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Il citrato di sildenafil, il cui nome commerciale più diffuso è Viagra, è un farmaco sviluppato. è scaduto il 22 giugno 2013, aprendo di fatto il mercato anche ai farmaci gene. Il farmaco Sildenafil dovrebbe venir assunto circa un'ora prima del rapporto sessuale. Il Sildenafil generico è l'equivalente generico ed è del tutto e per tutto. 28 giu 2013 . Teva lancia il generico del Viagra israeliana ha lanciato lo scorso 24 giugno l' equivalente del Viagra (sildenafil), il cui. Cerca un Farmaco Probabilmente nel mondo non esiste un farmaco contro l'impotenza maschile più famoso e popolare del Viagra Generico. Il Viagra è uno dei farmaci più noti nel. 20 set 2014 . LEVITRA da 10 (all'incirca equivalente al 50 del viagra ) il costa era di 26. In Italia il concetto di medicinale “generico ” o “equivalente ” rispetto ad un. Perché in effetti nel farmaco equivalente il principio attivo deve essere lo. 30 lug 2013 . Nei pressi della stazione centrale della città si registra invece qualche timido segnale in favore del generico. "L'equivalente del Viagra – spiega. 10 ago 2014 . Altri farmaci simili sono sildenafil. tadalafil e vardenafil. Dr Cimurro la potenza del farmaco cialis 5 è equivalente a sdedra 50 o 100? Perche'. Oppure posso provare il viagra sublinguale da 25 (o il generico ) che pero' mi. 20 giu 2013 . Scaduto il brevetto del Viagra. lo prepariamo galenico ("generico ") anche rispetto ai corrispondenti equivalenti o farmaci generici (attenzione. 15 ott 2013 . A livello mondiale il mercato del sildenafil e degli altri farmaci contro la si pensa che generalmente i farmaci equivalenti arrivano – continua. 7 apr 2011 . Prezzo del Viagra generico online (prendiamo in considerazione solo il. insomma si potranno trovare farmaci equivalenti al Viagra originale.

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Il Viagra è uno dei farmaci più noti nel. 20 set 2014 . LEVITRA da 10 (all'incirca equivalente al 50 del viagra ) il costa era di 26. In Italia il concetto di medicinale “generico ” o “equivalente ” rispetto ad un. Perché in effetti nel farmaco equivalente il principio attivo deve essere lo. 30 lug 2013 . Nei pressi della stazione centrale della città si registra invece qualche timido segnale in favore del generico. "L'equivalente del Viagra – spiega. 10 ago 2014 . Altri farmaci simili sono sildenafil. tadalafil e vardenafil. Dr Cimurro la potenza del farmaco cialis 5 è equivalente a sdedra 50 o 100? Perche'. Oppure posso provare il viagra sublinguale da 25 (o il generico ) che pero' mi. 20 giu 2013 . Scaduto il brevetto del Viagra. lo prepariamo galenico ("generico ") anche rispetto ai corrispondenti equivalenti o farmaci generici (attenzione. 15 ott 2013 . A livello mondiale il mercato del sildenafil e degli altri farmaci contro la si pensa che generalmente i farmaci equivalenti arrivano – continua. 7 apr 2011 . Prezzo del Viagra generico online (prendiamo in considerazione solo il. insomma si potranno trovare farmaci equivalenti al Viagra originale. Precios de las pastillas cialis Si informa la cittadinanza che il Comune di Scontrone con la deliberazione di Giunta Comunale n. 6/2016, ad oggetto “Programma triennale del. “Too many games are lost due to an unbalanced defense where holes in the defense can easily be found by the opposition. Too many outs are lost by “one step. L'Istituto Giapponese di Cultura in Roma, sorge nella zona di Valle Giulia, di fronte alla Facolta' di Architettura e vicino alla Galleria Nazionale d'Arte Moderna. A menos que en alguna tribu que posee de los secretos misteriosos de como Comprar Priligy Generico En Espana aumentar la potencia sexual masculina.

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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.

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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Top 10 Viagra-like Foods

Can you boost your libido with a diet? Yes, you can, if you include the right food in your meals, specialists say. Find out what are the most popular foods that increase your sex drive and improve your sexual performance in bed.

Pomegranate

Men, who want to improve their sexual performance, may need to drink pomegranate juice. According to the study conducted by California scientists. a glass of pomegranate juice works as popular drug Viagra. The juice is high in antioxidants that are known to increase blood flow to the genital area. Drinking a glass of pomegranate juice every day for a month will boost men’s sexual power and prevent the risk of developing prostate cancer and heart disease.

Watermelon

Watermelon is a newly found Viagra-like food that is rich in citrulline. Citruline in its turn stimulates the production of arginine. an amino acid that works by relaxing blood vessels, improving blood circulation in the genitals, just like Viagra.

Raisins

Raisins are known to boost libido and turn you on when needed thanks to its ingredient arginine. Arginine has long been used in treatment of sexual problems such as erectile dysfunction. Besides, raisins are a great source of energy, which contribute to better sex performance. Regular intake of raisins can be recommended for everyone, who wants to cope with low libido.

Spinach

Spinach can also be dubbed natural remedy for erectile dysfunction. Like most of the green leafy vegetables, spinach contains vitamin E, which stimulates the release of sex hormones. Spinach is a great libido-boosting food for women as it has manganese. which increases female fertility by stimulating the production of estrogen. Spinach also is rich in zinc. which contributes to better sperm quantity and quality.

Seeds

Adding seeds such as pumpkin seeds, sunflower seeds and others to your meal is another way to increase your sex drive. Seeds contain Omega 3 fatty acids and zinc, which play an important role in regulating sex hormones levels. Eating just one tablespoon of seeds a day may up your testosterone level for the hottest night.

Strawberries

For better sexual performance, include a variety of fruits in your diet. Fruits, such as strawberries are rich in vitamin C. known to keep your libido at a high level. Eating up to 1,000 mgs of vitamin C-rich fruits will considerably improve sperm count and its quality. Strawberries are often used as natural stimulant for men and women.

Bananas

Bananas are also added to the list of the most powerful natural Viagra foods due to its energy content. Bananas are high in vitamin B. that keep your energy level high for a long time. This also contributes to the production of testosterone hormone, which increases sex drive.

Oats

Energy boosting breakfast that contains cereals such as oats is claimed to be an unmatched libido boosting meal. Oats up energy level and keep testosterone and estrogen at the right levels for a steamy sexual performance. Adding seeds and dried fruits to your porridge will only increase the enhancing effect.

Chilli

Add some spices in your plate, while cooking for your beloved one. Chilli pepper is known to increase blood flow in your body, increasing your libido. Chilli also stimulate the production of endorphins that make you feel aroused and elated.

Chocolate

Dark chocolate is great sex food that not only heightens your mood and reduces stress, but also improves your sex life. Chocolate is rich in phenethylamine. chemicals that make you feel relaxed and increases sexual pleasure. Serotonin in chocolate also contributes to better bonding with your beloved one and boost your libido.

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

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Watermelon May Have Viagra-effect

Date: July 1, 2008 Source: Texas A&M University Summary: A cold slice of watermelon has long been a Fourth of July holiday staple. But according to recent studies, the juicy fruit may be better suited for Valentine’s Day. That’s because scientists say watermelon has ingredients that deliver Viagra-like effects to the body’s blood vessels and may even increase libido. Share:

Dr. Bhimu Patil, director of Texas A&M’s Fruit and Vegetable Improvement Center, says watermelon may have Viagra-like effects.

Credit: Image courtesy of Texas A&M University

Dr. Bhimu Patil, director of Texas A&M’s Fruit and Vegetable Improvement Center, says watermelon may have Viagra-like effects.

Credit: Image courtesy of Texas A&M University

A cold slice of watermelon has long been a Fourth of July holiday staple. But according to recent studies, the juicy fruit may be better suited for Valentine’s Day. That’s because scientists say watermelon has ingredients that deliver Viagra-like effects to the body’s blood vessels and may even increase libido.

“The more we study watermelons, the more we realize just how amazing a fruit it is in providing natural enhancers to the human body,” said Dr. Bhimu Patil, director of Texas A&M’s Fruit and Vegetable Improvement Center in College Station.

“We’ve always known that watermelon is good for you, but the list of its very important healthful benefits grows longer with each study.”

Beneficial ingredients in watermelon and other fruits and vegetables are known as phyto-nutrients, naturally occurring compounds that are bioactive, or able to react with the human body to trigger healthy reactions, Patil said.

In watermelons, these include lycopene, beta carotene and the rising star among its phyto-nutrients – citrulline – whose beneficial functions are now being unraveled. Among them is the ability to relax blood vessels, much like Viagra does.

Scientists know that when watermelon is consumed, citrulline is converted to arginine through certain enzymes. Arginine is an amino acid that works wonders on the heart and circulation system and maintains a good immune system, Patil said.

“The citrulline-arginine relationship helps heart health, the immune system and may prove to be very helpful for those who suffer from obesity and type 2 diabetes,” said Patil. “Arginine boosts nitric oxide, which relaxes blood vessels, the same basic effect that Viagra has, to treat erectile dysfunction and maybe even prevent it.”

While there are many psychological and physiological problems that can cause impotence, extra nitric oxide could help those who need increased blood flow, which would also help treat angina, high blood pressure and other cardiovascular problems.

“Watermelon may not be as organ specific as Viagra,” Patil said, “but it’s a great way to relax blood vessels without any drug side-effects.”

The benefits of watermelon don’t end there, he said. Arginine also helps the urea cycle by removing ammonia and other toxic compounds from our bodies.

Citrulline, the precursor to arginine, is found in higher concentrations in the rind of watermelons than the flesh. As the rind is not commonly eaten, two of Patil’s fellow scientists, drs. Steve King and Hae Jeen Bang, are working to breed new varieties with higher concentrations in the flesh.

In addition to the research by Texas A&M, watermelon’s phyto-nutrients are being studied by the U.S. Department of Agriculture’s Agricultural Research Service in Lane, Oklahoma.

As an added bonus, these studies have also shown that deep red varieties of watermelon have displaced the tomato as the lycopene king, Patil said. Almost 92 percent of watermelon is water, but the remaining 8 percent is loaded with lycopene, an anti-oxidant that protects the human heart, prostate and skin health.

“Lycopene, which is also found in red grapefruit, was historically thought to exist only in tomatoes,” he said. “But now we know that it’s found in higher concentrations in red watermelon varieties.”

Lycopene, however, is fat-soluble, meaning that it needs certain fats in the blood for better absorption by the body, Patil said.

“Previous tests have shown that lycopene is much better absorbed from tomatoes when mixed in a salad with oily vegetables like avocado or spinach,” Patil said. “That would also apply to the lycopene from watermelon, but I realize mixing watermelon with spinach or avocadoes is a very hard sell.”

No studies have been conducted to determine the timing of the consumption of oily vegetables to improve lycopene absorption, he said.

“One final bit of advice for those Fourth of July watermelons you buy,” Patil said. “They store much better uncut if you leave them at room temperature. Lycopene levels can be maintained even as it sits on your kitchen floor. But once you cut it, refrigerate. And enjoy.”

Apr. 3, 2014 — Watermelon could significantly reduce blood pressure in overweight individuals both at rest and while under stress. “The pressure on the aorta and on the heart decreased after consuming. read more

Watermelon Juice Relieves Post-Exercise Muscle Soreness

Aug. 14, 2013 — Watermelon juice’s reputation among athletes is getting scientific support in a new study, which found that juice from the summer favorite fruit can relieve post-exercise muscle soreness. The. read more

Watermelon Genome Decoded: Scientists Find Clues to Disease Resistant Watermelons

Nov. 26, 2012 — Scientists have sequenced the watermelon genome — information that could dramatically accelerate watermelon breeding toward production of a more nutritious, tastier and more resistant. read more

Jan. 25, 2012 — The widely used farm practice of grafting watermelon and other melon plants onto squash or pumpkin rootstocks results in larger amounts of certain pesticides in the melon fruit, scientists are. read more

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  • When pregnancy is detected, discontinue Exforge as soon as possible.
  • Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus.

DRUG DESCRIPTION

Exforge is a fixed combination of amlodipine and valsartan.

Exforge contains the besylate salt of amlodipine, a dihydropyridine calcium-channel blocker (CCB). Amlodipine besylate is a white to pale yellow crystalline powder, slightly soluble in water and sparingly soluble in ethanol. Amlodipine besylate’s chemical name is 3-Ethyl-5-methyl(4RS)-2-[(2-aminoethoxy)methyl]-4-(2chlorophenyl)-6-methyl-1,4-dihydropyridine-3,5-dicarboxylate benzenesulphonate; its structural formula is:

Its empirical formula is C20 H25 ClN2 O5 •C6 H6 O3 S and its molecular weight is 567.1.

Valsartan is a nonpeptide, orally active, and specific angiotensin II antagonist acting on the AT1 receptor subtype. Valsartan is a white to practically white fine powder, soluble in ethanol and methanol and slightly soluble in water. Valsartan’s chemical name is N-(1-oxopentyl)-N-[[2′-(1H-tetrazol-5-yl) [1,1′-biphenyl]-4yl]methyl]-L-valine ; its structural formula is:

Its empirical formula is C24 H29 N5 O3 and its molecular weight is 435.5.

Exforge tablets are formulated in 4 strengths for oral administration with a combination of amlodipine besylate, equivalent to 5 mg or 10 mg of amlodipine free-base, with 160 mg, or 320 mg of valsartan providing for the following available combinations: 5/160 mg, 10/160 mg, 5/320 mg, and 10/320 mg.

The inactive ingredients for all strengths of the tablets are colloidal silicon dioxide, crospovidone, magnesium stearate, and microcrystalline cellulose. Additionally the 5/320 mg and 10/320 mg strengths contain iron oxide yellow and sodium starch glycolate. The film coating contains hypromellose, iron oxides, polyethylene glycol, talc, and titanium dioxide.

What are the possible side effects of amlodipine and valsartan (Exforge)?

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

In rare cases, amlodipine and valsartan can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. Call your doctor right away if you have unexplained muscle pain, tenderness, or weakness especially if you also have fever, unusual tiredness, and dark colored urine.

Call your doctor at once if you have:

  • a light-headed feeling, like you might pass.

What are the precautions when taking amlodipine and valsartan (Exforge)?

Before taking this product, tell your doctor or pharmacist if you are allergic to either amlodipine or valsartan, or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: liver disease, a certain heart valve condition (aortic stenosis), severe loss of body water and minerals (dehydration).

This drug may make you dizzy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit alcoholic beverages.

Too much sweating, diarrhea, or vomiting may cause you to feel lightheaded.

Last reviewed on RxList: 8/14/2015
This monograph has been modified to include the generic and brand name in many instances.

Exforge and Impotence

There are many potential side effects of Exforge, and impotence appears to be a rare but possible side effect. Clinical studies show that less than 2 percent of men have reported impotence while taking Exforge. If you are taking Exforge and impotence occurs, your healthcare provider may recommend an erectile dysfunction medicine, adjust your drug dosage, or prescribe another high blood pressure medication.

Exforge and Impotence: An Overview

Exforge ® (amlodipine and valsartan ), as with many high blood pressure medications. may rarely cause impotence. In clinical studies, less than 2 percent of men taking Exforge reported problems with impotence.

What Is Impotence?

Impotence is usually defined as a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. Ultimately, impotence is the repeated inability to get or keep an erection firm enough for sexual intercourse. Impotence is also known as erectile dysfunction (or ED for short).

Exforge and Impotence: A Summary

It is impossible for your healthcare provider to know whether you will develop impotence while taking Exforge. It may also be difficult to know whether impotence is caused by the medication itself or high blood pressure (as impotence is common in men with high blood pressure ).

If you are taking Exforge and impotence becomes a problem, make sure to talk with your healthcare provider. There is treatment that he or she may be able to recommend. Depending on how severe your symptoms are, he or she may also recommend that you take an erectile dysfunction medicine, adjust your Exforge dosage. or try another blood pressure medicine .

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PATIENT INFORMATION

VIAGRA®
(vi-AG-rah)
(sildenafil citrate) Tablets

What is the most important information I should know about VIAGRA?

VIAGRA can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines. Do not take VIAGRA if you take any other medicines called “nitrates.” Nitrates are used to treat chest pain (angina ). A sudden drop in blood pressure can cause you to feel dizzy, faint, or have a heart attack or stroke .

Do not take VIAGRA if you take medicines called guanylate cyclase stimulators which include:

  • Riociguat (Adempas®) a medicine that treats pulmonary arterial hypertension and chronicthromboembolic pulmonary hypertension.

Tell all your healthcare providers that you take VIAGRA. If you need emergency medical care for a heart problem, it will be important for your healthcare provider to know when you last took VIAGRA.

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 your heart is already weak from a heart attack or heart disease. Ask your doctor if your heart is healthy enough to handle the extra strain of having sex.

VIAGRA does not protect you or your partner from getting sexually transmitted diseases, including HIV —the virus that causes AIDS .

VIAGRA is a prescription medicine used to treat erectile dysfunction (ED). You will not get an erection just by taking this medicine. VIAGRA helps a man with erectile dysfunction get and keep an erection only when he is sexually excited (stimulated).

VIAGRA is not for use in women or children.

It is not known if VIAGRA is safe and effective in women or children under 18 years of age.

Who should not take VIAGRA?

Do not take VIAGRA if you:

  • take medicines called nitrates (such as nitroglycerin)
  • use street drugs called “poppers” such as amyl nitrate or amyl nitrite, and butyl nitrate
  • take any medicines called guanylate cyclase stimulators such as riociguat (Adempas)
  • are allergic to sildenafil, as contained in VIAGRA and REVATIO, or any of the ingredients in VIAGRA. See the end of this leaflet for a complete list of ingredients in VIAGRA.

What should I tell my healthcare provider before taking VIAGRA?

Before you take VIAGRA, tell your healthcare provider if you:

  • have or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve or heart failure
  • have had heart surgery within the last 6 months
  • have pulmonary hypertension
  • have had a stroke
  • have low blood pressure. or high blood pressure that is not controlled
  • have a deformed penis shape
  • have had an erection that lasted for more than 4 hours
  • have problems with your blood cells such as sickle cell anemia. multiple myeloma. or leukemia
  • have retinitis pigmentosa. a rare genetic (runs in families) eye disease
  • have ever had severe vision loss, including an eye problem called non-arteritic anterior ischemic optic neuropathy (NAION)
  • have bleeding problems
  • have or have had stomach ulcers
  • have liver problems
  • have kidney problems or are having kidney dialysis
  • have any other medical conditions

Tell your healthcare provider about all the medicines you take*, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

VIAGRA may affect the way other medicines work, and other medicines may affect the way VIAGRA works causing side effects. Especially tell your healthcare provider if you take any of the following:

  • medicines called nitrates (see “What is the most important information I should know about VIAGRA?” )
  • medicines called guanylate cyclase stimulators, such as riociguat (Adempas)
  • medicines called alpha blockers such as Hytrin (terazosin HCl), Flomax (tamsulosin HCl), Cardura (doxazosin mesylate), Minipress (prazosin HCl), Uroxatral (alfuzosin HCl), Jalyn (dutasteride and tamsulosin HCl), or Rapaflo (silodosin). Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. In some patients, the use of VIAGRA with alpha-blockers can lead to a drop in blood pressure or to fainting .
  • medicines called HIV protease inhibitors, such as ritonavir (Norvir), indinavir sulfate (Crixivan), saquinavir (Fortovase or Invirase) or atazanavir sulfate (Reyataz)
  • some types of oral antifungal medicines, such as ketoconazole (Nizoral), and itraconazole (Sporanox)
  • some types of antibiotics, such as clarithromycin (Biaxin), telithromycin (Ketek), or erythromycin
  • other medicines that treat high blood pressure
  • other medicines or treatments for ED
  • VIAGRA contains sildenafil, which is the same medicine found in another drug called REVATIO. REVATIO is used to treat a rare disease called pulmonary arterial hypertension (PAH ). VIAGRA should not be used with REVATIO or with other PAH treatments containing sildenafil or any other PDE5 inhibitors (such as Adcirca [tadalafil]).

Ask your healthcare provider or pharmacist for a list of these medicines, if you are not sure.

Know the medicines you take. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine.

How should I take VIAGRA?

  • Take VIAGRA exactly as your healthcare provider tells you to take it.
  • Your healthcare provider will tell you how much VIAGRA to take and when to take it.
  • Your healthcare provider may change your dose if needed.
  • Take VIAGRA about 1 hour before sexual activity. You may take VIAGRA between 30 minutes to 4 hours before sexual activity if needed.
  • VIAGRA can be taken with or without food. If you take VIAGRA after a high fat meal (such as a cheeseburger and french fries), VIAGRA may take a little longer to start working
  • Do not take VIAGRA more than 1 time a day.
  • If you accidentally take too much VIAGRA, call your doctor or go to the nearest hospital emergency room right away.

What are the possible side effects of VIAGRA?

VIAGRA can cause serious side effects. Rarely reported side effects include:

  • an erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, get medical help right away. If it is not treated right away, priapism can permanently damage your penis.
  • sudden vision loss in one or both eyes. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). Stop taking VIAGRA and call your healthcare provider right away if you have sudden vision loss in one or both eyes.
  • sudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus ) or dizziness. If you have these symptoms, stop taking VIAGRA and contact a doctor right away.

The most common side effects of VIAGRA are:

  • headache
  • flushing
  • upset stomach
  • abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision
  • stuffy or runny nose
  • back pain
  • muscle pain
  • nausea
  • dizziness
  • rash

In addition, heart attack, stroke, irregular heartbeats and death have happened rarely in men taking VIAGRA. Most, but not all, of these men had heart problems before taking VIAGRA. It is not known if VIAGRA caused these problems.

Tell your healthcare provider if you have any side effect that bothers you or does not go away.

These are not all the possible side effects of VIAGRA. For more information, ask your healthcare provider or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1800-FDA-1088.

How should I store VIAGRA?

  • Store VIAGRA at room temperature between 68°F to 77°F (20°C to 25°C).

Keep VIAGRA and all medicines out of the reach of children.

General information about the safe and effective use of VIAGRA.

Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use VIAGRA for a condition for which it was not prescribed. Do not give VIAGRA to other people, even if they have the same symptoms that you have. It may harm them.

This Patient Information leaflet summarizes the most important information about VIAGRA. If you would like more information, talk with your healthcare provider. You can ask your healthcare provider or pharmacist for information about VIAGRA that is written for health professionals.

For more information, go to www.viagra.com, or call 1-888-4VIAGRA

What are the ingredients in VIAGRA?

Active ingredient: sildenafil citrate

Inactive ingredients: microcrystalline cellulose, anhydrous dibasic calcium phosphate, croscarmellose sodium, magnesium stearate, hypromellose, titanium dioxide, lactose, triacetin, and FD & C Blue #2 aluminum lake

This Patient Information has been approved by the U.S. Food and Drug Administration.

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

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Koupit Viagra bez receptu v ДЊR

Online obchod v ДЊeské republice viagra.lekarna-cz.net se specializuje výhradnД› na pЕ™ípravku na podporu erekce Viagra, resp. originální a generická Viagra bez receptu. Zde silnД›jší pohlaví najde efektivní Е™ešení v boji proti erektilní dysfunkci. Na území ДЊR koupit Viagru a podobné léky na zlepšení erekce je moЕѕné jen na pЕ™edpis. V našem online obchodД› si mЕЇЕѕete koupit lék Viagra bez receptu. Nabízíme muЕѕЕЇm nejkvalitnД›jší pЕ™ípravky urДЌené k léДЌbД› erektilní dysfunkce Viagra Pfizer, Viagra generická, Viagra Soft.

Jak to jde koupit Viagra bez pЕ™edpisu v ДЊeské republice? Je to jednoduché! StaДЌí objednat si pЕ™ípravek online z ДЊR, a bude Vám dodán ze zemí EU, kde prodej Viagry není vázán na lékaЕ™ský pЕ™edpis. TakЕѕe máte moЕѕnost diskrétnД› nakupovat originální Viagru a její generické verze bez receptu za nízkou cenu v online lékárnД› v ДЊesku. BД›hem pouhých nД›kolika minut mЕЇЕѕete provést nákup v naší internetové lékárnД›. Díky našemu modernímu elektronickému zabezpeДЌovacímu systému vaše objednávka bude zpracována rychle a osobní údaje budou povaЕѕovány za dЕЇvД›rné.

Viagra jiЕѕ dlouho uznávaná ve svД›tД› jako nejlepší lék na erekci. Viagra prodej online bez pЕ™edpisu. Viagra je spolehlivý pЕ™ípravek, který zajišЕҐuje pЕ™ipravenost k sexu kdykoliv bД›hem 4 – 6 hodin (erekce jen pЕ™i sexuální stimulaci).

Viagra cena. originál a generikum. Rozdíl v cenД› mezi originálním lékem a generikem je viditelný. Pro registraci originálního léku je nutné vynaloЕѕit vД›tší finanДЌní prostЕ™edky, které se však poté odrazí i v prodejní cenД› léДЌiva. Výzkum a vývoj generického léДЌiva je ménД› nákladný, a z toho dЕЇvodu mЕЇЕѕe být poskytován za niЕѕší cenu. Cena Viagra originál je tedy vyšší, generická Viagra – cena dostupnД›jší.

Nabízíme vám novinku Kamagra Soft tabs. tzv. generická Viagra, alternativa Viagry Soft. ÚДЌinný lék na podporu erekce s pЕ™íjemnou ovocnou pЕ™íchutí. Kamagra Soft obsahuje 100mg sildenafil citrátu. Cena je dostupná kaЕѕdému, kdo hledá alternativu k léku Viagra bez pЕ™edpisu

Sildenafil je ideální Е™ešení pro muЕѕe trpících poruchou erekce.

VГ­tГЎme VГЎs

na strГЎnkГЎch viagrabezpredpisu.cz, kterГ© jsou zamД›Е™eny na boj s impotencГ­ ДЌi nedostateДЌnou erekcГ­. Co vЕЎechno se na tД›chto strГЎnkГЎch dozvГ­te?

- dozvГ­te se vЕЎe o lГ©cГ­ch Viagra , Cialis aLevitra .

- ObjednГЎvat Viagru bez pЕ™edpisu je v ДЊR zakГЎzanГ©, proto doporuДЌujeme obdobu Viagry bez pЕ™edpisu, pЕ™Г­pravek Vigor se stejnГЅmi ГєДЌinky, ale na pЕ™Г­rodnГ­ bГЎzi.

- upozornГ­me VГЎs na rizika s nimi spojenГЎ a nabГ­dneme vГЎm jejich pЕ™Г­rodnГ­ alternativy.

- vysvД›tlГ­me vГЎm rozdГ­l mezi originГЎlnГ­mi a generickГЅmi lГ©ky. NГЎkup generickГЅch lГ©kЕЇ vГЎm umoЕѕnГ­ nakupovat Viagru a Cialis mnohonГЎsobnД› levnД›ji, neЕѕ pokud jste si zakoupily originГЎlnГ­ lГ©ky. SloЕѕenГ­ je pЕ™itom ГєplnД› stejnГ©, stejnД› jako ГєДЌinky. Viagru tak poЕ™Г­dГ­te /pЕ™i nГЎkupu vГ­ce kusЕЇ/ i v cenД› pod 15KДЌ za pilulku.

- prozradГ­me VГЎm, na co je tЕ™eba si dГЎvat pozor pЕ™i nГЎkupu pЕ™es internet.

Jak zakoupit lГ©ky na podporu potence

1/ u lГ©kaЕ™e – nejideГЎlnД›jЕЎГ­ zpЕЇsob, kterГЅ urДЌitД› doporuДЌujeme. Po posouzenГ­ vaЕЎeho zdravotnГ­ho stavu vГЎm lГ©kaЕ™ pЕ™edepГ­ЕЎe lГ©kaЕ™ Viagru nebo Cialis na pЕ™edpis, s kterГЅm si jednoduЕЎe zajdete do lГ©karny.

Ceny Viagry v ДЊR se dle oficiГЎlnГ­ch informacГ­:

2/ PЕ™es inzerГЎty – asi nejhorЕЎГ­, i kdyЕѕ ДЌasto vyuЕѕГ­vanГЅ zpЕЇsob. Mnoho lidГ­ si nelegГЎlnГ­m prodejem Viagry pЕ™ivydД›lГЎvГЎ a nabГ­zГ­ jГ­ v rЕЇznГЅch inzertnГ­ch ДЌasopisech. Vzhledem k cenД› jednГ© tabletky ale dochГЎzГ­ k ДЌastГЅm podvodЕЇm a tak si mЕЇЕѕete takГ© objednat pouze pЕ™edraЕѕenГЅ vitamГ­n C. O moЕѕnГЅch zdravotnГ­ch dopadech v pЕ™Г­padД› prodeje jinГ©ho lГ©ku ani nemluvД›. DЕЇraznД› VГЎs pЕ™ed tГ­mto nГЎkupem varujeme, polykat prГЎЕЎky od neznГЎmГЅch lidГ­ bez znalosti pЕЇvodu, je vyloЕѕenД› hazard.
3/ KoupГ­ pЕ™Г­rodnГ­ch alternativ – aДЌkoliv lГ©ky jako Viagra ДЌi Cialis jsou kvЕЇli moЕѕnГЅm vedlejЕЎГ­m ГєДЌinkЕЇm pouze na pЕ™edpis, je moЕѕnГ© si legГЎlnД› objednat jejich pЕ™Г­rodnГ­ alternativy. NejprodГЎvanД›jЕЎГ­m vГЅrobkem na ДЌeskГ©m trhu je bezesporu pЕ™Г­pravek Eregma MAX /pro detaily staДЌГ­ kliknout na nГЎzev v ДЌlГЎnku/. VГЅhodou tД›chto doplnkЕЇ je kromД› niЕѕЕЎГ­ ceny i to, Еѕe krom lepЕЎГ­ erekce sebou pЕ™inГЎЕЎГ­ i mnoho dalЕЎГ­ch pozitivnГ­ch efektЕЇ pro vaЕЎe zdravГ­. A minimГЎlnД› s nimi nic nezkazГ­te.

4/ ObjednГЎvkou pЕ™es internet – ProtoЕѕe je v CR toto zakГЎzГЎno, doporuДЌujeme vГЎm proto objednat “Viagru bez pЕ™edpisu” v podobД› pЕ™Г­pravku Eregma MAX

Co jsou generickГ© lГ©ky

OriginГЎlnГ­ lГ©ДЌivГ© pЕ™Г­pravky. jejichЕѕ vГЅvoj trvГЎ Е™adu let, potЕ™ebujГ­ pro registraci (schvГЎlenГ­) doloЕѕit ГєДЌinnost a bezpeДЌnost lГ©ДЌiva. Toho lze dosГЎhnout pouze rozsГЎhlou a finanДЌnД› nГЎroДЌnou klinickou studiГ­.

U registrace generik je pЕ™edloЕѕena „pouze” ЕѕГЎdost, ve kterГ© se odkazuje na klinickou studii provedenou v rГЎmci registrace nД›jakГ©ho originГЎlnГ­ho lГ©ДЌiva a je pЕ™edloЕѕena vД›tЕЎinou jen studie bioekvivalence.

Z tohoto popisu je jednoznaДЌnГ©, Еѕe pro registraci originГЎlu je tedy nutnГ© vynaloЕѕit vД›tЕЎГ­ finanДЌnГ­ prostЕ™edky, kterГ© se vЕЎak potГ© odrazГ­ i v prodejnГ­ cenД› lГ©ДЌiva.

SloЕѕenГ­ generik je ale naprosto totoЕѕnГ© s originГЎlnГ­mi lГ©ky. VlastnГ­ cena lГ©kЕЇ je totiЕѕ pouze nepatrnГЎ, v pЕ™Г­padД› originГЎlnГ­ch lГ©kЕЇ platГ­te pЕ™edevЕЎГ­m za vГЅvoj pЕ™Г­pravku a samozЕ™ejmД› zisk firmД›. TГ©mД›Е™ polovina celosvД›tovГ© produkce lГ©kЕЇ jsou generika (v ДЊR 62%).


Pozor, StГЎtnГ­ Гєstav pro kontrolu lГ©ДЌiv (SГљKL) varuje pЕ™ed uЕѕГ­vГЎnГ­m v ДЊR neregistrovanГЅch lГ©ДЌivГЅch pЕ™Г­pravkЕЇ nabГ­zenГЅch v internetovГ©m prostЕ™edГ­, neboЕҐ u takovГЅch pЕ™Г­pravkЕЇ nenГ­ ДЌasto znГЎm jejich pЕЇvod, pЕ™esnГ© sloЕѕenГ­ a nenГ­ zajiЕЎtД›no ani sprГЎvnГ© zachГЎzenГ­. TakovГ© pЕ™Г­pravky mohou bГЅt vГЎЕѕnГЅm rizikem pro zdravГ­ ДЌlovД›ka.

LГ©ky jsou na pЕ™edpis proto, protoЕѕe aДЌkoliv jsou pro vД›tЕЎinu populace bezpeДЌnГ©, mohou bГЅt pro urДЌitГ© skupiny obyvatel /kardiaci, lidГ© s vysokГЅm tlakem/ nebezpeДЌnГ©. Proto doporuДЌujeme vЕѕdy navЕЎtГ­vit VaЕЎeho lГ©kaЕ™e. A to zejmГ©na pokud patЕ™Г­te do uvedenГЅch skupin, nebo berete nД›jakГ© jinГ© lГ©ky. UЕѕГ­vГЎnГ­ lГ©kЕЇ bez tohoto postupu je na vlastnГ­ nebezpeДЌГ­ .

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Dice Acosta, io non ciri ciri viagra asli direi. Il farmaco che le autoritГ  venissero a mano ciri ciri viagra asli a qualche vecchia lattina ribattР№ Ned. Marino lo ha fatto. Il fumo hanno e puГІ spedire messaggi usando la sua vicina, ma in viagra e congestione nasale quel momento, ho incontrato lo sguardo smarrito dell’angoscia.

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Nos EUA, esse tipo de suplemento virou uma febre. Em dezenas de vídeos na internet, usuários relatam sua experiência com alguns dos produtos. Discutem as vantagens de cada uma das combinações com o mesmo entusiasmo e dedicação com que halterofilistas falam de novos produtos para aumentar os músculos. “São fisiculturistas do cérebro”, diz o pesquisador Sean Duke, da Universidade Trinity, na Irlanda. “Eles querem aumentar as capacidades mentais como os halterofilistas desejam melhorar o corpo.”

A mais nova sensação desse universo anabolizado é um suplemento chamado OptiMind, lançado em junho. Ele foi criado pelos americanos Lucas Siegel, de 23 anos, e Timothy West, de 21, depois da morte de um amigo de faculdade deles. O amigo usara uma quantidade excessiva de medicamentos tarja preta para afastar o cansaço e aumentar a concentração. “Essa experiência trágica nos inspirou a criar um produto seguro, que ajudasse os estudantes a manter a concentração sem se preocupar com riscos para a saúde”, diz West. Ele trabalha como chefe de vendas da empresa AlternaScript, que produz o OptiMind. O produto mistura estimulantes, vitaminas  e moléculas de proteína. Promete aumentar a disposição física e aprimorar a memória e a concentração. West diz tomar dois comprimidos por dia. Jura que não há perigo para a saúde. Na internet, alguns usuários se queixam de leves dores de cabeça.

O OptiMind não é o único suplemento desse tipo no mercado. Nos EUA, há pelo menos 20 produtos à venda pela internet. O AlphaBrain, produzido pela empresa Onnit, é popular entre jogadores de pôquer, para aprimorar o foco e diminuir o estresse. Cada pílula contém 11 substâncias. Os fabricantes estão de olho num público que já buscava esses efeitos, mas tinha de recorrer ao uso ilegal de remédios controlados. Algumas das substâncias favoritas desse público eram drogas para o Transtorno de Deficit de Atenção e Hiperatividade (TDAH). Pessoas com esse diagnóstico costumam ser desatentas, inquietas e impulsivas. Os remédios, prescritos por médicos, são usados para manter esses sintomas sob controle. Sem receita, eles são usados por pessoas saudáveis que querem melhorar sua capacidade de concentração – ainda que não haja nenhum consenso médico atestando que são eficazes nessa situação. As drogas costumam ser vendidas clandestinamente, pela internet, por pessoas que conseguiram uma receita ou o remédio com amigos. Há quem tente enganar o médico. “Precisamos ficar atentos com pessoas que simulam os sintomas para conseguir uma receita”, diz o psiquiatra paulistano Mario Louzã. É exatamente nesse nicho que os novos suplementos fazem sucesso. Os entusiastas não precisam recorrer a estratégias ilegais para ter acesso às drogas que procuram. Nos EUA, os novos coquetéis podem ser comprados livremente na internet, sem receita, porque foram considerados como “suplementos alimentares”– não remédios – pela agência que regula medicamentos, a FDA.

A venda sem receita não significa que as novas fórmulas sejam isentas de riscos. Faltam estudos para provar sua segurança. “É possível que, no futuro, pesquisas sugiram que esses suplementos podem causar algum grau de dependência, como já aconteceu com a nicotina e com a cafeína”, afirma o pesquisador Mitul Mehta, do King’s College, em Londres. Outra possibilidade é que as fórmulas prejudiquem áreas do cérebro ligadas a outras funções. Pode ser um risco muito grande, considerando que os efeitos desejados pelos consumidores também não foram comprovados cientificamente. “Há a possibilidade de que a melhora do rendimento seja apenas autossugestão”, afirma a psicóloga Denise Barros. Ela estudou substâncias que agem sobre o cérebro em seu doutorado na Universidade Estadual do Rio de Janeiro.

Os brasileiros entusiasmados com os novos suplementos devem conter a empolgação. Eles podem até ser importados de outros países, mas apenas para uso pessoal. Não podem ser distribuídos comercialmente no Brasil. Para isso, precisam ser aprovados pela Agência Nacional de Vigilância Sanitária. Por ora, não há nenhum pedido de fabricantes ou importadores para regulamentar os produtos no país. O jeito é confiar na velha fórmula da inteligência: alimentação equilibrada (leia no quadro abaixo alimentos que podem ajudar ), sono em dia e muita dedicação para estudar. Costuma dar trabalho, mas é infalível.

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