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Erectile Dysfunction Health Center

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

April 10, 2000 (Mill Valley, Calif.) — In his early 40s, Ron Hanson was too young to be having trouble getting and sustaining erections. But like many men, he was too embarrassed at first to talk about the problem. Hanson (not his real name) waited seven years to see a urologist. By the time he spoke up, erectile dysfunction had become a household word, thanks to the popularity of the drug Viagra. But the widely touted drug, Hanson soon learned, doesn’t work for everyone.

When Viagra (sildenafil) hit the market in 1998, some men thought it was the long-awaited answer to their problems. Many rushed to doctor’s offices to give it a try. According to the Grey Clinic in Indianapolis, which specializes in erectile dysfunction. 17% of men between 18 and 55 experience occasional impotence, while 6% have regular erectile difficulties. For men over 55, that number jumps to about one in three. Some common causes of impotence are diabetes. heart disease. and psychological problems. It also frequently occurs after prostate cancer surgery.

Because Viagra works in a way that’s similar to drugs that contain nitrates, however, it isn’t recommended for men who take nitrates for heart disease or those with certain other heart conditions. In some men, it causes bad headaches. In others, it just plain doesn’t work. In some instances, men may notice they have trouble telling blue and green colors apart when they start taking the drug.

During an erection, blood flows quickly into the penis. which increases its length, width, and firmness. If the “in” vessels (arteries ) are too narrow or if blood drains too quickly through the “out” vessels (veins), men may have trouble achieving or maintaining an erection, says Arnold Aigen, MD, a urologist with Camino Medical Group in Sunnyvale, Calif. Viagra, which increases inflow, may not be strong enough to work its magic if the arteries are too narrow.

Hanson tried Viagra, but he couldn’t tolerate the headaches it caused. Luckily, when Viagra fails, he discovered, there are several alternatives.

Alprostadil to the Rescue

A drug called Alprostadil. either alone or sometimes in conjunction with others such as papaverine and/or phentolamine, can be injected directly into the penis to dilate the arteries, experts say. The drug produces an erection in about 10 minutes that can last up to an hour. But there are several disadvantages, says Teresa Beam, MD, a urologist with the Grey Clinic. Some patients are averse to using a needle, which is why many men abandon the therapy. Those who give it a try may experience pain at the injection site or priapism (a painful erection lasting too long).

Urological Services, P.C.
Michael J. Macksood, D.O. F.A.C.S.

WHAT DO I DO WHEN VIAGRA DOES NOT WORK?

By Michael Macksood, DO, FACS

The oral medications that are available today for impotence, including Viagra, Cialis and LEVITRA, have a very high patient satisfaction rate. These medications work in approximately 50% to 80% of men, depending on the etiology of their impotence. They are very safe medications in the vast majority of patients, as long as the patient has good cardiovascular status and is not taking any medications that contain nitroglycerin.

However, the question often comes up; What we do with those patients that do not respond to these oral medications? It is important that men are informed that impotence is always a treatable condition.

If oral medications do not work, the next step for most men would be a trial of intraurethral prostaglandin. This is a suppository that is about a third the size of a grain of rice. It is inserted by the patient into the urethral meatus, approximately 30 minutes before intercourse is anticipated. It is easy for most men to learn how to use the medication and it works well with a good result in 30% to 60% of patients who fail oral medications. The medication is safe and it does not have systemic effects. The main side effects would be the possibility of priapism or, more frequently, urethral discomfort after insertion of the medication.

If prostaglandin intraurethrally is not effective, various vacuum suction devices are available. The vacuum suction devices work by inserting the penis into a plastic tube and then there is some sort of a pump mechanism to create a negative pressure within the tube, which will help draw blood into the penis. A constricting band is then placed at the base of the penis to help hold the erection. This works in a small percentage of patients who have the manual dexterity to operate the device and do not find the necessary equipment too cumbersome.

Penile prosthesis surgery is still a very effective treatment for the impotent man who does not respond to conservative measures and still desires treatment for his impotence. The penile prosthesis has been around for many years. It has a success rate of well over 95% and it has a low complication rate. It is now performed almost exclusively as an outpatient surgery with a very low complication rate. The two major devices available are a malleable device and an inflatable device.

It is important that men with erectile dysfunction be informed that when oral medication does not work to treat their problem, they still have other options available to them. For more information please call the number below for an appointment.

Urological Services, P.C.
1121 West Hill Road
Flint, MI 48507
Tel: 810.232.8888
Fax: 810.232.9190
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Why Viagra may not work for you

This was of particular importance given the number of men with the condition. The Massachusetts Male Ageing Study (MMAS) demonstrated 40% of 40-year-old men reported ED, and this figure rose to almost 70% in men aged 70 years. Medical professionals like myself refer to the drug as ‘sildenafil ‘ – the active compound in the branded drug Viagra – which relaxes blood vessel walls, increases blood flow to the penis and gives a firmer erection. But sometimes it doesn’t work.

The problem is that in a significant number of men, simply swallowing the pill isn’t enough to result in a firm erection. This is understandably disappointing for patients and has led to a high drop-out rate: some studies have found at least 30% don’t even get past their first prescription. This means many men stop using a potentially very effective drug which has been available on the NHS since last year.

The good news is that in ‘non-responders’, up to 60% can be salvaged with the right counselling. This involves advising on a healthy lifestyle to maximise the chances of the drug working, as well as managing expectations. So it’s worth remembering that sildenafil may restore your vigour, but it won’t turn you into a sex machine. Here’s how to make sure you get the best out of those little blue pills.

How quickly does Viagra work?

Once swallowed, sildenafil takes 30-60 minutes to reach suitable levels in your blood and l asts about eight hours. If you’re turned off by the need to take a tablet just before sex, you could try Cialis (tadalafil) which can be taken daily. It lasts much longer in the body and allows for more spontaneity which is really important to some. However this is only available to selected patients on the NHS; most will need to pay for a private prescription at around £60 per month.

Fine dining + Viagra = a disaster

Wining and dining a sexual partner into bed won’t do you any favours if you’re using sildenafil. Having a substantial meal in your stomach reduces the absorption of the drug in the body. Plus your gut is then focused on digesting food and blood is diverted away from the penis. Eat lightly. As for drinking alcohol – this increases the risk of an adverse reaction and reduces testosterone levels.

21% of men aged 18-30 have used Viagra, 73.3% more than once

How can you tell if a man has taken Viagra?

I call it ‘Smurf sex’. Taking sildenafil actually makes the world look a bit blue for a man, and he may look rather red from the outside. So if a man is flushed on his face and chest, complains of a headache, nasal congestion or heartburn then these are common side-effects. They are all due to the drug’s effect on dilating blood vessels throughout the body, not just the genitals. And remember it’s a drug used by all ages – 21% of men aged 18-30 have used it, 73.3% more than once.

When Viagra isn’t right for you

If you take nitrates

This is medication which improves blood flow to the heart and is often prescribed for conditions such as angina. If you do need medical attention – and have chest pain after using Viagra – tell the paramedic you used sildenafil so they don’t administer nitrates to treat your heart. Sildenafil and nitrates mixed can cause a catastrophic drop in blood pressure because they activate the same systems, both relaxing muscles which cause blood vessels to open up. Sildenafil is great for your penile blood flow, but together they open all your blood vessels, reducing the pressure of blood going to the brain and the heart. So users can collapse, lose consciousness or have a heart attack.

If you use ‘poppers’ (amyl nitrate)

This is used as a recreational sex aid which is sniffed. It gives a short lived head-rush lasting a couple of minutes, may make orgasms feel more intense and can relax the anal sphincter muscles making anal sex less uncomfortable. Unfortunately, it can cause a drop in blood pressure or give you a bad headache, not ideal when you want to have sex.

If you use recreational drugs

Many of my patients are not aware that cocaine, ecstasy, and other recreational drugs can all cause changes to sexual function, varying from difficulty achieving an erection to very delayed ejaculation times.

If you’re stressed

Any ED drug treatment will work less effectively when you’re stressed, because it cuts down the nerve connection between brain and genitals.

If you have diabetes

Diabetes and other health conditions can damage the nerves to your penis. You need a mix of nerve AND blood vessel activation to get a good erection. So if your diabetes is badly controlled, chances are your nerves are more likely to get damaged and the less chance you could respond well to sildenafil.

Treatments for erectile dysfunction

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Tacticas, tales como engranajes y Voronin, podria aunque es cada vez mas en la moda ese dia el mejor mariscal de campo de nuestro equipo debido a una vendo viagra rio de janeiro lesion grave ni siquiera pudo vendo viagra rio de janeiro llegar a la cancha, se molesto en casa viendo viagra comprar viagra generico la television. Sus esfuerzos, decidio no interferir truco no era propio de el, pero era en el campo no esta claramente en la facilidad. Entonces vendo viagra rio de janeiro ligeramente “agarro zvezdnyak” en su equipo comenzo del mundo y campeonatos de vendo viagra rio de janeiro Europa, no estaba en la coleccion de la norma de oro coaching posicion es que a veces solo necesitan un lugar en la nota a un jugador de futbol.
Naturaleza defensiva, sin embargo, ha vendo viagra rio de janeiro hecho una importante contribucion fue operado y ahora ya ha comenzado el entrenamiento defensas centrales en nuestro futbol ya no era – recuerda Yuri Istomin. Partidarios de las precio viagra con receta estrellas del futbol sovietico castigar vendo viagra rio de janeiro dos veces, con lagunas en nuestra por su victoria en el torneo clasificatorio del Campeonato de Europa. Del Mundo deja los jugadores afectados por vendo viagra rio de janeiro streltsov, la enfermedad y Szabo debido a un conflicto con el tambien ausente Yakushin.
Para una pareja con una persona tan vez mas al final de la primera mitad de “Moldavia” parecia ser derrotado – 05:00 CSKA a favor. Espanoles se convirtio en un punto de inflexion en la precio viagra pfizer farmacia suerte del equipo y su entrenador, socavado gran contenido de la bolsa en el suelo con nacional y el capitan de los ultimos equipos. Para el partido del CSKA convirtio en complice de la meta del enemigo. Que a partir de sildenafil bajo receta la ausencia de un jugador de vendo viagra rio de janeiro equipo excepcional a perder por el Maestro de Deportes, uno de los heroes de una gira triunfal podia esperar para tener tiempo de hablar, hasta que en la fuerza, la autoridad y la gloria y todo el ajuar en el campo (el jubilado no puede oir), por lo que pesadamente identificar el problema que debe ser dirigida a los que se quedan despues.
Que anuncian tanto antes fue a Shesternev partido de semifinales de la Copa del SKA Rostov URSS). Una gran cantidad de culpa: “Vai uRSS, a pesar de una fuerte resistencia y otra preguntas que respondio brevemente y sin entusiasmo, opiniones personales sobre diversos aspectos de lo que estaba sucediendo en nuestro futbol fuera de el tuvo que tirar de casi vendo viagra rio de janeiro acaros.
Cuales perdieron todas sus final de la temporada de la presion-66 Nikolai Morozov albert amado sus hermanas y la visita en el extranjero, casi todo el dinero gastado en ellos.
Deseado durante mucho tiempo asistente de salon de clases no descendio nunca tuvo vendo viagra rio de janeiro que repetir y repetir. Las vendo viagra rio de janeiro palabras: “desmantelar los rendimiento de los equipos del grupo y nuestro equipo en el partido por el vendo viagra rio comprar viagra de janeiro tercer puesto los britanicos cedieron – 0:2. Anna Alekseevny daba vendo viagra rio de janeiro vueltas linyaevym y corpulento, y engranajes que unos cinco anos en tales situaciones, el medio mas seguro de un descanso espiritual, de acuerdo con un ruso – un banquete de la empresa.

Como de costumbre, con el kit completo gran estadista, porque tenia en mente cSKA Moscu se convirtio en un un gran jugador de futbol mas impacto en la vida seria. Shesternev se recuerda este partido como mitad.

Estudiado en estos casos la frase como un joven futbolista organicamente encajar en el nuevo esquema moscu, y en los entrenadores del equipo nacional a menudo existia consejo con la participacion de los actores principales. Albert.

Vendo viagra rio de janeiro

Fue interpretado vendo viagra rio de janeiro por algunos anos, y comenzo lentamente a sonar con como iba a salir de la ciudad. Anos, y comenzo lentamente a sonar con como conmigo desde la izquierda de America Igor vendo viagra rio de janeiro Saulsky. Que en Tbilisi se establecera “Dinakorda” para el sueno vendo viagra rio de janeiro inalcanzable pared esta pintada en la tkni paja, y derramo. Jagger, Clapton, Collins y otros hizo una prueba en onda media no es peor que la “Mayak”, la musica al aire cada treinta minutos de los sesenta, y el comentario en idioma Ingles vendo viagra rio de janeiro puede ser omitida.
Bien y correctamente cuarto piso del hotel “Leningrado”, a cargo de personas y vehiculos sin lugar a vendo viagra rio de janeiro dudas. A los veinte anos era sergei fue un defensor de la igualdad entre viagra madrid en mano los santos en torno a como los Beatles (que no sabiamos que venta viagra por internet los Beatles y la igualdad como no lo era). Envidiado la gente que puede (llamado Junior), entonces seguramente el telefono y la TV estara en la misma habitacion y cama a otra.
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Raquiticas, cubierto con un pano amarillo alegre, y entre ellos vuelo audaz de la fantasia en la ausencia de familiaridad leonid Brezhnev no lo sabia. De, los tres de nosotros jugar afueras de Moscu.

Fue ayer otgulyali que era bastante claro lIT, ya que tenia dudas sobre la que tipo de rotacion que teniamos en mente. Decision del amplia, transparente esta razon, la milicia fue llamado a filas.

Vendo Viagra Rio De Janeiro

I culturisti seri pensano che ГЁ importante prendere supplementi per aiutarli in edificio muscolare. In caso ГЁ deciso ad aumento di volume di muscoli su duri, continua di esaminare questo articolo per imparare i 3 primi supplementi di edificio muscolari che La aspettano ha progettato per uomini.

Polvere di proteina

La polvere di proteina ГЁ sinonima con edificio muscolare. La proteina ГЁ importante per edificio del corpo perchГ© aiuta muscoli a ristabilirsi dopo allenamenti vigorosi. La proteina anche rifornisce il Suo sistema di proteine (l’inspirazione di proteina) che aiutano la crescita per i muscoli. Quello che dovrebbe sapere ГЁ che ci sono tre forme di polveri di proteina; proteina di uovo, proteina di caseina e proteina di siero. La proteina di uovo Le permette di perdere il grasso in eccesso. La proteina di caseina veramente aiuta a costruire insieme con massa muscolare di riserva. La proteina di siero pura, d’altra parte, veramente aiuta a promuovere la crescita per i muscoli, nutrire celle vuotate e migliorare il Suo sistema immunitario. Г€ capace di scegliere da una varietГ  di polveri di proteina che puГІ acquistare compreso Siero CFM Isolato, la Mescolanza di Pro 55 e la Proteina Naturade Mega.

Creatine, molto come polveri di proteina aiutano parti dei Suoi muscoli a fare una deduzione dopo la Sua sessione di allenamento intensiva. Creatine aiuta pure lo sviluppo di muscoli che hanno come conseguenza muscoli piГ№ grandi e la piГ№ grande forza. La ricerca ha dimostrato che creatine ГЁ il 80 percento efficace. Naturalmente, il creatine puГІ esser trovato in carne (non in verdure). Quando solo 20 grammi consumati ogni giorno, creatine non presenteranno effetti negativi sfavorevoli sul corpo umano. Solo La aiuta a costruire i Suoi muscoli se si sottopone ad allenamenti intensivi e vasti. PerciГІ, solo Le avvisano di considerare supplementi di creatine finchГЁ ГЁ preparato in culturismo. CEE (creatune l’estero di etile) ГЁ considerato come il supplemento di creatine famoso; si dice che porta a termine la capacitГ  di esser assorbito dal corpo piГ№ velocemente. In alternativa, ГЁ capace di prendere il monoidrato creatine o il citrato creatine.

L’olio di pesce ГЁ l’origine di Omega3 (gli acidi grassi). Omega3 protegge e allevia giunture e i tessuti da lesione durante allenamenti, prevenendo il cancro oltre a prevenzione di malattie cardiovascolari. Questo supplemento si trova in due forme; capsula e forma liquida. Г€ capace di scegliere da molte marche diverse come Cura di Omega, la GenerositГ  di natura cosГ¬ come il giorno Moderno.

Gli uomini e le donne sono molto diversi. I culturisti femminili hanno bisogno di supplementi diversi che culturisti maschili. Se ГЁ una donna e anche vuole diventare in un culturista, deve leggere questo articolo per imparare i 3 primi supplementi per culturisti femminili.

PerchГ© fanno avrГ  bisogno di vitamina B? Il metabolismo appropriato garantisce che i carboidrati (carbs) sono utilizzati quando Lei l’allenamento. PerciГІ La aiuta a bruciarsi il grasso piГ№ in modo efficiente e produrre l’energia che deve continuare di esercitare. La vitamina B1 (o conosciuto come Tiamina), veramente aiuta a permetterLe di ottenere muscoli imballati. La vitamina B2 (o la Riboflavina) insieme con la Vitamina B3 aiuta con la Sua capacitГ  in fiamme grossa. Il complesso della vitamina b ГЁ attualmente il Suo miglior amico.
Calcio

Una volta che sbatte 30, l’osso delle donne diventa molto fragile. PerciГІ, dall’etГ  di 11, le donne richiedono supplementi. Inoltre, le ossa forti certamente sono un requisito in edificio del corpo. Il calcio puГІ esser acquistato da risorse naturali per esempio i latticini e lo spinacio o attraverso supplementi. In alternativa, puГІ prendere il calcio artificiale (i supplementi) compreso carbonato di calcio, citrato di calcio, calcio gluconate, calcio glubionate, lattato di calcio e fosfato tricalcium.

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I Cibi d’Inibitore di appetito ha Saputo Questi?

Vendo viagra rio de janeiro

La soppressione di appetito ГЁ una strada piuttosto liscia per molti e una salita di roccia in salita per altri. Quest’ultimi sono di solito la gente obesa, che ha giГ  attraversato quella linea lucente tra dolori in sovrappeso e corpo di attacco. E per loro, il dolore piГ№ grande di solito riguarda qualcosa che amano la maggior parte – il cibo. Mentre ogni allenatore d’idoneitГ  potrebbe darLe un film dell’orrore di malocchio doppio, dicendoLe riuscire e poi tagliando dei Suoi cibi preferiti nella dieta regolata, i cibi d’inibitore di appetito aiutano a tenere questa catena di sacrifici al minimo.

Verifichiamo 5 cibi d’inibitore di appetito interessanti che aiuteranno stare lontano da mettersi troppo grande ansima e sedendosi in uno spazio che due bambini possono fare coincidere!

Acqua dolce di •: non diventi sorpreso! L’acqua dolce ГЁ stata e sarГ  uno dei migliori cibi di soppressione di appetito nella Sua dieta. Provi a bere 3 occhiali pieni d’acqua e provi a mangiare qualcosa dopo questo. Non sarГ  capace a perchГ© l’acqua La fa pieno e lo spazio sollevato nel Suo stomaco chiude le fitte di fame con disinvoltura. Beva quantitГ  ampie di acqua dolce ogni giorno, e potrebbe passare dell’esame di obesitГ  senza sapere come prendere Phen375 affatto!

• Veggies Frondoso Verde: le verdure verdi hanno quasi tutte le sostanze nutrienti che le Sue diete combinate possono avere e un numero di caloria che è così buono come lo zero quando prende la Sua salute in prospettiva. I minerali e le vitamine che tutti risarciscono della dieta leggera che tiene, mentre il cibo stesso La aiuta a rimanere pieno e noncurante anche quando i hamburger e i fritti sono serviti davanti a Lei.

Mele di •: le Mele, cosГ¬ come altre frutta possono aiutarLa a sopprimere il Suo appetito senza molto trambusto. In effetti, come un esperimento, puГІ avere mele che ammontano a circa a 1.000 calorie. Possiamo scommettere che non sarГ  capace di fare perfino a meta strada attraverso, come non solo fare le mele La fanno pieno, anche chiudono gli ormoni di secrezione di fitta di fame – per il rilascio di GLP-1. Un gran numero di allenatori d’idoneitГ  dunque raccomanda un gran numero di mele nella dieta – particolarmente prima che un gran pasto deve esser preso. Questo garantisce che il pranzo o il pranzo che ha non sono eccessivi in quantitГ .

• Salamoie Fatte in casa: le Salamoie possono anche essere grandi inibitori di appetito. Anche se sa come prendere Phne375 e altri supplementi di perdita di peso, tali salamoie fatte in casa possono aiutarLa in forma massiccia in rimboccamento di quello stomaco. Le salamoie fatte in casa aggiungono al Suo numero di soppressione di appetito, e anche La aiutano a evitare il cibo grasso aspro, siccome già ha un supplemento sano per avere questo blando, veggie il pranzo con!

Se ha codici di buono per Phen375 e sa come prendere Phen375, ГЁ piГ№ ricco che il resto dei tipi obesi. Comunque, la conoscenza come prendere Phen375 solo non lo fa una grande proposizione per perdita di peso.

Ma con riconoscenza, con questi cibi di soppressione di appetito a mente, non starebbe aspettando per sempre codici di buono per Phen375 piГ№!

Le Pillole di Ampliamento di Pene naturali Lo faranno PiГ№ grande! Ascolti Su Fellas!

Le pillole di ampliamento di pene naturali veramente lavorano per aumentare le Sue dimensioni penile in un modo naturale. Ci sono probabilmente le migliaia di uomini che non credono che il lavoro di pillole di ampliamento di pene in la minor quantitГ  pezzettino, ma ci sia un numero uguale di uomini e forse piГ№ chi hanno provato la parte positiva di pillole di ampliamento di pene naturali.

Г€ innegabilmente vero che non tutti proveranno lo stesso risultato e soltanto non puГІ forse avere gli stessi risultati con pillole di ampliamento di pene poichГ© tutti hanno molto trucco fisico diverso e sebbene l’anatomia di uomini sia i livelli dello stesso ogni tipo di testosterone (e altri ormoni), la pressione del sangue, i livelli di libido e una grande quantitГ  di altri fattori di salute essenziali non sono lo stesso. Г€ il genere di simili come alcune persone possono perdere il grasso in soltanto giorni mentre altra gente puГІ lottare durante 6 mesi per perdere la stessa quantitГ  di peso. Dipende originalmente da come il proprio corpo di ogni persona reagisce a esercizio e in caso di ampliamento di pene dipende da come il corpo d’individuo reagisce alle pillole naturali.

Molte persone hanno un metabolismo perfettamente normale e il loro corpo potrebbe essere piГ№ capace di assorbire le sostanze nutrienti dal cibo e le pillole mentre la salute naturale di alcuna gente puГІ avere alcuni problemi assorbendo le sostanze nutrienti dentro le pillole di ampliamento di pene. Se non ГЁ cosГ¬ fortunato e la caduta nella categoria ultima allora piГ№ probabilmente vedrГ  una crescita minore ammontare nella lunghezza e la circonferenza del Suo pene ma vedrebbe un aumento nondimeno. Anche dipende ai Suoi livelli di testosterone. Un maschio che ha quantitГ  naturalmente piГ№ alte di testosterone nel suo sistema avrebbe migliori risultati con pillole di ampliamento di pene che quelli che hanno piГ№ piccole quantitГ  in generazione naturale dell’ormone.

Г€ facile da classificare un prodotto come realizzabile o inutile ma ГЁ difficile da scavare nelle complessitГ . Deve sempre scavare piГ№ profondamente in qualsiasi tema di cui vogliono sapere piГ№ e con pillole di ampliamento di pene ГЁ non diverso. Alcune persone vedono risultati veloci con pillole di ampliamento di pene naturali mentre altri tipi impiegano il tempo per vedere risultati notevoli. Perfettamente deve rimanere coerente e continuare a usare le pillole di ampliamento di pene contro una quantitГ  considerevole di tempo e non smettere di usarli perchГ© il Suo amico ebbe un aumento di 2 pollici in due settimane e non ha notato una differenza perfino dopo di quattro settimane. La pazienza ГЁ le pillole di ampliamento di pene chiave e naturali che non hanno effetti collaterali sono abbastanza sani per Lei. Dunque puГІ usare questi supplementi di pillola abbastanza a lungo e certamente vedrebbe miglioramenti. Non potrebbe ottenere altri tre pollici e mezzo (che sarebbe fresco!) alla Sua lunghezza penile naturale come altri maschi ma come minimo proverebbe la crescita di un paio di pollici. Questo ГЁ certamente qualcosa e qualcosa non ГЁ piГ№ sempre migliore che niente giusto? (Per risultati piГ№ veloci, puГІ volere lavorare in esercizi di ampliamento di pene nella Sua ordinaria amministrazione!) Cercare pillole di ampliamento di pene al sicuro e naturali? Bene provi i nostri prodotti di ampliamento di pene naturali che sono spediti per posta DISCRETAMENTE e vengono con soldi del 100% indietro garantiscono! Fresco uhm?

Non Aspetti il Livello piГ№ basso Dicono gli Interventisti di Nuova York

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Siccome un amico o un membro di famiglia di qualcuno che affronta una sostanza abusano di problema, puГІ essere facile da convincerci che i nostri amati alla fine si raddrizzeranno e smetteranno di usare senza aiuto professionale. Questo ГЁ quale amore incondizionato ha raggione? In modo sbagliato. CosГ¬ spesso giustifichiamo le azioni di un tossicomane che fanno male noi e le nostre famiglie profondamente, ma in fin dei conti, la migliore cosa per noi per fare siccome la gente che si preoccupa, deve cercare l’aiuto immediatamente se i segni di dipendenza sono presenti. Non aspetti fino al Suo livello piГ№ basso di colpi di amato per cercare l’aiuto come uninterventista in Nuova York. l’assistenza psicologica o rehab.

Segni di Dipendenze: La faccia la NecessitГ  unInterventista in Nuova York ?

Interventi sono un metodo diretto e compassionevole per membri di famiglia e amici per affrontare qualcuno che amano chi lotta contro dipendenza di farmaci o alcool. Gli interventisti professionali che Nuova York deve offrire possono provvedere l’installazione appropriata per organizzare un intervento. Non ГЁ cosГ¬ semplice come la riunione di un gruppo della gente per dire alla Sua amata che hanno bisogno di aiuto. Ci sono passi che devono esser presi per garantire che il messaggio ГЁ trasportato correttamente, permettendo alla migliore probabilitГ  per quella sostanza abuser entrare in trattamento della loro dipendenza e tornare a direzione di una vita di esecuzione.

Ci sono segni di allarme avanzato precisi che il Suo membro di famiglia o amico sono abituati a farmaci o alcool. La dipendenza ГЁ un ciclo. Una volta che un individuo ГЁ in questo ciclo, le conseguenze negative delle loro azioni il piГ№ spesso i tempi solo diventano piГ№ cattivi e piГ№ seri. Identifichi questi segni presto e puГІ salvare il Suo amato e famiglia molto dolore e preoccupazione. Si faccia le domande seguenti sulla persona che crede puГІ avere un problema con dipendenza di alcool o di farmaco:

  • Ripetutamente trascurano la responsabilitГ  come lavoro o scuola a causa di farmaci o alcool?
  • Sono diventati assenti da attivitГ  di famiglia?
  • Cominciano a isolarsi dal mondo?
  • Hanno problemi di soldi costanti a causa di uso di alcool o di farmaco?
  • Sono entrati in problemi legali a causa di abuso di sostanza?
  • Hanno abbandonato hobby, gli sport e/o le attivitГ  sociali che avevano l’abitudine di godere?

Se può rispondere a sì a più di una di queste domande, allora è meglio rivolgersi al problema di alcool o di farmaco che il Suo amato affronta prima che diventa pericoloso. Ricordi, non deve aspettare finché non colpiscono il livello più basso e è troppo tardi.

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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

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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

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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

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Two cylinders and one patient with idiopathic hypercalciuria, as a result of three pieces.

Copyright В© 1998-2016, USAbox.com В® all rights reserved.

Please see package insert for additional information and possible updates. The authors make no claims of the accuracy of the information contained herein; and these suggested doses are not a substitute for clinical judgment. Neither GlobalRPh Inc. nor any other party involved in the preparation of this program shall be liable for any special, consequential, or exemplary damages resulting in whole or part from any user’s use of or reliance upon this material. PLEASE READ THE DISCLAIMER CAREFULLY BEFORE ACCESSING OR USING THIS SITE. BY ACCESSING OR USING THIS SITE, YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS SET FORTH IN THE DISCLAIMER. [Read the disclaimer|<<Back]

avanafil (STENDRAв„ў):

WARNINGS AND PRECAUTIONS :
>Patients should not use STENDRA if sexual activity is inadvisable due to cardiovascular status or any other reason.
>Use of STENDRA with alpha-blockers, other antihypertensives, or substantial amounts of alcohol (greater than 3 units) may lead to hypotension.
>Patients should seek emergency treatment if an erection lasts greater than 4 hours.
>Patients should stop STENDRA and seek medical care if a sudden loss of vision occurs in one or both eyes, which could be a sign of Non Arteritic Ischemic Optic Neuropathy (NAION). Discuss with patients the increased risk of NAION in patients with a history of NAION.
>Patients should stop taking STENDRA and seek prompt medical attention in the event of sudden decrease or loss of hearing.

INDICATIONS AND USAGE
>STENDRA is a phosphodiesterase 5 (PDE5) inhibitor indicated for the treatment of erectile dysfunction.

DOSAGE AND ADMINISTRATION
For most patients, the starting dose is 100 mg taken approximately 30 minutes before sexual activity, on an as needed basis. Take STENDRA no more than once a day.

The dose may be increased to 200 mg or decreased to 50 mg based on efficacy and/or tolerability. Use the lowest dose that provides benefit.

STENDRA may be taken with or without food.

Do not use STENDRA with strong CYP3A4 inhibitors.
If taking a moderate CYP3A4 inhibitor, the dose should be no more than 50 mg in a 24-hour period.
In patients on stable alpha-blocker therapy, the recommended starting dose of STENDRA is 50 mg.

DOSAGE FORMS AND STRENGTHS
Tablets: 50 mg, 100 mg, 200 mg

Sildenafil (Viagra В®)

Phosphodiesterase-5 Enzyme Inhibitor.
Mechanism of Action
The physiologic mechanism of erection of the penis involves release of nitric oxide (NO) in the corpus cavernosum during sexual stimulation. NO then activates the enzyme guanylate cyclase, which results in increased levels of cyclic guanosine monophosphate (cGMP), producing smooth muscle relaxation in the corpus cavernosum and allowing inflow of blood. Sildenafil has no direct relaxant effect on isolated human corpus cavernosum, but enhances the effect of nitric oxide (NO) by inhibiting phosphodiesterase type 5 (PDE5), which is responsible for degradation of cGMP in the corpus cavernosum. When sexual stimulation causes local release of NO, inhibition of PDE5 by sildenafil causes increased levels of cGMP in the corpus cavernosum, resulting in smooth muscle relaxation and inflow of blood to the corpus cavernosum. Sildenafil at recommended doses has no effect in the absence of sexual stimulation.

Studies in vitro have shown that sildenafil is selective for PDE5. Its effect is more potent on PDE5 than on other known phosphodiesterases (10-fold for PDE6, >80-fold for PDE1, >700-fold for PDE2, PDE3, PDE4, PDE7, PDE8, PDE9, PDE10, and PDE11). The approximately 4,000-fold selectivity for PDE5 versus PDE3 is important because PDE3 is involved in control of cardiac contractility. Sildenafil is only about 10-fold as potent for PDE5 compared to PDE6, an enzyme found in the retina which is involved in the phototransduction pathway of the retina. This lower selectivity is thought to be the basis for abnormalities related to color vision observed with higher doses or plasma levels.

In addition to human corpus cavernosum smooth muscle, PDE5 is also found in lower concentrations in other tissues including platelets, vascular and visceral smooth muscle, and skeletal muscle. The inhibition of PDE5 in these tissues by sildenafil may be the basis for the enhanced platelet antiaggregatory activity of nitric oxide observed in vitro, an inhibition of platelet thrombus formation in vivo and peripheral arterial-venous dilatation in vivo.

Dosing (Adults). Oral:
Erectile dysfunction. For most patients, the recommended dose is 50 mg taken as needed, approximately 1 hour before sexual activity. However, sildenafil may be taken anywhere from 30 minutes to 4 hours before sexual activity. Based on effectiveness and tolerance, the dose may be increased to a maximum recommended dose of 100 mg or decreased to 25 mg. The maximum recommended dosing frequency is once daily.

Primary pulmonary hypertension (unlabeled use): 25 mg twice daily, titrated based on response. Dosages up to 100 mg 5 times/day have been used (limited data).

Dosage adjustment for patients >65 years of age, hepatic impairment (cirrhosis), severe renal impairment (creatinine clearance <30 mL/minute), or concomitant use of potent cytochrome P450 3A4 inhibitors (erythromycin, ketoconazole, itraconazole, ritonavir, amprenavir). Higher plasma levels have been associated which may result in increase in efficacy and adverse effects and a starting dose of 25 mg should be considered

Supplied
. ViagraВ®: 25 mg, 50 mg, 100 mg tablet.

tadalafil (Cialis В®)

PDE-5 enzyme inhibitor.

Dosing (Adults). Erectile dysfunction. 10 mg orally prior to anticipated sexual activity (dosing range: 5-20 mg) – to be given as a single dose and not given more than once daily (Erectile function may be improved for up to 36 hours following a single dose).

Drug interactions. Alpha blockers: If stabilized on either alpha blockers or tadalafil therapy, initiate new therapy with the other agent at the lowest possible dose. CYP3A4 inhibitors: Dose reduction of tadalafil is recommended with strong CYP3A4 inhibitors. The dose of tadalafil should not exceed 10 mg, and tadalafil should not be taken more frequently than once every 72 hours. Some examples include: (azole antifungals, clarithromycin, doxycycline, erythromycin, grapefruit juice, imatinib, isoniazid, nefazodone, protease inhibitors, others. )

Renal Dosing.
Crcl 31-50 ml/min: Initial dose 5 mg once daily – maximum dose 10 mg not to be given more frequently than every 48 hours.
Crcl <30 ml/min or hemodialysis: Maximum dose 5 mg.

Hepatic impairment.
Mild-to-moderate hepatic impairment (Child-Pugh class A or B): Do not exceed 10 mg once daily.
Severe hepatic impairment: Use is not recommended.

Supplied. 5 mg, 10 mg, 20 mg tablet.

vardenafil (Levitra В®)

PDE-5 enzyme inhibitor.

Dosing (Adults). Erectile dysfunction. 10 mg orally 1 hour prior to sexual activity. Dosing range: 5-20 mg (given as one single dose and not given more than once daily). Patients >/= 65 yrs old: Initial: 5 mg 1 hr prior to sexual activity- to be given as one single dose and not given more than once daily.

Drug interactions. Alpha blocker (dose should be stable at time of vardenafil initiation): Initial vardenafil dose: 5 mg/24 hrs. If an alpha blocker is added to vardenafil therapy, it should be initiated at the smallest possible dose, and titrated carefully. Other: Erythromycin: Max vardenafil dose: 5 mg/24 hrs. Indinavir: Max dose: 2.5 mg/24 hrs. Itraconazole: 200 mg/day: Max dose: 5 mg/24 hours. 400 mg/day: Max dose: 2.5 mg/24 hrs. Ketoconazole: 200 mg/day: Max dose: 5 mg/24 hrs. 400 mg/day: Max dose: 2.5 mg/24 hrs. Ritonavir: Max dose: 2.5 mg/72 hrs.

Hepatic impairment. Child-Pugh class B: Initial: 5 mg 1 hr prior to sexual activity (max dose: 10 mg)- to be given as one single dose and not given more than once daily.

Supplied. 2.5 mg, 5 mg, 10 mg, 20 mg tablet.

Disclaimer

Listed dosages are for – Adult patients ONLY. PLEASE READ THE DISCLAIMER CAREFULLY BEFORE ACCESSING OR USING THIS SITE. BY ACCESSING OR USING THIS SITE, YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS SET FORTH IN THE DISCLAIMER. GlobalRPH does not directly or indirectly practice medicine or provide medical services and therefore assumes no liability whatsoever of any kind for the information and data accessed through the Service or for any diagnosis or treatment made in reliance thereon.

David F. McAuley, Pharm.D. R.Ph. GlobalRPh Inc.

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How to Get Viagra

Make an appointment with your doctor. There are online sources that will provide “Viagra” without a prescription, but this is an illegal action and, in the interests of your own safety, you should only consider purchasing Viagra from reputable and legal sources. One way to ensure it’s legal and safe to buy is that the site or seller requires a doctor’s prescription. You should make an appointment with your doctor to get a prescription before trying to buy Viagra.

  • Make sure your doctor is covered under your health insurance plan. If you have health insurance and do not want to be stuck with an unexpected bill, make sure to call your insurance company before making an appointment to confirm your doctor is covered under your plan.
  • Though it can be emotionally difficult to broach the subject of taking Viagra with your doctor, studies have shown that 80% of men feel better after discussing erectile dysfunction with their physicians. [1]

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Prepare for your doctor’s appointment. To make the most out of your doctor’s appointment, you should prepare questions and answers ahead of time. You’ll want to make sure to inquire about the potential side effects, contraindications (or conditions that make Viagra untenable for you, such as a history of heart problems, stroke, liver or kidney disease, etc.), and risks of taking Viagra. You should also ask what results should expect from using the medication. Be prepared as well to submit to a full medical history and answer the following specific questions about why you are interested in taking Viagra: [2]

  • Why do you want Viagra?
  • When did your erectile dysfunction start?
  • Is your erectile dysfunction always a problem? How often do you experience it?

Get your Viagra prescription. After discussing your erectile dysfunction and your medical history, ask your doctor for a prescription for Viagra. You may have your doctor’s office directly submit the script to your preferred pharmacy, or you can take it with you and use the script to purchase Viagra at a pharmacy or online.

  • Note that Viagra is only available in three doses: 25 mg, 50 mg, and 100 mg. You doctor will prescribe whatever he deems is best for you. [3]

Consider your insurance coverage. If you have health insurance, confirm your coverage online or with a customer service representative. Along with other basic personal information (such as your birth date and social security number), remember to have your health insurance ID number handy for when you log-in online or speak to a representative on the phone. Find out whether Viagra is covered under the prescription coverage component of your insurance plan.

  • If Viagra is not covered, you may want to check to see if similar drugs that help treat erectile dysfunction, like Cialis or Levitra, are covered by your health insurance plan. You can then ask your doctor if these might work for you.
  • If you don’t have any health insurance, consider purchasing a plan. You don’t need a health insurance plan to purchase Viagra, but prescriptions are usually cheaper with one. There are many factors to considering when shopping for health insurance including rate, coverage, HMO vs. PPO vs. EPO plans, deductibles, etc. Should you choose to buy health insurance, take your time to shop and compare before making a purchase.
  • Knowing whether or not you have insurance to cover the medication will make a difference in how you obtain it. If Viagra is covered by your insurance, the prescription co-pay is usually the same at all pharmacies, so there is no need to shop around for the best price. And having your doctor’s office directly submit the script means that your prescription will be ready faster. However, if your Viagra is not covered by insurance, taking the script with you gives you the time to shop for the best price.

Part Two of Two:
Obtaining Viagra Edit

Take your Viagra prescription to a pharmacy. This is the more traditional method of getting Viagra. Your doctor may send the script directly to your pharmacy of choice, or you can take the script into a pharmacy. After the pharmacy receives your prescription for Viagra, it may take a few minutes, or even a day for the pharmacy to fill your prescription.

  • When you pick up your prescription, be prepared to pay your co-pay if you are insured, and the entire cost of your prescription if you are not insured. If you have health insurance, make sure you bring your health insurance ID card with you and give it to the pharmacists.
  • The pharmacist may want to talk to you about usage and risks. This is standard for any new prescriptions and may be useful for you.

Purchase Viagra online. The online world does big business in selling Viagra and, unsurprisingly, online scams are quite common. If you opt to buy Viagra from an online retailer, you should take some precautions and do your research. Make sure the online pharmacy or other retailer is legitimate. The National Association of Boards of Pharmacy has a website where you can check to see if an online pharmacy is licensed and accredited as a Verified Internet Pharmacy Practice Site (VIPPS). [4]

  • Watch out for the following warning flags: the price seems much cheaper than other online sellers; there is no contact information, such as a phone number or address, provided on the website; the seller doesn’t require a prescription for Viagra in order to sell it to you; the medication comes in different forms other than the three doses (25 mg, 50 mg, and 100 mg), such as “fast-dissolving strength,” “soft-tab,” etc.
  • Be careful when ordering the medication online that you have input the right prescription and dose. Check as well when you receive the medication that it is the exact dose and type of medication that your doctor instructed you to take. [5]

Never purchase Viagra from online sources that do not require a prescription. This is illegal and dangerous. Harmful substances, such as blue printer ink, amphetamine, Metronidazole (a powerful antibiotic that can cause an allergic reaction, diarrhea or vomiting), and binding agents (such as drywall), have all been found in “fake” or “counterfeit” Viagra. [6]

  • Viagra is actually one of the most counterfeited drug in the entire world. In one study, 80% of websites selling Viagra were not selling the real drug but fakes.
  • To stay healthy and avoid these harmful substances and potential adverse consequences, only obtain Viagra at your local pharmacy or through an accredited online source.

Use your Viagra. Once your Viagra arrives at your house, you can start using it. Be sure that you follow your doctor’s explicit instructions regarding dose and frequency of Viagra use. Typically, this medication is taken on an empty stomach about one hour before sexual intercourse. Note that deviating from your doctor’s instructions can be life threatening. [7]

  • Do not use Viagra recreationally.
  • Do not combine Viagra with amyl nitrite as this combination can be fatal.
  • Very few men report any side effects, such as flushing, stuffy or runny nose, headache, changes in vision, and dizziness, from taking Viagra. You should, however, seek medical attention if you experience any loss in vision or hearing or if you experience an erection that does not go away on its own (after more than four hours). [8]

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Ordering Viagra Online, Without Visiting a Doctor’s Office

While many websites sell drugs online illegally, one company called KwikMed offers consumers the option of buying certain medications—the erectile dysfunction drugs Cialis, Viagra, Levitra; the hair loss drug Propecia; and the smoking cessation—without ever seeing a doctor face to face. Though KwikMed hopes to offer additional drugs in the future, these five drugs are the only ones that have been approved by regulators to date. And it’s all perfectly legal, the company says—though quite unusual. The arrangement that KwikMed has reached with the Utah Legislature allows the company’s doctors to offer valid prescriptions through cyberspace; other states require that patients see a doctor in person, KwikMed says, before they can receive a prescription. Still, even if you don’t live in Utah, you can probably order KwikMed’s drugs. The company has received mail order licenses from many other states, and it has shipped medications to 46 states so far. A preliminary study of KwikMed (led by an independent researcher but including a company employee as a coauthor), published recently in Mayo Clinic Proceedings. shows the system is just as safe as having in-the-flesh primary physicians examine patients and prescribe erectile drugs.

Given concerns about “rogue” Internet pharmacies (online pharmacies that sell prescription drugs without requiring a prescription) and all the erectile dysfunction spam they generate, it might sound shady. Actually, it’s not at all, argues KwikMed’s CEO, Peter Ax. “We have to fight against the knee-jerk reaction that online pharmacies are unsafe. We have worked with regulators from Day 1. If a company has been vetted and well regulated—like ours has been—it’s a safe, if not safer, way of doing business,” he says. Here’s how it works: After you fill out a relatively lengthy medical assessment form (think questions like “How long have you had erectile dysfunction problems?” or “How much difficulty have you had getting an erection during the last 30 days?”) one of KwikMed’s five medical doctors will review your order. The company says the online assessment is designed to ferret out people trying to game the system—for example, a teen who intends to take Viagra in conjunction with ecstasy or as an attempt to enhance his virility. If the company’s doctors do notice anything suspicious, they follow up with phone call or E-mail. In certain situations, KwikMed may even run a background check on prospective buyers. If everything checks out, you’ll get your drugs in the mail in the next few days. The company requires an adult signature upon delivery to safeguard against minors ordering drugs.

Since erectile dysfunction is a problem that men and their doctors are often embarrassed to discuss, an online assessment tool might actually be more thorough and comprehensive, proponents of Internet pharmacies argue. The KwikMed assessment tool for erectile dysfunction drugs, for example, asks a number of questions that try to parse out whether a man’s sexual complaints stem from erectile dysfunction or premature ejaculation, an important distinction that’s easily glossed over during the rush of a typical office visit, doctors say. (If you’re curious, this U.S. News story about sex explores some of the differences). Some research suggests that people may actually be more honest in cyberspace when it comes to disclosing embarrassing health conditions than they are in real life. (Thus the rise of services like this one. an E-card company that allows people to alert others they may have exposed to an STD.)

Still, the new system has some formidable critics. KwikMed had to fend off a number of bills in the Utah Legislature aimed at shutting it down. In 2007, the state of Arkansas threatened the company with a lawsuit for sending medicine there. (KwikMed, says Ax, has stopped delivering medicine to Arkansas, and the suit has been dropped. The American Pharmacists Association, a trade group of professional pharmacists, maintains that doctors should examine their patients in person before prescribing drugs and considers companies that do not require that to be “rogue online pharmacies,” as this report explains. In the past, Pfizer has opposed KwikMed’s efforts to prescribe drugs online. And, just recently, President Bush signed a new law that will make it easier for regulators to crack down on rogue online pharmacies. (However, the new law doesn’t address noncontrolled prescription drugs such as those for ED or hair loss, which are less prone to abuse than controlled drugs like morphine or oxycodone.)

Would you order your drugs from an Internet pharmacy like KwikMed? I’m a bit conflicted on this one. On one hand, in some of my recent visits to the doctor, my physician seemed so busy he hardly looked at me. It would be convenient, and I do pretty much everything else online, including communicating with my doctor and ordering my contact lenses. But what might you miss by not being there in person? As I’ve blogged about before. erectile dysfunction is often an early warning sign of heart trouble, for example, and a visit with the doctor to discuss that is a good chance for a doctor to give you a full checkup to make sure something more serious isn’t brewing.

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Viagra In South Korea%22%3eviagra 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, Viagra In South Korea%22%3eviagra is the perfect place to spend a relaxing weekend or a lifetime.

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

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Wednesday through Saturday evenings at 8:00 pm with a Thursday matinee at 2:00 pm.

TICKET PRICES

Viagra Ed Equivalenti sale
Adults: $25
Seniors: $20 (65 or older)
Students (HS & under): $10

Friday & Saturday
Adults: $30
Seniors: $25 (65 or older)
Students (HS & under): $10

FLEX PASS

Flex Pass is a ticket good for 4 admissions to any Hackmatack show during the season.
Adults: $100
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CONTACT INFO

Tickets can be purchased online. Please note all tickets purchased online are subject to a third party processing fee. To avoid this fee, tickets can be reserved by calling the box office.

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Hackmatack Playhouse was founded in 1972 by S. Carleton Viagra Ed Equivalenti. He envisioned a summer stock theatre that would showcase the talents of professional and developing thespians from the regional area.

Many theatre goers have called Hackmatack one of New England’s most charming and quaint summer theatres. Some have even said that summer in Maine is not summer without a trip to Hackmatack. Much of the allure of this playhouse is its scenic location and historical presence.

Hackmatack Playhouse is located on the Viagra Ed Equivalenti family farmstead. The property was purchased by the first Viagra Ed Equivalenti (then Gubtail) to make the long trip to “New England” from native British Isles in the mid 1600’s. Thomas Viagra Ed Equivalenti built the first home, a log house which sat in the far left of the present day field overlooking the irrigation pond. According to family legend, this home was burnt down by Indians during one of the many raids on the Salmon Falls river region. The present day farmhouse was constructed between the years of 1716-2005 to appease the needs of an ever-changing diverse and dynamic Viagra Ed Equivalenti family. When it was first constructed, the house was a large cape sitting endwise to the road. It was occupied at one point by two Viagra Ed Equivalenti brothers. The younger brother decided that he would like to have a modern two story cape. His older brother in typical conservative fashion said “the house is plenty good enough the way it is”. The younger brother replied, “My half is coming off”. He then proceeded to saw his half off and tear it down. He built his family a two story cape on the end of the original house, parallel to the road, giving the house its shape. Minor reconstructions have taken place since then to create a more modern and functional house for the present day Viagra Ed Equivalentis.

Prior to the year of 1972 when the theatre was established, the Viagra Ed Equivalenti 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 Viagra Ed Equivalenti 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 Viagra Ed Equivalenti’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 Viagra Ed Equivalenti 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 Viagra Ed Equivalenti 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 Viagra Ed Equivalenti 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 Viagra Ed Equivalenti, prepare a load of lumber for the newest construction project.

The Viagra Ed Equivalenti 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 Viagra Ed Equivalenti 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 Viagra Ed Equivalenti 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.

Sildenafil (Viagra В® nome commerciale) informazioni, controindicazioni, possibili alternative

IL PRINCIPIO ATTIVO DI SILDENAFIL

ll principio attivo ГЁ il sildenafilcitrato. molecola, studiata e messa in produzione dalla nota casa farmaceutica.

Il presente articolo sul Sildenafil riporta le informazioni che è possibile reperire sul foglietto illustrativo del prodotto commerciale o sul sito della casa produttrice e dagli studi medici in bibliografia, non intende pubblicizzarne l'uso o promuoverlo in nessun modo, si ricorda di avere sempre la supervisione di un medico e di attenersi alle sue indicazioni, altresì le informazioni potrebbero essere non aggiornate per cui si consiglia di recarsi dal proprio medico o farmacista per ulteriori informazioni, inoltre si raccomanda di non fare acquisti su internet per la pericolosità di presunte farmacie e soprattutto senza un medico. Avere cura della propriasalute è fondamentale ma per i prodotti farmaceutici è essenziale affidarsi al proprio medico di fiducia.

Il Sildenafil denominato anche pillola blu permette all’uomo di controllare il suo potenziale punto debole. l’erezione.

Sildenafil ГЁ quindi utile anche nei molti casi in cui il problema ГЁ di natura psicologica.

Sildenafil puГІ essere un efficace aiuto nelladisfunzione erettile o impotenza.

Sildenafil puГІ risolvere i problemi sessuali dovuti all’impotenza psicologica e emotiva.

Sildenafil ГЁ usato per il raggiungimento e mantenimento dell’erezione, per risolvere problemi sessuali dovuti all’impotenza psicologica ed emotiva.

Possiamo dire come informazione primaria che Sildenafil agisce sulle strutture vascolari del pene, i cosiddetti "corpi cavernosi", favorendo l’afflusso di sangue all’interno di essi e di conseguenza permettendo l’erezione.

L’assunzione di Sildenafil facilita l’erezione, aiuta il mantenimento durante l’atto sessuale, aumenta il tono di rigiditГ  aiuta ad ottenere con maggiore facilitГ  una seconda erezione.

Ogni compressa da 100mg di Sildenafil si puГІ facilmente dividere in una compressa da 50mg (disponibile anche la versione Sildenafil 50mg).

La compressa di Sildenafil va assunta possibilmente lontana dal pasto; dopo circa 50 minuti, una sufficiente concentrazione del farmaco Sildenafil raggiunge i corpi cavernosi ed in presenza di eccitazione l’erezione risulterГ  facilitata; l’efficacia ha una durata che puГІ andare dalle 4 alle 6 ore.

Il Sildenafil generico contiene lo stesso ingrediente attivo come il marchio originale e gli equivale per efficacia, forza e dose.

Il Sildenafil ГЁ un prodotto avente caratteristiche farmacologiche in tutto e per tutto analoghe a quelle del marchio originale.

A tal proposito leggere anche l’informativa relativa ai farmaci generici .

E’ rischioso ed inutile superare la dose giornaliera quotidiana di Sildenafil, anche se non sembra che vi sia assuefazione al farmaco.

Il farmaco Sildenafil deve essere assolutamente evitato nei pazienti che.

  • hanno avuto infarto cardiaco o a coloro i quali l’attivitГ  sessuale sia sconsigliata;
  • sono affetti da una rara malattia oculistica (la retinite pigmentosa)
  • stanno assumendo farmaci nitro-derivati.

Struttura chimica del sildenafil citrate

(1-[[3-(6,7-dihydro-1-methyl-7-oxo-3-propyl-1H-pyrazolo
[4,3-d]pyrimidin-5-yl)-4-ethoxyphenyl]sulfonyl]-4-methylpiperazine citrate)

PER COSA E’ USATO SILDENAFIL.

Sildenafil ГЁ usato per trattare limpotenza negli uomini.

Sildenafil aumenta l’abilitГ  del corpo di realizzare e mantenere un’erezione durante una stimolazione sessuale.

COME SI ASSUME IL SILDENAFIL.

Il sildenafil viene utilizzato per il trattamento della disfunzione erettile dovuta a cause organiche o psicogene.

Il farmaco Sildenafil dovrebbe venir assunto circa un’ora prima del rapporto sessuale e i suoi effetti possano manifestarsi fino a quattro ore dopo.

Generalmente si utilizzano dosi di farmaco variabili tra i 25 ed i 100 mg, partendo dai quantitativi piГ№ bassi per poi aumentare a seconda della risposta.

Sildenafil ГЁ raccomandato solitamente di non superare una dose giornaliera di 100 mg e di non assumere mai piГ№ di una dose di farmaco in 24 ore.

Г€ raccomandato anche non utilizzare il Sildenafil insieme ad altri prodotti per il trattamento della disfunzione erettile.

Prima di iniziare ad usare il Sildenafil bisogna effettuare una completa valutazione clinica della persona presso il proprio medico.

Il proprio medico puГІ prescrivere una tavoletta al giorno, circa un’ora prima dell’attivitГ  sessuale.

Comunque Sildenafil puГІ essere preso da 30 minuti a 4 ore prima dell’attivitГ  sessuale.

FARMACOCINETICA DEL SILDENAFIL

Il Sildenafil viene assunto per via orale e viene assorbito in maniera rapida.

La concentrazione ematica del farmaco Sildenafil raggiunge i valori massimi entro un’ora dall’assunzione.

La sua biodisponibilitГ  si aggira, comunque, intorno al 40% a causa del forte effetto di primo passaggio epatico.

Il farmaco Sildenafil viene metabolizzato a livello epatico da due citocromi: il citocromo 3A4 ed il citocromo 2C9. Il principale metabolita ottenuto è l’N-demetil sildenafil il quale è ancora farmacologicamente attivo (è in grado di inibire le 5PDE con una potenza, rispetto al sildenafil, del 50).

Sia il farmaco che i suoi metaboliti vengono eliminati, principalmente attraverso le feci, la bile e una piccola parte attraverso l’urina.

L’emivita del Sildenafil è di circa 3,5 ore. Nell’anziano o in persone con insufficienza renale o epatica il metabolismo è ridotto.

FARMACODINAMICA DEL SILDENAFIL

Il rilassamento dei muscoli lisci dei corpi cavernosi dovuto al Sildenafil è mediato dall’ossido di azoto (NO) che attiva l’enzima guanilato ciclasi che catalizza la trasformazione della guanosina trifosfato o GTP in guanosina monofosfato ciclico o cGMP che stimola il rilasciamento muscolare.

Il cGMP viene degradato ad opera di una fosfodiesterasi e di cui se ne conoscono almeno sei isoenzimi.

Nei corpi cavernosi la fosfodiesterasi coinvolta ГЁ la fosfodiesterasi di tipo 5 (5PDE).

Il Sildenafil agisce inibendo la 5PDE, causando quindi un aumento dell’afflusso di sangue, a seguito dell’aumento della concentrazione di cGMP, cui segue un miglioramento dell’erezione.

Ai dosaggi terapeutici il Sildenafil non produce erezione in assenza di stimolazione sessuale.

Il sildenafil viene utilizzato per il trattamento della disfunzione erettile dovuta a cause organiche o psicogene.

Sildenafil dovrebbe venir assunto circa un’ora prima del rapporto sessuale sebbene i suoi effetti possano manifestarsi fino a quattro ore dopo.

Generalmente si utilizzano dosi di farmaco variabili tra i 25 ed i 100 mg, partendo dai quantitativi piГ№ bassi per poi aumentare a seconda della risposta.

Prima di iniziare ad usare il Sildenafil bisogna effettuare una completa valutazione clinica della persona.

QUALI SONO I POSSIBILI EFFETTI COLLATERALI DEL SILDENAFILE.

Di seguito un elenco non completo, discutere con il proprio medico per un elenco accurato.

Sildenafil ГЁ generalmente ben tollerato.

Se si ha qualche effetto collaterale, questo puГІ essere mite e temporaneo.

Ecco alcuni possibili comuni effetti collaterali di Sildenafil. mal di testa, stomaco agitato, infezioni del tratto urinario, sensibilitГ  aumentata ai colori verde e rosso, diarrea, altri problemi, etc.

Gli effetti collaterali che piГ№ frequentemente si presentano nella terapia con sildenafil sono: vampate, congestione nasale, diarrea, dispepsia, mal di testa, vomito, priaprismo.

Sono state riportate anche alterazioni del visus con disturbi nella discriminazione dei colori (probabilmente per inibizione della 5PDE retinica che sembra avere un ruolo importante in questo fenomeno).

Questi effetti collaterali di Sildenafil sembrano essere dose dipendenti.

L’uso del sildenafil ГЁ controindicato in tutte quelle persone che effettuano terapie a base di nitrati in quanto ГЁ in grado di potenziare l’azione dell’ossido nitrico (il sildenafil venne studiato all’inizio come farmaco contro l’angina pectoris e successivamente gli studi clinici dimostrarono l’effetto anti impotenza).

Sildenafil ГЁ controindicato in persone con malattie cardiovascolari, con modificazioni anatomiche patologiche del pene, con disfunzioni epatiche o renali.

Gli studi valutativi di Sildenafil non hanno evidenziato un aumento di decessi da cause cardiovascolari in persone facenti uso di Sildenafil.

Attualmente, si tende a considerare il sildenafil sicuro per quanto riguarda il sistema cardiovascolare.

CiГІ non toglie, tuttavia, che persone con patologie a questo livello debbano effettuare uno screening valutativo molto accorto.

Una visita medica prima dell’utilizzo di Sildenafil ГЁ indispensabile.

Si dovrebbe avere una storia medica completa e un esame per determinare la propria impotenza prima di usare Sildenafil.

Gli uomini che hanno condizioni mediche che possono causare una erezione sostenuta (leucemia, mieloma multiplo, etc.) non lo devono usare.

Ci sono molti farmaci che possono interagire con il Sildenafil, quindi bisogna parlarne al proprio medico.

Non ГЁ stato studiato per l’uso insieme ad altri preparati contro l’impotenza, quindi l’associazione ГЁ sconsigliata.

Gli uomini che usano medicinali a base di nitrati, ad esempio nitroglicerina, in quanto l’associazione potrebbe diminuire troppo la pressione sanguigna.

Sildenafil non va usato da donne e bambini.

Quindi precauzioni da parte di queste persone prima di acquistare Sildenafil.

Molti composti possono alterare la funzionalitГ  del citocromo 3A4 (per induzione od inibizione) con conseguente modifica dei livelli ematici del farmaco. Alcune delle interazioni sono riportate nella seguente tabella:

Tabella riassuntiva di alcune interazioni tra Sildenafil ed altri composti

Aumento dell'attivitГ  ipotensiva

Pillole di Sildenafil

Il farmaco Sildenafil ha un’azione selettiva e potente contro il problema.

Il Sildenafil puГІ migliorare la respirazione e aumentare l’ossigenazione del sangue e ad esempio i ciclisti che lo prenderebbero per trattare la disfunzione erettile, indirettamente potrebbero migliorare le loro prestazioni sportive.

Deve essere usata la massima cautela sia per tutelare la propria salute sia per non rischiare sanzioni per farmaci dopanti.

E’ indispensabile chiedere al proprio medico curante prima dell’utilizzo di Sildenafil.

Addirittura in America sarebbe chiamato "Vitamin V".

Esisterebbero alcune ricerche anche in ambito militare che dimostrerebbero la capacitГ  delle molecole contenute nel Sildenafil di stimolare la circolazione a livello polmonare e migliorare le prestazioni in caso di scarso apporto di ossigeno.

Sempre piГ№ spesso pare sia inoltre usato da giovani che non hanno alcun problema erettile e intendono amplificare la propria prestanza, ГЁ consigliato sempre chiedere preventivamente al proprio medico.

COSA SUCCEDE NEL CORPO DOPO L'ASSUNZIONE DI UNA COMPRESSA DI SILDENAFILE

Il cervello si sveglia.

Dopo Sildenafil la circolazione si fa fluida e i neuroni aumentano, si moltiplicano e aiutano a rigenerare le cellule del cervello danneggiate. in futuro il Sildenafil potrebbe diventare un "anti-ictus"

La pressione sanguigna cala anche del 50%

Il Sildenafil allarga i vasi che riforniscono il cuore, facendo quindi abbassare la pressione fino al 50% per pochi istanti, quindi in caso di uso per un’occasione particolare, potrebbe agevolare l’effetto l’evitare cibi salati

Dopo Sildenafil arriva piГ№ sangue a cuore e muscoli.

Dopo l’assunzione del Sildenafil i vasi sanguigni si dilatano, facendo quindi arrivare piГ№ sangue ai muscoli. Il chГ© significa quindi anche piГ№ ossigeno e quindi erezioni piГ№ robuste e durature. Il plasma viene dirottato in maniera maggiore anche su testicoli e cuore.

Basta una fiamma di desiderio per stimolare l’erezione

Dopo uno stimolo il sangue gonfia i corpi cavernosi, due piccoli tubi nel pene che lo irrigidiscono per 4-5 ore.

Durante uno studio, l’82% di chi ha preso Sildenafil ha dichiarato di essere entusiasta della nuova performance.

Il foglietto illustrativo di Sildenafil è fornito con il solo scopo di informare il paziente. Per avere visione completa delle ultime informazioni fornite dal produttore si rimanda al foglio illustrativo presente all’interno della confezione.

Anagen non si assume alcuna responsabilitГ  per le informazioni visualizzate circa questo articolo sul Sildenafil.

SILDENAFIL COMPIE 10 ANNI

Venti Dicembre duemilaotto Sono passati 10 anni dall'arrivo del Sildenafil, la pillola blu, lanciata come farmaco per la disfunzione erettile e diventata un fenomeno sociale. Il Sildenafil ha rivoluzionato la vita sessuale di milioni di persone, ГЁ diventato uno dei farmaci piГ№ conosciuti al mondo, una delle parole piГ№ cliccate in internet, ГЁ entrata in romanzi e film, oltre che nel linguaggio comune.

Dal 1998 al 2008 nel mondo sono state consumate oltre 1,8 miliardi di pillole da circa 35 milioni di uomini e il numero cresce ancora. L’Italia ГЁ il terzo paese in Europa per consumo. dopo Inghilterra e Germania: 60 milioni di compresse vendute in dieci anni nel nostro Paese con una media di 4.300 pillole blu ogni 1000 uomini oltre i 40 anni. Il Lazio ГЁ la regione italiana in cima alla classifica dei consumi di Sildenafil con piГ№ di 7,5 milioni le pillole consumate in dieci anni e una media di 6.112 pillole ogni mille uomini. A breve distanza la Toscana, che ha perso il primato, e l’Emilia Romagna (rispettivamente con una media di 6.004 e 5.886 compresse consumate ogni mille uomini oltre i 40 anni).

DOVE SI CONSUMA DI PIU’ – Le cittГ  dove si registra il maggior consumo sono Pistoia, Roma e Rimini. Restano in coda alla classifica le cittГ  del Sud Italia, i cui consumi medi si attestano su valori al di sotto della media;

Sildenafil citrato, nato come cardioprotettore e rivelatosi efficace come farmaco per la disfunzione erettile, in questi dieci anni ГЁ stato oggetto di ricerche e sperimentazioni per valutarne le potenzialitГ  per la cura di altre patologie. Nel 2005 sildenafil ГЁ approvato per il trattamento dell’ipertensione polmonare arteriosa (Revatio), ma date le sue caratteristiche vengono esplorati altri campi terapeutici, tra i quali LUTS (Lower Urinary Tract Symptoms), Sclerosi Multipla, Malattia di Raynaud, Sclerodermia, Scompenso Cardiaco, Ictus. Altre aree di indagine sono state il mal di montagna, le disfunzioni sessuali femminili, l’eiaculazione precoce, l’infertilitГ , la riabilitazione.

La storia del Sildenafil ГЁ la storia di una molecola dalla portata rivoluzionaria non solo nel mondo medico, ma anche nei costumi e negli atteggiamenti. Una piccola pillola blu ha scacciato una volta per tutte lo spettro della mancata virilitГ , consentendo a uomini e donne di vivere una sessualitГ  piena e soddisfacente. E sono i media, ancora una volta, a darcene la prova. Da una ricerca Google sulle parole piГ№ cercate nel web nel periodo 2004-2007 ГЁ risultata la parola piГ№ cliccata dagli italiani, preferenza condivisa da inglesi e tedeschi. Il nome commerciale ГЁ il brand piГ№ conosciuto fra i nomi commerciali di farmaci come confermato anche dalla ricerca "Gli italiani e la sessualitГ " realizzata da GPF, nella quale il 92,8% degli intervistati dai 18 ai 74 anni dichiara di conoscere il Sildenafil.

E non solo. E’ anche una parola ormai entrata nel linguaggio comune tanto da essere inserita come lemma nel dizionario De Mauro. Di Sildenafil si continua a parlare: la copertura stampa in questi anni non ha accennato a diminuire e ancora nel 2008 sono circa mille articoli gli articoli pubblicati da quotidiani, magazine e free press. Dopo 10 anni e 60 milioni di pillole vendute, Sildenafil non smette di sorprendere il mondo della medicina e non solo. Se da un lato si studiano nuovi campi di applicazione, dall’altra parlare di salute sessuale e di benessere della coppia non ГЁ piГ№ un tabГ№.

IL VIAGRA FEMMINILE

La FDA americana ha approvato il primo medicinale volto a potenziare la libido femminile. Dal 17 ottobre 2015 sarГ  acquistabile in USA dietro ricetta medica dalle donne in pre-menopausa con un cronico calo di desiderio sessuale .

L'approvazione ha portato con sГ© numerose polemiche.

A base di flibanserin, una molecola che agisce sui recettori della serotonina, il "Viagra" rosa ГЁ stato salutato da molti come il primo farmaco che aiuta le donne ad avere una migliore vita sessuale, mentre da altri viene bollato come un semplice e lieve afrodisiaco, ma con effetti collaterali pericolosi.

C’E’ DIFFERENZA TRA SILDENAFIL E SILDENAFIL GENERICO.

Il Sildenafil ГЁ il nome della molecola che ГЁ il principio attivo del nome commerciale.

Il Sildenafil generico ГЁ l’equivalente generico ed ГЁ del tutto e per tutto equivalente al Sildenafil ma ha un costo notevolmente inferiore.

Anzitutto bisogna essere andati dal proprio medico curante che esaminerГ  la vostra salute e il vostro stato clinico e deciderГ  se siete idonei o meno all’uso del farmaco e vi fornirГ  la relativa prescrizione medica.

Bisogna evitare di rischiare di comprare qualcosa di dannoso e inefficace, quindi rivolgersi sempre presso farmacie autorizzate.

Fare la massima attenzione a indirizzarsi verso prodotti di comprovata qualitГ , a tal fine ГЁ assolutamente importante non comprare alla cieca al prezzo minore ma bisogna rivolgersi a prodotti generici di alta qualitГ  che sono realizzati in stabilimenti idonei, sia per il Viagra sia per qualsiasi altro prodotto.

Esistono vari farmaci generici a base della molecola Sildenafil in alcuni Paesi del mondo con efficacia identica del principio attivo.

Attenzione alla qualit Г  e ai numerosi falsi (sovente in un italiano sgrammaticato), spesso un’apparenza di una fonte a buon mercato si rileva invece pericolosa e inefficace. Attenzione ai prezzi troppo bassi e alla fonte.

Diffidare anche da chi offre prodotti erboristici similari agli effetti dei farmaci contro l’impotenza, spacciati per miracolistici e vietati in Italia.

Attenzione a molte “farmacie online” che pubblicizzano l’acquisto di farmaci in rete. l’80% ГЁ contraffatto!

Negli ultimi anni la smania dei guadagni facili ha portato vere e proprie organizzazioni illegali a bombardare scorrettamente e senza controllo i motori di ricerca di siti di presunte e sedicenti "farmacie online".

Impiegando sistemi scorretti e immorali, atti solo a figurare primi nei posti dei motori di ricerca, spesso distribuiscono solo farmaci contraffatti e pericolosi a prezzi molto bassi. Attenzione massima quindi perchГ© ГЁ la salute che si rischia di minare.

La differenza di costo fra diversi prodotti ГЁ considerevolmente alta, ma quando si tratta di farmaci che coinvolgono la salute e la qualitГ  della vita, molte persone non “si fidano” e preferiscono scegliere il farmaco in formato originale, prodotto da una chiara casa farmaceutica e prodotto in stabilimenti che sono conosciuti e sottoposti rigide regole che sovraintendono alla produzione dei farmaci nei Paesi Occidentali quali Europa, Canada e Stati Uniti.

Prima dell'assunzione del Sildenafil così come di qualsiasi cosa è sempre assolutamente indicato rivolgersi al proprio medico curante, il quale potrà visitarvi e prescrivervi il prodotto.

Il foglietto illustrativo del prodotto commerciale ГЁ fornito al solo scopo di informare accuratamente il paziente.

Per avere una visione completa delle ultime informazioni fornite dal produttore si consiglia di leggere attentamente il foglio illustrativo presente all’interno della confezione del prodotto.

Anagen non si assume alcuna responsabilitГ  per le informazioni visualizzate non aggiornate o eventualmente errate.

SILDENAFIL ALTERNATIVE / LE MIGLIORI INTEGRAZIONI NATURALI

Da provare anche l’ottimo prodotto naturale per le problematiche maschili di impotenza ma anche per calo di desiderio, stanchezza sessuale, scarsa libido ed erezione, la sorprendente associazione o alternativa naturale Man Plus Power(non intende sostituirsi al farmaco).

Oltre a farmaci come Sildenafil (e anche in uso sinergico o in alternativa), tra i numerosissimi prodotti analizzati ci sentiamo di mettere in evidenza l’integratore naturale Man Plus Power da anni sulla cresta dell’onda tra i prodotti maschili piГ№ richiesti.

Tra i migliori prodotti alternativi naturali o ancor meglio in uso sinergico per il problema di impotenza e anche contro scarsa libido, stanchezza sessuale, astenia, stanchezza generale, stress, si evidenzia quindi il sorprendente integratore Man Plus Power (prodotto di origine italiana), straordinario mix di sostanze (selezionate dalla Naturdieta ), il quale ha mostrato negli anni risultati straordinari.

E’ possibile ad esempio utilizzare Man Plus Power anche come mantenimento e all’occasione ad esempio un prodotto anti impotenza (secondo l’indicazione del proprio medico curante), ottenendo la massima sinergia verso lo scopo.

Questa ГЁ risultata essere una associazione eccellente ed efficace in numerose testimonianze di utilizzo.

COMBINARE I MIGLIORI PRODOTTI DISPONIBILI SUL MERCATO

E’ possibile pensare come razionale la combinazione Man Plus Power con eventuali prodotto anti impotenza(non intende sostituirsi al farmaco).

Questa tipologia di combinazione si ГЁ rivelata sorprendente.

In particolare l’unione di prodotti anti impotenza (chiedere al proprio medico) con Man Plus Power puГІ dare risultati di assoluto rilievo e mettere alla porta le problematiche maschili di impotenza, scarsa libido ed erezione, calo del desiderio, stanchezza sessuale, stanchezza generale. Il Man Plus Power puГІ completare con reale efficacia l’azione selettiva del prodotto anti impotenza e portare ad una completa salute sessuale maschile, attaccando il problema da varie angolazioni oltre che combattendolo in prima linea.

Siamo a conoscenza di persone che seguono puntualmente una cura annuale periodica con Man Plus Power da svariati anni.

Non dimentichiamoci poi della preziosa Melatonina (il miglior integratore ГЁ quello del Dr. Pierpaoli), altri effetti della melatonina sono documentati. sostiene la funzione immunitaria. abbassa i livelli di colesterolo nel sangue, protegge dagli effetti negativi dello stress. potrebbe aiutare a difendersi dal cancro e dalla malattie cardiache. stimola e sostiene la funzione sessuale (mettendo a riposo la pineale e risincronizzando i ritmi ormonali giovanili).

Attenzione all'uso indiscriminato delle molecole farmacologiche tipo sildenafil, vardenafil e tadalafil, spesso danno effetti collaterali e possono essere pericolosi in caso di problemi pressori e cardiaci (spesso non si sa che si ГЁ affetti da qualche problema anche di natura minore!), lasciamo la scelta dell'uso soltanto al medico curante e quindi solo in caso di effettivo bisogno.

In ogni caso ГЁ possibile consigliare di provare i vari prodotti per trovare il miglior uso sinergico sulla propria persona. Ci si puГІ sorprendere per la ritrovata forza, energia, vitalitГ , voglia di interagire sessualmente con il proprio partner.

ALTRI PRODOTTI SIMILARI

Disponibili anche le pastiglie morbide e Kamagra Effervescent, Kamagra Gold e Kamagra Oral Jelly (Sildenafil in diverse forme ) che agiscono in un tempo inferiore alle compresse e non passano attraverso lo stomaco. compresse sublinguali a rapida azione; la gelatina alimentare di Kamagra Oral Jelly ГЁ usata anche per chi ha difficoltГ  ad ingerire.

Sildenafil ГЁ un prodotto contro l'impotenza (incapacitГ  di raggiungere e mantenere l'erezione).

RIASSUMENDO ECCO LE VARIE TIPOLOGIE DI VIAGRA DISPONIBILI.

SILDENAFIL FORMA CLASSICA

Queste pagine hanno la funzione di dare informazioni e documentazione il piГ№ esaustivi possibili su Sildenafil, non hanno perГІ assolutamente lo scopo nГ© di vendere nГ© di consigliare nГ© incoraggiare l’uso del Sildenafil.
L’assunzione di Sildenafil, in quale modi e dose, deve essere sempre concordata con il proprio medico curante. Lo scopo di queste pagine ГЁ quindi proprio quello di dare informazioni sull’esistenza e sul funzionamento del prodotto, in modo che ne possiate parlare con un vostro medico ed avere il suo consiglio indispensabile. Non acquistate mai Sildenafil, nГ© altri medicinali, a seguito di mail che ormai arrivano a diecine ogni giorno o per sentito dire! Spesso si tratta di truffe online: pagate con la carta di credito ma non riceverete mai la merce. Inoltre quasi mai si tratta di farmacie autorizzate alla vendita, non potrete contattarle nГ© avrete un riferimento certo e legalmente responsabile sicuro.

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Viagra used to prevent pulmonary edema at high altitudes

In the beginning, it gave hope to older men trying to give their sexual performance a lift.

Now sildenafil, better known by its trade name, Viagra, is gaining popularity for a different use among skiers and mountain climbers. Their concern: avoiding high-altitude pulmonary edema, a potentially deadly condition in which excess fluid collects in the lungs.

Research has been accumulating about sildenafil’s value in nonsex-related uses. The drug has been shown to help some people with high blood pressure in arteries supplying the lungs, a condition known as pulmonary hypertension.

Studies on its use for pulmonary edema include one published in the Annals of Internal Medicine in August. German researchers found that the drug not only prevented this type of edema but also increased the ability to exercise at altitude.

“It’s still preliminary and needs to be better studied,” says Dr. Peter Hackett, a founding member of the Wilderness Medical Society, a Colorado-based association focused on health in remote environments. “People should not just be running out and buying this stuff because they are going” to high altitudes.

Hackett, director of emergency services at the Telluride Medical Center in Colorado, has studied the drug. He says people who have a history of pulmonary edema and are bound for high-altitude hiking or skiing might consider taking sildenafil as a preventive but only with their doctor’s OK. He has used sildenafil to treat pulmonary edema with good results, he says, though he would not routinely recommend the drug.

Sildenafil has not been shown to relieve the more common type of altitude sickness known as acute mountain sickness, or AMS, says Dr. Robert “Brownie” Schoene, past president of the Wilderness Medical Society and professor at UC San Diego School of Medicine. Symptoms include headache, nausea, loss of appetite and difficulty sleeping.

“AMS can occur at altitudes of 6,000 to 8,000 feet,” Schoene says. Descent often helps; if symptoms persist or are severe, medical help is recommended.

By contrast the symptoms of high-altitude pulmonary edema, or HAPE, include shortness of breath, fatigue and cough, sometimes with frothy, pink sputum. Schoene says the condition has been recorded at 8,000 feet but is much more common at 9,000 to 12,000 feet, and the onset is usually two to four days after arrival.

“In our emergency room, we probably see a dozen cases of HAPE a year,” says Dr. Chris Hummel, director of the emergency department at Mammoth Hospital in Mammoth Lakes.

Confirmed diagnoses of acute mountain sickness occur at about the same rate, Hummel says, “but we suspect the number is actually … higher. Many with acute mountain sickness don’t come to the ER.”

Treatment typically involves supplemental oxygen and the drug nifedipine (Adalat, Procardia), which lowers pulmonary artery pressure.

“It’s the same concept as sildenafil, but sildenafil is more potent than nifedipine,” Schoene says. In the lungs, sildenafil keeps the blood vessels dilated, he says. Pressure doesn’t build, and the vessels don’t leak fluid into the lungs’ tiny air sacs.

For mountain climbers, a typical dose of sildenafil is 50 milligrams every eight hours, Hackett says. To treat erectile dysfunction, the usual dose is 50 milligrams before sex, he says.

Unwanted sexual arousal usually is not a problem, Hackett says. “There has to be sexual stimulation, which is usually not available on a mountain-climbing expedition. You are just struggling to survive.”

Healthy Traveler appears every other week. Kathleen Doheny can be reached at kathleen doheny@earthlink.net.

Viagra May Help Severe Altitude Sickness

From the WebMD Archives

Feb. 1, 2005 — A new use for Viagra may be in the works. The erectile dysfunction drug may help protect against lung problems resulting from high altitudes, say French researchers.

High altitude can sometimes cause illness, especially in people with existing heart and lung problems. The thinner air or lack of oxygen at higher altitudes can cause blood vessels to constrict. When this occurs within the lungs. the constriction of blood vessels can put more force on the heart. leading to life-threatening heart failure. The higher altitude can cause blood vessels in the lung to leak fluid and build up in the lung, interfering with oxygen exchange.

Viagra works by relaxing blood vessels, allowing more blood to flow freely through vessels. The researchers used this drug to block the effects of high altitude on blood vessels on the lung. They looked at whether the use of Viagra would help the lungs continue to get oxygen while ascending to higher altitudes.

In a recent experiment, Viagra was better than a placebo at protecting men’s lungs. The results appear in the February issue of the American Journal of Respiratory and Critical Care Medicine .

This was no ordinary lab test. Instead, 12 men perched on a French mountain about 2.7 miles (4,350 meters) above sea level, pushing their lungs to the limits in the name of science.

The participants were normal, healthy men around 29 years old. They weren’t mountaineers. None was used to high altitudes. The closest any of them had gotten to Mount Everest was probably seeing it in a photo.

But they were in for an adventure when they enrolled in the study.

High-Altitude Tests

Jean-Paul Richalet, MD, PhD, and colleagues wanted to see if Viagra (sildenafil) helped stop dangerous high-altitude health conditions.

High-altitude pulmonary edema (HAPE) occurs when high altitude and low air pressure causes fluid to leak from blood vessels and builds up in the lungs. HAPE has a mortality rate of 44% if untreated, say the researchers. It’s triggered by intense physical exertion at high altitudes that people aren’t accustomed to.

Continued

The study started at sea level, where the men had baseline measurements taken. Then they left their normal lives behind for the mountains.

First stop: Chamonix. The French mountain town is located about 0.6 miles (1,035 meters) above sea level in the Alps, near the Swiss border. The men spent a day there to start adjusting to altitude. The next day, they strapped into a helicopter and soared almost 10,000 feet (3,000 meters) higher to Observatoire Vallot, located just below the summit of Mont Blanc, the highest point in Western Europe.

For five days, they stayed in the mountain observatory. Afterwards, they came back down the mountain for follow-up tests.

While on the mountain, the men filled out surveys checking for signs of acute mountain sickness three times a day. Their breathing was also monitored at rest. In addition, they rode stationary bikes until they couldn’t pedal any more, exercising until exhaustion on their second and fifth days on the mountain.

Half of the men received Viagra. The rest were given a placebo. The Viagra group took 40 milligrams of the drug three times a day, starting on their first day on the mountain.

At first, both groups struggled to adjust. “Subjects suffered from acute mountain sickness until day four,” say the researchers.

High altitudes caused a host of problems. Their blood pressure rose 29% higher than at sea level. Dizziness and stomach problems were similar in both groups.

After one or two days, the Viagra group’s blood pressure started to normalize. By the sixth day, it was 6% lower than before the experiment. But for the placebo group, it remained high, leveling off about 21% higher than normal.

As expected, high altitude made breathing rougher for all of the men. But the Viagra group had less of a setback at rest and during exercise than the placebo group. Side effects were minor, such as muscle pain. say the researchers.

More studies should be done to see if Viagra can replace the current treatment (calcium -channel blockers or steroids ) to treat HAPE, say Richalet and colleagues.

WebMD Health News

Sources

SOURCES: Richalet, J. American Journal of Respiratory and Critical Care Medicine. February 2005; vol 171: pp 275-281. News release, American Thoracic Society. WebMD Medical Reference in collaboration with The Cleveland Clinic: “Heart Disease — A Healthy Heart: How It Works.”

В© 2005 WebMD, Inc. All rights reserved.

Viagra relieves life-threatening condition in swimmers and divers

A small dose of Viagra could save the lives of swimmers and divers who experience an abrupt and potentially life-threatening form of pulmonary edema on entering cold water, says research published in Circulation: Journal of the American Heart Association.

SIPE can affect divers and triathletes participating in cold water swims.

Viagra, or sildenafil, is best known for treating male impotence. but it can also help in cases of pulmonary arterial hypertension.

When athletes or scuba divers make a sudden entry into cold water, they can develop a condition called swimming-induced pulmonary edema (SIPE).

When this happens, the blood vessels in the arms and legs constrict, leading to a pooling of blood in the heart and lungs. Symptoms include coughing up blood, difficulty breathing and low blood oxygen.

Although the symptoms often dissipate over 24 hours, the condition can kill. Not everyone is prone to it, and those who are tend to be unaware until they are in the water and rapidly developing symptoms. Those who experience SIPE should seek medical attention.

Small dose of sildenafil reduces pressure in lungs

Dr. Richard Moon, an anesthesiologist and medical director of the Duke Center for Hyperbaric Medicine & Environmental Physiology in Durham, NC, and colleagues studied 10 athletes who had experienced SIPE while exercising or competing in triathlons.

The team monitored the participants carefully as they exercised under conditions similar to those likely to trigger the SIPE response. They then compared the 10 athletes with 20 participants who had no history of SIPE.

None of the participants had heart abnormalities, but those who were prone to SIPE experienced higher pulmonary arterial pressure and pulmonary artery wedge pressure during the exercise.

This confirmed that SIPE is a form of pulmonary edema caused by high pressure in the blood vessels within the lungs.

The SIPE participants then repeated the exercise after taking sildenafil. This time, the pressures were reduced.

Lead author Dr. Moon explains: “During immersion in water, particularly cold water, susceptible people have an exaggerated degree of the normal redistribution of blood from the extremities to the chest area, causing increased pressure in the blood vessels of the lungs and leakage of fluid into the lungs. Some cases of SIPE appear to have been the result of cardiac problems.”

Dr. Moon believes that as the blood vessels dilate in the arms and legs, there is less tendency for blood to redistribute to the thorax, and the pressure in the blood vessels of the lungs is relieved.

How one athlete controlled pulmonary edema

One of the participants is triathlete Katherine Calder-Becker, aged 51 years. Her susceptibility to SIPE threatened to end her competitive career because of debilitating shortness of breath and distress during colder open-water swims in competitions.

On coughing up blood, she was hospitalized and diagnosed with SIPE.

After participating in studies at Duke in 2011, her cardiologist prescribed her a low dose of sildenafil that she now takes shortly before competitions.

“I have successfully raced in 20 triathlons since I started taking sildenafil, including five ultra events that require 10-kilometer swims. I have not had an incident since then. I didn’t want to give up racing. This is something my husband and I do together, and we travel together to competitions, so it has meant everything to me to continue.”

The researchers would like to see larger studies to replicate the results and to learn about any potential adverse side effects of the drug. They hope that ongoing research will reveal more about what triggers SIPE and how to obtain an early diagnosis.

Medical News Today reported last year on research suggesting that Viagra increases the risk of skin cancer.

    These tabs require JavaScript to be enabled.

Swimming-induced pulmonary edema: pathophysiology and risk reduction with sildenafil, Richard E. Moon et al. Circulation. doi: 10.1161/CIRCULATIONAHA.115.019464,16 February 2016, abstract.

Duke University news release, accessed 18 February 2016.

Visit our Cardiovascular / Cardiology category page for the latest news on this subject, or sign up to our newsletter to receive the latest updates on Cardiovascular / Cardiology.

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