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Common use

The main component of Viagra is Sildenafil Citrate.
Sildenafil Citrate affects the response to sexual stimulation. It acts by enhancing smooth muscle relaxation using nitric oxide, a chemical that is normally released in response to sexual stimulation. This smooth muscle relaxation allows increased blood flow into certain areas of the penis, which leads to an erection.
Sildenafil Citrate is applied for the treatment of erectile dysfunction (impotence) in men and pulmonary arterial hypertension.
Sildenafil Citrate may also be used for other purposes not listed above.

Dosage and direction

Usually the recommended dose is 50 mg. It is taken approximately 0,5-1 hour before sexual activity. Do not take Viagra more then once a day.
A high fat meal may delay the time of the effect of this drug.
Try not to eat grapefruit or drink grapefruit juice while you are being treated with Sildenafil Citrate .

Precautions

Before you start taking Sildenafil Citrate. tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.
Aged people may be more sensitive to the side effects of the drug.

Viagra is contraindicated in patients who take another medicine to treat impotence or using a nitrate drug for chest pain or heart problems.
This medicine should not be taken by women and children as well as in patients with a known hypersensitivity to any component of the tablet.

Possible side effect

The most common side effects are headache, flushing, heartburn, stomach upset, nasal stuffiness, lightheadedness, dizziness or diarrhea.
A serious allergic reaction to this drug is very rare, but seek immediate medical help if it occurs.
Many people who use this medicine do not have serious side effects.
In case you notice any side effects not listed above, contact your doctor or pharmacist.

Drug interaction

This drug should not be used with nitrates and recreational drugs called “poppers” containing amyl or butyl nitrite; alpha-blocker medications; other medications for impotence; high blood pressure medicines, etc.
Consult your doctor or pharmacist for more details.

Missed dose

Viagra is used as needed, so you are unlikely to be on a dosing schedule.

Overdose

If you think you have used too much of this medicine seek emergency medical attention right away. The symptoms of overdose usually include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

Storage

Store your medicines at room temperature between 68-77 degrees F (20-25 degrees C) away from light and moisture. Do not store the drugs in the bathroom. Keep all drugs away from reach of children and pets.

Disclaimer

We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

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

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

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

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

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

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

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

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

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

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

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

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

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

Erectile Dysfunction Health Center

13 Common Sex-Drive Killers

What Are the Differences Between These Drugs?

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

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

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

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

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

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

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

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

  • If you are allergic to any drugs, including other ED medications.
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  • If you take nitroglycerin or a similar medicine for chest pain. The combination of ED medication and these drugs can cause dangerously low blood pressure .
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Neem Sildenafila via de mond met of zonder voedsel. Sildenafila kan niet zo snel werken als je het met een vetrijke maaltijd.
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als u een geschiedenis van een langdurige (langer dan 4 uur) of pijnlijke erectie (priapisme)
als u een geschiedenis van bepaalde oogproblemen (bijvoorbeeld, maculaire degeneratie, optische neuropathie, retinitis pigmentosa, plotseling verlies van gezichtsvermogen in een of beide ogen) of gehoorproblemen (bijvoorbeeld, oorsuizen, verminderd gehoor, gehoorverlies)
als u een geschiedenis van lever-of nierproblemen, longproblemen (bv. pulmonale veno-occlusieve ziekte), hoge of lage bloeddruk, zweren, bloeden problemen, hartproblemen (bijv. angina pectoris, aortastenose, hartfalen, onregelmatige hartslag). of bloedvat problemen
als u een voorgeschiedenis van een hartaanval, beroerte, of levensbedreigende onregelmatige hartslag, vooral in de afgelopen 6 maanden.

Sommige geneesmiddelen kunnen interageren met Sildenafila. Vertel uw arts als u het nemen van eventuele andere geneesmiddelen, met name een van de volgende:

Alfa-blokkers (bijv. doxazosine), geneesmiddelen tegen hoge bloeddruk, nitraten (bijv. isosorbide, nitroglycerine), of nitroprusside omdat ernstige lage bloeddruk met duizeligheid, duizeligheid en flauwvallen kunnen optreden
Azoolantimycotica (bijv. itraconazol, ketoconazol), H2-antagonisten (bijv. cimetidine), HIV-proteaseremmers (zoals ritonavir, saquinavir), macrolide antibiotica (bijv. erytromycine), narcotische analgetica (bijv. dihydrocodeГЇne), of telitromycine omdat ze kunnen verhogen het risico van Sildenafila bijwerkingen
Bosentan of rifampicine, omdat ze de effectiviteit van Sildenafila kan dalen.

Dat is misschien niet een volledige lijst van alle interacties die kunnen optreden. Vraag uw zorgverstrekker als Sildenafila kunnen interageren met andere geneesmiddelen die u neemt. Informeer bij uw zorgverzekeraar voordat u start, stop, of de dosering van een geneesmiddel.

Sildenafila kan leiden tot duizeligheid, slaperigheid, flauwvallen of wazig zien. Deze effecten kunnen worden erger als je het met alcohol of bepaalde medicijnen. Gebruik Sildenafila met de nodige voorzichtigheid. Rijd niet of het uitvoeren van andere mogelijk onveilige taken totdat u weet hoe u reageren.
Sildenafila kan leiden tot duizeligheid, duizeligheid of flauwvallen, alcohol, kan warm weer, de uitoefening of koorts deze effecten. Om te voorkomen dat ze gaan zitten of staan ​​traag, vooral in de ochtend. Ga zitten of liggen bij het eerste teken van een van deze effecten.
PatiГ«nten met hartproblemen die Sildenafila nemen kunnen een verhoogd risico op hart-gerelateerde bijwerkingen, waaronder een hartaanval of beroerte. Symptomen van een hartaanval kunnen omvatten borst, schouder, nek of kaak pijn, gevoelloosheid van een arm of been, ernstige duizeligheid, hoofdpijn, misselijkheid, buikpijn of braken, flauwvallen, of visie veranderingen. Symptomen van een beroerte kan onder meer verwarring, visie of spraak verandert, eenzijdige zwakte of flauwvallen. Neem contact op met uw arts of een arts meteen als u deze symptomen ervaart.
Sildenafila kan zelden leiden tot een langdurige (bijv. langer dan 4 uur) of pijnlijke erectie. Dit kan gebeuren, zelfs wanneer u niet met seks. Als dit niet meteen behandeld, kan dit leiden tot permanente seksuele problemen zoals impotentie. Neem contact op met uw arts meteen als u een erectie die langer dan 4 uur duurt.
Sildenafila werkt de verspreiding van HIV of andere seksueel overdraagbare aandoeningen (soa’s) niet stoppen aan anderen via seksueel contact. Gebruik barriГЁre methoden van anticonceptie (bijv. condooms) als je hiv-infectie of een SOA.
Sildenafila zal niet voorkomen dat de zwangerschap. Als uw partner zwanger kan worden en u wilt om zwangerschap te voorkomen, moet u een effectieve vorm van anticonceptie te gebruiken.
Sildenafila kan soms leiden tot een milde, tijdelijke visie veranderingen (bijv. wazig zien, gevoeligheid voor licht, blauw / groene kleur tint van het zicht). Neem contact op met uw arts als visie veranderingen aanhouden of ernstig zijn.
Zelden heeft een oogziekte heeft die nonarteritic anterieure ischemische optische neuropathie (NAION) zijn gemeld bij patiГ«nten die Sildenafila namen. Dit kan leiden tot verminderd gezichtsvermogen of permanent verlies van het gezichtsvermogen in sommige gevallen. Als u een plotselinge afname van het gezichtsvermogen of verlies van het gezichtsvermogen in een of beide ogen opmerkt, contacteer uw arts meteen.
Plotselinge afname van het gehoor en gehoorverlies zijn gemeld bij sommige patiГ«nten die Sildenafila hebben genomen. Soms ook zagen ze oorsuizen of duizeligheid. Als u een plotselinge vermindering of verlies van gehoor opmerkt, contacteer uw arts meteen.
Gebruik geen andere geneesmiddelen of behandelingen voor ED niet gebruiken terwijl u rekening Sildenafila zonder eerst met uw arts.
Gebruik Sildenafila met voorzichtigheid bij ouderen, ze kunnen meer gevoelig voor de effecten ervan.
Sildenafila wordt niet aanbevolen voor gebruik bij kinderen jonger dan 18 jaar.

Alle geneesmiddelen kunnen bijwerkingen veroorzaken, maar veel mensen hebben geen of geringe, bijwerkingen.

Neem contact op met uw arts als een van de meest voorkomende bijwerkingen aanhouden of hinderlijk geworden:

Diarree, duizeligheid, blozen, hoofdpijn, brandend maagzuur, verstopte neus, maagklachten.

Raadpleeg een arts meteen als een van deze ernstige bijwerkingen optreden:

Ernstige allergische reacties (huiduitslag, netelroos, jeuk, ademhalingsproblemen beklemming op de borst, zwelling van de mond, gezicht, lippen of tong), pijn op de borst, flauwvallen, snelle of onregelmatige hartslag, geheugenverlies, gevoelloosheid van een arm of been. eenzijdige zwakte, pijnlijke of langdurige erectie, oorsuizen, inbeslagneming, ernstige of aanhoudende duizeligheid, ernstige of aanhoudende visie veranderingen; plotselinge vermindering of verlies van gehoor, plotselinge vermindering of verlies van het gezichtsvermogen in een of beide ogen.

Dit is niet een volledige lijst van alle bijwerkingen die kunnen optreden. Als u vragen hebt over de bijwerkingen, neem dan contact op met uw zorgverzekeraar.

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It does not subject if you have five, fifty or even zero pounds to shed the a lot more you know about fitness, the much more very likely you are to satisfy your goals, what ever they might be. Gaining an comprehending of the body’s functions and the ideal approaches of developing increased health and fitness is invaluable. If you apply the data from this report, you are certain to enjoy more visible final results.

A very good way to remain on leading of your fitness regimen is to go to a health club and shell out for it in advance of time. If you will not really feel like attending, the money spent may well inspire you. If you do not comply with via with your workout routines, spending your costs upfront can end up losing a great deal of cash, so only use this tactic if you’ve tried out almost everything else.

Truly feel like you never have enough time a day to exercise? Divide a solitary workout up into two diverse sessions. All you want to do is divide your time in fifty percent growing the complete time you invest operating out is not necessary. If you typically invest 60 minutes on the treadmill, routine half an hour of treadmill time each morning, and thirty minutes more later that night. You can break up a fitness center workout into 1 exercise in the gymnasium and 1 outdoor, if generating two journeys to the gym does not in shape your daily schedule.

Having a hard, defined 6-pack will not be achieved by means of workout by yourself. Despite the fact that these workout routines strengthen your abdominal muscle tissue, they will not burn tummy excess fat. To get a six pack, you may need to decrease your human body fat proportion by way of diet plan, cardio, and strength education.

You are positive to see improvement soon. Your fitness program will be a lot a lot more powerful if you know what you are doing. Maintain in brain the suggestions that you found right here, and before you know it, you will be in excellent form!

There are loads of approaches to get in shape by using a program you will stick to. Right here is some physical fitness tips to aid you reach your objectives.

If you are a beginner you need to think about a education session with one particular of the private trainers at your gymnasium. Discover a trainer that will support you plan and adhere to a exercise. Though your very first gymnasium session can be frightening, you can breeze appropriate through it by hiring a specialist to get you commenced. This will give you the 1st step in the correct route of a workable exercise program.

Seek out a physical fitness software that you enjoy, and then remain with it. If you are undertaking an exercise you take pleasure in you will start off to appear forward to your function outs.

Commence gardening. Numerous folks are shocked that operating a garden requires a lot of challenging perform. You have to weed, dig and squat in the grime. There are many far more actions that will help you continue to be in form: you must try property improvement, sports or merely actively playing with your children.

The frequency with which you need to do power instruction will switch on how you have described your general ambitions. Significantly less recurrent routines are required to create more substantial, more powerful muscle groups. If you want your muscles to appear sharp and described, you must plan more energy exercise routines.

If you are continuously focused to your physical fitness and greater well being, then acquiring a expert trainer is properly really worth your funds. This will let a private trainer share some insight with you and help you stay motivated with your work out. Your individual trainer can assist a great deal, but you may not require a single.

Begin your physical fitness strategy with these suggestions. Most importantly, you require to ensure that your physical fitness program is an integral portion of every day lifestyle, not a after-a-7 days activity. Ingesting healthily and staying match offers your body far more strength, and will help you to far better cope with life’s problems.

The want to get in shape is a battle that numerous men and women have in frequent. You most likely lack the requisite expertise to commence a software appropriate now with no undertaking any analysis. Data and guidance are necessary. These guidelines need to assist you familiarize by yourself with fitness and get started with your own plan.

A personal trainer can be an successful way to get started with a workout software. The trainer will also aid you set targets and establish what specifically you want to do to get to these targets. Your very first fitness center exercise may possibly be a little bit harrowing, but you can make it significantly less so by enlisting the support of a private coach. This will put you on the way to a good start off to a health and fitness plan you can commit to.

You need to not worry if the common exercises do not suit your way of life. Biking is a great lower effect substitute to managing. Biking provides a low-cost, fun and fitness-oriented answer to your daily commute to function. Driving to operate for 5 miles will take you much less than 30 minutes, and by performing so you will be ready to get a great training in the process.

Maintaining good posture even though you walk is essential if you want to avoid accidents. Your shoulders need to be back again and your torso upright. Hold your elbows by your sides at a ninety-diploma angle. Have your front arm and front foot opposite every single other. Your heel must be the first element of your foot to strike the floor. The foot must then roll ahead, finishing with the ball of the foot.

Use every thing you uncovered right now to get initiative towards obtaining into condition. You may possibly locate that you have to dedicate some time to residing this way, but in the stop, it is worth it. You have usually desired to be fit and healthier. There is no better time to commence than proper now, so start nowadays.

Do you come to feel like it is also challenging to get into form? Receiving in condition is only achievable through suitable education and learning on health and fitness. Preserve the ideas introduced in the following paragraphs in head, and realize you are capable to achieve your purpose of better health.

If you are new to working out, think about acquiring a session or two with a personalized trainer. A good trainer will function with you to decide your ambitions and problem places and will advise a training plan for you. The very first time you go to the fitness center may possibly be intimidating, but it can be considerably less so if you discover the ropes from a expert. If you consider your time you will have a excellent prepare in place.

You do not have to fulfill your health and fitness targets at the gymnasium. Even so, if the thought of weights is not attractive to you you can preserve an exceptional fitness stage by training 6 basic workout routines. These include leg raises, squats, pull ups, drive ups, bridges, and handstand push ups.

Optimize your results by varying your workout actions. If you usually use your treadmill for physical exercise, you can swap things up by going for a run about your community. They will obtain distinct final results from managing up some hill versus running on the sidewalk. Range assists with results.

Counting calories is a great way to remain suit. Knowing your calorie rely will help you figure out if you might be going to achieve bodyweight or lose weight. When you only use energy at your stage of servicing or reduced, and you shed some even though you exercise, you will locate you are fitter quicker.

With the tips you’ve got just go through, you must undoubtedly be better outfitted for receiving in shape. There is usually a lot more expertise to achieve, and applying all you know is going to help you discover accurate progress. If you are determined you will realize success, you will be a much healthier, happier you in no time at all.

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I take 25mg on an empty stomach with a tall glass of water at 8:00AM. It takes effect in 15 minutes on the average and out love-making session goes for over an hour every time. – Age 65, Florida

I decided to try a 25mg Viagra pill. I could feel my penis get erect within 15 minutes, getting harder than usual and lasting longer too – YT, Age 45, Nigeria

A full 100 mg. will give you a Ginsu carving knife that, if put to ultimate use, will render her suitable for burial in a Y-shaped coffin. For most of us, 50 mg. is plenty, ensuring that you can return to a deflated state between orgasms, if so desired. But you may have to picture your grandmother naked, to do so.

The effects last 3 or 4 hours, and it takes 30 to 45 minutes to kick in. 25 or 50 mg tabs work the same for me, no difference. Go for it. – Art, Age 62, Texas

I bought a pill cutter at the grocery store and cut a 50 mg pill in half. It worked faster than a 1/2 hour and I had the first complete sexual experience in over 6 YEARS! William, Age 42, Texas

25mg is best for me and I have found that Viagra makes me a super stud and the girl rides me and always has an orgasm or two. – Pablo, 42, Texas

I find that 25 mg two hours prior to sex is best for me, and allows sensitivity, to remain at its peak. When trying 50 or 100,mg, it took away much of the feeling, and you need stimulation to maintain erection. More is definitely not better, in my case. – Phil, Age 60, California

25mg begins to work in about 15 minutes to a half an hour and lasts for 3 hours or so, Able to have an erection and intercourse more than once in a few hours. – Age 65, New York City

My doctor prescribed 50 mg Viagra. Wow. Instant hard on that lasts for a long time. I take 50 mg about three times a week.

I have tried 100mg from time to time but actually seem to do better with the smaller doses. – JR, Age 65

You have to experiment with the dosage and time lag. I started with 50 mg (good to rev my engine, I think) but ultimately found that 25 mg about 90 minutes before sex is ideal for me. Lower dosage means less nasal congestion and more feeling during sex. But 25 mg still leaves me rock hard and able to hold off climaxing just about as long as I want.

I have experimented with dosage and now find that 25 mg about one half hour before sex is perfect for me. I’m rock hard and can go forever.

I have the pharmacist split a 100 mg pill in four for me so I take 25 mg at a time. When I want to go all night I take the full 100 mg.

I cut a 50 mg in half and find that to be enough.

We came at the same time, and boy did I cum. What force! What makes this whole experience ever better is that I only used half of a 50 mg pill.

I started off with 25 mg, and have reduced it down to 12.5 mg (roughly – I split the 100 mg pill to 8) and find that with this reduced dose, I can still have a rock hard erection as well as a greatly reduced headache.

I have since realized I only need 25mg to keep and maintain an erection. But originally, that night, I took 50mg. – Bill, Chicago, Age 42

sildenafil (Rx) Brand and Other Names: Revatio, Viagra

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

Pulmonary Arterial Hypertension

  • Revatio
  • PO: 5 mg or 20 mg 3 times daily, administered 4-6 hours apart
  • IV: 2.5-mg or 10-mg bolus 3 times daily if patient is temporarily unable to take PO
  • Recommended PO/IV dose not to be exceeded
  • 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
  • Compared with healthy younger volunteers, healthy elderly volunteers (≥65 years) had reduced clearance of sildenafil, resulting in approximately 84% and 107% higher plasma concentrations of sildenafil and its active N-desmethyl metabolite, respectively

Not to be prescribed to children (1-17 years) for pulmonary arterial hypertension (PAH); this recommendation against use is based on long-term clinical pediatric trial showing that children taking high doses had higher risk of death than children taking low doses and that low doses were not effective in improving exercise ability (see Cautions)

Contraindications

Soluble guanylate cyclase (sGC) stimulators (eg, riociguat); concomitant use can cause hypotension

Coadministration with nitrates

  • Coadministration with nitrates (either regularly and/or intermittently) and nitric oxide donors
  • Consistent with the effects of PDE5 inhibition on the nitric oxide/cyclic guanosine monophosphate pathway, PDE5 inhibitors may potentiate the hypotensive effects of nitrates
  • A suitable time interval following PDE5 dosing for the safe administration of nitrates or nitric oxide donors has not been determined

Cautions

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

Use with caution in patients with anatomic deformation of penis (eg, angulation, cavernosal fibrosis, or Peyronie disease), conditions potentially predisposing to priapism (eg, sickle cell anemia, multiple myeloma, or leukemia), cardiovascular disease, bleeding disorders, active peptic ulcer disease, liver disease, renal impairment, multidrug antihypertensive regimens, retinitis pigmentosa, concomitant use of CYP3A4 inhibitors

Pulmonary vasodilators may significantly worsen cardiovascular status of patients with pulmonary veno-occlusive disease

Patient taking alpha blocker should be stabilized before starting phosphodiesterase (PDE)-5 inhibitor, which should be initiated at lowest dose; if patient is already taking optimized dose of PDE-5 inhibitor, alpha blocker should be initated at lowest dose to avoid hypotension

Not to be taken with other PDE-5 inhibitors

Sudden decrease or loss of hearing, which may be accompanied by tinnitus and dizziness

Viagra: Patients should stop sildenafil and seek medical care if a sudden loss of vision occurs in 1 or both eyes, which could be a sign of nonarteritic anterior ischemic optic neuropathy (NAION); use with caution, and only when the anticipated benefits outweigh the risks, in patients with a history of NAION; patients with a ”crowded” optic disc may also be at an increased risk of NAION

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

Revatio: Not for use in children with PAH; increased mortality with increasing doses (hazard ratio 3.5) was observed in randomized, double-blind, placebo-controlled clinical trial of 234 children (1-17 years) with PAH who had mild-to-moderate symptoms at baseline

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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The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information.

View explanations for tiers and restrictions

This drug is available at the lowest co-pay. Most commonly, these are generic drugs.

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This drug is available at a higher level co-pay. Most commonly, these are “non-preferred” brand drugs or specialty prescription products.

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Drugs that have restrictions other than prior authorization, quantity limits, and step therapy associated with each prescription.

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CIALIS for ED+BPH (erectile dysfunction + symptoms of benign prostatic hyperplasia)

2 conditions, 1 medication

Only CIALIS for daily use (5 mg) is approved to treat ED and the frustrating urinary symptoms of BPH

If you’re one of the many men with ED and symptoms of BPH, like needing to go frequently, day or night, CIALIS for daily use (5 mg) may treat both conditions.

Getting started with CIALIS for daily use (5 mg)

Take CIALIS for daily use (5 mg) once a day, every day at about the same time CIALIS may be taken with or without meals Do not drink alcohol in excess with CIALIS Avoid skipping doses and do not split tablets, as you may not receive an adequate dose If you miss a dose, take it when you remember, but do not take CIALIS more than once each day

You may see symptom improvement in as early as 2 weeks after beginning treatment, although it could take about 4 weeks

CIALIS for daily use (5 mg) is the recommended dose to treat both ED and the symptoms of BPH. The recommended starting dose of CIALIS for daily use for the treatment of ED is 2.5 mg.

The most important information
to know about CIALIS

Do not take CIALIS if you:Take medicines called“nitrates” A type of medicine commonly used to treat heart problems. These medicines relax and widen blood vessels. This allows more blood to flow to the heart, which makes the heart work less hard. Some recreational drugs called “poppers,” like amyl nitrite and butyl nitrite, also contain nitrates. such as nitroglycerin or other medications like isosorbide dinitrate or isosorbide mononitrate, which are often prescribed for chest pain, as the combination may cause an unsafe drop in blood pressure; or use recreational
drugs called “poppers” A slang term for various chemical compounds, including amyl nitrite and butyl nitrite, that are used for recreational purposes. The chemical compound is inhaled to increase sexual desire. like amyl nitrite and butyl nitrite Take medicines called“guanylate cyclase stimulators” Medications used to treat pulmonary hypertension. such as riociguat (Adempas ® ),* a medicine used to treat pulmonary hypertension, as the combination may cause an unsafe drop in blood pressure Are allergic to CIALIS or ADCIRCA ® (tadalafil), or any of its ingredients. Call your healthcare provider or get help right away if you experience any symptoms of an allergic reaction, such as: RashHives Swelling of the lips, tongue, or throat Difficulty breathing or swallowing

After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications.

Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if it is already weak from a heart attack or heart disease.

*The brand listed is a trademark of its respective owner and is not a trademark of Eli Lilly and Company. The maker of this brand is not affiliated with and does not endorse Eli Lilly and Company or its products.

Remembering to take CIALIS

Make it part of your routine Take CIALIS for daily use with your favorite morning beverage or evening meal

Keep track of your doseDo not take CIALIS more than one time each day

Don’t wait until the last minute to get a refill Sign up for refill notices if your local pharmacy offers a prescription reminder program

Side effects with CIALIS

The most common side effects with CIALIS are: headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Men who get back pain and muscle aches usually get it 12 to 24 hours after taking CIALIS. Back pain and muscle aches usually go away within 2 days. Call your healthcare provider if you get any side effect that bothers you or one that does not go away.

Uncommon but serious side effects include: An erection that won’t go away. If you get an erection that lasts more than 4 hours, seek immediate medical help to avoid long-term injury In rare instances, men taking prescription ED tablets, including CIALIS, reported a sudden decrease or loss of vision or hearing (sometimes with ringing in the ears and dizziness). It’s not possible to determine if these events are related directly to the ED tablets or to other factors. If you have a sudden decrease or loss of vision or hearing, stop taking any ED tablet, including CIALIS, and call a healthcare provider right away

These are not all the possible side effects of CIALIS.

Call your healthcare provider if you experience any side effects that bother you or don’t go away. And please see Important Safety Information and full Patient Information for additional information.

Indications: CIALIS is approved to treat erectile dysfunction (ED), the signs and symptoms of benign prostatic hyperplasia (BPH), and both ED and the signs and symptoms of BPH. Taking CIALIS with finasteride when starting BPH treatment has been studied for 26 weeks. CIALIS is not for women or children.

IMPORTANT SAFETY INFORMATION FOR CIALIS

What Is The Most Important Information I Should Know About CIALIS?

Do not take CIALIS if you:take medicines called “nitrates” such as nitroglycerin or other medications like isosorbide dinitrate or isosorbide mononitrate, which are often prescribed for chest pain as the combination may cause an unsafe drop in blood pressure; or use recreational drugs called “poppers” like amyl nitrite and butyl nitrite. take medicines called guanylate cyclase stimulators such as riociguat (Adempas ® ),* a medicine used to treat pulmonary hypertension as the combination may cause an unsafe drop in blood pressure. are allergic to CIALIS or ADCIRCA ® (tadalafil), or any of its ingredients. Call your healthcare provider or get help right away if you experience any symptoms of an allergic reaction, such as rash, hives, swelling of the lips, tongue or throat, or difficulty breathing or swallowing.

After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications.

Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if it is already weak from a heart attack or heart disease.

What Should I Tell My Healthcare Provider Before Taking CIALIS?

CIALIS is not right for everyone. Only your healthcare provider and you can decide if CIALIS is right for you. Ask your healthcare provider if your heart is healthy enough for you to have sexual activity. Do not take CIALIS if your healthcare provider has told you not to have sexual activity because of your health problems. Before taking CIALIS, tell your healthcare provider about all your medical problems, particularly if you have or ever had: heart problems such as chest pain (angina), heart failure, irregular heartbeats, or heart attack pulmonary hypertensionlow blood pressure or high blood pressure that is not controlled strokeliver or kidney problems or require dialysisretinitis pigmentosa. a rare genetic (runs in families) eye disease severe vision loss, including a condition called NAIONstomach ulcers or a bleeding problema deformed penis shape or Peyronie’s disease an erection that lasted more than 4 hoursblood cell problems such as sickle cell anemia, multiple myeloma, or leukemia

Can Other Medicines Affect CIALIS?

Tell your healthcare provider about all the medicines you take, especially: medicines called “nitrates” which are often prescribed for chest pain medicines called guanylate cyclase stimulators, such as riociguat (Adempas ® ), used to treat pulmonary arterial hypertension and chronic-thromboembolic hypertension alpha-blockers often prescribed for prostate problems blood pressure medications medicines for HIV or some types of oral antifungal medications some types of antibiotics such as clarithromycin, telithromycin, erythromycin (several brand names exist, please contact your healthcare provider to determine if you are taking this medicine) other medicines or treatments for erectile dysfunction (ED) CIALIS is also marketed as ADCIRCA for the treatment of pulmonary arterial hypertension. Do not take both CIALIS and ADCIRCA. Do not take sildenafil citrate (Revatio ® )* with CIALIS.

How Should I Take CIALIS?

CIALIS should not be taken more than one time each day. If you miss a dose, you may take it when you remember but do not take more than one dose per day. Take CIALIS exactly as your healthcare provider prescribes it.

What Should I Avoid While Taking CIALIS?

Do not use other ED medicines or ED treatments. Do not drink too much alcohol (for example, 5 glasses of wine or 5 shots of whiskey). Drinking too much alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure.

What Are The Possible Side Effects Of CIALIS?

The most common side effects with CIALIS are: headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Men who get back pain and muscle aches usually get it 12 to 24 hours after taking CIALIS. Back pain and muscle aches usually go away within 2 days. Call your healthcare provider if you get any side effect that bothers you or one that does not go away.

Uncommon but serious side effects include:
An erection that won’t go away: If you get an erection lasting more than 4 hours, seek immediate medical help to avoid long-term injury.

In rare instances, men taking prescription ED tablets, including CIALIS, reported a sudden decrease or loss of vision or hearing (sometimes with ringing in the ears and dizziness). It’s not possible to determine if these events are related directly to the ED tablets or to other factors. If you have a sudden decrease or loss of vision or hearing, stop taking any ED tablet, including CIALIS and call a healthcare provider right away.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call
1-800-FDA-1088 .

CIALIS does not:
Cure ED, increase a man’s sexual desire, protect a man or his partner from sexually transmitted diseases, including HIV or serve as a male form of birth control.

CIALIS is available by prescription only.

*The brand listed is a trademark of its respective owner and is not a trademark of Eli Lilly and Company. The maker of this brand is not affiliated with and does not endorse Eli Lilly and Company or its products.

TD CON ISI 16SEP2015

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Pleasure in a Pill?

As soon as she woke up on a warm summer morning in Baltimore, Cara, a development director for a local nonprofit, was eager to have sex. But with two small children and an airtight morning routine, she and her husband, Ryan, didn’t have time. So Cara, 38, placed three envelopes on the dashboard of Ryan’s truck. “Open them when you get to work,” she said. In the first envelope, Ryan found instructions to pick up oysters during his lunch break. Envelope two asked him to swing by a wine store. Number three only said “12 p.m.,” along with the name of a local hotel. “I met him at the door wearing only heels,” says Cara now. “Building that anticipation all morning was incredibly sexy. Things hadn’t been that hot between us in years.”

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Cara is convinced that their steamy rendezvous wouldn’t have happened if she hadn’t been taking a pill called flibanserin, intended to treat hypoactive sexual desire disorder (HSDD), defined as a drop in a woman’s sex drive that lingers for at least six months. (As of 2013, it’s known as SIAD, sexual interest/arousal disorder.) In the first few years of their relationship, Ryan and Cara (their names have been changed to protect their privacy) had sex at least five times a week. “We had amazing sexual chemistry,” Cara says. “I couldn’t understand how people got to work in the morning. Why wouldn’t you just do it all the time?” But after their first child was born, Cara’s sex drive dropped off dramatically and never rebounded. “I didn’t look or feel the same,” she says. “My body had always been mine, and now it served a totally different purpose as a mother.”

She spent the better part of her 30s on a quest to reboot her sex drive, trying herbal supplements, date nights, and therapy. Nothing worked. Sex sounded exhausting on top of everything else she was juggling. So Cara stopped initiating it. When Ryan tried, she pushed him away or pretended to be asleep. “That broke his heart,” she says. “He’d be lying next to me and I could just feel his anger and sadness in the air.” One day, Ryan showed her a newspaper ad describing a clinical trial for flibanserin. Cara signed up right away.

A few weeks into the study, she felt her sex drive wake up, and Cara’s entire sense of herself changed. “Flibanserin helped me remember that person I used to be,” she says. She planned more lunchtime meet-ups, or grabbed her husband for a quickie while the kids were watching cartoons. They went from having obligation sex once every other week to having sex twice a week. Ryan started doing more around the house, going from “sulking on the couch in the evenings to pouring me a glass of wine and asking about my day,” she recalls. Cara started exercising more and feeling better about her body. “There were ripple effects through every aspect of our lives,” she says.

Then the yearlong study ended, and so did Cara’s supply. She would have to wait until the U.S. Food and Drug Administration reviewed the study results and agreed to put flibanserin on the market. Six years later, Cara is still waiting. Her sex drive has been AWOL ever since.

In 1998, the FDA approved sildenafil citrate, a pill marketed as Viagra, to treat impotence in men. In its first week on the market, almost 40,000 prescriptions were written. By 2012, Viagra and its competitors Cialis, Levitra, and Stendra accounted for $4.3 billion in annual sales. Expecting similar success, pharmaceutical companies have invested billions in drugs they claim will improve women’s sexual performance. But as of press time, the FDA had rejected them all.

Cara can’t understand why the FDA green-lit Viagra after just six months of research, while she’s been left hanging. “It’s got to be men making these decisions,” she says. “If it were women, this thing would’ve been on the market years ago.” Actually, the FDA’s top official and its director of the Center for Drug Evaluation and Research (which is responsible for evaluating drugs before they can be sold) are both women, and the agency has approved two drugs for both postmenopausal vaginal dryness and pain during intercourse. But Cara isn’t alone in her suspicion that a double standard is at work. Almost 9 percent of women ages 18 to 44 suffer from HSDD, according to a study of more than 31,000 American women published in Obstetrics & Gynecology in 2008, the most recent data available. “This is a recognized medical condition, and yet we have no approved treatments for it,” says Terry O’Neill, president of the National Organization for Women. “Of course it’s the FDA’s job to worry about safety. But we also have a long history of neglect when it comes to prioritizing women’s medical needs in this country. And there seems to be this pervasive cultural sense that women don’t really need sexual desire.”

In 2013, O’Neill wrote a letter to the FDA encouraging the agency to give equal consideration to sexual-desire drugs aimed at women. She also supported Even The Score, a campaign for women’s sexual-health equality, launched by the two pharmaceutical companies currently developing women’s sex drugs, along with a dozen consumer, women’s, and health groups. Even The Score’s website includes an online petition and letter-writing campaign to prod the FDA to revisit flibanserin and several other drugs it previously rejected, and this past fall, the FDA held a public meeting to discuss female sexual dysfunction and solicit input from patients and researchers alike.

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But not every feminist and women’s health organization has joined the fight. In fact, a significant number of sexuality researchers aren’t convinced that we need a female sex drug at all. “The pharmaceutical industry wants people to think that sexual problems are simple medical matters, and it offers drugs as expensive magic fixes,” argues Leonore Tiefer, Ph.D. a clinical professor of psychiatry at NYU School of Medicine. Tiefer is skeptical of Even The Score, which she considers more PR stunt than grassroots activism. She’s spent the past 14 years running the New View Campaign, a coalition of 10 major women’s and health groups, including Planned Parenthood of New York City, along with more than 100 doctors and social scientists. Its mission is to challenge what she calls “the medicalization of sex” for both men and women. The campaign’s researchers have testified against the approval of female sex drugs at both FDA hearings to date. Tiefer thinks we should be fighting to change our culture—which, she argues, perpetuates negative messages and unrealistic expectations about women and sex via porn, music, and other media—instead of big pharma.

So is the FDA really discriminating against women? Or is female sexuality too complicated to be treated by a pill?

One thing bothsides agree on: Finding an effective female sex drug isn’t as easy as putting Viagra in a pink bottle. To understand why, it helps to distinguish between “desire”—your mental state of feeling turned on—and “arousal,” in which your body signals that it wants to get it on (vaginal wetness, hardened nipples, and so on). Some women experience spontaneous-seeming arousal frequently (often at certain points in the menstrual cycle), and just noticing those physical signs will get them in the mood. But other women, especially those diagnosed with SIAD, are less aware of the physical signs of arousal. And triggering desire without physical cues is a complicated mental process. “You can’t wait for desire to simply rise up, spontaneously,” explains Tiefer. “It’s like getting in the mood to watch a movie. You have to think about what you like and what circumstances are conducive to that.”

Arousal and desire are more consistently linked for men because their main physical cue is so, well, obvious. “Men know if they have an erection, so that tends to trigger the mental desire,” says Lori Brotto, Ph.D. director of the Sexual Health Laboratory at the University of British Columbia in Vancouver, who defined the criteria for female sexual dysfunction disorders for the latest edition of the Diagnostic and Statistical Manual of Mental Disorders, published in 2013. Viagra and other erectile-dysfunction drugs focus solely on the mechanics of physical arousal by increasing blood flow to the genitalia, so erections are easier to obtain and sustain. But when Viagra was tested on women, most felt confused. The increased blood flow made them more aware of vaginal wetness, but “they still weren’t experiencing a mental state of desire,” explains Brotto, “so the physical effect only magnified that disconnect.”

Pharmaceutical companies realized that they needed a drug that would connect women’s brains and bodies, so they turned to hormones and brain chemistry. Originally studied as a potential antidepressant, Sprout Pharmaceuticals’ flibanserin targets neurotransmitters in the brain, increasing dopamine and norepinephrine (which play a role in sexual excitement) and decreasing serotonin (thought to be responsible for sexual inhibition). Another contender is bremelanotide, a drug made by Palatin Technologies, which, at press time, was awaiting the final stage of the FDA’s three-phase testing process. Bremelanotide activates brain receptors that send sexual receptivity and readiness signals; patients inject themselves with the drug a few hours before sex to jump-start their desire. Meanwhile, a pair of drugs still in Phase 2 trials, called Lybrido and Lybridos, made by the Dutch company Emotional Brain, claim to pack a one-two punch by first priming the brain with testosterone to make women more sexually responsive and then increasing blood flow to genitalia, Viagra-style.

Madison, a perky 37-year-old from Ohio, who also asked to have her name changed, thought a shot sounded “a little scary” when she first heard a bremelanotide recruitment commercial. But she was feeling desperate to recapture the sex drive that 10 years of marriage and parenting seemed to have erased. “When we first got together, I’d come home after work and a two-hour commute and still be like, ‘Yeah, let’s go!'” she recalls. “Now, I just don’t ever want to have sex, ever. Maybe I’ll snuggle with him and think about it for a second, but then it’s like, I’d rather sleep.” With bremelanotide, Madison could time the shots for when she and her husband had a window in their schedules for sex. The couple went from having sex once every three weeks to twice a week.

Both Cara and Madison—who were introduced to me by publicists for their respective drug manufacturers—posted unusually good results for their drug trials; on average, flibanserin users had sex once more per month, while bremelanotide patients reported having sex 0.8 times more per month. But: “Women in these trials are usually in long-term relationships and having some sex already, so counting how often they have sex isn’t the best measure of the drug’s efficacy,” explains Sheryl Kingsberg, Ph.D. a professor in reproductive biology and psychiatry at Case Western Reserve University, who worked as a clinical researcher on both drugs. “What they’re missing is that hunger for sex, which is much more subjective.” Before trying bremelanotide, Madison often made deals with herself: “It would be like, ‘OK, Sunday is the day! If we haven’t done it by Sunday, I’ll do it then, no excuses!'” she says. “It felt more like I was trying to think positive before a big test than doing something fun.” Now that her flibanserin supply has ended, Cara can relate: “We do it every Saturday and Sunday morning, right after we brush our teeth,” she says. To enjoy it, Cara wakes up early and remembers those hot sexcapades during her flibanserin trial, or anything else that might turn her on. “I know how important sex is for our marriage,” she explains. “I miss really wanting to have sex. I hate having to ‘wind myself up’ to do it. It makes me feel broken. It takes a really dedicated effort for me to be there physically and mentally.”

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What Kingsberg and other drug researchers want the FDA to focus on is: Do women on these drugs feel more desire—without that dedicated effort? When the researchers adjusted for a placebo response, flibanserin users reported a 16 percent increase in sexual desire, according to a 2013 study published in The Journal of Sexual Medicine. Bremelanotide users saw a jump of 27 percent adjusted for placebo response, according to a study presented at the 2014 clinical meeting of the American Congress of Obstetricians and Gynecologists. Tiefer says that desire is too subjective to measure. “That increase in sexual desire is according to a scale developed by the drug industry,” she notes. “They can stack the decks by asking questions and using measures that they know will favor their products. And I’m not convinced that having sex once more a month outweighs the side effects of a drug that impacts your central nervous system.” Meanwhile, the FDA’s take seems to be that it’s not sexist—it’s just worried about side effects. (It’s against agency policy to comment on specific drugs in the pipeline, but an FDA spokesperson told me that female sexual dysfunction is on its list of 20 “high-priority” areas for research.)

Madison admits that as happy as she was with her sex life on bremelanotide, she wouldn’t use the shot more than once a week, because it made her too tired and nauseous. “I’d have to take a nap before I’d be ready,” she says. “That’s just not realistic every day.” Her symptoms were among the most frequent side effects reported in the trial. Another 7 percent of users dropped out owing to increased blood pressure. And 9.6 percent of flibanserin patients stopped treatment because of fatigue, nausea, sleepiness, dizziness, and insomnia. “There is no drug on earth without risk,” counters Kingsberg. She compares the side effects of female sex drugs with those of Xiaflex, an injection that treats “bothersome curvature of the penis” (a condition known as Peyronie’s disease). The FDA approved it in 2013, even though 39 of the 1,044 men studied developed penile hematomas and five men had their penises fracture while on the drug. “The treatments for women are being held to a higher risk-benefit standard than the treatments for men,” says Kingsberg. “Potentially, there is a subconscious double standard at work here.”

Brotto frames the problem differently. “Women’s health issues absolutely have been under-researched and underfunded compared with men’s. But the answer isn’t to equalize the number of drugs available,” she says. Along with Tiefer and others, she worries that the pharmaceutical industry’s marketing tactics will convince women that they suffer from low sexual desire when, actually, they’re just human. Cara and Madison both spend a lot of time not necessarily wanting sex, but wanting to want it, one of the main hallmarks of SIAD. “[SIAD] is when a woman says, ‘I don’t think about sex anymore,'” explains Kingsberg. “But the critical piece is that they’re distressed by that loss of desire. It’s like losing your appetite.”

Is a low sex drive a true medical issue in need of a fix, or are the approximately one in 10 women “distressed” by it just sexually incompatible with their partners, busy with other priorities, or holding themselves to an unfair standard? Brotto wrote the diagnostic criteria, but she emphasizes that there is a wide range of “normal” when it comes to sex drives—and often, women “want to want” not because they’ve lost their sex drive for medical or biological reasons, but because they think they should want more sex. That pressure can come from partners (including loving, supportive ones), media, and from women themselves. “We have this unrealistic idea that women should always want sex and require very little stimuli to get there,” she says. “This leaves a lot of women feeling inadequate, but they don’t necessarily have SIAD.” (The New View Campaign has also objected to the marketing of male sex drugs for reducing men’s sexuality to erections and ejaculation only.)

Instead, many women could benefit from working on the psychological and cultural issues hampering their desire, says Brotto. “These drugs can’t change how you feel about your partner or improve your body image,” she explains, “all of which play a big role in whether you want to have sex.” She offers her patients an eight-week program with a mix of cognitive therapy, sex education, and mindfulness meditation techniques. One participant is a 26-year-old antiviolence advocate from Vancouver who asked to be called Emily; she has been with her girlfriend for five years. “I’ve always had this voice in my head, taking me out of my body during sex,” she says. “I worried about whether I was doing it right and whether I felt turned on enough. Now I’ve learned how to just enjoy the moment, which makes sex much more satisfying.”

Brotto also works to help women understand what triggers their mental state of desire, which can include anything from dirty talk and porn to certain scents and physical signals (like many guys’ morning erections). For many women, actually getting busy is their most effective trigger. Their desire response doesn’t kick in until they’ve already started having sex. “We call this ‘sex neutrality,'” Brotto explains. “It’s pretty normal for women to enjoy sex once they get started, even if they don’t think about it much the rest of the time. They should not be labeled as having a disorder.” What Brotto suggests is for couples to work together to develop a realistic set of expectations about desire and to learn what triggers work for each.

Deciphering your sexual stimuli certainly isn’t as easy as taking a pill. Recently, Madison watched the movie Hysteria. about the invention of the vibrator in the late 1800s, and was angered anew that she’s waiting for bremelanotide to be FDA-approved. “That’s what women have: vibrators and lubricants. Guys have drugs. They aren’t expected to settle for lube.” But even Cara acknowledges that a big part of her struggle is the presure she feels “to be Martha Stewart in the kitchen and Pamela Anderson in the bedroom. I know it’s not realistic to have the same sex drive that I had at 22,” she says. “But I would still love to get back there.”

"Female Viagra" Explained in 5 Clicks

If you’re struggling with low sex drive . a new treatment may be able to help.

The Food and Drug Administration (FDA) approved Addyi (flibanserin), the so-called “female Viagra,” in August 2015. The little pink pill purports to increase sexual desire in women, and is the first FDA-approved treatment for female sexual dysfunction. Addyi, available only by prescription, is expected to hit pharmacies in October 2015 and reportedly will cost between $30 and $70 per month under most insurance plans.

Click through to find out how Addyi works and whether it could be right for you.

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Does it work like Viagra?

While female Viagra is convenient shorthand, Addyi doesn’t actually work like its “counterpart” for men. Viagra treats sexual performance issues by increasing blood flow to help men get and maintain erections. Addyi works on brain chemicals to increase women’s sexual desire. And, unlike Viagra, which is taken as needed, Addyi is a one-a-day regimen.

In a trial, women taking Addyi reported between 0.5 and 1 additional satisfying sexual event per month, and also reported better scores on a sexual distress index compared with women taking a placebo.

Helpful. 2 people found this helpful.

Who should take it?

The drug is approved for premenopausal women with a condition known as hypoactive sexual desire disorder, or HSDD. It’s characterized by a low sex drive and accompanying personal distress that does not stem from other medical, medicinal or psychiatric reasons, or problems with a relationship . The type of sexual activity, the partner and the situation have no effect on desire in a woman with HSDD.

"We don’t know for sure, but the mechanism of action suggests it would probably be effective in postmenopausal women," says Sharecare’s chief medical officer Keith Roach, MD . The drug has been studied in postmenopausal women with similar results, and it could be prescribed off-label for them.

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What are the side effects?

Addyi can cause low blood pressure and fainting. These effects are magnified by alcohol, some oral contraceptives and certain antifungal medications. The medicine should be taken at bedtime in order to minimize the risk of injury associated with general sedation/sleepiness and loss of consciousness. Women taking flibanserin should not use alcohol.

Dr. Roach said about 15% of women experience these side effects. He added that the trial showed “that dizziness, somnolence, nausea, and fatigue are all at significantly increased rates compared with placebo,” he said.

Helpful. 2 people found this helpful.

How safe is it?

Some critics contend that the risks outweigh the benefits. Just over half of the women in the trial said their sexual desire improved while taking the drug, but 38 percent of women taking a placebo said the same. “It’s more effective than a placebo, but not a lot,” says Roach. But he adds that a woman prescribed Addyi has a 50-50 chance of improvement, whether due to the placebo effect or not.

“I’ll prescribe the drug to an appropriate female patient who is willing to accept the risks, provided she understands them,” says Roach. He adds that because there is high demand for this treatment, "you’ll find a lot of people willing to accept even high risks of side effects.”

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A healthy sex life and strong relationships contribute to your physical and mental health in many ways, from keeping you fit and youthful to helping you live a longer, happier life.

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Five myths about “female Viagra” explained

(CNN) — The U.S. Food and Drug Administration has given women who struggle with low libido some hope. The agency approved the first drug to treat hypoactive sexual desire disorder. While there are more than a dozen drugs that help men’s sex lives, this is the first that will help women.

Sprout Pharmaceuticals has tried twice to get the drug approved. Doctors can write prescriptions for the pink pill that will be marketed as Addyi in October. The company said it will cost about what a prescription for Viagra does. Many questions have come into the CNN Facebook page. So, let’s bust five myths about the pill before it becomes available.

1. This is like Viagra

While people are calling Addyi the “female Viagra,” it doesn’t really work that way. Viagra eliminates a physical problem for men. Men take it to get and keep an erection. They pop it before they want to have sex. Addyi doesn’t treat a physical problem for women — instead it targets the chemicals in their brain and it improves, in at least 37% of the women who take it, their sense of desire for their romantic partner. Women have to take Addyi every night.

2. This will be a cure-all for women not all that into sex

Unlike Viagra, which works for a wide variety of men, Addyi only works on women with a significantly low sex drive. It doesn’t turn people on if they aren’t already attracted to a person. Low libido is the biggest sexual complaint, according to a 2002 study. For those it helps, such Amanda Parrish, a 52-year-old who was a part of the drug trial, it can be life-changing. She did have a sex life with her husband before she took the drug, but it wasn’t fully satisfying. “It was that I lost my drive to initiate [sex] and be an active participant [in sex] and I found myself more of an obligatory participant.” Parrish said. “From the neck down my body responds just fine, but from the head up, well, for years people have been telling women it’s all in our head and I guess it turns out for some women it really is.”

3. This will make women nymphos

“It doesn’t make you have hypersexual interest,” according to Dr. Anita Clayton. Clayton works as a consultant with Sprout Pharmaceuticals and is interim chair of the department of psychiatry and neurobehavioral sciences at the University of Virginia School of Medicine in Charlottesville. “It’s not an aphrodisiac.” Instead it helps rebalance the chemicals in a woman’s brain to restore their desire for someone to whom they are attracted. Women “saw improvements,” Clayton said, but “it wouldn’t go beyond normal” and does not give them “a more enhanced sexual interest” overall. Women who were in this study said they were happy even if they just “got close to their normal.”

4. This will be something someone could use on unsuspecting women

Even for the women the new drug will help, it doesn’t take effect instantly. The drugmaker says it only works over time. It can make women sleepy; it would not incapacitate them like GHB, popularly known as a “date rape” drug, can. A woman taking this libido drug would remain conscious and aware of her surroundings.

5. Women may abuse this recreationally

Because of the serious side effects of low blood pressure and passing out, particularly when women drink alcohol and use the product, women will need a prescription to get the drug. The packaging will include a warning. The women will have to be screened by doctors for sexual dysfunction. “This is not the panacea that Viagra is at all,” Dr. Laura Berman said. Berman worked on the drug trial and is an assistant professor of clinical obstetrics and gynecology at Northwestern University Feinberg School of Medicine. Women may still need therapy to address broader relationship issues that may be affecting their interest in intimacy. “Women who don’t need a medication won’t be taking it unnecessarily,” Berman said. “That’s why there is a screening process and I know the company takes it seriously.”

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I take 25mg on an empty stomach with a tall glass of water at 8:00AM. It takes effect in 15 minutes on the average and out love-making session goes for over an hour every time. – Age 65, Florida

I decided to try a 25mg Viagra pill. I could feel my penis get erect within 15 minutes, getting harder than usual and lasting longer too – YT, Age 45, Nigeria

A full 100 mg. will give you a Ginsu carving knife that, if put to ultimate use, will render her suitable for burial in a Y-shaped coffin. For most of us, 50 mg. is plenty, ensuring that you can return to a deflated state between orgasms, if so desired. But you may have to picture your grandmother naked, to do so.

The effects last 3 or 4 hours, and it takes 30 to 45 minutes to kick in. 25 or 50 mg tabs work the same for me, no difference. Go for it. – Art, Age 62, Texas

I bought a pill cutter at the grocery store and cut a 50 mg pill in half. It worked faster than a 1/2 hour and I had the first complete sexual experience in over 6 YEARS! William, Age 42, Texas

25mg is best for me and I have found that Viagra makes me a super stud and the girl rides me and always has an orgasm or two. – Pablo, 42, Texas

I find that 25 mg two hours prior to sex is best for me, and allows sensitivity, to remain at its peak. When trying 50 or 100,mg, it took away much of the feeling, and you need stimulation to maintain erection. More is definitely not better, in my case. – Phil, Age 60, California

25mg begins to work in about 15 minutes to a half an hour and lasts for 3 hours or so, Able to have an erection and intercourse more than once in a few hours. – Age 65, New York City

My doctor prescribed 50 mg Viagra. Wow. Instant hard on that lasts for a long time. I take 50 mg about three times a week.

I have tried 100mg from time to time but actually seem to do better with the smaller doses. – JR, Age 65

You have to experiment with the dosage and time lag. I started with 50 mg (good to rev my engine, I think) but ultimately found that 25 mg about 90 minutes before sex is ideal for me. Lower dosage means less nasal congestion and more feeling during sex. But 25 mg still leaves me rock hard and able to hold off climaxing just about as long as I want.

I have experimented with dosage and now find that 25 mg about one half hour before sex is perfect for me. I’m rock hard and can go forever.

I have the pharmacist split a 100 mg pill in four for me so I take 25 mg at a time. When I want to go all night I take the full 100 mg.

I cut a 50 mg in half and find that to be enough.

We came at the same time, and boy did I cum. What force! What makes this whole experience ever better is that I only used half of a 50 mg pill.

I started off with 25 mg, and have reduced it down to 12.5 mg (roughly – I split the 100 mg pill to 8) and find that with this reduced dose, I can still have a rock hard erection as well as a greatly reduced headache.

I have since realized I only need 25mg to keep and maintain an erection. But originally, that night, I took 50mg. – Bill, Chicago, Age 42

Viagra (sildenafil) facts

What is Viagra?

Viagra is the trade name for a drug called Sildenafil. Viagra is one of a class of drugs known as PDE-5 (Phosphodiesterase type 5) inhibitors.

Viagra and the other PDE-5 inhibitors can help men with erectile dysfunction (male impotence) by enhancing the erectile response when a man is sexually stimulated. Aside from Viagra, the other drugs in this class are Cialis (Tadalafil) and Levitra (Vardenafil).

How does Viagra work?

Viagra does not cause a man to be sexually aroused. Viagra is only effective if you are sexually aroused. To understand how it works you need to understand the mechanics of how a man gets an erection. When you get sexually stimulated, the nervous system in the erectile tissue of your penis releases nitric oxide (NO).

The nitric oxide stimulates an enzyme that produces something called a messenger cyclic guanosine monophosphate (cGMP). The cGMP relaxes the smooth muscle cells. One result of this is that the arteries in your penis dilate and the blood can flow into your penis more easily. Another result is that the erectile tissue itself fills with blood. Both of these process result in an erection. Viagra works by maintaining the level of cGMP in the smooth muscle cells.

If you are not turned on, your brain will not stimulate the release of any nitric oxide and you will not produce any cGMP.

Is Viagra effective?

Clinical studies have shown that when compared to placebo, Viagra and the other drugs in the same class, result in significant improvement in erectile function. Although established to be a safe and effective drug, Viagra isn’t appropriate for everyone and may not work in all cases.

How does it affect blood pressure?

Viagra can slightly lower blood pressure. This is not a problem for most men. But Viagra’s effect on blood pressure is exaggerated if the Viagra is taken with a nitrate drug.

Nitrates are one of the treatments doctors prescribe for angina. If you take Viagra when you are also taking nitrates, the combined effect of the Viagra and the nitrates can lower your blood pressure to such an extent that it could prove fatal. Never take Viagra at the same time as taking nitrates.

If I have a heart condition can I take it?

If you have a heart condition it is important that you discuss this with the doctor before taking Viagra. Viagra may not be appropriate because of the danger of interacting with the nitrates.

Can women take it?

Viagra is not currently licensed for use by women.

How quickly does it work?

On average, Viagra becomes effective in just under an hour when you take a tablet on an empty stomach. Viagra can remain effective for between four and six hours. If you take it after a meal that has a high fat content, it may take longer than an hour to become effective.

Why are there different doses?

Viagra is available in three dosages: 25mg, 50mg and 100mg. Some men may respond to a lower dose of Viagra. Some men may already be taking medicines that interact with Viagra and thus need to adjust the Viagra dosage they are taking.

What dose is right for me?

The doctor needs to decide which dosage of Viagra is most appropriate. The doctor will take into account potential drug interactions, your age, the severity of your erectile dysfunction and any previous experience you have had with Viagra.

What if it does not work the first time I use it?

Viagra might not work the first time you take it. Most doctors advise taking Viagra at least eight times before trying a different medicine.

What are the side-effects?

Viagra’s Side effects are generally mild and brief. Viagra’s most common side-effects are headache and facial flushing. Less frequently, men taking Viagra have reported indigestion, a stuffy nose and a blue tint to the vision.

Does it interact with other medicines?

Viagra interacts with many drugs. The following list is not complete but it is important to inform the doctor of all prescription and non-prescription medication taken, especially:

  • nitrate medications (e.g. glyceryl trinitrate (GTN), nitroglycerin, isosorbide mononitrate or dinitrate)
  • nitroprusside
  • cimetidine
  • erythromycin
  • azole antifungals (e.g. itraconazole, ketoconazole)
  • mibefradil
  • rifamycins (e.g. rifampicin)
  • Alpha blockers, prescribed for prostate disease or high blood pressure
  • Ritonavir, Amyl, Butyl or Isopropyl nitrates (‘Poppers’)

Who shouldn’t use it?

Men who have any of the following conditions should also avoid taking it:

  • severe heart or liver problems
  • recent stroke or heart attack
  • low blood pressure
  • certain rare inherited eye diseases

Does it treat the underlying causes of impotence?

Viagra will resolve the underlying cause of erectile dysfunction although if the cause is primarily psychological, it may help to break the cycle of anxiety and failure associated with being unable to achieve a satisfactory erection.

What kind of tests might highlight the underlying causes of male impotence?

A blood test for diabetes should be performed along with cholesterol and triglyceride blood tests. It is becoming increasingly accepted among doctors that sex hormone levels (Testosterone) should also be checked by way of a blood test.

What other impotence treatments are available?

The other drugs, Levitra and Cialis work in similar ways. Viagra is generally prescribed as the first line treatment. Cialis has a much longer half-life than Viagra and Levitra and therefore its effect lasts much longer.

This does not mean one has prolonged erections but the length of time available for further erections is increased without the need to take further doses. It also means however that the side effects if present will last longer. Levitra, like Cialis, can be taken with food whereas Viagra should be taken on an empty stomach.

Some studies have shown Levitra to be more suitable for men suffering from diabetes. Other treatments include Caverject (‘Alprostadil’), which is a medication injected directly into the penis and MUSE (another form of ‘Alprostadil’), which is a pellet inserted into the urethra. These may be of use for men who have to take Nitrates and are therefore unable to take the PDE5 inhibitors.

The use of vacuum pumps and other mechanical devices for producing and maintaining erections are alternatives to taking medication.

Comment from: Jason9, 35-44 Female on Treatment for 1-2 years (Patient) Published: October 07

Very effective. Take without food to help absorption quickly and last longer. Effect does *not* run out in 4 hours. I have taken as little as 10-15 mg and felt the benefits for well over 12 hours. This of course will be different for everyone. Would recommend starting with a very, very low dose. My first dose of 25mg made my penis hurt due to the long lasting and persistent erections. Here are my recommendations and items to consider based on my personal experience: 1. Take without food 1 hour before love-time. It takes a bit to kick in. I have always felt a little “preview” effect of Viagra in about 15 minutes. but then it really kicks in after an hour. To get the Viagra flowing through your penis, manipulate yourself a little (may not take much. just an extra few giggles in the restroom). 2. Drink lots of water. Dehydration is BAD for erections. 3. Pop a couple of tums or rolaids. Viagra can make your stomach acidic. 4. Pop a breath mint as it can give you tart breath. 5. Take a very, very low dose the first time. Also, take it while you are alone so you can get used to how much you really need and the benefits. DON’T take it for the first time with your partner. 6. Don’t take it too often because it can make your prostate swell up. So don’t take it every other day so you can masturbate for 3 hours. 7. Headaches are common. pop a couple Advil with it. 8. Once you are having sex, it will keep your erection going even if what you are doing doesn’t feel that good. This is BAD. You don’t want to get used to having sex in positions that don’t feel good to you, since your erection will continue, but you may not be able to “get back into it” and have an orgasm. Certainly, there are times when this may be okay, but it gets awkward when you are in bed with a woman, have a rock hard erection, and you can’t have an orgasm. Women ask questions. And if she doesn’t know you are taking Viagra, she will probably figure it out. Good luck.

Comment from: New_user, 45-54 Female on Treatment for less than 1 month (Patient) Published: October 20

This drug worked extremely well for me. My doctor recommended that I start with 100 mg which I did with results that would put a teenager to shame. I experienced a mild headache the next morning and some nasal stuffiness. I also experience a very slight sensitivity to light. (These are all documented side effects and not considered unusual). I cut the dosage to 50 mg and the side effects virtually disappeared. without any noticable decrease of the drug’s effectiveness. I even tried 25 mg with good results. With 100 and 50 mg dosing, the effect of the drug kicked in after only 15-20 minutes. And the results lasted much longer than the advertised 4 hours – as much as 12 -14 hours for me. With this drug, I’ve been able to ejaculate every time and the erection does go away as promised (something I was concerned about after hearing the warning of the “4 hour erection” in the commercials). This drug has given me back my lovelife and in a way that has made it better than it’s ever been. If you’re having issues, but not sure what to do, I strongly encourage you to visit with your doctor and see if this drug (or similar) will work for you. I guarantee that, if it does (and my doctor tells me it is almost always effective), you will be the happiest guy on your block! Good luck!!

Comment from: working at it, 45-54 Female on Treatment for 2-5 years (Patient) Published: February 11

Guys, listen up.This is not a cure all. You have to experiment to see what works for you. First, you are paying by the pill and it’s crazy exspensive. Buy a pill splitter and cut your price in half or by 75% depending on the dossage you need. It takes practice to get a perfect cut but i’ts worth the effort. If you drink alcohol you’ll have to see how much you can consume with out diminishing results which is about 6 beers for me. Also I have found that I can take it at 10 or 11 at night and wake up with a raging hard on the next day which works out perfectly in my relationship and lasts till late afternoon. By the way I’m 50 and had a heart attack when I was 42.

Comment from: 35-44 Female on Treatment for less than 1 month (Patient) Published: December 24

Works great. I am only 40. Started having problems about a year ago. Got a sample pack from Dr. with 6 pills. The first three I took worked perfectly. Took on empty stomach or at least one hour after a meal. Within an hour, took effect. Makes my face flush and nose run (common side effects) The fourth time I took it, I split the pill in half to see if it would work at lower dose (I was taking a 50mg dose) This DID NOT work. I dont know if it was the lower dose, if it had something to do with what I ate beforehand (Mexican food), or if your not supposed to split them. Also, most of the time, it still has effects several hours after. Even up to the next morning if taken at night.

Comment from: CallhimMrHappy, 45-54 Female on Treatment for less than 1 month (Patient) Published: August 26

Am 46 years old and just started having problems getting erections. Tried “herbal” remedies, was hit or miss, mostly miss. Also libido was on the down turn, I just didn’t feel like I needed or wanted sex. Talked to Dr and was given free trial of 50 mg. Took one a hour before bed, and was very amazed at the erection it gave me when the wife and I started messing around! Not to mention waking up with morning wood, something that hasn’t happened in a LONG time!

Patient Comments are not a substitute for professional medical advice, diagnosis, or treatment. Never delay or disregard seeking professional medical advice from your physician or other qualified health provider because of something you have read on RxList. The opinions expressed in the comments section are of the author and the author alone. RxList does not endorse any specific product, service or treatment.

If you think you have a medical emergency, call your doctor or 911 immediately.

Report Problems to the Food and Drug Administration

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

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High Blood Pressure and Erectile Dysfunction Treatments

Even if your high blood pressure (or hypertension ) has caused erectile dysfunction (ED), you have every reason to be optimistic about the future and a healthy sex life. ED is a common problem associated with high blood pressure. but there are many proven treatments you can try.

A doctor’s first choice for treating erection problems is usually one of the pills called PDE5 inhibitors. First there was Viagra. Now there’s also Cialis. Levitra. and Staxyn. All of these drugs work in similar ways. They don’t increase sexual desire. They make it physically possible to get an erection when you are aroused.

No one of them has been proven to work better than the others. But the time they take to start working and the duration of their effects vary. That’s something you may want to consider based on your sexual habits. For example, does spontaneity matter to you, or do you usually plan sex ahead of time?

Viagra starts working in about 15 to 30 minutes and its effects last about two to four hours. Levitra starts working in about 30 to 60 minutes and lasts four to five hours. Cialis starts working in about 30 to 60 minutes and lasts as long as 36 hours.

Staxyn is an orally disintegrating tablet that contains the same active ingredient as Levitra but is not interchangeable with Levitra tablets.

Men whose blood pressure isn’t under control and those who take alpha-blockers (for high blood pressure or prostate problems ) shouldn’t take Cialis, Levitra, Staxyn, or Viagra.

Also, you may not be able to take these drugs if you:

When Erectile Dysfunction Pills Aren’t an Option

If erectile dysfunction pills are out of the question, or if pills haven’t worked for you, don’t worry. There are other options.

Alprostadil is another drug for erectile dysfunction. However, it’s not a pill. One brand, called MUSE, is an alprostadil pellet that you insert into the tip of your penis with an applicator. It widens blood vessels and relaxes smooth muscle tissue in the penis. allowing blood to fill the spongy tissue that makes the penis erect.

Continued

Injections directly into the penis are another way to deliver alprostadil. Phentolamine and papaverine are additional drugs that are injected into the penis to treat erectile dysfunction. When injecting these drugs there is some risk that your erection may last too long, a condition that can require medical treatment.

Next, you may want to try a vacuum device, or “penis pump.” This is typically a clear plastic cylinder with a bulb or plunger and a constriction band.

You put your penis in the cylinder and start pumping. The suction creates a vacuum, so blood rushes in to fill the spaces in the spongy tissue of the penis, creating an erection. The erection lasts only as long as the blood stays in, so you slide the band down around the base of your penis, trapping the blood. It’s safe to keep the band on for up to 30 minutes.

These devices are available without a prescription, but it’s important to buy one from a reputable manufacturer. The device must include a safety control so you can’t harm your penis with too much suction.

Surgery for Erectile Dysfunction

Most men would prefer to avoid surgery, but for some men with erection problems, penis implants are another option for regaining sexual function.

There are two kinds of penis implants. One kind is a rigid but flexible rod implanted in the penis. You bend it up for sex or down for daily living. The other kind is an inflatable implant. The device stores fluid in a reservoir under the skin of your abdomen or scrotum. You press on the reservoir to pump fluid into cylinders in the penis. That creates an erection. A valve drains the fluid out of the penis when you’re done.

There are drawbacks to implants. An erection you get with an implant may be slightly shorter than a natural erection. The device itself may malfunction, in which case it would require another surgery to remove or replace it.

Getting a penis implant is a big decision. Once you have it, you may not be able to try other treatments. That’s because the implant replaces the chambers in the penis that fill with blood for a natural erection.

Continued

Alternative Treatments for Erectile Dysfunction

Before Viagra hit the market in 1998, there was no proven treatment for erectile dysfunction that men could take in pill form. Doctors were interested in yohimbe. an herb that increases heart rate and blood pressure. Some doctors prescribed it to their patients in combination with other treatments for erectile dysfunction. Even then it was not a recommended treatment and is still not today. Studies have not proven that it works.

Men with high blood pressure especially shouldn’t take either the prescription drug or the herb. It can dangerously raise blood pressure.

Currently, no herb or supplements have been proven to help with erectile dysfunction. Herbs and supplements that some believe are helpful for erection problems include:

Before trying any alternative treatment, be sure to ask your doctor about it. Herbs and supplements. whether they help with erections or not, have real effects on the body. They could cause dangerous reactions with other medicines you might be taking.

WebMD Medical Reference Reviewed by James Beckerman, MD, FACC on April 12, 2015

Sources

American Urological Association: “Erectile Dysfunction Clinical Guidelines Panel. The Treatment of Organic Erectile Dysfunction: A Patient’s Guide,” 1996; and “AUA Guideline on the Management of Erectile Dysfunction: Diagnosis and Treatment Recommendations,” 2005.

Gaines, K. Urologic Nursing. February 2004.

Lamm, S. The Hardness Factor. HarperCollins, 2005.

Medscape Drug Reference from First DataBank: “Alprostadil Urethral” and “Sildenafil Oral.”

Vivus, Inc. “Administering MUSE,” 2004.

В© 2015 WebMD, LLC. All rights reserved.

Can you take viagra with high blood pressure

Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.

This site complies with the HONcode standard for trustworthy health information.

The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.

iPhone and iPad Apps

Researcher Dr. Michael Adams answers some important questions.

Dr. Michael Adams: “This is a normal part of health and should be discussed freely.”

Did you know that hypertension (high blood pressure) can cause tension in the bedroom?

Men who have uncontrolled high blood pressure are likely to lose their erectile function at least twice as fast as men with normal levels, says Dr. Michael Adams, a pharmacologist and a cardiovascular and sexual medicine researcher at Queen’s University in Kingston, Ont.

A Heart and Stroke Foundation-supported researcher, Dr. Adams is a member of both the International Society of Sexual Medicine and Hypertension Canada. He’s been researching the connection between cardiovascular health and sexual function for 25 years.

Dr. Adams answered our questions (and we’re mostly talking to men – but women, you’ll want to listen in).

What is the connection between blood pressure and sex?
An increase in blood pressure can occur with any kind of activity, depending on intensity – jogging, playing hockey and sex.

If your blood pressure is normal, that’s fine. But if you have uncontrolled hypertension you need to be careful, especially if you have been physically inactive for some time then suddenly regain sexual function from medications like Viagra or Cialis. In that case, the increase in blood pressure could put you at higher risk for progression of cardiovascular disease. Talk to your doctor before using these drugs to ensure you’re fit enough to engage in sexual activity.

Your sexual function can be an indicator of your cardiovascular health. Just throwing a Band-Aid on it and saying, “I’ve got drugs, I can do it,” is not a safe approach.

How can high blood pressure affect my sex life?
Hypertension is a known risk factor for inducing erectile dysfunction. High blood pressure that is not properly controlled is going to weaken your body’s ability to increase blood flow when needed, making it more difficult for you to generate an erection.

If I control my high blood pressure with medication, will that help my sexual function?
Following your medication plan is crucial for combating high blood pressure. However, certain hypertension drugs – including some beta blockers and diuretics – increase the possibility of erectile dysfunction.

Don’t despair if your blood pressure medication is affecting you this way. There are solutions and they start with talking to your doctor. It might be as simple as adjusting your medication schedule.

Does high blood pressure affect women’s sexual function?
The evidence isn’t as strong as it is for men. Women’s sexual dysfunction is more complicated than erectile dysfunction.

If I take medication to control my blood pressure, can I also take erectile dysfunction drugs (Viagra or Cialis)?
When these drugs were approved, they were tested on patients taking blood pressure medications. But blood pressure medication taken incorrectly, combined with sexual enhancement drugs, could possibly result in a dangerous drop in blood pressure. That’s why talking to your doctor is key; as your main healthcare provider, he or she needs to know about all medications you are taking, including prescriptions from specialists as well as any herbal remedies or supplements.

Your doctor should be able provide you with a safe and effective medication strategy to address both issues.

Should I talk to my doctor about sexual function and blood pressure?
Absolutely. This is a normal part of health and should be discussed freely.

And if you think this is difficult to bring up, so does your doctor. One of the hardest questions for doctors to ask is, “How is your sex life? What is the quality of your erections?”

Break the silence. After all, says Dr. Adams, consider how we now talk about depression or prostate issues – these topics have become locker room conversation. Erectile dysfunction should be discussed as openly – and managed just like any other outcome of vascular disease.

Plus, think of it as incentive. If you know that healthier blood pressure means better sexual function, that’s a great reason to follow your treatment and change your lifestyle.

Need help to control your blood pressure? Sign up for the free Heart&Stroke Blood Pressure Action Plan TM .

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Side Effects

List Viagra side effects by likelihood and severity.

The following side effects are associated with Viagra:

Common side effects of Viagra:

  • Backache Less Severe
  • Dizzy Less Severe
  • Feel Like Throwing Up Less Severe
  • Head Pain Less Severe
  • Indigestion Less Severe
  • Nosebleed Less Severe
  • Stuffy Nose Less Severe
  • Temporary Redness of Face and Neck Less Severe
  • Visible Water Retention Less Severe

Infrequent side effects of Viagra:

  • Acute Infection of the Nose, Throat or Sinus Severe
  • Problems with Eyesight Severe
  • Chronic Trouble Sleeping Less Severe
  • Diarrhea Less Severe
  • Fever Less Severe
  • Flu-Like Symptoms Less Severe
  • Inflammation of the Nose Less Severe
  • Joint Pain Less Severe
  • Rash Less Severe
  • Redness of Skin Less Severe
  • Sinus Irritation and Congestion Less Severe
  • Trouble Breathing Less Severe
  • Urinary Tract Infection Less Severe

Rare side effects of Viagra:

  • Abnormal Heart Rhythm Severe
  • Abnormal Increase in Muscle Tone Severe
  • Abnormal Liver Function Tests Severe
  • Abnormally Low Blood Pressure Severe
  • Anemia Severe
  • Angina Severe
  • Atrioventricular Heart Block Severe
  • Bleeding from the Lungs Severe
  • Blood Clot in the Brain Severe
  • Blood coming from Anus Severe
  • Blood Pressure Drop Upon Standing Severe
  • Cataracts Severe
  • Chest Pain Severe
  • Chronic Heart Failure Severe
  • Complete Stoppage of the Heart Severe
  • Continued Painful Erection Severe
  • Decreased White Blood Cells Severe
  • Depression Severe
  • Diabetes that is Not Under Control Severe
  • Disease of Inadequate Blood Flow to the Heart Muscle Severe
  • Disease of the Muscle of the Heart with Enlargement Severe
  • Disease of the Nerves Severe
  • Eye Disease Caused by Blood Flow Problems Severe
  • Eye Hemorrhage Severe
  • Fast Heartbeat Severe
  • Feeling Faint Severe
  • Fluid Retention in the Legs, Feet, Arms or Hands Severe
  • Hearing Loss Severe
  • Heart Attack Severe
  • Heart Throbbing or Pounding Severe
  • Hemorrhage in the Brain Severe
  • High Amount of Sodium in the Blood Severe
  • High Amount of Uric Acid in the Blood Severe
  • High Blood Pressure Severe
  • High Blood Sugar Severe
  • Increased Pressure in the Eye Severe
  • Inflammation of the Bladder Severe
  • Inflammation of the Esophagus Severe
  • Low Blood Sugar Severe
  • Pain Severe
  • Poor Vision Severe
  • Problems with Bladder Control Severe
  • Retinal Edema Severe
  • Retinal Hemorrhage Severe
  • Rupture of a Tendon Severe
  • Seizures Severe
  • Separation of the Vitreous from the Retina in the Eye Severe
  • Shock Severe
  • Skin Rash with Sloughing Severe
  • Stroke caused by Bleeding in the Brain Severe
  • Transient Ischemic Attack Severe
  • Uncoordinated Severe
  • Abnormal Dreams Less Severe
  • Abnormal Heart Electrical Signals Less Severe
  • Accumulation of Fluid or Edema in the Male Genitals Less Severe
  • Anxious Less Severe
  • Arthritis Less Severe
  • Asthma Less Severe
  • Bloody Urine Less Severe
  • Bone Pain Less Severe
  • Bronchitis Less Severe
  • Burning Stomach Less Severe
  • Chills Less Severe
  • Contact Dermatitis Less Severe
  • Cough Less Severe
  • Difficulty Swallowing Less Severe
  • Dilated Pupil Less Severe
  • Drowsiness Less Severe
  • Dry Eye Less Severe
  • Dry Mouth Less Severe
  • Earache Less Severe
  • Enlarged Breasts Less Severe
  • Episode of Short-term Memory Loss Less Severe
  • Excessive Sweating Less Severe
  • Excessive Thirst Less Severe
  • Feeling Weak Less Severe
  • Frequent Urination Less Severe
  • Gout Less Severe
  • Herpes Simplex Infection Less Severe
  • Hives Less Severe
  • Increase in the Amount of Phlegm Less Severe
  • Inflammation of the Covering of the Tendon Less Severe
  • Inflammation of the Gums Less Severe
  • Inflammation of the Large Intestine Less Severe
  • Inflammation of the Lining of a Joint Less Severe
  • Inflammation of the Lining of the Stomach and Intestines Less Severe
  • Inflammation of the Voice Box Less Severe
  • Involuntary Quivering Less Severe
  • Itching Less Severe
  • Migraine Headache Less Severe
  • Muscle Pain Less Severe
  • Muscle Weakness Less Severe
  • Nerve Pain Less Severe
  • Numbness Less Severe
  • Numbness and Tingling Less Severe
  • Orgasm Problems Less Severe
  • Pain in the Eye Less Severe
  • Painful, Red or Swollen Mouth Less Severe
  • Painful, Red or Swollen Tongue Less Severe
  • Pink Eye Less Severe
  • Problem with Ejaculation Less Severe
  • Puffy Face from Water Retention Less Severe
  • Ringing in the Ears Less Severe
  • Sensation of Spinning or Whirling Less Severe
  • Sensitive to Light Less Severe
  • Sexual Problems Less Severe
  • Skin Ulcer Less Severe
  • Stomach Cramps Less Severe
  • Sun-Sensitive Skin Less Severe
  • Swelling of the Testicles Less Severe
  • Throat Irritation Less Severe
  • Throwing Up Less Severe
  • Urination During the Night Less Severe
  • Weak Reflexes Less Severe

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Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.

This site complies with the HONcode standard for trustworthy health information.

The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.

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Summary

Muscle pain 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 Lipitor, and have Erectile dysfunction. We study 45,123 people who have side effects while taking Viagra from FDA and social media. Among them, 377 have Muscle pain. Find out below who they are, when they have Muscle pain 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 )

Muscle Pain

Muscle pain has been reported by people with muscle aches, rashes, breathing difficulty, weakness, high blood pressure (latest reports from 104,839 Muscle pain patients ).

45,123 people reported to have side effects when taking Viagra.
Among them, 377 people (0.84%) have Muscle Pain

Number of reports submitted per year:

Time on Viagra when people have Muscle Pain *:

Gender of people who have Muscle Pain when taking Viagra *:

Age of people who have Muscle Pain when taking Viagra *:

Severity if Muscle Pain when taking Viagra **:

How people recovered from Muscle Pain **:

Top conditions involved for these people *:

  • Erectile Dysfunction (56 people, 14.85%)
  • Blood Cholesterol Increased (36 people, 9.55%)
  • Pain (25 people, 6.63%)
  • Diabetes Mellitus (24 people, 6.37%)
  • Hypertension (18 people, 4.77%)

Top co-used drugs for these people *:

  • Lipitor (101 people, 26.79%)
  • Aspirin (50 people, 13.26%)
  • Zocor (47 people, 12.47%)
  • Vioxx (46 people, 12.20%)
  • Toprol-Xl (46 people, 12.20%)

Top other side effects for these people *:

  • Arthralgia (105 people, 27.85%)
  • Fatigue (82 people, 21.75%)
  • Back Pain (71 people, 18.83%)
  • Asthenia (61 people, 16.18%)
  • Pain (58 people, 15.38%)

* 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 Muscle pain when taking Viagra?

  • Check symptoms – is muscle pain 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
  • More tools.

Browse all side effects of Viagra

Drugs that are associated with Muscle pain

Could your condition cause Muscle pain

Related studies

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Recent conversations of related support groups:

  • Support group for people who take Viagra

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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Summary

Drug interactions are reported among people who take Sudafed and Viagra together. This review analyzes the effectiveness and drug interactions between Sudafed and Viagra. It is created by eHealthMe based on reports of 68 people who take the same drugs from FDA and social media, and is updated regularly.

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 >>>

Sudafed

Sudafed has active ingredients of pseudoephedrine hydrochloride. It is often used in sinus congestion. (latest outcomes from Sudafed 7,064 users )

Viagra

Viagra has active ingredients of sildenafil citrate. It is often used in erection problems. (latest outcomes from Viagra 46,519 users )

1 – 6 months:
  • acute myocardial infarction
  • atelectasis
  • benign prostatic hyperplasia
  • cardiac arrest
  • cardiac tamponade
  • cardiogenic shock
  • coronary artery atherosclerosis
  • coronary artery occlusion
  • coronary restenosis
  • diabetes mellitus aggravated
1 – 2 years:
  • insomnia
  • multiple injuries
  • amnesia
  • anhedonia
  • anxiety disorder
  • cerebral disorder
  • cerebral haemorrhage
  • craniocerebral injury
  • depression
  • gastrointestinal haemorrhage
5 – 10 years:
  • blindness unilateral
  • optic ischaemic neuropathy
not specified:
  • drug ineffective
  • cough
  • fatigue
  • diarrhoea
  • dyspnoea
  • headache
  • pneumonia
  • sleep disorder
  • pericardial effusion
  • appendicitis

Most common drug interactions by gender *:

female:
  • pneumonia
  • abdominal discomfort
  • abdominal distension
  • abdominal pain lower
  • anal atresia
  • anal fistula
  • arteritis
  • arthralgia
  • arthritis infective
  • arthropathy
male:
  • drug ineffective
  • cough
  • fatigue
  • headache
  • pericardial effusion
  • sleep disorder
  • appendicitis
  • atrial fibrillation
  • blood pressure increased
  • cardiac tamponade

Most common drug interactions by age *:

30-39:
  • abdominal discomfort
  • abdominal distension
  • abdominal pain lower
  • arteritis
  • arthralgia
  • arthritis infective
  • arthropathy
  • bone loss
  • bone pain
  • chills
40-49:
  • atrial fibrillation
  • cardiac failure congestive
  • platelet count abnormal
  • oedema peripheral
  • abdominal discomfort
  • alanine aminotransferase increased
  • anal abscess
  • anal fistula
  • arthritis infective
  • arthropathy
50-59:
  • appendicitis
  • pericardial effusion
  • drug hypersensitivity
  • cardiac tamponade
  • cardiogenic shock
  • coronary artery occlusion
  • diabetes mellitus aggravated
  • myocardial infarction
  • ventricular fibrillation
  • white blood cell count increased
60+:
  • drug ineffective
  • blister
  • blood pressure increased
  • diarrhoea
  • hair colour changes
  • hyperkeratosis
  • hypogeusia
  • nausea
  • pneumonia
  • skin exfoliation

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.

Manufacturer link: Moots
We have a few of these 2015 models left at substantial savings. The difference vs. 2016? Only the head-tube diameter. 2015 models have regular inch and an eighth head-tubes, whereas the nearly identical 2016 models now come with slightly larger 44mm head-tubes. Very limited quantities available, so act fast! 2015 Vamoots-CR (Compact Road) frame MSRP: $3,325, now $2,895! 2015 Vamoots-RSL (Road Super Light) frame MSRP: $4,450, now $3,995!

Manufacturer link: Lynskey Performance
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The 30th Anniversary R240 Disc LE comes equipped with full Ultegra groupset, Vision Team 30 Disc wheels, and Lynskey Pro Road Carbon #3 Disc fork. Each frame has a hand brushed finish, and 30th Anniversary etching.

The Lynskey R240 Disc is one of our most popular frames for club rides or racing. The added stopping power of disc brakes combined with curved seat stays, chain stays and English threaded BB remain the structural foundation of the R240.

Manufacturer link: Bianchi
Now in gloss Celeste finish for 2017! Now $500 off any of our normal build kit prices with an Infinito CV frameset purchased at the $3,199 MSRP! Use the ‘choose bike or frame’ pull-down menu below to see the discounted kit prices. Using NASA viscoelastic Countervail technology, Bianchi has developed a carbon layup that can immediately reduce vibration in the frameset. With this revolutionary material the Infinito is propelled in to a new realm of endurance, comfort, and performance.

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The 30th Anniversary R240 LE comes equipped with full Ultegra groupset, Vision Team 30 wheels, and Can You Take Sudafed And Viagra. Each frame has a hand brushed finish, and 30th Anniversary etching.

The Lynskey R240 is one of the most sought after Lynskey bikes. It is designed with can you take sudafed and viagra geometry making it perfect for club rides or racing. The curved seat stays, chain stays and English threaded BB remain the structural foundation of the R240.

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To Can You Take Sudafed And Viagra the celebration of 30 years of Lynskey-built frames, Lynskey created a 30th Anniversary Edition of the R150. All the style and comfort of the R150 with Limited Edition etching and full Shimano 105 kit at a value worth celebrating. Responsive, quick, nimble, but buttery smooth for your epic solo adventures out on the road. Designed with a sport geometry to provide efficient power transfer and comfortable position for longer rides. These Limited Edition bikes come standard with hand-brushed finish, black bar tape, etched graphics, and full Can You Take Sudafed And Viagra 105 kit.

Lynskey’s 2016 Sportive Disc model is designed for long distance comfort while sacrificing nothing when it comes to handling, power transfer, performance riding and all day endurance comfort. The Sportive’s oversized and ovalized down tube create rock solid response in acceleration and a new tapered head tube gives a stable front end for confident handling. Curved seatstays and 28c tire clearance take the edge off rough roads making it less fatiguing over the long days. New 2015 Can You Take Sudafed And Viagra for this model include the Lynskey segment benchmark interchangeable dropout system. This allows the rider to choose QR or thru axle based on wheel hub choices.

Manufacturer link: Litespeed
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Manufacturer link: Litespeed
The Can You Take Sudafed And Viagra 2016 Litespeed T3 uses an ovalized 3/2.5 titanium top tube in place of the 6/4 titanium tube from the T1-SL, and a simplier bottom bracket design but is otherwise nearly identical to the T1-SL frame with almost 90% of the $4000 T1-SL frame’s performance but for $1100 less! New for 2016: the T3 now includes hex-bolt-attached removable head-tube cable guides (just remove them for conversion to Di2), and ovalized chain and seat stays for leaf-spring like shock absorption, as well as both disc brake and rim brake compatible design! Of course like all Litespeed titanium frames, the T3 is fully hand-crafted in the USA and comes with a lifetime warranty. Can You Take Sudafed And Viagra: Get $350 OFF any of our Adrenaline Bikes build kits with the purchase of the frame and for the $2,999 MSRP price, AND get a FREE $420 MSRP full carbon tapered fork with either a frame-alone or bike purchase!

Manufacturer link: Ritchey
The Can You Take Sudafed And Viagra price includes a Ritchey Logic Pro carbon fork painted to match and a Ritchey WCS headset, and FREE SHIPPING (for either the frameset or a complete bike to any of the 48 contiguous US states.) Features include: Ritchey Logic triple butted cromoly tubeset with integrated headset design (80 grams lighter than a standard chromoly head tube design), and the downtube is ovalized below the front derailleur clamp for enhanced side-to-side rigidity at the bottom bracket. With Can You Take Sudafed And Viagra for tires up to 28c and classic Ritchey geometry, the Road Logic is ideally suited for long, epic days in the saddle on roads that are not always paved, and still nimble and stiff enough to take the county line sprint at the end of the day. Call or email and ask for a Can You Take Sudafed And Viagra quote on a complete Road Logic built with Ritchey bars, stem, post, wheels, and seat. Ritchey offers us a hefty discount on those items when we order them with a frameset, and we can pass on the savings to you!

Read Road Bike Action magazine’s review of this bike:

See a video of Tom Ritchey interviewed about the Road Logic:

FREE: 48-contiguous US state shipping on Ritchey frames and bikes! (Regular $110.)

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