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Publiziert 8 April 2014 | Von Berty Fliess

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Auch dann, wenn der Mann unter gelegentlichen Erektionsproblemen leiden muss, kann das Potenzmittel Viagra, Beziehungsweise können die Nachahmungspräparate Viagra Generika gute Hilfe leisten. So hat man nie wieder Probleme, beim Sex richtig gut und lange zu können. Durch die Viagra Generika fällt die Erektion länger und vor allem fester aus. Dem Mann ist es möglich, öfter Sex zu praktizieren, wenn er zu Viagra Generika greift. Mit Sicherheit kann man die Erektion und den gesamten Sex durch die Viagra Generika und ihre garantierte Wirkung länger hinauszögern. Die Viagra Generika eignen sich, um diese dafür zu benutzen, wenn der Sex ausdauernd sein sollte. Männer, die täglich viel Stress in der Arbeit oder in anderen Lebenssituationen erleiden, sind oft am Ende des Tages viel zu müde für den Sex oder haben einfach keine Ausdauer mehr. Auch hier leisten die Viagra Generika perfekte Hilfe.

Normalerweise ist der Stress ein typische Killer der Lust und das guten Geschlechtsverkehrs, mit den Viagra Generika tritt dieser diese Problematik allerdings stellen den Hintergrund.

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Männer, die zu Viagra Generika für besseren Sex greifen, freuen sich darüber, dass nicht nur sie selbst, sondern auch ihre Partnerin durch den daraus resultierenden besseren Sex zufrieden gestellt werden. Die Erektion verbessert sich maßgeblich, denn der Mann ist fähig, länger durchzuhalten. Die Viagra Generika können auch einen vorzeitigen Samenerguss dezent beeinflussen, dass es insgesamt einfach länger dauert. Mit den Viagra Generika macht der Sex garantiert mehr Spaß, als je zuvor. Viagra Generika werden deshalb von vielen erfahrenen Männern an andere mit gutem Gewissen weiter empfohlen. Das bestätigen zahlreiche Erfahrungsberichte, die man im Internet recherchieren kann. Männer, die noch nie Viagra Generika für bessere Erektionen eingenommen haben, sind überrascht, wie gut dieses Potenzmittel wirkt. Immerhin ist das Vorbild das Originale Viagra von Pfizer und die Viagra Generika helfen ganz genauso gut, denn sie enthalten genauso das hilfreiche Sildenafil. Infolgedessen ist dieses Potenzmittel jeden Cent wert, wenn man die Ausgaben dafür hochrechnet. Durch die Viagra Generika fällt die Qualität der Erektion des Mannes viel besser aus, als vorher. Auch die Erektionsphasen sind viel länger und dehnen sich durch das Potenzmittel quasi aus. Jeder, der schon mal Sex mit Viagra Generika hatte empfiehlt dieses Produkt gerne mit gutem Gewissen weiter.

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Männer sind glücklich darüber, dass es Viagra Generika rezeptfrei im Internet zu bestellen gibt. Die Viagra Generika selbst haben zwar keine stimulierende Wirkung, trotzdem sind sie allerdings dafür verantwortlich, dass die Erektion durch den verbesserten Blutfluss viel besser und größer ausfällt. Das Potenzmittel wirkt dann, wenn sich der Mann sexuell stimuliert fühlt. So kann es zum spontanen Sex kommen, wenn die Viagra Generika früh genug – ist von ca. 30 Minuten vor dem Sex die Rede -eingenommen werden. Durch Viagra Generika erlebt der Mann quasi seinen zweiten Frühling, denn das Potenzmittel kann ab einem Alter von 18 Jahren eingenommen werden und ist besonders für Senioren interessant. Die Viagra Generika bescheren also erwiesenermaßen besseren Sex. Durch die Viagra Generika kann der Mann im Handumdrehen wenige Minuten nach der Einnahme guten Sex praktizieren. Je nachdem, gilt es, besondere Vorsichtsmaßnahmen walten zu lassen, denn hat man zum Beispiel eine Herzerkrankung, sollte man Viagra Generika nur nach ärztlicher Untersuchung einnehmen. Ansonsten sind diese Art von Potenzmittel rezeptfrei im Internet bestellbar.

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Ein Mann, der keine vernünftige Erektion von sich aus bekommen kann, sollte es mit den Viagra Generika probieren. Ansonsten ist das Selbstbewusstsein des Mannes gerade durch den schlechten Sex wegen einer mangelnden Erektion stark negativ beeinflusst. Das Sex Leben wird mehr als abträglich, wenn es immer wieder an der Erektion des Mannes scheitert. Die Sache lässt sich durch Viagra Generika ganz einfach ändern. Immerhin kann auch die Frau nicht mehr befriedigt werden, wenn der Mann immer wieder einen Durchhänger hat. Viagra Generika verursachen eine vollständige Erektion und während der Wirkungsphase, die bis zu 6 Stunden andauern kann, kann der Mann immer wieder Sex praktizieren. Durch die Viagra Generika fühlt sich ein Mann quasi wieder wie ein zwanzigjähriger, auch wenn er schon auf die 50 zugeht, denn endlich hat er wieder die Ausdauer dafür. Viagra Generika sind für jeden Mann ein zusätzlicher Gewinn, denn wird Lust empfunden, schluckt man eine kleine Pille Viagra Generika und schon kann es losgehen. Durch die Viagra Generika ist es sogar möglich täglich mehrmals Sex zu praktizieren.

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Männer, die den Gedanken hegen, dass es komplett mit dem Sex in ihrem Leben vorbei ist, weil sie um die 60 Jahre alt sind, können aufatmen, denn seit es Viagra Generika gibt, muss die Lust auf den Sex nicht mehr verkümmern. Besonders dann, wenn man als Mann den Gedanken hat, dass wieder Lust auf Sex verspürt wird, sollte man die Flinte nicht ins Korn werfen. Am besten greift man nämlich zu den beliebten Viagra Generika für optimale Hilfe.

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An die Viagra Generika muss man sich als Mann erst gewöhnen, denn diese gibt es mit unterschiedlichen Inhaltsstoffen und Mengen. Was den Hauptinhaltsstoff betrifft, so ist diese immer Sildenafil. Zusätzliche Stoffe, wie zu Beispiel Laktose können aber auch enthalten sein. Viagra Generika sind in komplett legal und werden von mehreren unterschiedlichen Pharmaziefirmen weltweit angeboten. Infolgedessen hat man die Qual der Wahl, an welchen Hersteller man sich wendet. Das Internet bietet allerdings eine sehr gute Vergleichsmöglichkeit. So kann man sowohl Preise, als auch weitere Vorteile im Netz in einer Versandapotheke für die Viagra Generikabestellung vergleichen. Mit den Viagra Generika muss der Mann auch keine Panik mehr davor haben, wenn er zum ersten Mal Sex mit einer Frau hat, denn so stärkt sich das Selbstbewusstsein immens.

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Wer zum Beispiel in der Suchmaschine ein gibt, dass er Erektionsprobleme hat, stößt schnell auf die Viagra Generika. Diese sind auch deshalb so beliebt, weil man dafür kein Rezept benötigt. Natürlich empfiehlt es sich, die Erektionsstörungen und Erektionsprobleme beim Arzt oder Urologen zu untersuchen, denn dieser informiert darüber, wie der aktuelle Gesundheitszustand ist. Trotzdem kann man in einer guten Versandapotheke rund um die Uhr zuschlagen, wenn man gute Angebote für Viagra Generika findet. Je nachdem, kann man die Viagra Generika wegen der guten Verträglichkeit auf Dauer einnehmen. Das Bedarfsmedikament ist sozusagen immer dann einzunehmen, wenn man Sex wünscht. So macht man nämlich auch die Partnerin glücklich und entdeckt neue Welten und Sphären in Hinsicht auf das persönliche Sexualleben.

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L’anno scorso, Boehringer ha venduto la controllata Bedford Laboratori poi – a Hikma. I problemi hanno colpito anche sui risultati finanziari di Boehringer per: Nel 2014, le vendite sono diminuite di anno in anno del cinque per cento a € 13,3 miliardi l’utile operativo stagnazione a 2,1 miliardi di euro. In compagnia di un programma di austeritГ  ГЁ stato lanciato in Germania a 500 dei 14 800 posti di lavoro saranno eliminati.

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Un altro fattore si riflette chiaramente nel giro di pochi anni nei risultati della societГ : Con la vendita dei cosiddetti biosimilari, i prodotti generici di farmaci biotecnologici, come gli anticorpi, il settore apre un nuovo segmento di mercato. I preparativi biotech conquistano sempre piГ№ alte sfere dei farmaci piГ№ venduti a tutti, molti farmaci oggi raggiungere diversi miliardi di dollari di vendite all’anno.

I produttori possono disegnare sulla ricerca e l’esperienza con il prodotto originale nella produzione di farmaci generici. Questo dГ  loro l’opportunitГ  di migliorare la droga nella sua forma farmaceutica o applicazione. Tutti i contenuti, inclusi testo e immagini da agenzie sono protetti da copyright e puГІ essere riprodotto solo nell’uso ordinario della offerta, distribuita o altrimenti utilizzata.

E ‘molto semplice: ГЁ molto piГ№ economico da produrre farmaci off-patent e vendere. Nello sviluppo di farmaci generici, non ГЁ necessario pagare il costo di ricerca e sviluppo, pubblicitГ  e campagne pubblicitarie potenti, perchГ© in precedenza unico ГЁ stato sviluppato. Per quanto riguarda la qualitГ , i generici prodotti da un rigoroso controllo dell’equivalenza. Equivalenza significa il contenuto obbligatorio degli stessi ingredienti che hanno effetti simili sul corpo umano come farmaco originale.

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Long monotherapy Sildenafil Citrate at various forms of erectile dysfunction

Purpose. studying of efficiency of long therapy sildenafil Citrate at sick of erectile dysfunction at which its use 50-60 minutes prior to sexual contact has appeared not completely effective.

Material and methods. Sildenafil Citrate applied two times a week a current of 1 year at 86 patients at the age from 32 till 72 years with erectile dysfunction which were dissatisfied reception of this preparation before sexual contact. At 24 from them there was a functional erectile dysfunction Cialis. at 62 — organic.

Results. at 60 (83 %) from 86 patients are reached by the functional and subcompensated and compensated organic erectile dysfunction positive takes according to questionnaire ICEF-5. At ultrasonic dopplerografii have taped authentic intensifying penile a blood flow. The expressed by-effects did not observe at one patient.

Conclusion. monotherapy sildenafil Citrate within 1 year promotes improvement of results of treatment of the functional and subcompensated and compensated stages of organic erectile dysfunction.

ONE OF the PRIMARY GOALS of modern medicine – improvement of quality of life of the patients which integral part are harmonious sex relations. Erectile dysfunction leads to appreciable deterioration of life as men, and women [1]. Prevalence of erectile dysfunction in Usa makes at the age from 20 till 29 years — 7,2 %, from 30 till 39 years – 18,9 %, from 40 till 49 years – 37,3 %, from 50 till 59 years-53,8 %. Thus easy degree of disturbance of an erection met in 16,2 % of cases, average — in 22,5 %, serious – in 8,7 % [2] that corresponds to the results received in 1998 in known Massachusetts research on studying of ageing of men [3].

Allocate the functional, organic and admixed forms of erectile dysfunction. Organic erectile dysfunction part at a stage that corresponds to representation about a continuity of the clinical and morphological changes occurring in a cavernous tissue and tunica to a cover of cavernous bodies of a penis: I (compensated), II (Subcompensated) and III (decompensated).Such division coincides with classification of the erectile dysfunction offered H.Feldman and co-workers.(1994): minimum – it is usually capable, moderated —It is sometimes capable, full – it is never capable.

Now at I and II stages of erectile dysfunction widely apply inhibitors phosphodiesterase 5 types, including sildenafil citrate (Viagra) 50-60 minutes prior to sexual contact. At some kinds of organic erectile dysfunction, in particular the vascular and admixed forms with prevalence of a functional component, the good effect is observed even at the initial stage of III stage. However at application sildenafil Citrate by the standard technique (i.e. directly ahead of sexual contact) at an appreciable part of patients observed by us with erectile dysfunction II and III Stages in 12-18 months appeared noneffective even the maximum doses of a preparation [1].

We have established that at erection stimulation sildenafil citrate partial pressure of oxygen (P02) in a cavernous blood which during an erection is admixed is arterial-venous, reaches 78-79,5 mm hg Though this indicator slightly more low, than at erection stimulation intracavernosal introduction of vasoactive preparations (85 mm hg), but nevertheless, it testifies to good oxygenation of a cavernous blood [1]. Last has great value for synthesis Endothelial factors, such as N0 and Prostaglandinum E1 which participate in occurrence of an erection [4,5]. Besides, at high value PO2, synthesis endotelina-1 is inhibited that also promotes intensifying of an erection [4]. On the basis of this data we have stated a hypothesis that regular reception of an inhibitor phosphodiesterase 5 types will allow to improve oxygenation of a cavernous tissue and to raise efficiency of medicamental therapy of erectile dysfunction.

Studying of efficiency of long therapy sildenafil citrate at sick of erectile dysfunction at which its use 50-60 minutes prior to sexual contact has appeared not completely effective was the Research objective.

Material and methods

In 1999-2004 86 patients with erectile dysfunction, including 24 patients at the age from 32 till 57 years with functional erectile dysfunction and 62 patients at the age from 51 years till 72 years with organic erectile dysfunction have been surveyed. At 14 from 24 patients with functional erectile dysfunction diagnosed a sexual neurosis on type “failure expectations”, at 4 — an asthenic syndrome, at 6 – the depressive syndrome bound to psychological and-or sexual problems. The reasons of organic erectile dysfunction were a diabetes (at 9), a hypogonadism (at 7), a sclerosis of a cavernous tissue of a penis (at 11), pathological venous dump of a blood (at 21), proctologic and urological operations (at 8), illness of Pejroni (at 6).

14 patients had I stage of erectile dysfunction (functional – at 4, organic — at 10) (tab. 1). At 60 patients with II stage of erectile dysfunction (functional — at 15, organic — at 45) initially viagra-test was positive. After reception sildenafil Citrate in the picked up dose these patients could enter sexual contact, however in the subsequent, despite augmentation of a dose of a preparation to maximum, sexual contacts were unsatisfactory. At 12 patients with III stage of erectile dysfunction (functional – at 5, organic — at 7) initial viagra-test was negative (a dose sildenafil Citrate – 100 mg).

TABLE 1. Distribution of patients with erectile dysfunction at a stage depending on results viagra-test

Stages of erectile dysfunction

- 100 mg at 7 patients

III stage – 7 patients

the Note: (+) – positive assay, (-) – negative

Monotherapy sildenafil Citrate continued within 1 year. Patients accepted a preparation regularly 2 once a week without dependence from sexual contacts. If after regular reception sildenafil Citrate the erection renewed, treatment continued; if necessary patients in addition accepted a preparation 50-60 minutes prior to sexual contact.

Before treatment conducted following researches:

  • Obshcheklinichesky survey.
  • Questioning on ICEF-5.
  • Questionnaire for an estimation the patient of results of monotherapy sildenafil Citrate: “excellent” — satisfactory sexual contacts 2 times a week, “good” — once a week, “satisfactory” — at occurrence of an erection without sexual contact, “unsatisfactory” – in the absence of an erection.
  • Ultrasonic doppler sonography research of vessels of a penis on apparatus “UltraMark-9″ with frequency of the gauge of 7,5 MHz and “Vivid-4″ with frequency of the gauge 10 MHz, Estimated basal and stimulated a blood flow. Stimulation was spent by the LOD-DEVICE by the technique developed by us (the patent of the Russian Federation for the invention в„–2141799 from 11/27/1999). Investigated the cavernous Arteries in phases of erection Er3-Er4 (on a scale of Junema).
    Results of researches analyzed by means of statistical package SPSS-14.

Results

Treatment sildenafil Citrate have finished 20 of 24 patients with functional erectile dysfunction and 52 of 62 patients with organic erectile dysfunction. In the course of treatment at patients arose spontaneous or an erection. If at sex stimulation after additional reception of a preparation or without it there was a sufficient erection, they entered sexual contact.

The Analysis of results of questioning under questionnaire ICEF-5 before treatment sildenafil is presented by Citrate (Viagra) to tab. 2. At functional erectile dysfunction the quantity of patients with satisfactory and normal indicators of the questionnaire has authentically increased after end of treatment with 10 (41,7 %) to 14 (70,0 %). At organic erectile dysfunction the quantity of patients with satisfactory and normal indicators also was authentically enlarged with 18 (29,0 %) to 35 (67,4 %). This data testifies to clinical efficiency long monotherapy sildenafil Citrate at functional and organic erectile dysfunction. After end of a year course of monotherapy those patients at whom results of treatment have appeared good, stopped regular reception Sildenafil Citrate and used it only before sexual contact in a combination to sex stimulation.

TABLE 2. Results of questioning in points on ICEF-5 before treatment

Full or
Sharp disturbance (0-5)

Expressed
Disturbance
(5-10)

Note: p 0,001 between groups. Have left group with functional erectile dysfunction 4 patients, with organic – 10

The Analysis of parametres basal penile a blood flow has shown (tab. 3) that after end of course of treatment at functional and organic erectile dysfunction the maximum rate of a blood flow in a systole (Vsis) was authentically enlarged on the average by 10 % in comparison with an initial indicator. The resistance index (IR) was authentically enlarged at functional and to a lesser degree at organic erectile dysfunction. The index pulsation (Pi) also was authentically enlarged by 20 % at functional and to a lesser degree at organic erectile dysfunction.

TABLE 3. Parametres of a basal blood flow in cavernous arteries of a penis before treatment at different kinds of erectile dysfunction

Kind erectile
Dysfunctions

Note: p 0,001 between groups. Have left group with functional erectile dysfunction 4 patients, with organic – 10. Vsis – the maximum rate of a blood flow in a systole; IR – a resistance index; Pi – an index pulsation

At comparison of parametres stimulated a blood flow before monotherapy sildenafil Citrate (tab. 4) taps blood flow augmentation in cavernous arteries of a penis on 17 % at patients with functional and on 13 % at patients with organic erectile dysfunction. Y513 in group of patients with functional erectile dysfunction it was enlarged by 19 %, and in group of patients with organic erectile dysfunction – On 12 %. KK it was enlarged by 25 % and 17 %, accordingly, and KP – on 24 % and 14 %. At the majority of patients the venous hemodynamic of a penis has improved also.

TABLE 4. Parametres stimulated a blood flow in cavernous arteries of a penis before treatment at different kinds of erectile dysfunction

Kind of erectile dysfunction

% of augmentation of a blood flow

Vsis (TRIMS.) – Vsis (bases.)
(Sm/c)

Note: p 0,001 between groups. Have left group with functional erectile dysfunction 4 patients, with organic – 10. KR = IR (TRIMS.) / IR (bases.). KP = Pi (TRIMS.) / Pi. (Bases.)

Thus, along with substantial improvement of clinical results at long monotherapy sildenafil citrate had been reached authentic augmentation basal and stimulated a blood flow in penis arteries. For studying of opinion of patients it was offered to them to answer questions of the additional questionnaire on results of the spent treatment (tab. 5) which consisted of following questions:

  • “As you estimate results of treatment? (Unsatisfactorily, well, well, perfectly)”
  • “you can note What positive moments of this course of treatment?”
  • “you can note What negative moments of this course of treatment?”
  • “you Intend to continue course of treatment by a preparation Viagra?”.

Were happy with treatment 18 (90 %) from 20 patients with functional and 30 (57,7 %) from 52 patients with organic erectile dysfunction. From advantages of a preparation speed of offensive of an erection, reliability of results and absence of complications have been noted. From the negative moments high cost of a preparation is allocated. Have agreed to continue treatment 20 (100 %) patients with functional and 35 (67,3 %) patients with organic erectile dysfunction.

The researches conducted by us have shown that at monotherapy sildenafil within 1 year good results have been reached by Citrate at 60 (83 %) from 86 patients with functional go the compensated and subcompensated stages of organic erectile dysfunction. Unsatisfactory results took place at 12 (17 %) patients. At 2 from them with an astheno-depressive syndrome, at 10 – organic erectile dysfunction, including an endocrine genesis functional erectile dysfunction has been diagnosed for 5 patients, vascular – at 4 and neurogenic — at 1. To these patients further it is spent combined a course of medicamental therapy which included application within 6 months sildenafil Citrate and Testosteron-Depotum preparations at a hypogonadism or a preparation thioctic the acids, an endoneural blood flow promoting improvement, at a diabetes.

Any complications demanding the termination of long reception sildenafil citrate. we did not observe. In single instances easily expressed undesirable reactions – a headache, dyspeptic disorders and a nausea became perceptible. Face reddening, a neck and scleras, the rhinitis phenomena is slightly more often became perceptible. The specified symptoms quickly passed without the termination of reception of a preparation and their any treatment.

The Reached clinical improvement testifies that at a reception inefficiency sildenafil Citrate before sexual contact at patients with erectile dysfunction long monotherapy by a preparation promotes occurrence and erection deduction more effectively. Obviously, similar results are possible and at daily reception of other inhibitors phosphodiesterase 5th type [6]. When efficiency of treatment also was reached by blood flow activization in penile arteries [7].

We believe that efficiency of long reception Sildenafil Citrate is caused by authentic activization of a blood flow in penile the arteries, established by us at ultrasonic doppler.

On IX Congress of the European society of sex medicine (EOCM) which passed in December 2006 in Vienna, the question on expediency of regular reception of preparations of inhibitors phosphodiesterase 5 types for treatment of erectile dysfunction was considered. In particular, professors F.Montorzi (Italy) and G.Jackson (Great Britain) defended the point of view that regular application of inhibitors phosphodiesterase 5 types at erectile dysfunction should become the standard practice as these preparations improve function of an endothelium of a cavernous tissue and vessels, and also myocardium function. Besides, the data that regular use of these preparations can raise their efficiency at reception “on demand” has been presented. Opponents of such approach DzhDin (Great Britain) and J.Vardi (Israel) specified in necessity of additional researches on this point in question, and also have noted augmentation of cost of treatment [8].

Thus, monotherapy sildenafil citrate within 1 year promotes improvement of results of treatment of the functional and subcompensated and compensated stages of organic erectile dysfunction. Constant application sildenafil Citrate leads to authentic augmentation penile a blood flow at these forms of erectile dysfunction that, apparently, underlies improvement of results of treatment. The augmentation reason penile a blood flow is improvement of function of an endothelium against regular reception sildenafil that confirms its medical effect noted in works of foreign authors [10]. Good shipping of long reception sildenafil Citrate at patients with erectile dysfunction is established.

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Ergonomics in Computer Make – how Advantageous is this and for what?

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РїС—Р…Con quРїС—Р… rapidez funciona el Viagra?

Yo tomo 50 mg 15 minutos antes de hacer el amor y ahora puedo dedicar horas a los prolegРїС—Р…menos sin preocuparme de que se me ponga blanda o pierda interРїС—Р…s.

Tarda unos 15 minutos, como promedio, en surtir efecto y nuestras sesiones de amor duran mРїС—Р…s de una hora cada vez. -65 aРїС—Р…os, Florida.

SentРїС—Р… que el pene se me ponРїС—Р…a duro al cabo de 15 minutos, que se ponРїС—Р…a mРїС—Р…s duro que de costumbre y que tambiРїС—Р…n duraba mРїС—Р…s. РїС—Р…YT, 45 aРїС—Р…os, Nigeria.

El efecto dura unas 3 o 4 horas, y tarda unos 30-45 minutos en surtir efecto. РїС—Р…Art, 62 aРїС—Р…os, Texas.

TardРїС—Р… menos de media hora en surtir efecto y tuve la primera experiencia sexual completa en РїС—Р…mas de 6 AРїС—Р…OS! -William, 42 aРїС—Р…os, Texas.

Empieza a tener efecto entre 15 minutos y media hora despuРїС—Р…s de tomarlo y dura mРїС—Р…s o menos tres horas.

He visto que 25 mg dos horas antes de tener relaciones sexuales es lo que me conviene y permite que la sensibilidad llegue al mРїС—Р…ximo. РїС—Р…Phil, 60 aРїС—Р…os, California.

La primera vez que lo tomРїС—Р…, habРїС—Р…amos hecho el amor con mi mujer durante la tarde. El Viagra funcionРїС—Р… perfectamente y produjo otra erecciРїС—Р…n en toda regla para nosotros esa noche. La prРїС—Р…xima vez que lo probРїС—Р… fue una hora antes de acostarme. En esa ocasiРїС—Р…n, los resultados fueron todavРїС—Р…a mejores. РїС—Р…Jimmy B. 45 aРїС—Р…os.

He descubierto que tengo que tomarlo al menos 30 minutos antes de tener relaciones sexuales. Mi erecciРїС—Р…n no sРїС—Р…lo es mРїС—Р…s potente sino que tambiРїС—Р…n aumenta notablemente la cantidad y potencia de mi orgasmo.

Lo tomo aproximadamente una hora antes de hacer el amor (que para nosotros significa mРїС—Р…s o menos a mediados de la tarde).

Cuando el mРїС—Р…dico me lo prescribiРїС—Р… la primera vez, me dijo que tardarРїС—Р…a un rato en tener efecto, casi una hora, y que deberРїС—Р…a tener paciencia. AsРїС—Р… que lo tomРїС—Р… y me sentРїС—Р… a esperar. Me sorprendiРїС—Р… ver que ni siquiera tenРїС—Р…a que esperar tanto rato. Al cabo de quince minutos ya estaba listo, y seguРїС—Р… un poco mРїС—Р…s de lo que ella hubiera querido.

30 minutos despuРїС—Р…s de tomar una dosis de 50 mg de Viagra (sin efectos secundarios excepto un ligero dolor de cabeza), y luegoРїС—Р… РїС—Р…BOING! РїС—Р…El pene se me puso tan duro como a los quince aРїС—Р…os! -Richard, 53 aРїС—Р…os, RU.

EmpecРїС—Р… con 50 mg (suficiente para estimular mis motores, creo), pero con el tiempo descubrРїС—Р… que una dosis de 25 mg unos 90 minutos antes de tener relaciones sexuales es lo ideal para mРїС—Р….

Tuve una erecciРїС—Р…n dura como la piedra una media hora despuРїС—Р…s de tomar la pРїС—Р…ldora. -37 aРїС—Р…os. UTA.

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

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How does Viagra work?

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

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

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

Is Viagra effective?

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

How does it affect blood pressure?

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

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

If I have a heart condition can I take it?

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

Can women take it?

Viagra is not currently licensed for use by women.

How quickly does it work?

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

Why are there different doses?

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

What dose is right for me?

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

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

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

What are the side-effects?

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

Does it interact with other medicines?

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

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

Who shouldn’t use it?

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

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

Does it treat the underlying causes of impotence?

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

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

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

What other impotence treatments are available?

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

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

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

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

How Exactly Does The So-Called ‘Female Viagra’ Pill Work?

Flibanserin, the so-called “female Viagra” which aims to treat a lack of sexual desire among women, is on its way to getting the official FDA stamp of approval. But some say the Viagra comparison is all wrong.

Dr. Sharon Parish, a professor of medicine with Weill Cornell Medical College, explained on HuffPost Live that while Viagra targets a man’s sexual organs, flibanserin works with the chemistry of a woman’s brain.

“This is a drug that works essentially in women’s brains, and then certainly the brain interacts with all the parts of the body that are involved in the sexual response,” she told host Caroline Modaressy-Tehrani. “But Viagra really works on the genitals. That’s not what this medication does. It’s not causing an increase in blood flow to the specific area responsible for sexual response.”

Parish said the real similarity between Viagra and flibanserin has been the reaction by the public, which has considered them both “blockbuster drugs” and “game-changers.” Overall, Parish is glad to see flibanserin receiving potential recognition by the FDA.

“This represents a step forward. This medication, from our viewpoint, has a reasonable benefit-risk profile. There are some risks … but there’s also been substantial benefits”, she said. “And it’s no riskier than any [central nervous system] drug that is available from prescription, or even if you walk in and get [it] off the shelf in some pharmacies, like Benadryl or Claritin.”

Watch the full HuffPost Live conversation about flibanserin here .

Sign up here for Live Today, HuffPost Live’s new morning email that will let you know the newsmakers, celebrities and politicians joining us that day and give you the best clips from the day before!

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