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Does Private Health Insurance Cover Viagra

Does Private Health Insurance Cover 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, Does Private Health Insurance Cover Viagra is the perfect place to spend a relaxing weekend or a lifetime.

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

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The political flap over the Obama Administration decision to require health insurance companies to cover birth control as preventative care continues apace, even after former Sen. Rick Santorum (R-PA) declared it “a license to do things in the sexual realm that is counter to how things are supposed to be,” and his top donor Foster Friess suggested women just “put [an aspirin] between their knees and it wasn’t that costly.”

The fact of the matter is that health insurance covers all manner of “things in the sexual realm that is counter to how things are supposed to be,” when it comes to men, and no one has any real complaints about insurance coverage that allows men to continue having sex for non-procreative reasons and despite medical conditions that would otherwise prevent it. Most of them are actually far more expensive than hormonal birth control or intrauterine devices, the two methods of contraception that House and Senate Republicans now want all employers to be able to prevent their insurance companies from covering in employee health insurance packages. Five things that health insurers — including, in some cases, the federal government — currently cover for men’s reproductive tracts.

1. Erectile dysfunction drugs
From Viagra to Cialis, if a man has trouble getting or maintaining an erection (a common occurrence with age or with certain diseases), a pharmaceutical company has a $15 pill for that. And, in many cases, the man’s insurance company picks up the tab.

2. Vacuum erection devices
Famously covered by Medicare (as well as some private insurance companies), men with erectile dysfunction that won’t or can’t go the pill route do have a another option. Though it first raised eyebrows in Austin Powers and is better known as a masturbatory aide, vacuum erection devices do work as advertised by will cost insurance companies $300-$500 a pop.

3. Penile implants
If a man’s erectile dysfunction can’t be mitigated with pharmaceuticals or vacuum devices, there’s yet another method insurance companies will pay for afflicted men to try: penile implants. Though most urologists tend to use more modern inflatable models, which require users to manually inflate their own erections. some urologists hew to the older semi-rigid models despite their potential complications. Either way, the $10,000-$20,000 cost of the implants is often covered by insurance. particularly if the erectile dysfunction is the result of a disease or a side effect of surgery.

4. Vasectomies
Non-permanent male birth control options are still limited to condoms, the Vatican-approved rhythm method and the Biblically-condemned pull-out method. But for those men absolutely convinced their child-bearing days should come to an end before their intercourse-having days, a $500-$1,000 vasectomy is usually covered by their insurance. (Notably, most insurance plans do not cover a $6,000-$15,000 vasectomy reversal .)

5. Circumcision
Though circumcision is the subject of much debate in the United States, it is not considered a medically necessary procedure in most cases. Nonetheless, most private insurers cover circumcisions for newborns (which can cost about $100 out-of-pocket) and a few companies cover adult circumcision, which is significantly more expensive .

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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Jeg er en ung mand på 28, som har haft problemer med erektion. Dvs. jeg kan vågne med fuld erektion om morgenen, men sommetider kan jeg simpelthen ikke når jeg skal være sammen med en pige.

Jeg tror selv det er en blanding af et fysisk og psysisk problem. Jeg har prøvet viagra og det må jeg indrømme virker efter hensigten, problemet er bare at det er rimeligt dyrt. Jeg har været inde på nettet og læst om noget der skulle minde om viagra, men er meget billigere og det er muligt at bestille det online (link fjernet, phk).

Mit spørgsmål går ud på om der er nogle der ved noget om denne pille, og om den er ligeså god som viagra.

Ved en hurtig skimning af dit link, så ser det blot ud til at det er et indisk kopiprodukt af Viagra.

Alle mænd oplever sommetider rejsningsproblemer, det kan skyldes stress, præstationsangst, mangel på aktuel lyst, problemer i parforholdet, depression og meget mere som du læse mere om bl.a. i Birgit Dagmar Johansen s glimrende lille hefte Viden om potens . der nu ligger på internettet.

Viagra har en række bivirkninger. En af de alvorligste bivirkninger er blåsyn, da Viagra kan påvirke et enzym i øjnene. Derudover kan der være en række andre bivirkninger såsom hovedpine, svimmelhed, besvimelsesanfald, urinrørsinfektioner, diarre, ledsmerter og hududslæt. Desuden er der forekommet dødsfald i forbindelse med anvendelse af Viagra.

Medicinalfirmaet Pfizer har en hjemmeside: rejsningsproblemer.dk. hvor du kan læse nærmere om deres potensfremmende medicin og deres bivirkninger.

Vær opmærksom på at der svindles meget med falsk Viagra. når det handles sort og desuden er det forbudt at importere og at sælge uden fro apotekerne og da kun med recept fra en læge.

Læs mere om Potens og om Præstationsangst her i PSYKE & SEX.

Du skal være velkommen til at skrive igen.



Jeg har tænkt på at købe en prøve pakke for at se om de virker. Kan det være farligt at tage sådan en pille? Jeg mener enten virker den eller også virker den ikke.

Hvis produktet indeholder samme stoffer og i samme mængde som Viagra, så må man forvente at bivirkningerne er de samme. Og bivirkningerne er omtalt her i forrige svar. Om du så vil anse det for farligt eller ej er en personlig vurdering. Al medicin har bivirkninger. Og husk det er en ulovlig måde at få Viagra på.

Du skal være velkommen til at skrive igen.

Klik på billedet for at se det større



Kan viagra eller lign. købes i håndkøb ?
Er der nogen bivirkninger ved brugen når der ikke er problemer med erektion ?
Hvordan virker det, fra indtagelse til virkning hvor lang tid. hvor længe virker det når virkningen indtræder ?

Hilsen en der gerne vil kunne i længere tid.

Viagra og lignende medicin kræver i Danmark recept og det er ikke noget man skal bruge uden ordination fra lægen.

Du kan læse mere om Viagra hos Netdoktor blandt andet osse om bivirkningerne, som i visse tilfælde kan være ret alvorlige. I håndkøb kan man få Virigen, hvor virksomme de er ved jeg ikke – og de kan osse have bivirkninger.

Du skal være velkommen til at skrive igen.



Hey Per..
er en dreng på 17, der har en par spørgsmål som jeg håber du vil svare på.

Kan drenge i min alder bruge viagra, for at give kæresten bedre sex. eller er det over hovedet godt for en i min alder at bruge det.

Og har du nogle måder hvor man kan få kæresten til at komme hurtigere, eller blive mere liderlig på??
ville bare lige høre håber på at du skriver igen.

Viagra og lignende medicin kræver i Danmark recept og det er ikke noget man skal bruge uden ordination fra lægen.

Du kan læse mere om Viagra hos Netdoktor blandt andet osse om bivirkningerne, som i visse tilfælde kan være ret alvorlige. Jeg tvivler på at en seriøs læge vil ordinere Viagra til en dreng på 17.

Orgasmer kommer med den hastighed orgasmer nu en gang kommer med og det er der meget stor forskel på. Hvis man m/k forsøger at forcere en orgasme frem eller presser sig selv eller sin partner til at komme ender det tit i præstationsangst og så sker der slet ingen ting. Det bedste er at spørge din kæreste om hvordan hun nemmest bliver liderlig og får orgasme.

Læs mere her i PSYKE & SEX om Orgasme .

Du skal være velkommen til at skrive igen.

I følge Drugdebate er det tilladt at købe lægemidler i udlandet via Internettet, hvis følgende betingelser er opfyldt:

lægemidlet er til eget brug og anvendes til forebyggelse eller behandling af en sygdom,
lægemidlet bliver solgt af et apotek eller en anden forretning, der lovligt kan sælge lægemidler til forbrugerne,
lægemidlet bliver sendt fra et land, der er medlem af EU eller omfattet af EØS-aftalen (bemærk, at USA hverken er medlem af EU eller omfattet af EØS-aftalen),
lægemidlet ikke indeholder euforiserende stoffer eller stoffer omfattet af dopinglovgivningen.

Motion har samme virkning mod impotens som vidundermidlet Viagra. siger læge Leif Skive. Der har tidligere været fokuseret meget på de psykiske årsager til impotens, men man ved i dag, at der er mange fysiske årsager til rejsningsproblemer. Det er især livsstilssygdommene, der er skyld i mange mænds problemer med impotens. Livsstilssygdommene gør blodkarrene stive og mindre eftergivende, og dette betyder lav blodgennemstrømning – også i penis. Risikoen for rejsningsproblemer stiger med alderen. Blandt mænd på 65 år har cirka 30 procent problemet. Iblandt mænd i 40 års alderen er der tale om mellem fem og ti procent.
P. Olsen, B.T. 18. / Netdoktor.dk

skriver (19-05-2004): DANSKERNES FORBRUG AF POTENSMIDLER ER MANGEDOBLET
De danske mænd har ikke flere potensproblemer end tidligere, men er blevet mere bevidste om muligheden for behandling, siger sexolog. Mænd på Frederiksberg er de flittigste kunder.

skriver (19-12-2004): Viagra markedsføres for mænd i 20’erne

Medicinalfirmaet Pfizer i USA markedsfører nu sin potenspille Viagra til unge mænd ned i 20-års alderen. »Et dårligt budskab at sende til de unge«, lyder kritikken.

( Personligt vil jeg kalde det utilstedelig markedsføring. PER HOLM KNUDSEN – PSYKOTERAPEUT MPF & SEXOLOG)

Nye potenspiller og nitroglycerin er en farlig cocktail (Ugeskrift for Læger, 17.04.2004, nr. 21)

Virigen
(Netpatient)

KГёb Viagra Danmark

KГёb piller til behandling af erektil dysfunktion online i Danmark

Velkommen til vores unikke webshop, hvor alle kan finde lægemidler til medicinsk behandling. Vi har specialiseret os i at forsyne kunder fra Danmark med et bredt sortiment af kvalitetslægemidler til behandling af erektil dysfunktion (ED) til priser, der er til at betale. Vort firma har eksisteret i 6 år og i den tid har vi oparbejdet en bred erfaring på området. Vi har allerede hjulpet titusindvis af mænd verden over med behandling med de mest populære indiske mærker, herunder også mænd fra Danmark.

Tal siger mere end ord. Vores online apotek har gjort det muligt for utallige mænd at tilfredsstille deres egne såvel som deres kvinders behov igen! Dette har resulteret i at mange par og familier er blevet reddet fra at falde fra hinanden. Du kan derfor være sikker på at dit seksuelle velbefindende er vores førsteprioritet!

Hovedfordelene ved vores online apotek

Der er ingen tvivl om, at vores onlineapotek er meget mere komfortabelt end når du køber præparater som Viagra, Cialis eller Levitra på apoteket. På vores webside behøver du ikke at gennemgå forlegenhed eller eventuelt ubehag ved at tale om dine intime problemer med læger og sælgere. Derudover får du også fordelen ved de lave priser på kopimedicin. Vores specialiserede onlinetjeneste er en af de absolut førende blandt de mange konkurrerende internetbutikker af flere forskellige grunde. Vores onlineapotek har en række særlige fordele, som du kan drage nytte af, når du skal købe kopivarianter af Viagra:

  • Kun med os er du sikker pГҐ absolut anonymitet. Din bestilling bliver pakket i en almindelig brun pakning for at bevare din anonymitet pГҐ den sikreste mГҐde. Denne pakning kan deles op i flere separate, hvis du vГ¦lger at bestille mere end 120 piller.
  • Vi gГёr vores ypperste for at forsyne alle med ED-prГ¦parater til gode priser, hvilket kommer dig til gode, nГҐr du kГёber kopivarianter af Viagra og lignende lГ¦gemidler. Vores tilbagevendende kunder fГҐr 10% rabat samt andre bonuser.
  • Vi har et bredt spektrum af lГ¦gemidler til at afhjГ¦lpe erektil dysfunktion og prГ¦matur ejakulation i Danmark. Alle de anfГёrte prГ¦parater er let tilgГ¦ngelige for dig og dit indkГёb.
  • Nyd de enkle, hurtige og effektive betalingssystemer og den rettidige levering hver gang du kГёber Viagra eller lignende prГ¦parater igennem vores netbutik. BГҐde kredit- og debet-kort kan anvendes. Du kan vГ¦re helt sikker pГҐ, at alle dine kГёb i vores onlineapotek bliver leveret til dig. Skulle leveringen fejle, behГёver du blot kontakte os, sГҐ gensender vi pakken eller tilbagefГёrer kГёbet.
  • Vort professionelle team er specialister i at sГёrge for at hver eneste kunde fГҐr den stГёrst mulige betjening og vejledning. SГҐ benyt endelig vores 24-timers online- og telefonsupport.

Vores stГёrste fordel er utvivlsomt den store interesse vi har for at opbygge langtidsrelationer med hver eneste kunde i Danmark, sГҐvel som i andre lande, da vi bekymrer os om vores kunders helbred. Med dette for Гёje er vi altid klar til at svare pГҐ ethvert spГёrgsmГҐl, der mГҐtte opstГҐ og til at tage vare pГҐ vores kunders velbefindende. Herunder forklarer vi ED-terminologien, dens problemstillinger og alle effektive lГёsninger, der skal til som del af en detaljeret og succesfuld behandling.

Tilgængelige løsninger til kurering af Erektil Dysfunktion

Det er sandt for de fleste at sex er en væsentlig og uadskillelig del af et velfungerende individ. Der findes ingen bedre måde at udtrykke lidenskaben og følelserne mellem to mennesker. Kærlighed kommer sjældent uden den sensuelle og fortryllende dans kaldet sex. Grundet uheldige tilfældigheder kan denne skønhed blive permanent eller alvorligt beskadiget. Azoospermi, præmatur ejakulation eller erektil dysfunktion møder de fleste mænd på et eller andet tidspunkt som pinlige og ubehagelige situationer. Som følge af de nævnte problemer oplever man reduceret blodgennemstrømning i kønsorganerne, hvilket efterfølgende resulterer i at man mister evnen til at have sex. I værste fald bliver man ude af stand til at gennemføre akten i længere tid eller den ejakulerede mængde sæd mindskes.

Det vГ¦rste er, at antallet af berГёrte mГ¦nd fortsat stiger fra dag til dag, hvilket kan vГ¦re forГҐrsaget af en usund livsstil og/eller visse miljГёmГ¦ssige pГҐvirkninger. Til gengГ¦ld er der godt nyt – de nГ¦vnte problemer kan kureres med enkle midler. Her er Viagra naturligvis den mest kendte lГёsning. Viagra er, sammen med dets aktive ingrediens Sildenafil, allerede blevet synonymt med behandling af erektil dysfunktion. Tag blot en tablet 30 minutter inden sex og en stenhГҐrd erektion er garanteret! Disse magiske piller gГёr det muligt for dig at holde den kГёrende nonstop i mere end 3 timer. Det lyder da helt fantastisk! Udover Viagra findes der ogsГҐ adskillige slags lignende kopimedicin, som er prГ¦cis lige sГҐ effektive. Skynd dig derfor at stifte bekendtskab med hele det store udvalg, der findes pГҐ vores onlineapotek i Danmark.

TГёv ikke med at kГёbe Viagra eller de identiske alternativer pГҐ vores webapotek

Selv hvis du stadig er i tvivl om at købe kopivarianter af Viagra, er der her en række understøttende fakta, der vil få dig endegyldigt overbevist! Kopialternativer er kun associerede med et bestemt mærke eller firma. Simpelt sagt, giver sildenafil-produkter eller kopivarianter af ED-præparater stadig den samme effekt, de er blot billigere.

Desuden tilbydes du adskillige forskellige slags kopimedicin. Du er ligeledes fri til at vælge netop den variant, du vil have, samtidig med at du kan være helt sikker på at din hårde erektion, endeløse timers hed sex, forbedret ydeevne i sengen og, selvfølgelig, den mandlige selvtillid vender tilbage i løbet af en meget kort periode. Antallet af bivirkninger er mindre og nogle af produkterne holder virkningen i mere end 72 timer.

Derudover kan du købe Viagra og de forskellige slags kopimedicin (Cialis, Levitra, osv) i forskellige former. Skulle du af den ene eller den anden årsag eksempelvis ikke synes om Sildenafil i pilleform, kan du vælge at købe det som slik, gel eller vandopløselige tabletter, der alle blot skal anvendes 10-15 minutter før samleje. Vi kan endda tilbyde en creme, som du påfører på penis forud for forventet samleje.

KГёb kopier af Viagra, Levitra, Cialis, Priligy og Stendra online i Danmark

Dette er de mest berømte varianter af kopimedicin, der kan erstatte Viagra og som er tilgængelige i vores onlineapotek. Viagras aktive ingrediens er Sildenafil, mens Cialis har Tadalafil som aktiv ingrediens. Uanset navnet, afhjælper både Cialis og Viagra erektil dysfunktion på næsten samme måde.

Levitra er et andet mærke af kopimedicin, der har været med til at behandle af de nævnte problemer med succes, mens der er fremkommet færre bivirkninger. Denne mulighed er perfekt for dem, der lider af visse hjertesygdomme. Den aktive ingrediens i Levitra er Vardenafil. På den anden side kan Stendra med Avanafil også være en god løsning. Stendra har færre bivirkninger sammenlignet med Viagra samtidig med en imponerende effektivitet.

Skynd dig derfor med at forbedre dit sexliv ved hjГ¦lp af vore fГ¦nomenale produkter (Viagra, Cialis, Levitra, Stendra, Priligy), som er tilgГ¦ngelige for kunder i Danmark, sГҐvel som alle andre steder, der Гёnsker at blive en rigtig tyr i sengen! Der er ingen tvivl om at alle mГ¦nd i Danmark og alle andre steder pГҐ jorden vil anerkende effektiviteten af disse forskellige slags medicin. Slut dig til dem og kГёb Viagra eller de relaterede kopivarianter Cialis og Levitra – og fГҐ lov til at udleve dit sexliv med meget mere lidenskab, kraft og i det tempo og tidsinterval du Гёnsker! Og lad kvinderne takke dig!

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

Velkommen til vores nye hjemmeside

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

Viagra

Viagra virkning og fordele

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

Hvordan giver Viagra en erektion?

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

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

Efter hvor lang tid virker Viagra?

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

Effektiv efter ca. 30 min.

Effekt i op til 4 timer

SГҐdan tages Viagra piller

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

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

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

Viagra 25 mg

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

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

Fordele ved at tage 25mg er:

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

Viagra 50 mg

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

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

Fordele ved at tage 50mg er:

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

Viagra 100 mg

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

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

Fordele ved at tage 100 mg er:

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

Pfizer Viagra (producent)

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

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

Forholdsregler ved kГёb af Viagra

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

Udsatte grupper for Viagra:

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

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

Viagra sammen med anden medicin

Medicin i hГҐndkГёb

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

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

Receptpligtig medicin

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

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

Medicin mod forhГёjet blodtryk

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

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

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

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

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

Viagra og diabetes

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

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

Bivirkninger ved Viagra

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

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

Almindelige bivirkninger (1-10%)

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

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

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

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

Sildenafils kemiske design – for dig der vil vide mere

NO molekylet i Viagras kemiske opbygning

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

Mekanismen i Viagras virkning

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

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

Sildenafil er en selektiv hæmmer af fosfordiesterase type 5

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

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

Produktion har minimal belastning af miljГёet

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

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

Viagra og andre komplekse lægemidler

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

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

Er det sikkert at kГёbe Viagra online hos euroClinix?

Hvordan fungerer en online konsultation pГҐ euroClinix.net ?

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

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

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

Er det original Viagra fra apoteket?

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

Hvor lang er leveringstiden?

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

Er euroClinix.net godkendt af E-handelsfonden?

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

Er medicinen godkendt af sundhedsstyrelsen?

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

Referencer

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

Information pГҐ denne side

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

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    • >65 years: 25 mg PO initially 1 hour before sexual activity

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    • Adding Revatio to bosentan does not have any beneficial effect on exercise capacity
    • Clinical trials found no significant difference in response between elderly patients and younger adults; however, cautious dose selection should be considered in elderly because of greater frequency of decreased hepatic, renal, and cardiac function, as well as comorbid conditions and concomitant pharmacotherapy
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    Soluble guanylate cyclase (sGC) stimulators (eg, riociguat); concomitant use can cause hypotension

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    Elicits vasodilatory properties, resulting in mild and transient decreases in blood pressure

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    Viagra: Potential for cardiac risk with sexual activity in patients with preexisting cardiovascular disease; therefore, treatment for erectile dysfunction generally should not be instituted in men for whom sexual activity is inadvisable because of their underlying cardiovascular status

    May cause dose-related impairment of color discrimination; use caution in patients with retinitis pigmentosa

    Evaluate underlying causes of erectile dysfunction or BPH before initiating therapy

    Revatio: In small, prematurely terminated study of patients with PAH secondary to sickle-cell disease, vaso-occlusive crises requiring hospitalization were more commonly reported by patients who received sildenafil than by those randomized to placebo; effectiveness of sildenafil in PAH secondary to sickle-cell anemia has not been established; the clinical relevance to men treated for erectile dysfunction with sildenafil is not known

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    Revatio: Epistaxis occurred in 13% of patients with PAH secondary to connective tissue disease (eg, scleroderma); this effect was not seen in idiopathic PAH; incidence was also higher in those receiving concomitant PO vitamin K antagonist therapy (9%) than in those not receiving such therapy (2%)

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    i tried some chemical help in the form of Cialis. And no, sadly, i did not talk to a doctor first. Here’s the thing though, i used the lowest possible dosage, and even cut them in half to use less than that. And it worked. For the next two months it was bliss. Then we were apart for a while because we were both travelling for work. Shortly after that, she had a minor abdominal surgery which made sex impossible for even a few more weeks.

    Having said all of this, I just don’t know what to do next. The doctor I am seeing has prescribed me Viagra and Cialis. both of which don’t seem to do much (though they are at the lowest dosage). I’ve also seen a urologist and am currently seeing a psychologist. I don’t want to turn to drugs like Cialis at this point in my life. I just don’t feel like I should have to. If anyone could help me determine what might be wrong or what I can do next I would GREATLY appreciate the help.

    No matter how aroused or turned on I am by my partner, I still have trouble getting any erection at all. I’ve tried Viagra and Cialis which both initially worked, and Levitra which did nothing. I also used medicinal marijuana, which seemed to quell my anxieties and help me achieve a firmer erection, but even then I would have problems maintaining. I’ve yet to find a medical or psychological cause for my condition, which seems to be getting worse.

    My Urologist prescribed Cialis 5mg for about a month. I started having really strong erections after taking it for the first 10 – 12 days but it just waned in the following days even though I was still taking the pills. ANY IDEAS WHY? My Morning erections are still weaker (its still completely absent otherwise). My Prolactin / testosterone levels are confirmed to be normal. I’m badly in need of any credible advices on how can I fix this issue.

    In Britain, In Greece and in Italy, doctors, prior to administering high dosage chemo, have removed ovarian and testicular tissue from patients, then, after treatment, replanted them, and their sexual abilities were thus restored. Children have been born to patients who have undergone this procedure, who would otherwise have been rendered infertile. Question; why is this not being done on a wide scale?

    Doctors checked my testosterone levels repeatedly, sometimes it was at the lower end, but within normal range. I tried testosterone replacement therapy with injections for 6 month – no change. Some time later I tried it with Andro-gel also – again no change. Tried Viagra/Cialis/Levitra. These work to a certain degree, but I got severe side effects, especially from Cialis. And of course they don’t do anything for the diminished libido part.

    High doses CAN make the legs weaker and feel wobbly. The dosage has to be adjusted to find the proper levels for your husband. There is also a Baclofen pump that I personally am looking into for myself, due to 24 hour a day spasms. I am sure you may already know about this implanted device. I dated a man with Secondary Progressive MS and he used a Baclofen pump, successfully. Oral Baclofen left him weak in the legs. The pump delivers it directly to the spinal cord.

    I even took my sons football trianing yesterday, so feeling pretty good My weight has now dropped 20kgs, and my Cholestral levels are at 2.9 total which is well under what they want, so I’ve requested a reduced Statin dosage (currently on 80mg Lipator).

    Rapaflo (silodosin), Victrelis (boceprevir) Using silodosin together with boceprevir is not recommended. Combining these medications may significantly increase the blood levels and effects of silodosin. This may cause blood pressure to fall excessively and heart rate to increase, especially when you rise from a sitting or lying position.

    Hello, I was the one that asked the question less than a day ago, about my husband taking testosterone even though his levels were normal. I did have another question, the doctor gave my husband the choice of taking shots, patch, gel or pellets. My husband did not like the idea of taking shots every two weeks, so that left him with the other choices. My husband likes me to come in the room and ask all the questions, he says that he does not understand and I talk better.

    – During this span of time I began suffering erection issues unrelated to performance anxiety (trust me, I had trouble even when I was alone). The root cause was not investigated. Doc just gave me Cialis samples, which worked but brought on the old pre-blood pressure treatment crippling headaches. THE EXACT SAME WAKING/MORNING HEADACHES. I found this to be curious, especially considering the mechanism by which Cialis works!

    I decided that I wanted to switch to suboxone. With that I started gradually decreasing my methadone dosage down to 20mgs, and went the three days without my meds before inducing onto Suboxone. The 3 day wd wasnt as bad as I though it was going to be. I went to my new clinic, paid the $500 "Induction" fee, and started my suboxone treatment smoothly. Every month I would pay my $20 office visit copay, and $30 RX copay.

    I have heard that it is pretty safe, and I have a low dosage (0.5 mg) but I am still very nervous about taking it. I have a few specific concerns that I was hoping to address. First of all, is Ativan best to take regularly or as needed? I am hoping to take it only for the worst of my panic attacks. On the other hand, I am afraid that such a decision might cause a shock to my system: if I am in the throes of anxiety and take the drug, won’t the abrupt sensation of calm be hard on my body?

    This could mean that E either messed up my serotonin levels. or messed up my circulation somehow. Heat does help ‘soften’ up my flaccid penis somewhat as others have mentioned. Also there is a possbility that I, as well as many of you, have some form of prostatitis. We need to go get that checked out. If that is the case than the good news is that it is treatable.

    I also have noticed I am losing my hair also. Could this be down to low testosterone levels. I also has a swollen stomahe and IBS. All caused from some harmless sex play. Doctors have been so far no help but I am going back shortly. I beleve it’s getting worse.

    The problem with androgel is that once it shuts down your own natural production, sometimes the gel isn’t enough to even get you above your previous levels (300/400). What dosage are you using? Because you mention you have some body fat it’s possible that this is causing absorption issues and most likely converting to E2 and DHT but not getting your total t or free t into good ranges.

    Meanwhile my viral levels dropped maybe 10%, and my doctor was concerned that any drop in dosage who be counter-productive. I started developing marked nervousness and inability to sleep soundly about 3 months into the treatment. My T-cell count was quite low, and we reduced slightly my dosage of ribovirin, keeping the same injections of peg-intron. By this time I was frantic. I could not sit still or concentrate, and spent sixteen to 20 hours a day walking and pacing.

    I have never told anyone that before. My addiction took on all new levels with the beginning of the internet in the late 90’s. Even when I stop for a few weeks I still cannot maintain an erection or achieve a Full one. I don’t even have morning wood. My Doc put me on the ED meds to combat the side effects of the anti-depressants I used to be on, but I did not tell him the extent of the problem. It has been 6 months since I was on any anti-depressants and my sex drive is NULL.

    I’ve been suffering from this intermittent pain for years, ever since childhood. When it would happen in my childhood years (not very often), I would describe the pain more as a very brief hard pinching. Recently over the last few years I would describe the pain as a stabbing, lightening bolt type of pain that makes me jump or stand on my toes, almost as if I’m trying to get away from the pain. Either way, the pain is blindingly intense, but thankfully only lasts a few seconds.

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    РїС—Р…CuРїС—Р…l es la dosis ideal de Viagra?

    Me tomo 25 mg en ayunas con un vaso grande de agua a las 08:00 hrs. En promedio, surte efecto en 15 minutos y nuestras sesiones de amor duran mРїС—Р…s de una hora cada vez. -65 aРїС—Р…os, Florida.

    DecidРїС—Р… probar una pРїС—Р…ldora de Viagra de 25 mg. SentРїС—Р… que el pene se me ponРїС—Р…a duro al cabo de 15 minutos. Se vuelve mРїС—Р…s duro que de costumbre y tambiРїС—Р…n dura mРїС—Р…s. РїС—Р…YT, 45 aРїС—Р…os, Nigeria.

    Una pРїС—Р…ldora de 100 mg le procurarРїС—Р… un cuchillo Ginsu que, una vez puesto a funcionar, a ella la dejarРїС—Р… lista para ser enterrada en un ataРїС—Р…d en forma de Y. Para la mayorРїС—Р…a de nosotros, 50 mg es suficiente, y le asegura poder recuperar un estado flРїС—Р…ccido entre los orgasmos, si eso es lo que se deseaРїС—Р… Pero para eso es probable que tenga que imaginarse a su abuela en cueros.

    Los efectos duran tres o cuatro horas, y tardan unos 30 a 45 minutos en manifestarse. Las pРїС—Р…ldoras de 25 mg o 50 mg funcionan indistintamente para mРїС—Р…. AtrРїС—Р…vase a probarlo. РїС—Р…Art, 62 aРїС—Р…os, Texas.

    ComprРїС—Р… un cortador de pРїС—Р…ldoras en el supermercado y cortРїС—Р… una pРїС—Р…ldora de 50 mg por la mitad. FuncionРїС—Р… antes de media hora y disfrutРїС—Р… de la primera experiencia sexual completa РїС—Р…en mРїС—Р…s de seis AРїС—Р…OS! -William, 42 aРїС—Р…os, Texas.

    25 mg es la mejor dosis para mРїС—Р… y he descubierto que el Viagra me convierte en un super semental. Mi chica se monta encima y siempre tiene uno o dos orgasmos. РїС—Р…Pablo, 42 aРїС—Р…os, Texas.

    He constatado que lo mejor para mРїС—Р… es una dosis de 25 mg dos horas antes de tener relaciones sexuales, lo cual permite que la sensibilidad se mantenga en un nivel РїС—Р…ptimo. Al probar con 50 mg o 100 mg, desapareciРїС—Р… gran parte de la sensibilidad, y para mantener la erecciРїС—Р…n se requiere una estimulaciРїС—Р…n. Desde luego, en mi caso mРїС—Р…s no es sinРїС—Р…nimo de mejor. РїС—Р…Phil, 60 aРїС—Р…os, California.

    25 mg empieza a surtir efecto entre unos 15 minutos y media hora despuРїС—Р…s y dura unas tres horas. Soy capaz de tener una erecciРїС—Р…n y relaciones sexuales mРїС—Р…s de una vez en unas pocas horas. -65 aРїС—Р…os, Nueva York.

    Mi mРїС—Р…dico me prescribiРїС—Р… Viagra de 50 mg. РїС—Р…Vaya! Una erecciРїС—Р…n inmediata que dura un buen rato. Tomo 50 mg unas tres veces a la semana.

    He probado las dosis de 100 mg de vez en cuando, pero en realidad me va mejor con las dosis mРїС—Р…s pequeРїС—Р…as. РїС—Р…JR, 65 aРїС—Р…os.

    Hay que experimentar con diferentes dosis e intervalos de tiempo. Yo empecРїС—Р… con 50 mg (adecuado para estimular mi organismo, creo) pero con el tiempo he descubierto que lo ideal para mРїС—Р… es una dosis de 25 mg unos 90 minutos antes de tener relaciones sexuales. Las dosis mРїС—Р…s pequeРїС—Р…as significan menos congestiРїС—Р…n nasal y mРїС—Р…s sensibilidad durante el coito. Pero la dosis de 25 mg todavРїС—Р…a me mantiene duro como una piedra y capaz de contener el orgasmo prРїС—Р…cticamente hasta cuando quiero.

    He experimentado con diferentes dosis y he descubierto que 25 mg una media hora antes de tener relaciones sexuales es perfecto para mРїС—Р…. Se me pone dura como una piedra y puedo durar una eternidad.

    Le pido al farmacРїС—Р…utico que me parta una dosis de 100 mg en cuatro dosis de 25, que es lo que tomo cada vez. Cuando quiero que dure toda la noche, me tomo los 100 mg.

    Yo parto las pРїС—Р…ldoras de 50 mg por la mitad y con eso me basta.

    Nos corrimos juntos, y РїС—Р…madre mРїС—Р…a. quРїС—Р… manera de correrse. РїС—Р…QuРїС—Р… potencia! Lo que hace de esta experiencia algo cada vez mejor es que sРїС—Р…lo utilizo la mitad de una dosis de 50 mg.

    Yo comencРїС—Р… con una dosis de 25 mg. Y la he reducido a 12,5 mg (parto la pРїС—Р…ldora de 100 mg en 8 trozos) y he descubierto que con esta dosis reducida, puedo seguir teniendo una erecciРїС—Р…n durРїС—Р…sima asРїС—Р… como un dolor de cabeza muy ligero.

    He llegado a descubrir que sРїС—Р…lo necesito 25 mg para tener y conservar una erecciРїС—Р…n. Pero, la primera noche tomРїС—Р… 50 mg. РїС—Р…Bill, Chicago, 42 aРїС—Р…os.

    CРїС—Р…mo tomar Viagra

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

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

     31 de mayo de 1998

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    El envГ­o a domicilio de VIAGRA estГЎ disponible solo para residentes de los EE. UU. y Puerto Rico.

    InformaciГіn de Seguridad Importante e IndicaciГіn

    Haga clic para expandir

    INFORMACIГ“N IMPORTANTE DE SEGURIDAD

    No tome VIAGRA (citrato de sildenafil) si usted:

    • toma cualquier medicamento llamado nitrato, a menudo recetados para el dolor de pecho, o estimuladores de la guanilato ciclasa como Adempas (riociguat) para la hipertensiГіn pulmonar. Su presiГіn arterial podrГ­a disminuir a un nivel peligroso.
    • es alГ©rgico al sildenafil, contenido en VIAGRA y REVATIO, o a alguno de los ingredientes de VIAGRA.

    Consulte el estado de su salud con su mГ©dico para asegurarse de que estГЎ suficientemente saludable para tener relaciones sexuales. Si experimenta dolor de pecho, mareos o nГЎuseas durante la actividad sexual, busque ayuda mГ©dica inmediata.

    VIAGRA puede causar efectos secundarios graves. Los efectos secundarios que rara vez se informan incluyen:

    • Una erecciГіn prolongada (priapismo). Si tiene una erecciГіn que dura mГЎs de 4 horas, busque ayuda mГ©dica de inmediato. Si no se trata de inmediato, el priapismo puede producir un daГ±o permanente al pene.
    • PГ©rdida repentina de la visiГіn en uno o ambos ojos. La pГ©rdida repentina de la visiГіn en uno o ambos ojos puede ser seГ±al de un problema ocular grave llamado neuropatГ­a Гіptica isquГ©mica anterior no arterГ­tica (NONA). Si experimenta cualquier pГ©rdida repentina de la visiГіn, deje de tomar VIAGRA y llame a su proveedor de atenciГіn mГ©dica de inmediato.
    • DisminuciГіn o pГ©rdida repentinas de la audiciГіn. Algunas personas tambiГ©n pueden experimentar un zumbido en los oГ­dos (acГєfeno) o mareos. Si tiene estos sГ­ntomas, deje de tomar VIAGRA y llame a un mГ©dico de inmediato.

    Antes de tomar VIAGRA, dГ­gale a su proveedor de atenciГіn mГ©dica si usted:

    • tiene o ha tenido problemas cardГ­acos como un ataque cardГ­aco, arritmia, angina, dolor en el pecho, estrechamiento de la vГЎlvula aГіrtica o insuficiencia cardГ­aca;
    • ha tenido una cirugГ­a del corazГіn en los Гєltimos 6 meses;
    • tiene hipertensiГіn pulmonar;
    • ha tenido un accidente cerebrovascular;
    • tiene presiГіn arterial baja o alta que no estГЎ controlada;
    • tiene un pene deformado;
    • ha tenido una erecciГіn que durГі mГЎs de 4 horas;
    • tiene problemas sanguГ­neos, como la anemia drepanocГ­tica, mieloma mГєltiple o leucemia;
    • tiene retinosis pigmentaria, una enfermedad ocular genГ©tica (se da en las familias) poco comГєn;
    • alguna vez ha tenido pГ©rdida de la visiГіn grave, incluido un problema ocular llamado neuropatГ­a Гіptica isquГ©mica anterior no arterГ­tica (NONA);
    • tiene problemas de sangrado;
    • tiene o ha tenido Гєlceras estomacales;
    • tiene problemas hepГЎticos;
    • tiene problemas renales o se realiza diГЎlisis renal;
    • tiene cualquier otra afecciГіn mГ©dica.

    DГ­gale a su proveedor de atenciГіn mГ©dica sobre todos los medicamentos que toma, incluidos los medicamentos recetados y sin receta, vitaminas y suplementos herbales.

    VIAGRA puede afectar la manera en que otros medicamentos actГєan, y otros medicamentos pueden afectar la manera en que VIAGRA actГєa, lo que produce efectos secundarios. Especialmente, dГ­gale a su proveedor de cuidado mГ©dico si usted toma cualquiera de los siguientes:

    • medicamentos llamados nitratos;
    • medicamentos llamados estimuladores de la guanilato ciclasa, como Adempas (riociguat);
    • medicamentos llamados alfa bloqueantes, como Hytrin (hidrocloruro de terazosina), Flomax (hidrocloruro de tamsulosina), Cardura (mesilato de doxazosina), Minipress (hidrocloruro de prazosina), Uroxatral (hidrocloruro de alfuzosina), Jalyn (hidrocloruro de dutasterida y tamsulosina) o Rapaflo (silodosina). Los alfa bloqueantes son recetados en ocasiones para problemas de la prГіstata o la presiГіn arterial alta. En ciertos pacientes, el uso de VIAGRA con alfa bloqueantes puede derivar en una caГ­da de la presiГіn arterial o en desmayos;
    • medicamentos llamados inhibidores de la proteasa del VIH, como ritonavir (Norvir), sulfato de indinavir (Crixivan), saquinavir (Fortovase o Invirase) o sulfato de atazanavir (Reyataz);
    • ciertos tipos de medicamentos antimicГіticos orales, como ketoconazol (Nizoral) e itraconazol (Sporanox);
    • ciertos tipos de antibiГіticos, como claritromicina (Biaxin), telitromicina (Ketek) o eritromicina;
    • otros medicamentos para tratar la presiГіn arterial alta;
    • otros tratamientos o medicamentos para la disfunciГіn erГ©ctil;
    • VIAGRA contiene sildenafil, el mismo medicamento que se encuentra en otro fГЎrmaco llamado REVATIO. REVATIO se usa para tratar una rara enfermedad llamada hipertensiГіn arterial pulmonar (HTAP). VIAGRA no debe usarse con REVATIO ni con otros tratamientos para la HTAP que contengan sildenafil o cualquier otro inhibidor de la PDE5 (como Adcirca [tadalafil]).

    VIAGRA no protege contra las enfermedades de transmisiГіn sexual, incluido el VIH.

    Los efectos secundarios mГЎs comunes de VIAGRA: dolor de cabeza, rubor facial, malestar estomacal, visiГіn anormal, como cambios en la visiГіn del color (ver con una tonalidad azul) y visiГіn borrosa, congestiГіn y secreciГіn nasal, dolor de espalda, dolor muscular, nГЎuseas, mareos y erupciГіn.

    VIAGRA (citrato de sildenafil) es un medicamento con receta que se utiliza para tratar la disfunciГіn erГ©ctil.

    VIAGRA no estГЎ indicado para mujeres ni niГ±os.

    Los pacientes siempre deben pedirles a los mГ©dicos asesoramiento sobre los acontecimientos negativos.

    Para informar un acontecimiento negativo relacionado con los productos de Pfizer, llame al 1-800-438-1985 (solo EE. UU.). Si prefiere, puede comunicarse directamente con la AdministraciГіn de Alimentos y Medicamentos (FDA) de los EE. UU. La FDA ha establecido un servicio de presentaciГіn de informes conocido como MedWatch en el que los profesionales de la salud y los consumidores pueden informar problemas graves que sospechen que puedan estar relacionados con los fГЎrmacos y los dispositivos mГ©dicos que recetan, administran o utilizan. Visite MedWatch o llame al 1-800-FDA-1088.

    Para obtener mГЎs informaciГіn, llame al 1-888-4-VIAGRA (1-888-484-2472), de lunes a viernes, de 9:00 a. m. a 7:00 p. m. hora del este.

    **Ahorre hasta USD 150 por receta.

    Hay un mГ­nimo de 6 pГ­ldoras por receta.

    El descuento total mГЎximo para esta oferta es de USD 450 por aГ±o.

    Esta oferta no es un seguro mГ©dico.

    Esta oferta estГЎ disponible solo en farmacias participantes.

    © 2001- 2015 Pfizer Inc. Todos los derechos reservados.

    La forma del comprimido en diamante azul es una marca comercial registrada de Pfizer Inc.

    VIAGRA (citrato de sildenafil), REVATIO (sildenafil), Cardura (mesilato de doxazosina) y Minipress (clorhidrato de prazosina) son marcas registradas de Pfizer Inc. Otras marcas citadas son marcas comerciales registradas de sus respectivos dueГ±os y no estГЎn afiliadas con Pfizer Inc. ni avaladas por esta.

    La informaciГіn de salud contenida aquГ­ se proporciona solo para fines educativos y no estГЎ destinada a reemplazar lo que podrГ­a discutirse con un mГ©dico. Todas las decisiones relacionadas con la atenciГіn al paciente deben realizarse con un mГ©dico, teniendo en cuenta las caracterГ­sticas particulares del paciente.

    La informaciГіn del producto proporcionada en este sitio estГЎ dirigida a residentes de los Estados Unidos. Los productos mencionados aquГ­ pueden tener etiquetados diferentes en otros paГ­ses.

    Diciembre de 2015 | PP-VIA-USA-0265-01

    Para ver este sitio web. apague el dispositivo mГіvil a su posiciГіn vertical / vertical.

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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 Viagra Vs Goat Weed. He envisioned a summer stock theatre that would showcase the talents of professional and developing thespians from the regional area.

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    Prior to the year of 1972 when the theatre was established, the Viagra Vs Goat Weed 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 Viagra Vs Goat Weed 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.

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

    The grounds of Hackmatack Playhouse and the area surrounding the theatre host many other buildings built and used by the Viagra Vs Goat Weed clan over the years. The yellow family of buildings just south of the theatre (now owned by the Mills family) was originally built by Samuel Viagra Vs Goat Weed 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 Viagra Vs Goat Weed 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 Viagra Vs Goat Weed, prepare a load of lumber for the newest construction project.

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

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

    After the death of the founder in 1995, the S Carleton Viagra Vs Goat Weed 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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