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Startseite > Häufig gestellte Fragen > Warum bewirken Cialis, Levitra, Spedra und Viagra bei mir keine Erektion?

Häufig gestellte Frage (FAQ):
Warum bewirken Cialis, Levitra, Spedra und Viagra bei mir keine (ausreichende) Erektion?

Grundsätzlich können die sogenannten PDE5-Hemmer (andere Bezeichnung: PDE5-Inhibitoren) Cialis®, Levitra®, Spedra® und Viagra® nur unter folgenden Voraussetzungen wirken:

  1. Allein durch die Einnahme von PDE5-Hemmern kommt es nicht automatisch zu einer Erektion. Nur eine bei sexueller Erregung und Stimulation (wenigstens ansatzweise) entstehende Erektion kann durch PDE5-Hemmer verstärkt werden und längere Zeit anhalten.
  2. Die für die Erektion (Gliedversteifung) verantwortlichen Nerven müssen funktionsfähig sein. Aber selbst wenn nach Operationen oder Erkrankungen nur noch Restfunktionen der Nerven vorhanden sind, können PDE5-Hemmer eine ausreichende Erektion ermöglichen. Wenn bei sexueller Erregung der Penis (ohne Medikamente) zumindest etwas größer wird, dann stehen die Chancen für eine Wirkung der PDE5-Hemmer gut.

Patienten bei denen eine Behandlung erfolglos ist, werden in der Fachliteratur Non-Responder genannt. Aber nicht immer bedeutet eine ausbleibende Wirkung, dass die Behandlung für den Patienten ungeeignet ist, denn man kann auch bei der Behandlung Fehler machen. Speziell bei der Einnahme von PDE5-Hemmern sollte man auf folgende Punkte achten, um eine optimale Wirkung zu erreichen:

  1. Die Wirkung von Levitra und insbesondere von Viagra wird durch schwerverdauliche, fettreiche Mahlzeiten abgeschwächt und tritt verzögert ein. Ein Abstand von 2 Stunden zwischen der letzten Mahlzeit und der Einnahme ist sinnvoll und bei Viagra unbedingt erforderlich.
  2. Stress und Versagensangst beeinträchtigen die Erektionsfähigkeit. Es ist daher hilfreich, eine entspannte Atmosphäre zu schaffen. Ein Glas Sekt oder Wein kann dazu beitragen. Größere Mengen von Alkohol wirken sich dann aber schnell auch negativ aus. Sie können den Stress auch reduzieren, wenn Sie erst einmal die Wirkung der Tabletten alleine bei Selbstbefriedigung (mit ausreichender Stimulation!) ausprobieren.
  3. Die volle Wirkung tritt im Schnitt 30 bis 60 Minuten nach der Einnahme ein. Da andererseits die Wirkung mindestens 4 Stunden anhält (bei Cialis bis zu 36 Stunden), besteht kein Grund zur Eile. Lassen Sie sich nach der Einnahme ausreichend Zeit (bei Levitra und Viagra 1 Stunde, bei Cialis 2 Stunden)!
  4. Eine ungenügende Erektion tritt auch bei zu schwacher sexueller Erregung auf. Wenn Sie keine Lust empfinden und vielleicht nur deshalb eine Erektion bekommen wollen, weil Sie annehmen, dass Ihre Partnerin von Ihnen mal wieder einen Geschlechtsverkehr erwartet, dann werden die Tabletten nicht viel bewirken.

Die Partnerin kann natürlich auch aktiv zur Steigerung der Erregung beitragen. Das funktioniert umso besser, je offener und ausführlicher Sie sich darüber austauschen, was Sie beide erregt.

  • Wenn die anfängliche Dosierung nicht ausreichend wirkt, sollten Sie (nach Absprache mit Ihrem Arzt!) die Dosis bis zur maximalen Dosis (20 mg bei Cialis und Levitra, 200 mg bei Spedra, 100 mg bei Viagra) steigern.
  • Bei manchen Männern entfalten Cialis, Levitra und Viagra nicht gleich bei den ersten Einnahmen ihre volle Wirkung. Erst nach 6- bis 8-maliger Einnahme der Höchstdosis ohne befriedigende Wirkung kann man davon ausgehen, dass das Medikament nicht wirkt (McCullough 2002).
  • Studien haben gezeigt, dass allein durch Beachtung dieser Regeln bis zu 60% der sogenannten Non-Responder (Patienten, bei denen eine Therapie versagt) doch noch eine befriedigende Erektion erreichen konnten (Porst 2006).

    Wenn Sie auch bei Beachtung dieser Regeln keine ausreichende Erektion bekommen, dann besteht trotzdem noch Hoffnung, dass Ihnen die folgenden Tipps helfen. Reden Sie mit Ihrem Arzt über diese Vorschläge:

    1. Wenn Sie bisher noch nicht alle PDE5-Hemmer getestet haben, dann lohnt sich ein Versuch mit einem anderen PDE5-Hemmer. Alle PDE5-Hemmer beruhen zwar auf dem selben biochemischen Prinzip und wirken statistisch gesehen etwa gleich gut, aber im Einzelfall besteht eine kleine Chance, dass ein Medikamentenwechsel zu einem zufriedenstellenden Ergebnis führt.
    2. Eine weitere Möglichkeit ist die zusätzliche, tägliche Einnahme von 5 g bis 12 g L-Arginin (Porst 2013a).
    3. Falls bei Ihnen der Testosteronwert noch nicht bestimmt wurde, dann sollte das jetzt erfolgen. Bei einem Testosteronmangel wirken Cialis, Levitra und Viagra nicht oder nicht befriedigend. Die Behandlung des Testosteronmangels kann die Wirksamkeit der PDE5-Hemmer verbessern und sich auch positiv auf ihr allgemeines Befinden auswirken (Saad 2007).
    4. Auch die Behandlung anderer Begleiterkrankung wie beispielsweise Schlafapnoe oder zu hohe Blutfettwerte kann sich positiv auf die Erektionsfähigkeit auswirken (Guay 2003).
    5. Wenn der Verdacht besteht, dass Medikamente zur Erektionsstörung beitragen, dann kann ein Wechsel zu einem anderen Medikament hilfreich sein, bei dem vorzugsweise die Nebenwirkung ED seltener oder nicht auftritt. So kann z.B. bei Bluthochdruck ein Wechsel zu einem Sartan (andere Bezeichnung: Angiotensin-II-Rezeptorantagonisten) oder zu Nebivolol erfolgreich sein (Papademetriou 2015).
    6. Eine Studie hat gezeigt, dass durch die tägliche, abendliche Einnahme von Cialis 10 mg knapp 60% der Non-Responder nach einiger Zeit auf die bedarfsabhängige Gabe von Cialis 20 mg umsteigen konnten (McMahon 2004).
    7. Wenn weder die Einnahme bei Bedarf noch die tägliche Einnahme zu befriedigenden Ergebnissen führen, dann bietet sich noch die Kombination an. Der ED-Experte Prof. Porst berichtet, dass er in dieser Situation mit Cialis 5 mg täglich plus eine Levitra Schmelztablette vor dem GV mehr als 50% dieser Männer helfen konnte (Porst 2013b).
    8. In einigen Fällen kann auch die Einnahme von mehr als der empfohlenen Höchstdosis einen Erfolg bringen. So konnten in einer Studie 24% ursprüngliche Non-Responder mit Dosen bis zu 200 mg Sildenafil (dem Wirkstoff in Viagra) doch noch eine gute Erektion erreichen (McMahon 2002). Allerdings ist bei der Einnahme von mehr als der empfohlenen Höchstdosis mit verstärkten Nebenwirkungen zu rechnen. In dieser Studie hatten rund ein Drittel der Männer so starke Nebenwirkungen, dass sie aus der Studie ausstiegen.

    Bei 20 bis 30% der Männer mit erektiler Dysfunktion führen auch diese Hinweise zu keinem Erfolg. In diesem Fall stehen andere, auf unserer Seite "Behandlung (Therapie) " beschriebene Behandlungs­möglichkeiten zur Verfügung.

    Weitere Seiten zu Cialis, Levitra und Viagra

    Literatur

    • Guay, André (2003):
      Optimizing Response To Phosphodiesterase Therapy: Impact of Risk-Factor Management.
      Journal of Andrology. Band 24, Supplement, Seite S59-S62.
      Im Internet: Artikel (html-Datei). Artikel (pdf-Datei, 29 kB) .
    • McCullough, Andrew R; Barada, James H; Fawzy, Ahmed; Guay, Andre T; Hatzichristou, Dimitrious (2002):
      Achieving treatment optimization with sildenafil citrate (Viagra) in patients with erectile dysfunction.
      Urology, Volume 60, No. 2, Supplement 2. S. 28-38.
      Im Internet: Zusammenfassung .
    • McMahon, Chris (2002):
      High dose sildenafil citrate as a salvage therapy for severe erectile dysfunction.
      International Journal of Impotence Research. Band 14, Heft 6, Seite 533-538.
      Im Internet: Zusammenfassung. Artikel (pdf-Datei, 175 kB) .
    • McMahon, Chris (2004):
      Efficacy and Safety of Daily Tadalafil in Men with Erectile Dysfunction Previously Unresponsive to On-demand Tadalafil.
      The Journal of Sexual Medicine. Band 1, Heft 3, S. 292-300.
      Im Internet: Zusammenfassung .
    • Papademetriou, Vasilios; Lazaridis, Antonios; Papadopoulou, Eirini et al. (2015):
      Antihypertensive Drug Therapy and Erectile Dysfunction.
      In: Viigimaa, Margus; Vlachopoulos, Charalambos; Doumas, Michael (Ed.):
      Erectile Dysfunction in Hypertension and Cardiovascular Disease – A Guide for Clinicians.
      Springer
      Im Internet: Zusammenfassung .
    • Porst, Hartmut (2006):
      Oral Pharmacotherapy of Erectile Dysfunction.
      In: Porst, Hartmut; Buvat, Jacques (Herausgeber):
      Standard Practice in Sexual Medicine. Blackwell Publishing.
    • Porst, H; Burnett, A; Brock, G; Ghanem, H; Giuliano, F; Glina, S; Hellstrom, W; Martin-Morales, A; Salonia, A; Sharlip, I and the ISSM Standards Committee for Sexual Medicine (2013a):
      SOP Conservative (Medical and Mechanical) Treatment of Erectile Dysfunction. The Journal of Sexual Medicine. Band 10, Heft 1, S. 130-171.
      Im Internet: Zusammenfassung .
    • Porst, Hartmut (2013b):
      Kommentar zu "Response to on-demand vardenafil was improved by its daily usage in hypertensive men.
      V Javaroni, M Queiroz Miguez, A Burla, W Oigman, MF Neves. Urology 2012;80:858-64".
      Journal of Sexual Medicine, Volume 10, Issue 4, Page 627.
    • Saad, Farid; Grahl, Anca S; Aversa, Antonio; Yassin, Aksam A; Kadioglu, Ates; Moncada, Ignacio; Eardley, Ian (2007):
      Effects of testosterone on erectile function: implications for the therapy of erectile dysfunction.
      BJU International. Band 99, Heft 5, Seite 988-992.
      Im Internet: Zusammenfassung. Artikel (pdf-Datei, 122 kB) .
    • Sadovsky, R; Brock, GB; Gutkin, SW; Sorsaburu, S (2009):
      Toward a new ‘EPOCH': optimising treatment outcomes with phosphodiesterase type 5 inhibitors for erectile dysfunction.
      The International Journal of Clinical Practice. Band 63, Heft 8, Seite 1214-1230.
      Im Internet: Zusammenfassung. Artikel (pdf-Datei, 962 kB) .

    Autor: G. Steinmetz
    Review: B. Behrens

    Letzte Änderung:
    19. April 2016

    Nachdruck oder andere Weiterverwendung – auch auszugsweise – nur mit
    schriftlicher Genehmigung der Redaktion Impotenz-Selbsthilfe gestattet!

    so been a great start to 2010 – been beavering away in the studio and have cooked up a couple of remixes and beats which I am currently using to get a bit of forward motion in the islands hip hop scene as there has always been plenty of talk and never really any outward progession of ci hip hop product, which with all of the creative power contained in the heart of polynesia, is a BIG surprise.

    so 88FM is positively booming to the MAX! so good that something like this has happened in Rarotonga. Currently working on getting streaming going so we can send the 88 product to the world – aiming for March so keep checking it’ll be here

    So yeah been stuck up in this raro place for 2 moths now – loving it, got the job as the bird so just cruising – KillamanRaro played last night he seems to be loving it over here so thats a start….

    Well came down to Paraparaumu for christmas and the weather has been absolutely glorious. Still waiting for Jimmy to call me from Waitarere so I can get up there and see some more friends…

    yay – Auckland for xmas (not really fly down to welly on 24th) will be looking to get gigging at the start of next year. Just pulling a few hours for Wizbang at the moment. Alls ok otherwise.

    Was, wenn Viagra nicht wirkt?

    Viagra wird umgangssprachlich gerne auch als blaue Wunderpille bezeichnet. Viele Männer die an Impotenz leiden greifen auf diese Erektionspille zurück um problemlos Sex haben zu können. Allerdings erzielt Viagra nicht bei jedem die erwünschte Wirkung. Die Erektion ist in diesen Fällen für den Geschlechtsverkehr entweder nicht ausreichend hart oder sie bleibt komplett aus. Glücklicherweise existieren jedoch zahlreiche Alternativen (Cialis, Levitra, Caverject). Erfahren Sie mehr darüber was Sie tun können falls Viagra nicht wirkt.

    Höhere Dosierung

    Der Arzt wird ihnen in der Regel zunächst die Anfangsdosierung von 50mg verschreiben. Damit Viagra wirken kann müssen Sie sexuell erregt sein. Wenn die Anfangsdosierung wirksam ist wird diese Dosierung auch in der Folgezeit verschrieben. Bei den meisten Männern wirkt Viagra bereits nach der ersten oder zweiten Einnahme. Ist das Mittel bei der Variante von 50mg jedoch wirkungslos, kann die Dosierung auf 100mg erhöht werden. Bedenken Sie, dass bei der ersten Einnahme Stress und Versagensängste bezüglich der Wirksamkeit eine entscheidende Rolle spielen können, sowohl bei Ihnen, als auch bei Ihrem Partner. Ein intensive Vorsorge und eine konstante Begleitung durch den verschreibenden Arzt werden Ihnen zu einem optimalen Ergebnis verhelfen.

    Mehrere Versuche

    Je mehr Versuche Sie mit Viagra unternehmen, desto größer ist die Erfolgswahrscheinlichkeit. Mehrere Versuche (7-8 ) werden grundsätzlich empfohlen. Der prozentuale Anteil der Männer die positiv auf Viagra reagieren nimmt bis zur achten Einnahme konstant zu. Sie sollten daher die Einnahme nicht absetzen falls Viagra nach der ersten Einnahme nicht wirkt. Sie sollten sich allerdings Ihrem Arzt anvertrauen und ihm/ihr Ihre Erfahrung berichten. Beobachten Sie die Wirkung vielmehr über einen längeren Zeitraum und setzen Sie die Einnahme nicht plötzlich ab.

    Testosteronmangel

    Viele Männer mit Erektionsstörungen leiden häufig auch an Testosteronmangel. Testosteron beeinflusst den Erektionsprozess erheblich. Testosteronmangel im Blut kann eine Erektion erschweren. Die Einnahme von Viagra kann diesen Mangel nicht ausgleichen. Allerdings existieren einige Testosteronprodukte die den Testosteronhaushalt wieder auffüllen können. Testosteron ist nicht nur für eine Erektion essentiell, sondern kann auch die Lust auf Sex (Libido) beeinflussen.

    Alternativen

    Falls Viagra bei Ihnen nicht das gewünschte Resultat erzielt, dann haben Sie die Möglichkeit aus anderen bekannten Erektionspillen zu wählen, wie z.B. Cialis oder Levitra. Ein anderes immer beliebteres Alternativprodukt ist Caverject. Dieses Injektionsmittel wird in die Schwellkörper des Penis gespritzt. Bereits innerhalb von 5 bis 10 Minuten erhalten Sie eine Erektion die zwischen 30 und 60 Minuten anhält. Ein weiterer entscheidender Vorteil neben der schnellen Wirkung ist, dass keine sexuelle Stimulation vonnöten ist. Von daher ist eine Erektion möglich auch wenn Sie sexuell nicht erregt sind. Männer bei denen Viagra nicht wirkt finden in Caverject die gewünschte Wirkung und äußern sich in der Regel sehr zufrieden über das Produkt.

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    Viagra for Her

    From the WebMD Archives

    July 22, 2008 — Viagra, often prescribed to help men’s erectile dysfunction. also helps women who experience sexual problems from antidepressant use, according to a new study.

    Sexual dysfunction is a well-known side effect of some antidepressants. with up to 70% of men and women on antidepressants reporting sexual problems. It’s a major reason depressed patients stop taking their medication. according to H. George Nurnberg, MD, the study’s lead author and a professor at the University of New Mexico School of Medicine in Albuquerque. The study is published in TheJournal of the American Medical Association.

    In the study, Nurnberg and his colleagues found that when women being treated with an antidepressant were given Viagra, they were more likely to have orgasms than those on the placebo .

    ”Seventy-two percent of the women on Viagra vs. 27% of the women on placebo got to ‘much improved’ or ‘very much improved’ on a scale [of sexual functioning],” says Harry A. Croft, MD, medical director of the San Antonio Psychiatric Research Center in Texas and a co-author on the study.

    ”What Viagra did was increase the orgasm and the time to orgasm,” says Croft, noting that orgasm difficulties are common in women on antidepressants. The Viagra also improved the satisfaction of the partner, he says. But ”it didn’t increase drive and desire.”

    The findings are no surprise to Irwin Goldstein, MD, director of sexual medicine at Alvarado Hospital in San Diego and editor-in-chief of The Journal of Sexual Medicine. “I actually prescribe a lot of Viagra for women,” says Goldstein, who reviewed the study for WebMD.

    Viagra for Her: Study Details

    The researchers evaluated 98 women on antidepressants, average age 37 and all premenopausal, assigning half to the Viagra group and half to the placebo group for the eight-week study. Viagra doses started at 50 milligrams a day, taken one or two hours before expected sexual activity, and could be increased to 100 milligrams. No one knew which pill they were taking.

    On average, the women had been taking antidepressants for two years and had suffered sexual problems for at least four weeks.

    Continued

    The study was conducted at seven U.S. research centers between September 2003 and January 2007.

    Because sexual problems are a prime reason patients give for stopping the antidepressants, experts think it is important to find a way to relieve the sexual problems.

    Before starting the study, the women reported a variety of sexual problems, including lack of libido. difficulty becoming aroused or becoming lubricated, lack of orgasm, or delay in achieving orgasm.

    Viagra for Her: Study Results

    Researchers used standard measures to evaluate sexual functioning and had the women keep a sexual activity log. They also assessed hormone levels.

    When Nurnberg’s team looked at overall sexual functioning, they found that 73% of the women on placebo had no improvement in sexual functioning but only 28% of the women taking Viagra reported no improvement.

    When they looked at the individual measures, they found women treated with Viagra were significantly more likely to reach orgasm than those in the placebo group. When they looked at the individual measures, such as desire or lubrication, they did not find significant differences.

    There was a significant difference, Croft says, in the partner’s satisfaction.

    The higher a woman’s testosterone levels, the researchers also found, the more likely a positive treatment response occurred, regardless of group assignment.

    The women reported some side effects, with the most common being headache. reported by 43% of the women on Viagra and 27% of those on placebo. Transient vision disturbances were reported by 14% of those on Viagra and 2% of those on placebo. No one dropped out of the study because of their side effects. In those women who continued their dose of antidepressants, their depression didn’t worsen during the study, regardless of their group assignment.

    The study was supported by an independent grant from Pfizer, which makes Viagra. The grant was initiated by the researchers and the pharmaceutical company had no other role in the study, the researchers say.

    The study, Croft says, ”is the first and only double-blind, randomized trial that shows it works for this.” Viagra, he notes, is not approved by the FDA for use in women, so the use is ”off-label” and not typically covered by insurance .

    Continued

    Viagra for Her: Second Opinion

    Evaluating a woman’s hormone levels before prescribing Viagra for sexual problems is important, says Goldstein, who is also a clinical professor of surgery at the University of California, San Diego. Normal testosterone levels, he says, are crucial for the successful effect of the drug.

    “What Viagra does in women with normal testosterone [levels] is engorge their clitoris [with blood ], which allows them to have orgasm,” he tells WebMD. “Viagra acts on a man’s penis and a woman’s clitoris.”

    The finding that the drug did not affect desire or arousal comes as no surprise, either, he says. “Viagra has never been shown to increase desire in men or in women.”

    WebMD Health News Reviewed by Brunilda Nazario, MD on July 22, 2008

    Sources

    News release, The Journal of the American Medical Association.

    Irwin Goldstein, MD, director, sexual medicine, Alvarado Hospital, San Diego; clinical professor of surgery, University of California, San Diego; editor-in-chief, The Journal of Sexual Medicine; director, San Diego Sexual Medicine.

    Harry A. Croft, MD, medical director, San Antonio Psychiatric Research Center.

    Nurnberg, H. The Journal of the American Medical Association; July 23, 2008; vol 300: pp 395-404.

    В© 2008 WebMD, LLC. All rights reserved.

    What Happens When Women Use Viagra?

    by LEAH DIPLACIDO, PH.D. Last Updated: Mar 21, 2011

    Leah DiPlacido, a medical writer with more than nine years of biomedical writing experience, received her doctorate in immunology from Yale University. Her work is published in “Journal of Immunology,” “Arthritis and Rheumatism” and “Journal of Experimental Medicine.” She writes about disease for doctors, scientists and the general public.

    Viagra, the brand name for the medication sildenafil sulfate, is prescribed for treatment of erectile dysfunction (ED) in men. ED is a condition where a man has difficulty getting or maintaining an erection. But what happens when women take Viagra?

    Pre-menopausal Women

    According to a study in December 2003 from University of Catania in Italy, pre-menopausal woman taking sildenafil reported an increase in sexual arousal, almost twofold over placebo.

    Post-menopausal women

    A separate study reported on the effects of taking sildenafil by post-menopausal women. This study, completed in March 1999 by researchers at Columbia University in New York, reported that 18.1 percent of women who completed the study found a significant increase in their sexual function, including self-reported sexual arousal.

    Heart Rate

    Data from a third study on pre-menopausal women in June 2000, by experts from Mount Sinai School of Medicine in New York, demonstrated that sildenafil increased heart rate by approximately four to five beats per minute.

    Blood Pressure

    Data from the study by Sipski and colleagues also showed that sildenafil decreases blood pressure in women an average of 2-4 mm/Hg.

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    Side Effects

    Common side effects experienced by women among all three studies were headache and dizziness; these side effects caused some of the women to stop taking the medication.

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    Viagra Improves Sex for Some Women

    From the WebMD Archives

    Jan. 7, 2004 — Viagra can do wonders for men. But a new study shows it also improves sex for some postmenopausal women.

    The findings come from a research team led by sexual-function gurus Jennifer R. Berman, MD, and Laura A. Berman, PhD. The placebo -controlled study, funded by Viagra maker Pfizer Inc. evaluated 202 postmenopausal women diagnosed with female sexual arousal disorder (FSAD). This disorder is defined as distress from an inability to attain or maintain sexual excitement.

    Half the women were treated with Viagra; the other half got inactive placebo pills. Many of the women who got the placebo reported improved genital sensation. Some even reported more sexual satisfaction. But both of these improvements were much more common among women who took Viagra.

    The little blue pill didn’t work for women who, in addition to FSAD, also had something called hypoactive sexual desire disorder or HSDD. While many women with FSAD have difficulties with genital blood flow — suggesting a physical problem that Viagra can help — women with HSDD may be more likely to have an underlying emotional or relationship problem leading to lack of sexual desire.

    “Unresolved emotional or relational issues should be addressed before beginning medical therapies,” Berman and colleagues stress. Their report appears in the December 2003 issue of The Journal of Urology.

    Viagra, Genital Sensation, and Sexual Satisfaction

    Women were included in the study if they were postmenopausal or if they had a hysterectomy. Their ages ranged from 30 to 71 with an average age of about 51.

    The Berman team focused on the women’s answers to two questions after taking Viagra or placebo:

    • After taking the study medication. the sensation/feeling in my genital (vagina. labia, clitoris) area during intercourse or stimulation seemed to be: (a) more than before, (b) less than before, or (c) unchanged.
    • After taking the study medication, intercourse and/or foreplay was (a) pleasant and satisfying; better than before taking the study medication; (b) unpleasant; worse than before the study medication; (c) unchanged; no difference; or (d) pleasant but still not like it used to be or I would like it to be.

    Continued

    Among placebo recipients, 44% reported improvement in the first question and 28% reported improvement in the second question.

    Among all Viagra recipients, 57% reported improvement in the first question and 42% reported improvement in the second question.

    But among Viagra recipients with sexual arousal disorder who did not have HSDD, the results were more striking: 69% reported improvement in the first question. This group was eight times more likely to report improvement than women without HSDD who got placebo.

    Similarly, among Viagra recipients with sexual arousal disorder who did not have HSDD 50% reported improvement in the second question. This group was 11 times more likely to report improvement than non-HSDD women who got placebo.

    The authors note that women who respond to Viagra may need to have normal levels of estrogen and testosterone. For many postmenopausal women, that may mean menopausal replacement therapy. In the present study, the women had normal hormone levels or were receiving menopausal replacement therapy.

    SOURCE: Berman, J.R. The Journal of Urology. December 2003; vol 170: pp 2333-2338.

    WebMD Health News

    В© 2004 WebMD, Inc. All rights Reserved.

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    5. The last interview is expected to be on May 28th.
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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.
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    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.

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    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

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    ViagraActive ingredient: Sildenafil$0.27 for pillViagra is often the first treatment tried for erectile dysfunction in men and pulmonary arterial hypertension.CialisActive ingredient: Tadalafil$0.68 for pillCialis improves erection and helps to achieve a successful sexual intercourse.

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    Sexual Medicine

    Choosing the Right Pill to Treat ED

    Ricardo Munarriz, MD

    The most common sexual dysfunctions in men include lack of interest, premature ejaculation and erectile dysfunction. The latter affects 52% of men between the ages of 40 and 70, including mild, moderate and complete forms of ED.

    Organic or physical causes for sexual dysfunction in men include vascular, hormonal and neurologic factors. Concerning vascular causes, the risk factors for atherosclerosis (including smoking, high blood pressure, diabetes (diabetics do not respond well to pills like sildenafil (Viagra)) and high cholesterol are ALSO risk factors for erectile dysfunction. Since a straddle injury or use of a narrow saddle can obstruct and impair arteries to the penis, bicycle riding is also considered a risk factor for erectile dysfunction.

    Little attention has been paid to endocrine factors. Testosterone modulates desire, arousal and orgasmic function. Concerning the orgasmic response, testosterone modulates the integrity of genital sensory receptors. Concerning the arousal response, decreased testosterone blood levels can influence the efficacy of sildenafil (Viagra). If the sildenafil response is not reliably improving erection, the physician should first check if the patient is taking the pill correctly. The physician should also check the patient’s testosterone level. One investigator in Italy gave testosterone to patients with low testosterone who did not respond to sildenafil (Viagra). When daily testosterone was given, subsequent sildenafil (Viagra) use resulted in IIEF (the International Index of Erectile Function questionnaire used to determine erectile function) scores improving significantly.

    Other risk factors for erectile dysfunction include neurologic problems (multiple sclerosis, stroke), depression and medications for treating diabetes, hypertension, heart disease and depression.

    There are many oral therapies for erectile dysfunction, but the only approved medication in the US is the PDE 5 enzyme inhibitor sildenafil (Viagra). Unapproved therapies, some of which are available in the US and some elsewhere, some of which have data to prove efficacy and some not, include tadalafil (Cialis), vardenafil (Levitra), yohimbine, phentolamine, trazodone, apomorphine and neutraceuticals. PDE5 inhibitors act to relax penile erectile tissues with sexual stimulation thus enhancing your ability to get an erection. Sildenafil (Viagra) is effective for all sorts of erectile dysfunction in 69% of people. Why is there a need for another pill? In some cases the erection is not hard enough, sometimes sildenafil (Viagra) just doesn’t work.

    Structurally vardenafil (Levitra) is similar to sildenafil, while tadalafil (Cialis) is very different. Vardenafil (Levitra) is almost 10 times more biochemically potent than sildenafil, therefore a lower dose is needed to facilitate the penile erection, potentially resulting in less side effects. Selectivity is the ability of the drug to attach to the specific enzyme PDE 5 found in penile tissues. Vardenafil (Levitra) is more selective than sildenafil and tadalafil (Cialis) to PDE5, which again means a lower dose is needed with potentially less side effects. Tadalafil is very specific for PDE5 and is also very specific for the enzyme PDE11. Unfortunately, we don’t know much about PDE11, which is found in the heart, in the pituitary gland in the brain and in the testicles. Pharmacokinetics, half-life, is how long the medication stay s in the blood. Sildenafil (Viagra) has a half-life of 4 hours and vardenafil (Levitra) has a half-life of 4-6 hours while tadalafil (Cialis) has a half-life of 17.5 hours. This means that vardenafil (Levitra) should act longer than sildenafil (Viagra) but the clinical significance is not known. Tadalafil (Cialis) has the longest half-life and allows you to take the medication and not relate the sexual activity to the immediate use of the medication. The drawback is if you need nitrates after using tadalafil (Cialis), this medication lasts a long time in your blood stream and may place you at a higher risk. Younger people might do well treated with tadalafil, (Cialis) while older people with other health issues might be better off using sildenafil (Viagra) or vardenafil (Levitra) but more data are needed. The side effects of vardenafil (Levitra) are potentially less than sildenafil (Viagra), but more data are needed. In a recent study on men with erectile dysfunction and diabetes, vardenafil (Levitra) improved their erectile dysfunction. Tadalafil (Cialis) is as effective as sildenafil (Viagra), and vardenafil (Levitra) with similar side effects except for back pain that occurs occasionally with tadalafil, probably because of the long half-life.

    Many people stop taking drugs because they are experiencing side effects, they no longer have a partner, or they are worried about safety. Sexual activity is not a major contributor to the risk of a heart attack. Sexual activity, with or without sildenafil (Viagra) increases the chance of an MI during sexual activity by only 0.1%. If pills fail, there are vacuum devices, Muse, injections, bypass surgery and implants.

    The patient making a presentation has had penile bypass surgery. In addition he takes testosterone and sildenafil as needed. This is a classic example of why people with ED need complete care: a psychological exam, history and physical exam, and diagnostic studies with long term follow-up care. Patients with ED should not just be prescribed sildenafil (Viagra) and then be lost to follow-up.

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    The Viagra Is Better Than Cialis 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. Viagra Is Better Than Cialis: 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!

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    The Viagra Is Better Than Cialis 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 Viagra Is Better Than Cialis 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 Viagra Is Better Than Cialis 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.)

    Viagra Is Better Than Cialis

    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.
    • About any prescription or nonprescription medications you take and any herbal and dietary supplements .
    • If you are scheduled for surgery, even dental surgery.
    • 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 .
    • If you take alpha-blockers for blood pressure or prostate problems. These can lower your blood pressure when taken with ED pills. You should not start on Staxyn unless your doctor has prescribed you Levitra before.

    Always follow the directions on your prescription label carefully. Also make sure to ask your doctor or pharmacist to explain anything you don’t understand. Take these drugs exactly as directed.

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    Nypd Blue Honeymoon At Viagra Falls

    Nypd Blue Honeymoon At Viagra Falls 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, Nypd Blue Honeymoon At Viagra Falls is the perfect place to spend a relaxing weekend or a lifetime.

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

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

    The town of Nypd Blue Honeymoon At Viagra Falls welcomes you as you explore our small town steeped in history and tradition but alive with charm and activities.

    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!

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    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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    Manufacturer link: Litespeed
    With aluminum wheels, Reg. $3800, now $1899. With Nypd Blue Honeymoon At Viagra Fallsaero whheelset, Reg. $5125, now $2499! The critically acclaimed Litespeed C1 is fullr arrayed with features including an adjustable aero seatpost, optional internal Di2 gear cable routing, and race-ready Ultegra 6700 components. Loaded with Aerologic features and fully Shimano Di2 compatible, the super modulus carbon C1 converts our wind-tunnel qualified data-set into an easy real-world Nypd Blue Honeymoon At Viagra Falls.

    Manufacturer link: Litespeed
    The Nypd Blue Honeymoon At Viagra Falls 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. Nypd Blue Honeymoon At Viagra Falls: 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 Nypd Blue Honeymoon At Viagra Falls 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 Nypd Blue Honeymoon At Viagra Falls 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 Nypd Blue Honeymoon At Viagra Falls 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.)

    Nypd Blue Honeymoon At Viagra Falls

    Simone and Sipowicz work with Cohen to investigate the death of one of Cohen’s witnesses and her son. Evidence points to the opposing attorney having some involvement with the arrangement of the homicide. Bobby and Diane plan to get married on their lunch break. Russell and Kirkendall help a man locate his missing daughter. Medavoy and Martinez look into a corporation dealing in fake sports memorabilia. Medavoy is taken with the blonde who was named as the front of the corporation, she reminds him of Donna. Andy’s doctor stops by with the results of his latest blood test, the results are good. When the doctor inquires about Andy’s sexual functions, Andy is less than forthcoming and the doctor’s prescribes him the new wonder drug, Viagra. Just as the time for the lunchtime wedding grows near, both Bobby and Diane’s cases break wide open. Bobby & Diane just make into the office, find a witness and get married. Greg calls upon the blonde. Andy gets his prescription filled and is able to take care of business. more less

    Dennis Franz

    Det. (later Sgt.) Andy Sipowicz

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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.

    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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