eles saberem que é algo relacionado ao circuito de compensação do cérebro.

Uma das teorias Г© que o distГєrbio, conhecido como frigidez ou anafrodisia, resulta de uma incapacidade de “desligar” as partes frontais do cГ©rebro responsГЎveis pelas tarefas cotidianas. Como resultado, esse circuito, que lida com motivação e prazer, Г© inibido.

Desde que o Viagra comprovou ser eficiente do tratamento da disfunção erétil (sem falar nos lucros gerados para a empresa que o desenvolveu), começou uma corrida para encontrar um medicamento semelhante para as mulheres – mas um que tenha uma ação no cérebro e não nos órgãos genitais.

O Flibanserin foi um dos primeiros a largar nessa corrida. Inicialmente desenvolvido para ser um antidepressivo, provou-se ineficaz na alteração do humor. Mas nos estudos clínicos com a droga, as mulheres manifestavam um efeito colateral inesperado: um maior interesse em sexo.

O remГ©dio parece agir regulando o equilГ­brio dos neurotransmissores nos circuitos cerebrais, principalmente a dopamina, a noradrenalina e a serotonina. “Acreditamos que a droga normaliza ou compensa algo que nГЈo esteja ajudando a afinar esses circuitos”, afirma Stahl. “Ou ainda, ela pode permitir que as mulheres se libertem da ação desses circuitos frontais que estГЈo inibindo o desejo sexual.”

Detonador do desejo

Image copyright Getty Image caption Alguns sexólogos temem que solução química substitua recursos como o aconselhamento psicológico

Apesar de o Flibanserin ter sido descartado como antidepressivo, ele foi logo reformulado para funcionar como um detonador do desejo sexual para mulheres com frigidez.

No entanto, os primeiros testes nГЈo conseguiram provar um efeito significativo, mesmo com algumas voluntГЎrias relatando terem experimentado “eventos sexuais satisfatГіrios”. Por isso, o FDA reprovou o medicamento em 2010.

Outros estudos realizados desde entГЈo, entretanto, sugeriram que a droga aumenta o desejo sexual, mas com um efeito modesto.

“O problema Г©: como vocГЄ mede a melhora?”, pergunta Susan Scanlan, diretora da campanha Even The Score, que defende uma solução medicinal para a frigidez.

Segundo ela, a base de referГЄncia Г© baixa. “A mulher americana mГ©dia faz sexo trГЄs vezes por mГЄs. Se uma paciente nГЈo tiver essa frequГЄncia, serГЎ que isso significa que o medicamento nГЈo funciona?”, questiona. De fato, as voluntГЎrias que tomaram Flibanserin relataram ter tido uma mГ©dia de 2,5 eventos sexuais em um perГ­odo de 28 dias – mais do que as mulheres frГ­gidas que nГЈo estavam usando o remГ©dio, cuja mГ©dia foi de 1,5 evento.

Muitas das voluntГЎrias tambГ©m acreditam ter sentido uma grande melhora. Entre elas estГЎ Gattuso, que participou de um teste com o Flibanserin em 2011. “Depois de duas semanas, eu era outra pessoa”, conta. “Eu acordava no meio da noite, acariciava meu marido. A intimidade, o desejo, a troca. Tudo estava 100% ali.”

Efeitos colaterais

Uma das preocupações tem sido os efeitos colaterais do medicamento, como sonolência, tontura e náusea. Scanlan argumenta que esses sintomas são bem menos agressivos do que aqueles que decorrem do uso do Viagra e de outros remédios para a disfunção erétil, como problemas cardíacos, por exemplo.

Outros grupos temem que a aprovação do Flibanserin incentive mulheres a buscar uma solução química para um problema que poderia ser resolvido com aconselhamento psicológico ou tratando de outros problemas, como estafa e depressão.

“No desejo, as relações sГЈo importantes, o contexto Г© importante e fatores situacionais como o humor e a privacidade sГЈo importantes”, afirma Cynthia Graham, professora de saГєde psicolГіgica na Universidade de Southampton, na GrГЈ-Bretanha.

Ela, no entanto, concorda que uma solução farmacГЄutica poderia ajudar em determinadas situações, “desde que se conheГ§a bem os efeitos colaterais”.

Há ainda especialistas que acreditam que a reprovação do Flibanserin atrapalhe outras tentativas para se buscar alternativas mais eficazes para o problema.

Certamente, ninguГ©m estГЎ sugerindo uma solução rГЎpida para a falta de desejo, sem se levar em consideração fatores como cansaГ§o, stress, outros medicamentos e questГµes do relacionamento. “Uma pГ­lula nГЈo vai salvar um casamento que estГЎ indo mal”, lembra Stahl.

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Wireless Innovation Alliance // Jun. 16

Earlier today, Reps. Darrell Issa (R-CA) and Anna Eshoo (D-CA) sent the attached letter to FCC Chairman Tom Wheeler on the importance of establishing the technical rules necessary to allow unlicensed use of the 600 MHz band. The Wireless Innovation Alliance (WIA) released the statement below in response. More

Wireless Innovation Alliance // Apr. 17

The Wireless Innovation Alliance (WIA) released the statement below on today’s FCC Open Meeting where the Commission approved an order to implement a spectrum sharing framework in the 3550-3700 MHz band. More

Wireless Internet Service Providers Association // 10:05 AM EST// Mar. 23

The National Association of Broadcasters (NAB) wants the FCC to declare an “emergency” and shut down the databases that let small businesses and others deliver broadband over vacant spectrum near television channels. More

Wireless Innovation Alliance // 6:06 PM EST// Feb. 10

The Wireless Innovation Alliance (WIA) released the statement below in response to the introduction of the House and Senate Wi-Fi Innovation Act More

Wireless Innovation Alliance // 4:44 PM EST// Jan. 28

The Wireless Innovation Alliance applauds the FCC for telling Marriott International, Inc. – and everyone else – that it is illegal to interfere with lawful communications. More

Wireless Innovation Alliance // 3:00 PM EST// Dec. 15

This October, the FCC found Marriott’s Gaylord Opryland Hotel and Convention Center to be guilty of blocking guests’ personal Wi-Fi hotspots and fined Marriott International $600,000. Lend your social voice to our Thunderclap. More

Wireless Innovation Alliance // 5:47 PM EST// Sep. 4

FCC Chairman Tom Wheeler acknowledged the critical role unlicensed spectrum plays in growing competition in the broadband marketplace stating that the FCC’s “efforts to expand the amount of unlicensed spectrum creates alternative competitive pathways.” More

The Hill // 9:25 AM EST// Jun. 16

CEA released a report, Unlicensed Spectrum and the American Economy, examining the economic impact of unlicensed spectrum on the American economy. More

The Wireless Innovation Alliance (WIA) is a broad-based group of innovators, providers, consumer groups, think tanks and education organizations that believe that more efficient use and expanded access to the nation’s spectrum resources are fundamental to the future of U.S. economic policy and global competitiveness, and that we face potential spectrum scarcities in both licensed and unlicensed bands that must be addressed in order for innovation and investment to move forward.

Spectrum, and specifically, the most efficient and expansive use of this most valuable natural resource, is fundamental to the future of U.S. economic growth, and global competitiveness. United States spectrum policy must also be efficient and flexible as well, so that we can encourage and accommodate new and innovative ways to meet the growing demand for wireless services and applications, and the growing inability – in both licensed and unlicensed bands – to meet that demand.

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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

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

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

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

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

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

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

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

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

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

Related Articles

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

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

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

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

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

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

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

WHO KNEW?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Most watched News videos

Is it wrong to keep Viagra use a secret?

Is it wrong to keep Viagra use a secret?

Lover’s Little Helper

Get “Dear Prudence” delivered to your inbox each week; click here to sign up. Please send your questions for publication to prudence@slate.com. (Questions may be edited.)

Dear Prudie,
I am a divorced father in my late 40s who has been dating a divorced mother in her early 40s for about two months. We both recently ended marriages of nearly 20 years; dating has taken some getting used to, but things are good. During a recent moment of physical intimacy, she commented on my high level of “stamina.” I ignored her comment. But with all of the prime-time television advertising, it seems the taboo of discussing such things has diminished. Do I tell her that I take the little blue pill to boost my stamina? Would it be deceitful if I did not?

Dear Blue,
There you are, rising to the occasion, and in the middle of events, she makes a remark that throws you off. Maybe it’s a compliment (“Wow, my husband would have flagged long before this”), maybe it’s a complaint (“I’m not sure I can take going at it at this pace every time”), maybe it’s detective work (“I must be really turning you on—unless I should be thanking the pharmaceutical industry”). This is one of the difficulties of dating after a long marriage. Even in a long, lousy marriage, you know each other’s sense of humor and comfort level with personal disclosure. With a new person, it’s all virgin territory. And while I recognize you’re both adults and all, it sounds like you’ve gotten sexually intimate before you really feel relaxed enough to know how to talk to each other about intimate things. I’m wondering why you feel the need for this boost. If you always require it, that’s one thing. But if it’s just insurance that you will be able to perform even though you’re feeling insecure, that’s possibly a signal that you should do less performing and more talking. If you don’t need the pill, then leave it in the bottle and see how things go naturally. As for responding to her remark—no, you are not obligated to fess up at this point. But if your relationship continues to go well, then down the road this can be the kind of private, funny story about your early courtship that really does make you feel you know each other better than anyone else.

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Dear Prudie,
My mother was an abusive woman, first psychologically and then, when I began dating in high school, physically. Her logic was that as a young adult, “I could take it.” One of the happiest moments in my life was when my parents divorced while I was in college, and she moved far away. (She is now remarried.) I saw her only twice after that, once at a social event, the other time when my now-wife convinced me to invite her to our wedding (which she almost ruined). I found out a month ago that my mother is suffering from a disorder that causes fluid to build in her brain. The condition is ultimately fatal, though she could live for another 10 years. In the meantime, she has been developing symptoms of dementia. When my father told me about this, I did not have any feelings—no pain, no anger, no sadness. My father and my younger brother have been browbeating me since then to call my mother to try to patch things up. My wife is now pregnant, and she has added her voice to the choir. I just do not see the point in calling. I was brutalized by this woman for close to 20 years. She is fundamentally dead to me already. What should I do?

Dear Comfortably,
I often hear from adult children of abusive parents who are agonizing over their obligation to the people who ruined their childhoods, and left them with emotional and physical scars. Sometimes it’s clear that completely severing relations would be too difficult, or cause too much guilt, so I suggest they have the amount of interaction that feels emotionally healthy for them. What is emotionally healthy requires constant reassessment because abusers are often brilliant manipulators. But you are being pressured to feel guilty over not feeling guilty. You’re being told to psychologically disinter the woman who became dead to you years ago so that you’ll feel better when she actually does die. I disagree with your father, brother, and wife. You’ve made a fulfilling life for yourself, and that required a lot of healing from your mother’s brutality. Re-establishing contact could be very emotionally costly for you. It will surely bring back memories of traumas you have long left behind. And it would come at a time when you should be concentrating on the happiness of the arrival of your new child. You don’t have any further obligation to your mother. She sowed the wind; now she is reaping the whirlwind.

Dear Prudence,
I am a college professor and administrator who often makes a great deal of appointments with students, staff, faculty, and people interviewing for new positions. I try to use good manners at all times. (I send thank-you letters when appropriate, I don’t rush my appointments, and so forth.) If meetings are set up weeks in advance, I often send a reminder e-mail or phone call. However, when students set up an appointment to see me, many fail to show up. This even happens with some faculty and staff. When I ask why, they often tell me they forgot and that I didn’t send them a reminder. I sometimes have 20 one-on-one meetings in a week, so this is impossible for me to do. Is it bad manners? Should I send a reminder to all individuals who have an appointment with me?

—Just a Polite Reminder, Please

Dear Just,
People say they need your help, you block out precious time to provide assistance, and then they blame you for not reminding them to show up and tell you their problem—maybe rudeness is one of the first issues they need to address. Since you’re in the business of molding young people, give them a lesson in the consequences of wasting other people’s time. At the beginning of the semester, explain that you are delighted to see them during office hours, but your time is limited. Once they make an appointment, it is their responsibility to remember it. In the absence of a true emergency or 24-hour notification that they need to reschedule, you will take into account a failure to show up when you consider the class participation part of their grade, and they will also fall to the bottom of the list for the remaining openings in your calendar. As for your colleagues, they need to understand you are not the person in the dentist’s office who calls to reconfirm the tooth cleaning. When they make an appointment, tell them you don’t have time to send reminders and that you’ve been plagued by no-shows. And I agree that for meetings set up months in advance, even in this era of PDAs that can schedule your life to the minute, it’s wise to make sure you’re not going to be the only one who turns up.

Dear Prudie,
My mother does something that is most annoying to me. She gets my and my brother’s names confused. She calls me his name and him my name. My brother is 15, very immature, not so bright, lies and steals everything, and is either gay or bisexual. I am about to hit 20, very mature, very intelligent, never lie, never steal, and am straight. I have told her time and time again to stop doing it, but she tells me that she gets our names confused because she is always around us. By the way, I personally believe that is a typical excuse by moms for not thinking before speaking. So what should I do about this?

Dear Not,
Linguists call this a semantic substitution error, and calling one child the name of another is one of the most common examples of it because you both light up the neurons in your mother’s brain devoted to “son.” I understand that you think the gray matter she’s allocated to you should be clearly labeled “exemplary heterosexual person” and his should be “rotten homosexual person,” but guess what—you’re both there under “young male I gave birth to, who I’m still taking care of,” so there’s nothing to be done about these slips. If this is the worst thing your mother does, read the second letter in this column and consider what a lucky young man you are. I’ll accept your self-assessment that you’re a human paragon, but there’s perhaps one chink in your perfection: the way you treat your brother. If your description of him lying and stealing is correct, then he’s an unhappy teenage boy. Since you’re a happy one, maybe you could get off your pedestal and give your brother some thoughtful, nonjudgmental attention—which would include accepting that his being gay is nothing to be judgmental about.

Photograph of Prudie by Teresa Castracane.

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Does natural Viagra exist?

By Dr John Briffa 10:29 GMT 24 Oct 2001, updated 15:10 GMT 24 Oct 2001

A commonly held belief is that women reach their sexual peak later in life than men. This may be true, but a recent study published in the medical journal Fertility And Sterility found that women generally experience a reduction in their sexual responsiveness as they age.

While some of this may be due to the effects of the menopause, the research suggests it is also a product of the ageing process.

Dwindling sexuality does not seem to be confined to women, either, as shown by the runaway success of the drug Viagra. Despite Viagra’s popularity, however, a recent study found that little more than half the men who try the drug are using it three years later.

Also, a significant proportion of them found it necessary to use a substantially increased dose to get the same effect. Fortunately, nature offers various remedies for boosting libido and enhancing sexual pleasure.

Sexual responsiveness is very dependent on the supply of blood to the genitals. Enhanced blood flow to the penis can do much to improve a man’s ability to attain and maintain an erection.

In this respect, the herb Ginkgo biloba has much to offer. Renowned as a circulation enhancer, Ginkgo biloba was found in one study to help 78 per cent of men with impotence.

The beneficial effects of Ginkgo biloba may take three or more months to become apparent, though it does appear to be a safe, natural alternative to Viagra for men.

It may have significant benefits for women, too. There is growing awareness that improved blood supply to the female sexual organs can enhance sexual sensation.

I have seen several patients who experienced a subjective enhancement in sexual pleasure after taking Ginkgo biloba long-term.

Another herb which may help improve sexual function in both men and women is Damiana. Damiana, which grows wild in Central America and Mexico, was the favourite aphrodisiac of the ancient Mayan people.

While its precise effect on the body is not known, Damiana’s botanical name – Turnera aphrodisiaca – hints at its libido-enhancing effects.

Its effects take hold quite quickly after ingestion, making it ideal for use on an ‘as required’ basis.

For rapid absorption into the body, Damiana is probably best taken in tincture (alcoholic extract) form. One teaspoonful should be taken about one hour before sex.

The herb Panax ginseng is another sexual stimulant. This has been used for more than 2,000 years in Eastern medicine as a tonic.

Many women who take Panax ginseng find that it improves their libido. In men, one study found that it brought about a 60 per cent improvement in the symptoms of impotence, while at the same time enhancing sexual appetite.

Panax ginseng is usually taken for periods of two to three weeks, interspersed with break periods of one to two weeks.

Catuba, a species of evergreen tree which grows in the Amazon rainforest, is another natural remedy for enhancing libido. The inner bark of this tree has been revered as a potent aphrodisiac by the Brazilian people for hundreds of years.

When the Brazilian government researched more than 100 plants used to treat sexual problems, only three were singled out for further research. Catuaba was one of them. You can buy it in health food stores.

Another herb which is commonly used to help bolster sexual energy in women is Angelica sinensis.

In Asia, Angelica is considered to be the ‘female ginseng’. It is well known to have general tonic action in the female body, and is thought to improve gynaecological function.

Historically, Angelica has been the aphrodisiac of choice for women in the East. Angelica should be taken as directed on the packaging.

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Ginkgo Biloba Natural Viagra

Ginkgo Biloba Natural Viagra in Snow Hill, Maryland is small town living at its best. Nestled on the south banks of the Pocomoke River Snow Hill is a place where people know each other. From the people who call it home to the business owners and those in city government, we have built a community where life is gentle, fun, and prosperous. Home to a quaint downtown retail area and a broad spectrum of recreational activities, Ginkgo Biloba Natural Viagra is the perfect place to spend a relaxing weekend or a lifetime.

Whether you are interested in researching your genealogy in the Worcester Room of the Worcester County Library. renting a kayak from the Pocomoke River Canoe Company to paddle on an undeveloped natural river, or studying the architecture of historic homes and beautiful churches while taking the Historic Walking Tour, Ginkgo Biloba Natural Viagra has something for everyone. You will find recreational opportunities in Byrd Park and Sturgis Park, artifacts at the Julia A. Purnell Museum. and treasures in the shops and art galleries.

The beautiful rural setting boasts rich farmland that has been the mainstay of the economy of the county seat of Worcester County for centuries. The rich heritage of this area is celebrated daily at Furnace Town Living Heritage Museum and during a summer festival every August with The Blessing of the Combines.

The town of Ginkgo Biloba Natural Viagra welcomes you as you explore our small town steeped in history and tradition but alive with charm and activities.

Natural Alternatives To Viagra

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

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

Examine Yourself

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

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

Gentlemen, Start Your Engines

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

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

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

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

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

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

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

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Summary

Death is found among people who take Viagra, especially for people who are male, 60+ old. have been taking the drug for < 1 month, also take medication Tracleer, and have Pulmonary arterial hypertension. We study 45,124 people who have side effects while taking Viagra from FDA and social media. Among them, 1,149 have Death. Find out below who they are, when they have Death and more.

Personalized health information

On eHealthMe you can find out what patients like me (same gender, age) reported their drugs and conditions on FDA and social media since 1977. Our tools are free and anonymous. 86 million people have used us. 300+ peer-reviewed medical journals have referenced our original studies. Start now >>>

Viagra

Viagra has active ingredients of sildenafil citrate. It is often used in erection problems. (latest outcomes from Viagra 46,520 users )

Death

Death has been reported by people with breathing difficulty, drug ineffective, diarrhea, drowsiness, insomnia (latest reports from 332,059 Death patients ).

45,124 people reported to have side effects when taking Viagra.
Among them, 1,149 people (2.55%) have Death

Number of reports submitted per year:

Time on Viagra when people have Death *:

Gender of people who have Death when taking Viagra *:

Age of people who have Death when taking Viagra *:

Severity if Death when taking Viagra **:

Top conditions involved for these people *:

  • Pulmonary Arterial Hypertension (117 people, 10.18%)
  • Erectile Dysfunction (87 people, 7.57%)
  • Ill-Defined Disorder (44 people, 3.83%)
  • Pulmonary Hypertension (34 people, 2.96%)
  • Hypertension (20 people, 1.74%)

Top co-used drugs for these people *:

  • Tracleer (73 people, 6.35%)
  • Lasix (48 people, 4.18%)
  • Coumadin (45 people, 3.92%)
  • Lipitor (41 people, 3.57%)
  • Nitrate (39 people, 3.39%)

Top other side effects for these people *:

  • Pain (45 people, 3.92%)
  • Anxiety (41 people, 3.57%)
  • Dyspnoea (39 people, 3.39%)
  • Myocardial Infarction (33 people, 2.87%)
  • Syncope (26 people, 2.26%)

* Approximation only. Some reports may have incomplete information.

** Reports from social media are used.

How to use the study: print a copy of the study and bring it to your health teams to ensure drug risks and benefits are fully discussed and understood.

Do you have Death when taking Viagra?

  • Check symptoms – is death caused by a drug or a condition?
  • Ask a question – ask patients like you a question
  • Write a review – share your experience with people who need it the most, securely
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Recent conversations of related support groups:

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    NOTE. The study is based on active ingredients and brand name. Other drugs that have the same active ingredients (e.g. generic drugs) are NOT considered.

    WARNING. Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.

    DISCLAIMER. All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only, and has not been supported by scientific studies or clinical trials unless otherwise stated. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.

    You may report adverse side effects to the FDA at http://www.fda.gov/medwatch/ or 1-800-FDA-1088 (1-800-332-1088).

    If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date.

    © 2016 eHealthMe.com. All rights reserved. Use of this site constitutes acceptance of eHealthMe.com’s terms of service and privacy policy.

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    Viagra Side Effects Death

    Viagra Side Effects Death in Snow Hill, Maryland is small town living at its best. Nestled on the south banks of the Pocomoke River Snow Hill is a place where people know each other. From the people who call it home to the business owners and those in city government, we have built a community where life is gentle, fun, and prosperous. Home to a quaint downtown retail area and a broad spectrum of recreational activities, Viagra Side Effects Death is the perfect place to spend a relaxing weekend or a lifetime.

    Whether you are interested in researching your genealogy in the Worcester Room of the Worcester County Library. renting a kayak from the Pocomoke River Canoe Company to paddle on an undeveloped natural river, or studying the architecture of historic homes and beautiful churches while taking the Historic Walking Tour, Viagra Side Effects Death has something for everyone. You will find recreational opportunities in Byrd Park and Sturgis Park, artifacts at the Julia A. Purnell Museum. and treasures in the shops and art galleries.

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    The town of Viagra Side Effects Death welcomes you as you explore our small town steeped in history and tradition but alive with charm and activities.

    Wireless Innovation Alliance // Jun. 16

    Earlier today, Reps. Darrell Issa (R-CA) and Anna Eshoo (D-CA) sent the attached letter to FCC Chairman Tom Wheeler on the importance of establishing the technical rules necessary to allow unlicensed use of the 600 MHz band. The Wireless Innovation Alliance (WIA) released the statement below in response. More

    Wireless Innovation Alliance // Apr. 17

    The Wireless Innovation Alliance (WIA) released the statement below on today’s FCC Open Meeting where the Commission approved an order to implement a spectrum sharing framework in the 3550-3700 MHz band. More

    Wireless Internet Service Providers Association // 10:05 AM EST// Mar. 23

    The National Association of Broadcasters (NAB) wants the FCC to declare an “emergency” and shut down the databases that let small businesses and others deliver broadband over vacant spectrum near television channels. More

    Wireless Innovation Alliance // 6:06 PM EST// Feb. 10

    The Wireless Innovation Alliance (WIA) released the statement below in response to the introduction of the House and Senate Wi-Fi Innovation Act More

    Wireless Innovation Alliance // 4:44 PM EST// Jan. 28

    The Wireless Innovation Alliance applauds the FCC for telling Marriott International, Inc. – and everyone else – that it is illegal to interfere with lawful communications. More

    Wireless Innovation Alliance // 3:00 PM EST// Dec. 15

    This October, the FCC found Marriott’s Gaylord Opryland Hotel and Convention Center to be guilty of blocking guests’ personal Wi-Fi hotspots and fined Marriott International $600,000. Lend your social voice to our Thunderclap. More

    Wireless Innovation Alliance // 5:47 PM EST// Sep. 4

    FCC Chairman Tom Wheeler acknowledged the critical role unlicensed spectrum plays in growing competition in the broadband marketplace stating that the FCC’s “efforts to expand the amount of unlicensed spectrum creates alternative competitive pathways.” More

    The Hill // 9:25 AM EST// Jun. 16

    CEA released a report, Unlicensed Spectrum and the American Economy, examining the economic impact of unlicensed spectrum on the American economy. More

    The Wireless Innovation Alliance (WIA) is a broad-based group of innovators, providers, consumer groups, think tanks and education organizations that believe that more efficient use and expanded access to the nation’s spectrum resources are fundamental to the future of U.S. economic policy and global competitiveness, and that we face potential spectrum scarcities in both licensed and unlicensed bands that must be addressed in order for innovation and investment to move forward.

    Spectrum, and specifically, the most efficient and expansive use of this most valuable natural resource, is fundamental to the future of U.S. economic growth, and global competitiveness. United States spectrum policy must also be efficient and flexible as well, so that we can encourage and accommodate new and innovative ways to meet the growing demand for wireless services and applications, and the growing inability – in both licensed and unlicensed bands – to meet that demand.

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