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can i take viagra while cycling??

yes you can. dont use it if u dont need it tho. if your on 500mg/wk test e you shouldnt have a problem with ur sex drive. if you have trouble getting hard there could be an underlying issue that you need to take care of. high blood pressure is one of the main causes of ED.

Intresting, I started getting symptoms of ED around 17 years old, at that time I was experimenting with some OTC AI’s which was nothing serious so I wondered what the hell was going on, anyway at 18 I did my first PH cycle (Bold 200) and it kind of made it worse than about half a year later did a Superdrol cycle and obiviously it wasn’t good for me.

So I stopped all that and years later when I started my first cycle and did test, even though I was HORNY ENOUGH TO HUMP ANYTHING that walked in a 100 mile radius, my erections did get harder/more frequent/etc. but they werent "fully hard" and sometimes I was just half massed.

Now you said High blood pressure is one of the main causes, well I went to the doctor yesterday and my blood pressure came back very good the nurse even commented on it.

So I am stuck between a rock and a hard place even the doctor didnt know what to say, I mean I dont want to be the guy that takes viagra in his early 20’s, but sadly I have to consider that opition.

yes you can. dont use it if u dont need it tho. if your on 500mg/wk test e you shouldnt have a problem with ur sex drive. if you have trouble getting hard there could be an underlying issue that you need to take care of. high blood pressure is one of the main causes of ED.

nothing wrong with viagra in the 20’s lol.
my first cycle was deca only and while on cycle i was fine but afterwards was sad. (learned from that one)
sometimes viagra worked but i got better results from cialis.

Now here is my question, with Cialis it advertised as "4 hours to find the right time with your partner" or whatever the exact bullshit is. My question is after you ejaculate do you maintain a boner still? Or do you deflate? One of my worries is I will finish banging the girl and still have the boner or after 30 minutes of having sex I will get another boner.

So I am curious to how this stuff works, as much as I want to be the stallion in bed I dont want to have a boner for 2 hours.

Also what effect does it have on lasting longer in bed? Does it make it easier or harder to ejaculate? Because I can last fairly long 45mins to an hour (sometimes longer if on cycle) so I dont want this crap to make me not be able to come easy.

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Erectile Dysfunction Health Center

Erectile Dysfunction: When Viagra Doesn’t Work

Experts discuss alternative treatments for erectile dysfuntion.

WebMD archives content after 2 years to ensure our readers can easily find the most timely content.

To find the most current information, please enter your topic of interest into our search box.

“>WebMD Feature Archive

Alprostadil to the Rescue continued.

As an alternative, Alprostadil is available as a pellet-like suppository that is inserted into the tip of the penis and absorbed through the lining of the urethra. This can help produce erections lasting for 30 to 60 minutes, according to the Impotence World Association (IWA). Unfortunately, the suppositories are less effective than injections and may cause pain and irritation, according to both Aigen and Beam.

Last November, a topical gel formulation of alprostadil was approved by the U.S. Food and Drug Administration. It is too soon to know if this form of alprostadil therapy will become widely used.

Mechanical Help

With a vacuum constriction device, the penis is placed in a cylinder with an attached pump, creating a vacuum to draw blood into the penis. Firmness is sustained by a constriction band placed around the base of the penis. The IWA estimates the technique can produce erections for up to 30 minutes. Beam calls the alternative “a good way to go” because it has minimal side effects, but admits it is cumbersome and takes some practice.

Some men opt for penile implants, which involve the placement of tubes in the penis and a pump in the scrotal sac. The pump (usually the size and shape of a testicle) enables men to obtain an erection whenever and for as long as they desire by pumping a saline solution from a reservoir into the penis. Implants are a last resort, however, says Beam. “Once a prosthesis is implanted, a patient cannot respond to anything else because it alters the natural anatomy.”

Fortunately, Ron Hansen didn’t have to go that far. He has become used to injecting himself with Alprostadil, which produces a firmer erection than he experienced with Viagra, and one that lasts at least 30 minutes. It also doesn’t cause the headaches associated with Viagra. Hanson occasionally uses the suppositories, though they take longer to work.

For Hanson, admitting that he had a problem in the first place was the hardest part. “But when you don’t function as you should,” he says, “the therapy makes a big difference.”

Mari Edlin is a freelance journalist and marketing communications consultant specializing in health care. She contributes regularly to Healthplan magazine, Modern Physician, and Managed Healthcare magazine, and works with many health care organizations in the San Francisco Bay Area.

Viagra: How Young Is Too Young?

From the WebMD Archives

Rafael Palmeiro seems an unlikely Viagra pitchman. The Texas Rangers slugger is only 37 and won’t admit to having erection problems, yet he recently agreed to appear in ads promoting the drug. The deal has made people wonder whether Palmeiro really represents men with erectile dysfunction. or whether Pfizer, the company that makes Viagra, wants to persuade young men to try it for fun.

It’s true that erectile dysfunction is more common in older men, but many potential Viagra users are hardly senior citizens: About 40% of 40-year-old men in the U.S. have some degree of erectile dysfunction. Most Viagra users today, according to Pfizer, are in their early to mid 50s. So it makes sense that the company would want to reach more men around Palmeiro’s age.

Urologist Myron Murdock, medical director of the Impotence Institute of America, says these men are likely to use Viagra because sexual performance is a high priority for them.

A younger man, Murdock says, “wants his V-12 Jaguar working just perfectly,” whereas an elderly gent may be content with less dependable erections. What’s more, the sexual partners of younger men “are more demanding of their performance,” Murdock says.

Pfizer denies that it’s promoting Viagra for recreational use. “We’ve consistently opposed that,” says spokesman Geoff Cook. Nevertheless, Murdock says it’s fine to pop the little blue pill to “optimize” your sexual performance.

We assume all young men have normal sexual functioning, “but they’re really not normal,” Murdock says. Hardening of the arteries. which restricts blood flow to the penis. can begin during the teen years, so that by the time a man is in his 20s, his ability to get and keep an erection has already begun to decline. Murdock says many men who seek Viagra for recreational use actually have minor erectile dysfunction.

There’s also some evidence that Viagra can shorten the time it takes a man to recover after sex and be ready for another round. This is called the “refractory period.” Normally it lasts 20 minutes or longer. One study, published in the journal Human Reproduction in January 2000, found that Viagra shortened the refractory period by about 10 minutes in healthy men .

Continued

What Viagra cannot do is increase your sexual appetite or make you ejaculate if you have problems reaching orgasm. Ira Sharlip, urologist in San Francisco, says you shouldn’t expect your erections to reach staggering new proportions, either. “I don’t believe that Viagra can increase an erection beyond 100% of normal,” he says.

“Viagra is a super-safe drug,” Murdock says, assuming you have a healthy heart and don’t take nitrates.

Nitrates include nitroglycerin — a drug that many men take for chest pain from heart disease — and “poppers.” Poppers are little vials of amyl or butyl nitrate. Breaking the vial releases nitrate vapor, which gives a brief high when inhaled. It’s most often used to enhance sexual pleasure, and mostly by gay men. Poppers are not all that safe to use on their own, and they’re especially dangerous when you’re on Viagra.

Nitrates widen blood vessels, and Viagra increases that effect. Mixing the two can cause your blood pressure to drop drastically. A sudden drop in blood pressure can make you pass out, and you may die if your blood pressure stays too low for too long.

Preservatives like sodium nitrate — found in processed food — do not cause this problem, so you won’t die from eating a hot dog while on Viagra. Even so, it’s best to take it on an empty stomach. That way, the drug absorbs into your bloodstream faster. Wine may contain nitrates, but not the kind that cause problems with Viagra. It’s fine to play some Marvin Gaye on the stereo and sip a glass of Chardonnay, if that’s what puts you in the mood.

Although you may be tempted to order Viagra discreetly from one of the hundreds of Web sites that sell it, don’t. “It’s bad medicine,” Murdock says. You really must bring your doctor into your sex life if you want to use Viagra.

When you buy from an online pharmacy, you just have to answer some health questions before you proceed to the checkout page. If you answer honestly — and that might be a big “if” for those determined to get what they want — the questionnaire may catch some possible complications. But the pharmacists who fill your order don’t know your medical history, and no questionnaire can diagnose the root cause of your problem. Erectile dysfunction can have serious underlying causes, like diabetes. heart disease. liver disease, or thyroid disease.

Continued

Cook says Pfizer is opposed to Internet Viagra sales. “Our goal with any of our marketing is simply to reach men and encourage them to see a doctor,” he says.

It seems that Viagra can make sex better for women, too. Like the penis. the clitoris is erectile tissue — spongy tissue that becomes engorged with blood during sexual excitement. By increasing blood flow to the clitoris, Viagra may heighten a woman’s sensation and arousal. It also seems to increase vaginal lubrication.

Murdock says many couples like to heat things up by splitting a dose of Viagra. “It’s an interesting sexual situation,” he says. The recommended dosage for men is up to 100 milligrams per day, and that seems to be just as safe for women. Young people may get results from a smaller dose: As little as 25 mg may be enough.

The FDA has not approved Viagra for women, but Murdock says, “It’s just a matter of time.” He says he and other doctors who specialize in sexual medicine prescribe it to women, which is perfectly legal. Doctors are allowed to use their best judgment. Drug companies, however, can’t advertise any use that isn’t FDA-approved.

The studies being done to test Viagra’s safety and effectiveness in women have shown good results so far. “We’re cautiously optimistic,” Cook says.

Martin F. Downs is a health writer in New York City. He was formerly an editor at CBS HealthWatch. He has also written for Health.com, Salon.com, and POZ magazine and is the editor of the Alicubi Journal (alicubi.com).

В© 2002 WebMD, Inc. All rights reserved.

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Wireless Innovation Alliance // Jun. 16

Earlier today, Reps. Darrell Issa (R-CA) and Anna Eshoo (D-CA) sent the attached letter to FCC Chairman Tom Wheeler on the importance of establishing the technical rules necessary to allow unlicensed use of the 600 MHz band. The Wireless Innovation Alliance (WIA) released the statement below in response. More

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FCC Chairman Tom Wheeler acknowledged the critical role unlicensed spectrum plays in growing competition in the broadband marketplace stating that the FCC’s “efforts to expand the amount of unlicensed spectrum creates alternative competitive pathways.” More

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CEA released a report, Unlicensed Spectrum and the American Economy, examining the economic impact of unlicensed spectrum on the American economy. More

The Wireless Innovation Alliance (WIA) is a broad-based group of innovators, providers, consumer groups, think tanks and education organizations that believe that more efficient use and expanded access to the nation’s spectrum resources are fundamental to the future of U.S. economic policy and global competitiveness, and that we face potential spectrum scarcities in both licensed and unlicensed bands that must be addressed in order for innovation and investment to move forward.

Spectrum, and specifically, the most efficient and expansive use of this most valuable natural resource, is fundamental to the future of U.S. economic growth, and global competitiveness. United States spectrum policy must also be efficient and flexible as well, so that we can encourage and accommodate new and innovative ways to meet the growing demand for wireless services and applications, and the growing inability – in both licensed and unlicensed bands – to meet that demand.

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Natural Alternatives To Viagra

The popularity of Viagra has skyrocketed over the past year. This marvelous little blue pill has brought passion and excitement back into people’s sex lives. Viagra has proven to be a bestseller with good reason: it’s effective for many people. Despite side effects such as headaches and anecdotal reports of possible links to heart attacks. it has helped millions.

The problem with a short-term solution such as Viagra, is that it encourages people to forget about seeking treatment. Instead of visiting a doctor to correct the penile dysfunction, most men just pop a pill for instant (thirty minute) results. Viagra is currently the best treatment, but it should be used as a last resort and only after consulting a doctor.

Examine Yourself

No one can argue that popping a pill is convenient, but sexual dysfunction is a complex issue with many causes and manifestations. I caution people against the idea of taking a quick-fix approach to symptoms that are often part of a bigger problem.

The first thing you should do before even thinking of taking Viagra or any other supplement, is review your overall health and current medications with your doctor. It’s also essential to address any psychological or relationship issues through counseling or other forms of therapy. This is very important, because sometimes the problem might be treatable. By taking a quick-fix pop-a-pill approach without investigating the problem, you will only be adding to the delay of treatment and lowering your probability of fully recuperating.

Gentlemen, Start Your Engines

Viagra is very effective and fast acting — it typically boosts blood flow within 30 minutes to several hours — but some people prefer non-drug alternatives. Is there an alternative to Viagra, something more “natural” like an herb or supplement? And are any of these safe? Not every man requires the magic touch of Viagra; sometimes all one needs is a healthy diet, exercise and a little of Mother Nature’s touch. Several interesting supplements have recently come to light and may provide benefits within days to weeks.

Ginkgo Biloba. An herb that is commonly taken as a memory booster may provide benefits. It presumably acts by enhancing blood flow and seems relatively free of side effects. In a study conducted at the University of California, ginkgo reversed sexual problems in 84% of men who were taking antidepressant drugs such as Prozac. The ones who might benefit from it are men on Prozac or other antidepressants. The suggested dose is 80 mg three times a day, standardized to contain 24% flavone glycosides and 6% terpene lactones.

Arginine. An amino acid that also enhances blood flow. In a study of 50 men at Tel Aviv University, 31% of those with impotence improved after six weeks of taking arginine. The ones who might benefit from it are men who have circulatory disorders that may be contributing to sexual problems. The suggested dose is 1 gram three times a day; sold as L-arginine.

As with Viagra, you should avoid arginine if you are taking the heart medication nitroglycerin because the combination may cause a dangerous drop in blood pressure. For the same reason, you should probably not take arginine with Viagra.

DHEA. This supplement may also provide benefits for men who have low levels of this hormone. DHEA helps our bodies make estrogen and testosterone, and a recent trial at the University of Vienna found it helped men with impotence. The suggested dose is 5 mg each morning for men.

Yohimbe. Some studies have shown that this herb may correct impotence. However, this herb can cause a dangerous rise in blood pressure, as well as anxiety and other side effects. Many doctors prefer the purified form of the herb, the FDA-approved drug yohimbine, instead, because it has a guaranteed purity and potency. I suggest that you opt for the prescription drug yohimbine instead. See your doctor.

As for passion potions such as Super Sex and Biagra sold at health-food stores or pharmacies, there is no real evidence showing that they restore sex drive. These potions are made with blends of herbs such as those mentioned above and other questionable ingredients. Check the label to make sure the product contains an adequate dose of the herbs mentioned above. If it does not have the recommended dosages, then the product is not likely to be effective. Instead of a blend, you may be better off purchasing an individual ingredient tailored to your particular condition.

Comments

Viagra Ingredients

VIAGRA 25 mg, 50 mg or 100mg film-coated tablets Sildenafil citrate. The active substance of VIAGRA is Sildenafil each tablet contains 25 mg, 10 mg or 100 mg of Sildenafil (as citrate). The other ingredients are: Tablet core: microcrystalline cellulose, calcium hydrogen phosphate (anhydrous), croscarmellose, magnesium stearate. Film coat hypermellose, titanium dioxide (E171), Lactose, triacetin, indigo carmine aluminum lake (E132). Marketing Authorization Holder and Manufacturing Authorization Holder

WHAT VIAGRA IS AND WHAT IT IS USED FOR:
VIAGRA film-coated tablets are blue, with a rounded-diamond shape. They are marked "PFIZER" on one side and "VGR 25", "VGR 50" or "VGR 100" on the other side. The tablets are provided in blister packs containing 1, 4, 8 or 12 tablets. VIAGRA belongs to a group of medicines called phosphodiesterase type 5 inhibitors. It works by helping to relax the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited. VIAGRA will only help you to get an erection if you are sexually stimulated. You should not take VIAGRA if you do not have erectile dysfunction. You should not take VIAGRA if you are a woman.
VIAGRA is a treatment for men with erectile dysfunction, sometimes known as impotence. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity.

BEFORE YOU TAKE VIAGRA
Do not take VIAGRA:
" If you are taking medicines containing nitrates, or nitric oxide donors such as amyl nitrite ("poppers"). These medicines are often given for relief of angina pectoris (or "chest pain"). VIAGRA can cause a serious increase in the effects of these medicines. Tell your doctor if you are taking any of these medicines. If you are not certain, ask your doctor or pharmacist.
" If you have ever had an allergic reaction to VIAGRA or any other ingredient listed above. An allergic reaction can be a rash, itching, a swollen face, swollen lips or shortness of breath. If this has ever happened to you, tell your doctor.
" If you have a severe heart or liver problem.
" If you have recently had a stroke or a heart attack, or if you have low blood pressure.
" If you have certain rare inherited eye diseases (such as retinitis pigmentosa).

Take special care with VIAGRA:
Please tell your doctor
– If you have sickle cell anemia (an abnormality of red blood cells), Leukemia (cancer of blood cells), multiple myeloma (cancer of bone marrow) or any disease or deformity of your penis. These conditions may require special care when taking medicines for erectile dysfunction.
– If you have problems with your heart. Your doctor should in that case carefully check whether your heart could take the additional strain if having sex.
" If you currently have a stomach ulcer, or a bleeding disorder (such as hemophilia).
You should not take VIAGRA with any other treatment for erectile dysfunction.
Special considerations for children " VIAGRA should not be given to children under the age of 18. Special considerations for elderly patients over 65 years of age. If you are elderly, your first dose of VIAGRA should be adjusted.
Special considerations for patients with kidney or liver problems. You should tell your doctor if you have kidney or liver prob1ems. Your doctor may decide that your dose should be different.

Driving and using machines:
VIAGRA can cause dizziness and effects on vision. You should be aware of how you react to VIAGRA before you drive or operate machinery.

Using other medicines:
Please inform your doctor or pharmacist if you are taking or have taken recently other medicines, even those not prescribed. VIAGRA tablets may interfere with some medicines, especially those used to treat chest pain. In the event of a medical emergency, you should tell anyone treating your condition that you have taken VIAGRA. Do not take – VIAGRA with other medicines unless your doctor tells you that you can. VIAGRA may cause a serious increase in the effects of medicines called nitrates, and nitric oxide donors such as amyl nitrite ("poppers"). These are often used for the relief of angina pectoris (or "chest pains"). You should NOT take VIAGRA if you are taking these medicines.
If you are taking protease inhibitors, suck as for the treatment of HIV, your doctor may start you on the lowest dose (25 mg) of VIAGRA.

HOW TO TAKE VIAGRA:

If you have the impression that the effect of VIAGRA is too strong or too weak, talk to your doctor or pharmacist. You should take VIAGRA about one hour before sexual activity. Swallow the tablet whole with some water.
VIAGRA will only help you to get an erection if you are sexually stimulated. It will not give you an erection if you are not sexually stimulated. The amount of time VIAGRA takes to work varies from person to person, but it normally takes between half an hour and one hour. You may find that VIAGRA takes longer to work if you take it with a heavy meal. Drinking alcohol can temporarily impair the ability to get an erection. To get the maximum benefit from your medicine, you are advised not to drink large amounts of alcohol before taking VIAGRA. If VIAGRA does not help you to get an erection, or if your erection does not last long enough for you to complete sexual intercourse you should tell your doctor.
You should not use VIAGRA more than once a day. If you take more VIAGRA than you should
A dose above 100 mg does not increase the efficacy. However, it will result in an increase in undesirable effects and their severity. You should not take more tablets than your doctor tells you to. If you take more tablets than you have been told to take contact your doctor.

POSSIBLE SIDE EFFECTS:
Like all medicines, VIAGRA can have side effects. These effects are normally mild to moderate in nature. The most common undesirable effects are headache and facial flushing. Less commonly reported undesirable effects are indigestion, dizziness, stuffy nose and effects on vision including colour tinge to vision, increased brightness of light or blurred vision). Muscle aches can occur if VIAGRA is taken more frequently than once a day. Rarely, prolonged and sometimes painful erections have been reported after taking VIAGRA. If you have such an erection which lasts continuously for more than 4 hours, you should contact a doctor immediately. Rarely, hypersensitivity reactions (including skin rashes) have been reported. Heart attack, stroke, irregular heart beats, and death have been reported rarely in men taking VIAGRA. Most, but not all, of these men had heart problems before taking this medicine. It is not possible to determine whether these events were directly related to VIAGRA. Particularly in case of chest pain occurring during or after intercourse you should not use nitrates but you should contact immediately your doctor. If you have any of these undesirable effects and they are troublesome, severe, or do not go away as treatment goes on, tell your doctor. If you notice any side effects not mentioned in this leaflet, please tell your doctor or pharmacist

STORING VIAGRA:
Keep out of the reach and sight of children. Do not store above 30°C. Keep tablets in the original package, protected from moisture. Do not use after the expiry date stated on the pack.

Keep this and all other medicines safely out of the reach of children.

How To Make Natural Viagra Using Only 2 Ingredients

If you want to make your home made Viagra, you will need the main ingredients which are very often available in grocery stores. These ingredients are very potent aphrodisiacs.

Viagra is a powerful drug for men,that is utilized to increase sexual function and performance. Not many people know the secret, that it can also be made at home.

Necessary ingredients for homemade Viagra:

Watermelon consists of different nutrients and has aphrodisiac properties which includes Citrulline and Lycopene. You should not use sugar, salt, spices or any other flavors, which can reduce the power of the two main ingredients.

You should cut the watermelon into small pieces and put the pieces into a juicer in order to obtain about one liter of watermelon juice. The white stuff inside the shell of watermelon is also very high in concentrated Citrulline and should not be wasted and need to be juiced.

Pour the juice into a pot. Leave it to boil for a few minutes then squeeze the lemon juice into the pot. Mix it well with the boiling watermelon juice. You should continue boiling until most of the liquid evaporate and the content in the pot reduce to about half.

Leave it to cool down for about an hour or so.After that, transfer the potion to a washed and cleaned glass bottle and store it in a cool and dry place such as a refrigerator.

You should take this drink on an empty stomach, early in the morning and before dinner and anywhere between 2 tablespoons to 1/3 of the cup. This depends on the body weight and size. This homemade Viagra is safe and potent for people of all ages and genders.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Viagra Dosage

The recommended starting Viagra dosage is 50 mg, taken one hour prior to sexual activity. The maximum recommended dose is 100 mg. A few of the factors that can affect your dose of this medication include your age, other medical conditions you may have, and any medications you may be currently taking. You must take the medication as prescribed in order for it to work properly.

An Introduction to Viagra Dosage

The dose of Viagra ® (sildenafil citrate ) your healthcare provider recommends will vary, depending on a number of factors, including:

  • Your age
  • Other medical conditions you may have
  • Other medications you may be taking.

As always, do not adjust your dosage unless your healthcare provider specifically instructs you to do so.

What Is the Dose of Viagra for Erectile Dysfunction?

The recommended starting dosage of Viagra for treating erectile dysfunction is 50 mg, taken one hour prior to sexual activity. However, you may take the drug anywhere from 4 hours to 30 minutes before sexual activity. Depending on how well it works or possible Viagra side effects you may experience, your healthcare provider may increase or decrease your dosage. The maximum recommended dose is Viagra 100 mg.

General Dosing Information

Considerations for people taking Viagra include the following:

  • The medication can be taken at any time during the day. However, you should not take Viagra more than once a day.
  • Your Viagra dosage can be taken with or without food.
  • For Viagra to work properly, you have to take it as prescribed. The medication will not work if you take it in a way other than how your healthcare provider prescribes.
  • If you are unsure about anything related to your proper dose of this medication, please talk to your doctor, nurse, or pharmacist.

    Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD

    Last reviewed by: Kristi Monson, PharmD;

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

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

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

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

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

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

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

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

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

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

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

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

    Report Problems to the Food and Drug Administration

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

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    Drug Lists: The prescription drugs your plan covers

    Which formulary/drug list applies to your plan?

    • If you have Individual (Single or Family) or Small Group coverage, you will find your plan’s drug list or “formulary” printed on your member ID card.
    • If you have coverage through your work, you can ask your employer directly.
    • You can also call the Customer Support number printed on your ID card.

    One or more Benefit/Program Drug Lists may also apply to your plan

    • If your plan includes a benefit such as PreventiveRx or Exclusive Specialty, you will find your plan’s applicable drug lists here.
    • If you’re not sure whether these lists apply to your plan, check with your employer or call the Customer Support number printed on your ID card.

    Formulary/Drug Lists

    All of the drug lists in this section include our Searchable Tool functionality

    Select Drug Lists

    These drug lists apply to you:

    • If you purchased a plan on your state or federal Health Insurance Marketplace (also known as the exchange)
    • If you purchased coverage off the exchange and not through your employer
    • If your coverage is through a Small Group employer on, and in some cases, off the exchange

    Contact the Customer Service number on your member ID card if you need assistance.

    National Drug Lists

    These lists may be for you if you get your health insurance plan from an employer or if you have certain grandfathered plans. Contact the Customer Service number on your member ID card if you need assistance.

    Essential Drug Lists

    This list may be for you if you get your health insurance plan from an employer. Check with your employer to make sure you have Anthem Blue Cross and Blue Shield’s Essential Drug List. Or contact the Customer Service number on your member ID card if you need assistance.

    Preferred Drug Lists

    This list may be for you if you get your health insurance plan from an employer. Check with your employer to make sure you have Anthem Blue Cross and Blue Shield’s Preferred drug list. Or contact the Customer Service number on your member ID card if you need assistance.

    Generic Premium Drug Lists

    This list includes common generic versions of well-known brand-name drugs and some select brand-name ones.

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    If you are prescribed a drug that is not listed on your plan’s drug list, you may need to pay more for it because it is not covered. You or your doctor can also fill out an Online Formulary Addition Request form to ask for an exception.

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    • If your plan includes a benefit such as PreventiveRx or Exclusive Specialty, you will find your plan’s applicable drug lists here.
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    This list may be for you if your plan includes this benefit program. Check with your employer, or contact the Customer Service number on your member ID card if you need assistance.

    Half Tablet Drug List

    This list may be for you if your plan includes this benefit program. Check with your employer, or contact the Customer Service number on your member ID card if you need assistance.

    Exclusive Specialty Drug List

    This list includes specialty drugs that must be filled through a participating specialty pharmacy in order for coverage to be provided. However, this applies only if you have a specialty pharmacy network included in your benefit.

    Specialty Pharmacy Network Lists

    If you’re taking a medicine that’s on our Exclusive Specialty drug list, you may need to get your prescription filled at a specialty pharmacy in order for your drug to be covered under your pharmacy benefit. If you use a pharmacy that is not in the network, your medicine may not be covered and you may have to pay the full cost.

    How we choose the drugs on these lists

    An independent group of practicing doctors, pharmacists and other health-care professionals meet often to look at new and existing drugs. They choose drugs for these lists based on a number of factors including how well they work, value to patients and safety. All drugs on these lists are approved by the Food and Drug Administration (FDA). View the latest updates from this committee .

    More resources that may help you

    Some of the links on this page can only be viewed using Adobe Acrobat Reader. If you don’t have Adobe Acrobat Reader, you can download a free copy by clicking HERE .

    ©2005 – 2014 copyright of Anthem Insurance Companies, Inc. Serving Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin.

    Wednesday, July 28, 1999

    Anthem drops Viagra, starts waiting period for all new drugs

    BY TIM BONFIELD
    The Cincinnati Enquirer

    Anthem Blue Cross and Blue Shield, one of Ohio’s biggest health insurers, has decided to stop covering the popular drug Viagra or any other treatments for sexual dysfunction.

    It also has decided not to pay for any new medications or medical devices until six months after the products win Food and Drug Administration (FDA) approval, according to a letter sent to Anthem policyholders in June.

    All health insurers have been struggling with double-digit cost increases for prescription drugs, but Anthem has become one of the first large health plans nationwide to resort to a six-month waiting period on new drugs.

    “I haven’t heard of this before,” said Gail Shearer, director of health policy analysis for Consumers Union, the organization that publishes Consumer Reports magazine. “I certainly question whether there’s a defensible rationale for that policy.”

    “This is the first press call I’ve had over something like this. From our perspective, this sends a terrible message to pa tients,” said Jackie Cottrell, spokeswoman for the Pharmaceutical Research and Manufacturers of America.

    Anthem serves about 5 million Blue Cross and Blue Shield customers in Ohio, Kentucky, Indiana and Connecticut. It has recently announced plans to expand in Colorado and New Hampshire.

    The new policies apply to all of its individual and group commercial health plans in the various states, said spokeswoman Diane Planck. The rules do not, however, apply to Anthem’s Senior Advantage Medicare HMO, which by law must cover what ever Medicare covers.

    The new rules take effect with the “upcoming anniversary” of Anthem policies. For most policyholders, that means Jan. 1. But the date can vary.

    The new drug policies are part of Anthem’s efforts to control rising pharmaceutical costs, which for most health plans increased 18 percent to 20 percent in the past year.

    Anthem canceled its coverage of Viagra because its pharmaceutical review committee considers it a “lifestyle” drug rather than a medical necessity, said spokeswoman Diane Planck. To be consistent, the company also canceled coverage for any other treatments or tests for sexual dysfunction problems.

    The six-month exclusion policy is more far-reaching, but it too was a reaction to the national publicity about Viagra. When Viagra hit the market, Anthem and other insurers faced tremendous pressure from policyholders to cover the drug, Ms. Planck said.

    So Anthem decided to give itself a grace period to study the cost-effectiveness of new drugs.

    “Any new FDA-approved drug product or technology (including but not limited to medications, medical supplies, and/or devices) available in the marketplace. is excluded from coverage for the first six months after FDA approval,” the Anthem notice to customers states.

    Anthem says it would make exceptions to its six-month rule should a cure for a major disease emerge. The primary goal is to slow the flow of “me-too” drugs coming to market, Ms. Planck said.

    “Me-too” drugs reflect the intense competition among drug makers in high-profit disease categories. For example, the FDA already has approved several medications to control high blood pressure. Insurers do not want to pay for a new one that’s only slightly more effective but costs twice as much.

    The FDA does approve such drugs, although how often is a matter of debate. The FDA requires drug makers to prove that new medications are safe and effective — a process that can take years of lab, animal and human testing. It rarely requires manufacturers to show that a new pill works better than competing pills.

    “The FDA is getting drugs out there faster than ever. We wanted to have the right to take six months to look at covering a drug that comes out,” Ms. Planck said. “If there’s already an effective, less expensive drug on the market, what’s the need to add a new one?”

    Anthem’s six-month waiting period is unusual and more conservative than many other larger health plans. United Healthcare and PacifiCare — two large health insurers with significant membership in Cincinnati — say they do not have across-the-board new drug exclusions.

    These health plans use various co-payment systems to cover medications while their committees decide whether to include new drugs on their formularies (a list of preferred drugs). Unlike Anthem, they offer at least partial coverage for new drugs while their committees review the product.

    At ChoiceCare/Humana, new FDA-approved drugs are not covered until its drug committee completes its review, a process that can vary from a few weeks to several months. In the meantime, the HMO will consider special requests from doctors for patients they think urgently need a new drug that hasn’t been reviewed.

    Anthem’s new policy also represents a sharp shift from recent political debates over prescription drugs.

    Until now, the big debate in Congress has focused on expanding drug coverage for seniors on Medicare. Some interest groups also want Congress to require HMO coverage of experimental medications, not just those already approved by the FDA. And for years, drug makers, politicians and patient advocacy groups have been pushing the FDA to speed drug approvals.

    But rising prescription drug costs are changing the debate.

    “We’re seeing a tremendous amount of interest in prescription drugs on the part of insurers and employers because prescription drugs have been such an important piece of medical cost inflation,” said Linda Ruth, a health benefits consultant with Hewitt Associates.

    Ms. Ruth said Anthem is one of only a few insurers to adopt a new drug waiting period. She predicts more insurers will make similar changes.

    “A lot of new drugs really aren’t breakthroughs. And now, so many drugs are coming out so rapidly, we’re hearing quite a bit of interest in that approach,” Ms. Ruth said.

    Ms. Cottrell, of the pharmaceutical manufacturer’s association, said Anthem’s rule takes decision-making ability away from doctors.

    “That new medication may be a patient’s only hope. To be told you have to wait six months, that would have a devastating effect for some patients,” Ms. Cottrell said.

    If Anthem’s rule had been in effect this year, members would still be waiting for access to a wide range of new drugs and medical products approved earlier this year by the FDA.

    • Seriously obese people who often incur medical expenses covered by Anthem, would have to wait or pay out-of-pocket for prescriptions of Xenical, the fat-blocking diet drug from Hoffman-La Roche that won FDA approval in April.

    • Children with rheumatoid arthritis would not be covered for Enbrel, a genetically engineered drug from Immunex Corp. that was approved in May.

    • Women with early, ambiguous signs of breast cancer would have to wait or pay out-of-pocket for access to TransScan Medical Inc.’s T-Scan 2000, approved in April as a new tool for deciding whether women need biopsies.

    “We don’t accept this issue of “me-too’ drugs,” Ms. Cottrell said. “There is no one-size-fits-all medication.”

    Consider seizure control drugs for people with epilepsy, she said. Some patients may fare well on one drug, while others get no control or suffer unacceptable side effects.

    Finding the right drug sometimes takes several tries. Policies that restrict which drugs are covered make medical treatment that much more complicated.

    “Only a doctor knows what medication will work best for a particular patient,” Ms. Cottrell said.

    Drug Lists: The prescription drugs your plan covers

    If you have Anthem Blue Cross or Anthem Blue Cross Life and Health Insurance Company drug coverage you may need to find out if a drug you or your family needs is covered. While each plan may differ slightly, the lists below will tell you the medicines that are covered by your plan. You can search or print your drug list from the options below. Plus, you have access to up-to-date coverage information in your drug list, including – details about brands and generics, dosage/strength options, and information about prior authorization of your drug.

    Which formulary/drug list applies to your plan?

    • If you have Individual (Single or Family) or Small Group coverage, you will find your plan’s drug list or “formulary” printed on your member ID card.
    • If you have coverage through your work, you can ask your employer directly.
    • You can also call the Customer Support number printed on your ID card.

    One or more Benefit/Program Drug Lists may also apply to your plan

    • If your plan includes a benefit such as PreventiveRx or Exclusive Specialty, you will find your plan’s applicable drug lists here.
    • If you’re not sure whether these lists apply to your plan, check with your employer or call the Customer Support number printed on your ID card.

    Formulary/Drug Lists

    All of the drug lists in this section include our Searchable Tool functionality

    Select Drug List

    This drug list applies to you:

    • If you purchased a plan on your state or federal Health Insurance Marketplace (also known as the exchange)
    • If you purchased coverage off the exchange and not through your employer
    • If your coverage is through a Small Group employer on, and in some cases, off the exchange

    Contact the Customer Service number on your member ID card if you need assistance.

    National Drug Lists

    These lists may be for you if you get your health insurance plan from an employer or if you have certain grandfathered plans. Contact the Customer Service number on your member ID card if you need assistance.

    Essential Drug Lists

    This list may be for you if you get your health insurance plan from an employer. Check with your employer to make sure you have Anthem Blue Cross or Anthem Blue Cross Life and Health Insurance Company’s Essential Drug List. Or contact the Customer Service number on your member ID card if you need assistance.

    Preferred Drug Lists

    This list may be for you if you get your health insurance plan from an employer. Check with your employer to make sure you have Anthem Blue Cross’ Preferred drug list. Or contact the Customer Service number on your member ID card if you need assistance.

    Generic Drug Lists

    These lists include common generic versions of well-known brand-name drugs — and the Generic Premium list includes some select brand-name ones.

    Getting another drug added to these lists

    If you are prescribed a drug that is not listed on your plan’s drug list, you may need to pay more for it because it is not covered. You or your doctor can also fill out an Online Formulary Addition Request form to ask for an exception.

    Benefit/Program Drug Lists

    One or more Benefit/Program Drug Lists may also apply to your plan

    • If your plan includes a benefit such as PreventiveRx or Exclusive Specialty, you will find your plan’s applicable drug lists here.
    • If you’re not sure whether these lists apply to your plan, check with your employer or call the Customer Support number printed on your ID card.

    PreventiveRx Drug Lists

    One of these lists may apply to you if your plan includes the PreventiveRx benefit (members can receive certain preventive drugs at low or no cost). Check with your employer or contact the Customer Service number on your member ID card if you need assistance.

    If you have the National formulary/drug list, one of these PreventiveRx drug lists may apply to you:

    GenericSelect Drug List

    This list may be for you if your plan includes this benefit program. Check with your employer, or contact the Customer Service number on your member ID card if you need assistance.

    Half Tablet Drug List

    This list may be for you if your plan includes this benefit program. Check with your employer, or contact the Customer Service number on your member ID card if you need assistance.

    Exclusive Specialty Drug List

    This list includes specialty drugs that must be filled through a participating specialty pharmacy in order for coverage to be provided. However, this applies only if you have a specialty pharmacy network included in your benefit.

    Specialty Pharmacy Network List

    If you’re taking a medicine that’s on our Exclusive Specialty drug list, you may need to get your prescription filled at a specialty pharmacy in order for your drug to be covered under your pharmacy benefit. If you use a pharmacy that is not in the network, your medicine may not be covered and you may have to pay the full cost.

    How we choose the drugs on these lists

    An independent group of practicing doctors, pharmacists and other health-care professionals meet often to look at new and existing drugs. They choose drugs for these lists based on a number of factors including how well they work, value to patients and safety. All drugs on these lists are approved by the Food and Drug Administration (FDA). View the latest updates from this committee .

    More resources that may help you.

    Medicare Supplement Drug List

    This list is for members who have the Medicare Supplement Senior SmartChoice plan. This plan is closed to new membership.

    Some of the links on this page can only be viewed using Adobe Acrobat Reader. If you don’t have Adobe Acrobat Reader, you can download a free copy by clicking HERE

    В® Anthem is a registered trademark. В® The Blue Cross name and symbol are registered marks of the Blue Cross Association В© 2014 Anthem Blue Cross. Serving California.

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    Viagra (sildenafil) facts

    What is Viagra?

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

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

    How does Viagra work?

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

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

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

    Is Viagra effective?

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

    How does it affect blood pressure?

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

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

    If I have a heart condition can I take it?

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

    Can women take it?

    Viagra is not currently licensed for use by women.

    How quickly does it work?

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

    Why are there different doses?

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

    What dose is right for me?

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

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

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

    What are the side-effects?

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

    Does it interact with other medicines?

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

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

    Who shouldn’t use it?

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

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

    Does it treat the underlying causes of impotence?

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

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

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

    What other impotence treatments are available?

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

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

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

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

    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.

    Viagra (sildenafil) facts

    What is Viagra?

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

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

    How does Viagra work?

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

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

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

    Is Viagra effective?

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

    How does it affect blood pressure?

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

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

    If I have a heart condition can I take it?

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

    Can women take it?

    Viagra is not currently licensed for use by women.

    How quickly does it work?

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

    Why are there different doses?

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

    What dose is right for me?

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

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

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

    What are the side-effects?

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

    Does it interact with other medicines?

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

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

    Who shouldn’t use it?

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

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

    Does it treat the underlying causes of impotence?

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

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

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

    What other impotence treatments are available?

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

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

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

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

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    Can You Take Viagra When Drinking Alcohol

    Can You Take Viagra When Drinking Alcohol 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, Can You Take Viagra When Drinking Alcohol is the perfect place to spend a relaxing weekend or a lifetime.

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    Can You Combine Alcohol And Viagra?

    Can Viagra be taken with alcohol?

    Viagra is the most popular treatment for men who suffer from erectile dysfunction. However, alcohol is one of the reasons why you might be experiencing erectile dysfunction in the first place. Although alcohol may help you overcome anxiety, it can also take a toll on your sexual function. 

    Drinking alcohol decreases the blood which stays within your penis, which makes it harder for you to get an erection. If you’re taking Viagra because you have had erection problems in the past, you should avoid alcohol.

    In addition, alcohol and Viagra can interact. Viagra lowers your blood pressure, as does alcohol. If your blood pressure gets too low, you may experience dizziness, light-headedness, fainting, headache and even heart palpitations. Having these  side effects of Viagra isn’t just potentially dangerous – it also certainly doesn’t improve your sexual performance.

    No alcohol with Viagra?

    It is important that you limit your alcohol intake while you are taking Viagra but it is safe to enjoy a small amount of alcohol, such as 2 – 3 units – so there’s is nothing wrong with having a glass of wine or one beer.

    Does alcohol cause erectile dysfunction?

    It is not only advisable to limit your drinking while taking Viagra, it can also help you combat ED and other sexual problems. A study published in the Indian Journal of Psychiatry found, that 72% of men suffering from alcohol dependence were also experiencing some form of sexual dysfunction. This included not only erectile problems but also premature ejaculation, loss of libido and difficulty achieving orgasm. 

    The study also found, that men who consumed 3 units of alcohol or more a day were significantly more likely to encounter sexual dysfunction than men who didn’t drink. However, a follow-up study also found, that within 2-3 months of abstinence, the study participants were no more likely to suffer from sexual problems than the control group of men who generally abstained from drinking. 

    Too much alcohol also increases your risk of certain conditions which can lead to ED, such as prostate problems and low levels of testosterone.

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    Hackmatack Playhouse was founded in 1972 by S. Carleton Can You Take Viagra When Drinking Alcohol. He envisioned a summer stock theatre that would showcase the talents of professional and developing thespians from the regional area.

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    Prior to the year of 1972 when the theatre was established, the Can You Take Viagra When Drinking Alcohol family farm functioned like many other farms at the time. The barn was the focal point of the farm. The current barn has an interesting story much like the original house. One of the first barns was struck by lightning and burned in July of 1934. Haying had just been completed for the season, and it is thought that the heat from the newly cut hay attracted the lightning. Almost immediately, Lewis Can You Take Viagra When Drinking Alcohol began looking for the right barn to replace what had been lost. He finally purchased a barn. It was a large old structure with pegged timbers measuring fifty four feet long and forty two feet wide. It was the perfect replacement for the old barn. However, there was one small problem, it was located across the street.

    Luckily, the Can You Take Viagra When Drinking Alcohol’s have always been known for their ingenuity. It was with this cleverness that Lewis decided it would be easier to move the barn rather than disassemble it and rebuilt it. The entire barn was jacked up and rollers were placed underneath it. A cable was attached to one end of the barn that ran though a large turnstile. An old white horse was chosen for the job of slowly moving the barn. The horse was hitched to the turnstile and the horse walked in circles, stepping over the cable on every lap. The leverage was great and each time the horse made a circle, the barn moved one half inch. Progress was slow. The entire operation took about three days, a day of that was spent crossing Maine route 9. However, in 1934, Maine route 9 was much less traveled, and everyone cheerfully watched or made their own route around the barn.

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

    The grounds of Hackmatack Playhouse and the area surrounding the theatre host many other buildings built and used by the Can You Take Viagra When Drinking Alcohol clan over the years. The yellow family of buildings just south of the theatre (now owned by the Mills family) was originally built by Samuel Can You Take Viagra When Drinking Alcohol in the early part of last century. Known as the Forget-Me-Not, these buildings housed services for early automobile travelers, including fuel for the autos, and food for the hungry. Visitors could rent a cabin, and if they happened to be staying on a Saturday night, they were in luck. On Saturday night there were always barn dances.

    The oldest building on the farmstead is the “woodshed” which is just south of the house. This building dates back to the 1600’s and has been used for many purposes over the years. It has been used as a slaughter house and for drying meat. It now is used for rehearsal space and prop storage.

    The “mill” is across the orchard from the “woodshed”. It now houses the theatre’s shop operations and its costume collection. However during the years of self-sufficient farming, it was one of several lumber mills built on the property by Lewis Can You Take Viagra When Drinking Alcohol in the middle part of the 1900’s. This was a complete finish lumber mill powered by an Allis Chalmers tractor. If you listen carefully through the whirr of the belts and the screech of the saws you might just be able to hear Lewis and Almon Allen, and young Carelton Can You Take Viagra When Drinking Alcohol, prepare a load of lumber for the newest construction project.

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

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

    After the death of the founder in 1995, the S Carleton Can You Take Viagra When Drinking Alcohol Memorial Fund was established to preserve and improve our historical buildings. The fund also is dedicated to advancements of dramatic arts, both for the participant and the community, and to the commitment of providing quality family entertainment and drama at a reasonable price. Contributions are always welcomed. We thank you in advance for helping us secure the future of Hackmatack Playhouse for potential Hackmatackers.

    Hackmatack exists because of the generosity of it’s patrons, friends and those that appreciate the theater’s contribution to local culture and community. It is committed to the advancement of dramatic arts and to providing quality family entertainment at a reasonable price.

    We ask that you would consider a donation, and thank you in advance.

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