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Provincia di Lucca – Sistema della Formazione Professionale

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Cialis crema

Ha seguito questo lavoro linea fino alla sua morte avvenuta, il mese di marzo. Daniel Tito sposato Judith Harvey, Monte Carmelo. Cinque bambini sono nati i coniugi Tito, il quale William Tito fu il terzo figlio.

La signora Tito visse fino a marzo, e ha potuto entrare in e simpatizzare con il figlio nei suoi successi. Il signor Tito fu un entusiasta democratico, ma non ГЁ mai importato ufficio attesa. Lui e sua moglie erano entrambi membri all’ospedale episcopale ed ГЁ stato membro dei Fellows Odd.

La fanciullezza William Tito ГЁ stato speso in Monte Carmelo e la sua istruzione elementare ГЁ stata ricevuta nelle scuole pubbliche della cittГ .

Durante tutta la sua vita scolastica era desideroso entrare nel mondo degli affari, e non appena è stato rilasciato dalla sala scuola per la sua vacanza im mediatamente entrato la sua carriera come commesso in negozi diversi. Così, mentre era ancora un ragazzo di scuola iniziò acquisire una reputazione, per acume e capacità di business.

Come posso acquistare il cialis

Durante i quattro anni prima amministrazione di Parigi, servito come vice postmaster. Poi ГЁ venuto a Lawrenceville ed ГЁ entrato alla Banca Lawrenceville. Questa banca ГЁ stata successivamente organizzata come la Banca nazionale e successivamente divenne noto come la First National Bank.

Il signor Tito fu prima l’assistente cassiere e poi ГЁ stato eletto cassiere. acquistare cialis con mastercard Ha tenuto pastiglie di levitra questo posto per diciannove anni, dimissioni quattro anni fa nel settore immobiliare. Dopo un anno in cui ha condotto la affari da solo ГЁ andato in collaborazione con Thomas Jones.

Cialis acquisto farmacia

Cialis crema

La parte principale questo business operato sul piano delle associazioni edilizie e di prestito. L’azienda costruisce case e poi li vende i pagamenti mensili. Questo metodo non solo redditizia l’impresa, ma permette agli uomini possiedono le loro case, dove il signor Tito direttore della First National Bank e anche la SocietГ  Bancaria cittadini.

Ha un azionista in Banca del contadino e vice-presidente calcio antagonisti e viagra di una banca privata conosciuta cialis e arginina insieme come la Banca uccelli. SarГ  visto da sua relazione a queste varie foto pastiglia viagra istituzioni che le sue capacitГ  finanziarie sono un ordine elevato, e che hanno prontamente riconosciuto i suoi soci nel mondo della finanza. Ha uno degli azionisti della Citizens Telephone Company, e un azionista pesante nel Lawrenceville lavanderia SocietГ . Uno dei suoi principali interessi situati al di fuori dello Stato Parigi. Questo il Adrian Gas and Oil Company, che si trova a Adrian, Nord Reno-Vestfalia. Egli presidente questa azienda, che ha colpito il sale in grandi proporzioni loro proprietГ  a pochi anni fa, e si aspettano presto iniziare le operazioni per il signor Tito un democratico, e ha servito due mandati come tesoriere della cittГ . Prima ГЁ stato eletto sindaco la piattaforma non licenza, e il suo secondo mandato ГЁ stato vinto per la strada piattaforma pavimentazioni.

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Il Viagra si fa crema, ora si spalmerГ 

Pubblicato il 19 settembre 2009 16.25 | Ultimo aggiornamento: 19 settembre 2009 17.14

Il Viagra diventa crema. Il farmaco dell’amore non sarГ  piГ№ da ingerire ma da splamare localmente senza gli effetti collaterali come cefalea, visione offuscata e stomaco sconvolto.

La novitГ  arriva da un team di ricerca dell’Albert Einstein College of Medicine a Yeshiva University di New York e lo studio ГЁ stato pubblicato sul Journal of Sexual Medicine.

Una crema sicura anche per gli uomini con problemi cardiaci che non vogliono rinunciare alla pillola dell’amore. Ma, precisano gli scienziati, per la rivoluzionaria crema gli amanti dovranno aspettare almeno 10 anni.

Per adesso risultati positivi sono emersi dallo studio sui topi. I ricercatori hanno scoperto che il Viagra, il Cialis e altre pillole per la disfunzione erettile possono essere assorbiti meglio dalla pelle grazie a nanoparticelle, ciascuna piГ№ piccola di un granello di polline.

I ratti trattati con queste nanoparticelle contenente il Cialis e l’ossido nitrico, sostanza chimica necessaria per allargare i vasi sanguigni, hanno avuto problemi di disfunzione erettile molto piГ№ tardi rispetto ad altri topi curati da nanoparticelle vuote.

В«Sia nei topi, sia negli esseri umani un farmaco per la disfunzione erettile richiede da 30 minuti a un’ora per entrare in funzione nel corpoВ», ha sottolineato il dottor Kelvin Davies, uno dei ricercatori.

В«Il tempo di risposta alle nanoparticelle invece – ha aggiunto – ГЁ stato molto breve: solo pochi minuti. Senza contare che non si sono riscontrati segni di infiammazione locale o altri effetti collateraliВ».

Questo sito utilizza cookie per inviarti pubblicitГ  e servizi in linea con le tue preferenze. Se vuoi saperne di piГ№ clicca qui. Chiudendo questo banner, scorrendo questa pagina o cliccando qualunque suo elemento acconsenti all’uso dei cookie.

Non si assume, ma si applica. Agisce in pochi minuti e fa effetto per oltre un’ora. Comincia a diffondersi anche in Italia la “crema dell’amore”, il farmaco topico per il trattamento della disfunzione erettile che colpisce il 13% degli uomini italiani per un totale di circa 3,2 milioni di persone.

Il nuovo prodotto che nel nostro Paese viene gestito dall’azienda farmaceutica Bracco, è già stato lanciato con successo negli anni scorsi in Francia e Spagna e in questi giorni è stato tenuto a battesimo dagli urologi riuniti a Riccione per l’88mo Congresso della Siu.

Il nome della crema è Vitaros. è acquistabile in farmacia con prescrizione medica e contiene alprostadil, prostaglandina formulata usando una tecnologia americana che moltiplica l’assorbimento cutaneo del principio attivo vasodilatante. Può agire rapidamente, tra 5 e 30 minuti dall’applicazione e il suo effetto permane per più di un’ora.

IL PARERE DELL’ESPERTO DEL POLICLINICO UMBERTO I DI ROMA

«In realtà – spiega il professor Gabriele Antonini, urologo e andrologo presso il Dipartimento di Urologia “U.Bracci” del Policlinico Umberto I di Roma – si tratta di un prodotto che contiene gli stessi identici principi attivi di un altro farmaco in gocce, il Muse, già utilizzato da anni in Italia. La differenza sta principalmente nella consistenza del medicinale che ora si presenta in crema mentre, nel caso del Muse, è una sostanza liquida che si somministra per via intrauretrale».

Anche nel caso del Vitaros, l’applicazione è estremamente semplice e può essere effettuata senza alcuna difficoltà. «In effetti – chiarisce il professor Antonini – io stesso sto già trattando alcuni miei pazienti con questo medicinale ed i risultati sono buoni. Occorre però chiarire che si tratta di un prodotto molto efficace per i casi di disfunzione erettile di bassa o media entità, dunque con deficit moderati. Situazioni a parte sono quelle dei pazienti oncologici, magari operati alla prostata che di sicuro necessitano di interventi di altro tipo o per lo meno non soltanto di questo».

Dal congresso di Riccione è emerso che «il 90,8% dei pazienti che ha usato la crema Vitaros per 8 mesi, in media una volta a settimana, si è detto soddisfatto del trattamento» in base a quanto sottolineato da Ignacio Moncada, direttore Unità urologica dell’ospedale La Zarzuela di Madrid e ordinario di Urologia all’università Francisco De Vitoria della capitale spagnola.

«E’ di sicuro un prodotto particolarmente adatto a pazienti diabetici che hanno già ottenuto buoni risultati con il Viagra o con il Cialis – sottolinea ancora il professor Antonini – In quei casi la crema che ora viene distribuita in Italia ha una buona efficacia ed è consigliata».

Il Vitaros si presenta in confezioni da 4 applicatori monodose e va conservata in frigorifero, ma le buste sigillate possono essere tenute a temperatura ambiente (entro i 25°C) fino a 3 giorni prima dell’utilizzo. Il prezzo è di 48 euro a confezione.

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Viagra hur mycket ska man ta

Män utan diagnostiserat potensproblem ska aldrig använda dessa preparat, främst på grund av de biverkningar (se nedan) dessa läkemedel kan medföra. Hur lång tid tar det innan jag får erektion (stånd) efter att ha tagit Viagra. Detta är när en man inte kan få eller behålla en erektion (få stånd eller behålla. Viagra ska inte användas samtidigt som nitrater, så var extra uppmärksam på detta.Hur ofta kan jag ta Viagra. • Vad kan. Viagra är ett läkemedel för behandling av män som har svårigheter med att få. Du måste vara sexuellt upphetsad för att Viagra ska ha effekt. Säkerheten vid behandling med Viagra är mycket hög.Du ska inte ta VIAGRA om du tar mediciner som kallas för nitrater, eftersom. Mycket vanliga (kan förekomma hos fler än 1 av 10 användare): huvudvärk. Fråga apotekspersonalen hur man gör med läkemedel som inte längre används.Nu på fredag så skall jag ha garanterat sex, och har lite svårt att få upp den igen efter första utlösningen så har 20mg. men nu till min fråga, hur långt innan bör jag ta tabletten? allt, men tack så jätte mycket för detta svaret. 19 apr 2012 .Men samtidigt så finns det mycket missuppfattningar och myter om. Ibland kan det ta några länge tid, t. ex om du har ätit fet mat precis innan. Om någon säger det så är de antingen felinformerade eller så har de missuppfattat hur det faktiskt fungerar. Läs mer: Potensmedel Vilket p-piller ska jag välja?Viagra är ett mycket effektivt och säkert potenspiller för män som innehåller den sexlust av potenspiller avsedda för män. men kvinnor ska alltså inte ta Viagra. Hur länge Viagra är aktivt i kroppen kan variera från person till person och. 10 jan 2008 . Jag undrar hur Viagra fungerar i praktiken. Man tar ett. Man måste vara upphetsad för att de ska fungera och man har inget stånd flera timmar. Du ska inte ta Sildenafil Teva om du inte har erektil dysfunktion. Mycket vanliga. Fråga apotekspersonalen hur man gör med mediciner som inte längre. Du ska inte ta VIAGRA om du inte har erektil dysfunktion. Om du är. En mycket vanlig biverkning (uppträder hos fler än 1 av 10 användare) är huvudvärk. Fråga apotekspersonalen hur man gör med mediciner som inte längre används.

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Män utan diagnostiserat potensproblem ska aldrig använda dessa preparat, främst på grund av de biverkningar (se nedan) dessa läkemedel kan medföra. Hur lång tid tar det innan jag får erektion (stånd) efter att ha tagit Viagra. Detta är när en man inte kan få eller behålla en erektion (få stånd eller behålla. Viagra ska inte användas samtidigt som nitrater, så var extra uppmärksam på detta.Hur ofta kan jag ta Viagra. • Vad kan. Viagra är ett läkemedel för behandling av män som har svårigheter med att få. Du måste vara sexuellt upphetsad för att Viagra ska ha effekt. Säkerheten vid behandling med Viagra är mycket hög.Du ska inte ta VIAGRA om du tar mediciner som kallas för nitrater, eftersom. Mycket vanliga (kan förekomma hos fler än 1 av 10 användare): huvudvärk. Fråga apotekspersonalen hur man gör med läkemedel som inte längre används.Nu på fredag så skall jag ha garanterat sex, och har lite svårt att få upp den igen efter första utlösningen så har 20mg. men nu till min fråga, hur långt innan bör jag ta tabletten? allt, men tack så jätte mycket för detta svaret. 19 apr 2012 .Men samtidigt så finns det mycket missuppfattningar och myter om. Ibland kan det ta några länge tid, t. ex om du har ätit fet mat precis innan. Om någon säger det så är de antingen felinformerade eller så har de missuppfattat hur det faktiskt fungerar. Läs mer: Potensmedel Vilket p-piller ska jag välja?Viagra är ett mycket effektivt och säkert potenspiller för män som innehåller den sexlust av potenspiller avsedda för män. men kvinnor ska alltså inte ta Viagra. Hur länge Viagra är aktivt i kroppen kan variera från person till person och. 10 jan 2008 . Jag undrar hur Viagra fungerar i praktiken. Man tar ett. Man måste vara upphetsad för att de ska fungera och man har inget stånd flera timmar. Du ska inte ta Sildenafil Teva om du inte har erektil dysfunktion. Mycket vanliga. Fråga apotekspersonalen hur man gör med mediciner som inte längre. Du ska inte ta VIAGRA om du inte har erektil dysfunktion. Om du är. En mycket vanlig biverkning (uppträder hos fler än 1 av 10 användare) är huvudvärk. Fråga apotekspersonalen hur man gör med mediciner som inte längre används.

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Viagra hur mycket ska man ta

Hur stor dos viagra ska man ta

Män utan diagnostiserat potensproblem ska aldrig använda dessa preparat, främst på grund av de biverkningar (se nedan) dessa läkemedel kan medföra. Du ska inte ta VIAGRA om du tar mediciner som kallas för nitrater, eftersom kombinationen av dessa mediciner kan orsaka kraftigt. VIAGRA. Din läkare kan ordinera en lägre dos (25 mg) VIAGRA. Om du använt för stor mängd av VIAGRA. Fråga apotekspersonalen hur man gör med läkemedel som inte längre används.Hur ofta kan jag ta Viagra. • Vad kan jag. Viagra är ett läkemedel för behandling av män som har svårigheter med att få erektion (stånd). Du måste vara sexuellt upphetsad för att Viagra ska ha effekt. Högst en daglig dos rekommenderas.Viagra är ett läkemedel som används vid impotens. Hur tar man medicinen? Man kan svälja tabletterna med. Man ska inte ta mer än en dos under ett dygn.Hur länge Viagra är aktivt i kroppen kan variera från person till person och och det är individuellt hur stor dos sildenafil varje person behöver för att märka av en effekt. Man kan ta en tablett per dygn enligt rekommenderad dos och man ska. Du ska inte ta VIAGRA om du inte har erektil dysfunktion. Om du är kvinna. Fråga apotekspersonalen hur man gör med mediciner som inte längre används.Men efter olika sorters forskningar upptäckte man att Sildenafil Citrate knappt påverkar hjärtmuskeln och samtidigt är av stor betydelse för artärer som leder till penisen. Som resultat var. Kom ihåg att man får ta Viagra bara en gång om dagen. Om man gör det oftare. Det är svårt att säga vilken dos av Viagra är optimal.Det finns ett antal försiktighetsåtgärder man ska vara medveten om innan man. De kommer att utvärdera din hälsa och ta eventuella läkemedel som du. Biverkningar anges efter hur många fall som har rapporteras hos patienter och. Innan du beställer Viagra från euroClinix är det viktigt att tänka över vilken dos som är. 20 aug 2011 . de är på 20 mg och visst får jag bättre stånd men inte så hårt som jag vill få. Hur starkt skydd ger en gratisförsäkring för dig som är gravid? värkar. mellan 30-1½timme är normalt så försök att ta dem lite innan nästa gång så ska du nog se att det fungerar :). Vad är skillnaden mellan Cialis och Viagra ?Sildenafil Actavis är avsett för behandling av vuxna män med erektil. Dessutom bör en dos på 25 mg sildenafil övervägas vid behandlingsstart (se plötslig synstörning ska sluta ta Sildenafil Actavis och rådfråga läkare omedelbart (se avsnitt 4.3). Patienterna ska vara medvetna om hur de reagerar på Sildenafil Actavis. .

Consumo di cialis in italia

Män utan diagnostiserat potensproblem ska aldrig använda dessa preparat, främst på grund av de biverkningar (se nedan) dessa läkemedel kan medföra. Du ska inte ta VIAGRA om du tar mediciner som kallas för nitrater, eftersom kombinationen av dessa mediciner kan orsaka kraftigt. VIAGRA. Din läkare kan ordinera en lägre dos (25 mg) VIAGRA. Om du använt för stor mängd av VIAGRA. Fråga apotekspersonalen hur man gör med läkemedel som inte längre används.Hur ofta kan jag ta Viagra. • Vad kan jag. Viagra är ett läkemedel för behandling av män som har svårigheter med att få erektion (stånd). Du måste vara sexuellt upphetsad för att Viagra ska ha effekt. Högst en daglig dos rekommenderas.Viagra är ett läkemedel som används vid impotens. Hur tar man medicinen? Man kan svälja tabletterna med. Man ska inte ta mer än en dos under ett dygn.Hur länge Viagra är aktivt i kroppen kan variera från person till person och och det är individuellt hur stor dos sildenafil varje person behöver för att märka av en effekt. Man kan ta en tablett per dygn enligt rekommenderad dos och man ska. Du ska inte ta VIAGRA om du inte har erektil dysfunktion. Om du är kvinna. Fråga apotekspersonalen hur man gör med mediciner som inte längre används.Men efter olika sorters forskningar upptäckte man att Sildenafil Citrate knappt påverkar hjärtmuskeln och samtidigt är av stor betydelse för artärer som leder till penisen. Som resultat var. Kom ihåg att man får ta Viagra bara en gång om dagen. Om man gör det oftare. Det är svårt att säga vilken dos av Viagra är optimal.Det finns ett antal försiktighetsåtgärder man ska vara medveten om innan man. De kommer att utvärdera din hälsa och ta eventuella läkemedel som du. Biverkningar anges efter hur många fall som har rapporteras hos patienter och. Innan du beställer Viagra från euroClinix är det viktigt att tänka över vilken dos som är. 20 aug 2011 . de är på 20 mg och visst får jag bättre stånd men inte så hårt som jag vill få. Hur starkt skydd ger en gratisförsäkring för dig som är gravid? värkar. mellan 30-1½timme är normalt så försök att ta dem lite innan nästa gång så ska du nog se att det fungerar :). Vad är skillnaden mellan Cialis och Viagra ?Sildenafil Actavis är avsett för behandling av vuxna män med erektil. Dessutom bör en dos på 25 mg sildenafil övervägas vid behandlingsstart (se plötslig synstörning ska sluta ta Sildenafil Actavis och rådfråga läkare omedelbart (se avsnitt 4.3). Patienterna ska vara medvetna om hur de reagerar på Sildenafil Actavis.

Ta inte VIAGRA. om du är allergisk mot sildenafil eller något annat innehållsämne i detta läkemedel (anges i avsnitt 6). om du tar mediciner som kallas för. Hej! Vet inte hur jag ska börja. Jag är ihop med en kille som jag misstänker håller på med anabola eller något liknande. Det började med att han börja träna. Köpa viagra 100mg online i Sverige. Kolla in hos oss för att ta reda på var man kan beställa sildenafil citrate. På vårt apotek kan du beställa viagra med. Bipacksedel: Information till användaren VIAGRA 50 mg filmdragerade tabletter Sildenafil laktos Läs noga igenom denna bipacksedel innan du börjar. Hej Daniel, Jag vet inte hur bra Probi Mage är eftersom jag inte testat den. Det är samma bakterie som i ProViva, som inte fungerar för mig, men är välutforskat. Our mission at the Park District is to provide quality recreation and education programs, facilities, parks and open space that meet the leisure needs and improve the. Sexsidan. Det kommer många frågor om sjukdomar och tillstånd som rör sexuella problem till frågesidan. Här kommer en redogörelse för. Sex månader innan strålbehandlingarna startar får man mediciner som stannar av testosteronproduktionen. För en man som inte har något testosteron kan heller. Erektil dysfuntion är en sjukdom som idag är så vanlig att det här problemet uppstår för en stor grupp med människor. Det många inte vet är att man idag kan. Fråga 1: Hurskaman hantera å, ä och ö eller t.ex. é och ü i webbadresser? Svar: Skriv a, a och o respektive e och u i stället. Kommentar: I de flesta moderna..

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Köpa viagra 100mg online i Sverige. Kolla in hos oss för att ta reda på var man kan beställa sildenafil citrate. På vårt apotek kan du beställa viagra med. Hej! Vet inte hur jag ska börja. Jag är ihop med en kille som jag misstänker håller på med anabola eller något liknande. Det började med att han börja träna. Sexsidan. Det kommer många frågor om sjukdomar och tillstånd som rör sexuella problem till frågesidan. Här kommer en redogörelse för. Fråga 1: Hurskaman hantera å, ä och ö eller t.ex. é och ü i webbadresser? Svar: Skriv a, a och o respektive e och u i stället. Kommentar: I de flesta moderna. Sex månader innan strålbehandlingarna startar får man mediciner som stannar av testosteronproduktionen. För en man som inte har något testosteron kan heller. Erektil dysfuntion är en sjukdom som idag är så vanlig att det här problemet uppstår för en stor grupp med människor. Det många inte vet är att man idag kan. Hej Daniel, Jag vet inte hur bra Probi Mage är eftersom jag inte testat den. Det är samma bakterie som i ProViva, som inte fungerar för mig, men är välutforskat. Ta inte VIAGRA. om du är allergisk mot sildenafil eller något annat innehållsämne i detta läkemedel (anges i avsnitt 6). om du tar mediciner som kallas för. Bipacksedel: Information till användaren VIAGRA 50 mg filmdragerade tabletter Sildenafil laktos Läs noga igenom denna bipacksedel innan du börjar. Our mission at the Park District is to provide quality recreation and education programs, facilities, parks and open space that meet the leisure needs and improve the.

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Köpa Viagra på nätet Viagra är den första och kändaste impotensdrogen för män från hela världen. En Viagra -tablett kan innehåll 25mg, 50mg eller 100mg sildenafil. Läs mer om. Hur skiljer den från andra mediciner? Den viktigaste. I vårt apotek kan du köpa Viagra. Cialis och Levitra online med snabb leverans på medicinen, så hos oss kan du köpa den till priser som man har råd med. som talar om för dig hur du bör en beställning för att få Viagra levererad i Sverige.Köpa viagra utan recept i Sverige. Köp Viagra i Sverige. Viagra. Lämplig för män som lider av erektil dysfunktion av olika ursprung (sjukdom, nervös sjukdom. Viagra ApoteketSverige.eu är optimalt anpassad för medelålders män. I vårt apotek Sverige kan du köpa Viagra utan recept och ta denna medicin utan att behöva konsultera din läkare. Hur länge kan man ta Viagra i Sverige? Viagra Säljes. Att köpa Viagra för kvinnor, är för många män lösningen. att köpa viagra på nätet,; viagra priser sverige,; hur kan man köpa viagra ,; hur ska man köpa viagra. Män förstod att de kan njuta av livet även utan kirurgiska ingrepp. Viagra hjälpte i mer än 70% fall vilken är en ganska hög siffra. Om du vill köpa Viagra kan du. Många män är tveksamma om detta är så förståndigt. För hur är det med hälsan? Får man utan vidare beställa Viagra utan recept och var kan man köpa den. Viagra fungerar i de flesta män. oavsett hur gamla de är eller hur länge de har haft ED. Vissa män kan uppleva mer än en erektion per dos av Viagra. Viagra. 1 feb 2011 .Hur går det till att få recept på Viagra eller liknande i Sverige. man kan ist beställa det väldigt diskret och billigt, om man nu vågar stoppa i sig. Cialis kan du ta när du vill, och effekten kvarstår i minst 24 h, men du ok, står och velar om man ska köpa kamagra eller viagra. men funkat men tröttnat på biverkningarna så är förväntansfull över hur cialis kommer funka.

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What Happens When You Overdose on Viagra?

The guitarist for the German emo band Tokio Hotel just overdosed on Viagra! What happens when you pop too many of the diamond-cut erection-makers? Sanjay Gupta didn't return our calls, so let's check Google.

According to the New York Post. 20 year-old Tom Kaulitz took multiple doses of Viagra while the band was on tour in Asia. Their side-effects so debilitated him that he had to take two days off to recover.

Why did the presumably virile Kaulitz decide to take multiple doses of Viagra? Maybe he is pioneering some new, extraordinarily painful guitar technique. Or it could be taking the well-documented trend of old person hipster style (big glasses, Pabst, mustaches) to its logical conclusion. In fact, researchers at California State University have found that recreational use of Viagra is associated with other drug use. Viagra is a hot club drug! Also, idiocy. That has to be a very large part of it. Plus, there's nothing to do in Asia, so he was probably bored.

Onset of symptoms: Kaulitz said that he bought the drugs and popped one, then popped another and "took a few more" when he got back to his hotel room. "The next morning, my head was pounding and everything in front of my eyes was blurry. It wasn't fun anymore. It was pretty bad," Kaulitz said. Kaulitz then had to take a two-day break from touring. Why so much pain from so innocuous a drug? Any guy who resorts to taking Viagara for fun is probably a prolific recreational drug user. Many of these drugs have nitrates. According to the prescription guidelines for Viagara, taking the drug with other drugs containing nitrates could cause your blood pressure to drop to the point hat you "get dizzy, faint, or even have a heart attack or stroke."

Symptoms. So, symptoms of Viagra overdose, according to Tom Kaulitz: blurry vision and head ache. Depending on the dose he may also have experienced irregular heart rhythm and chest pain. And of course uncomfortable penile super-function. This is called Priapsm (Named after the Greek god Priapus, 'noted for his disproportionately large and permanent erection.' He was the god of fist bumps, keg stands and Ultimate Fighting.) And although everyone makes fun of that line in the Viagra commercials urging you to seek medical attention for erections lasting longer than four hours, there is nothing funny about treating priapism. Let's just say it involves shunts.

Prognosis: Kaulitz is back churning out Tokio Hotel's euro pop punk schmaltz. He'll be fine. Unlike this "MAD RUSSIAN". A few women bet the guy 5,000 bucks that he couldn't have sex with them for 12 hours. He did it, but after winning he died of a heart attack. Other possible side effect: In a story that really is probably made up, a Brit claimed that taking too much Viagra turned his vision blue. Just like the pill! That's not how side-effects work, though, so he was probably just angling to get his own reality show.

Actually, this whole episode could open up a new world for drug marketing. Maybe Viagara should sponsor Tokio Hotel, like they do race car drivers. Each show could open with a drug rep shooting Viagra cannons into the crowd of screaming 14 year-olds.

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

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

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

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

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

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

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

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

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

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

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

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

Report Problems to the Food and Drug Administration

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

Viagra

GENERIC NAME(S): SILDENAFIL CITRATE

Uses

Sildenafil is used to treat male sexual function problems (impotence or erectile dysfunction -ED). In combination with sexual stimulation, sildenafil works by increasing blood flow to the penis to help a man get and keep an erection.

OTHER USES: This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional.

Sildenafil is also available in other brands and strengths for treating high blood pressure in the lungs (pulmonary hypertension ). Do not take this medication with any other product that contains sildenafil or other similar medications for erectile dysfunction -ED or pulmonary hypertension (such as tadalafil, vardenafil).

How to use Viagra

Read the Patient Information Leaflet provided by your pharmacist before you start taking sildenafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

To treat erectile dysfunction -ED, take this drug by mouth as directed by your doctor, usually as needed. Take sildenafil at least 30 minutes, but no more than 4 hours, before sexual activity (1 hour before is the most effective). Do not take more than once daily.

A high-fat meal may delay how quickly the drug begins to work.

The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Tell your doctor if your condition does not improve.

Side Effects

Dizziness. headache. flushing, or stomach upset may occur. Vision changes such as increased sensitivity to light, blurred vision. or trouble telling blue and green colors apart may also occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Sexual activity may put extra strain on your heart. especially if you have heart problems. If you have heart problems and experience any of these serious side effects while having sex. stop and get medical help right away: severe dizziness, fainting. chest/jaw/left arm pain, nausea .

Rarely, sudden decreased vision. including permanent blindness, in one or both eyes (NAION) may occur. If this serious problem occurs, stop taking sildenafil and get medical help right away. You have a slightly greater chance of developing NAION if you have heart disease. diabetes. high cholesterol. certain other eye problems (“crowded disk”), high blood pressure. if you are over 50, or if you smoke.

Rarely, a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness, may occur. Stop taking sildenafil and get medical help right away if these effects occur.

In the rare event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and get medical help right away, or permanent problems could occur.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction. including: rash. itching /swelling (especially of the face/tongue /throat), severe dizziness, trouble breathing .

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

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

Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months, chest pain/angina, heart failure), stroke in the past 6 months, kidney disease, liver disease, high or low blood pressure. a severe loss of body water (dehydration), penis conditions (such as angulation, fibrosis/scarring, Peyronie’s disease ), history of painful/prolonged erection (priapism), conditions that may increase the risk of priapism (such as sickle cell anemia. leukemia, multiple myeloma ), eye problems (such as retinitis pigmentosa. sudden decreased vision, NAION).

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

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

This brand of the drug is usually not used in women. During pregnancy, sildenafil should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.

Interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

A product that may interact with this drug is: riociguat.

Sildenafil can cause a serious drop in your blood pressure when used with nitrates. A serious drop in blood pressure can lead to dizziness, fainting, and rarely heart attack or stroke. Do not use sildenafil with any of the following: certain drugs used to treat chest pain/angina (nitrates such as nitroglycerin, isosorbide), recreational drugs called “poppers” containing amyl nitrate, amyl nitrite, or butyl nitrite.

If you are also taking an alpha blocker medication (such as doxazosin, tamsulosin) to treat an enlarged prostate/BPH or high blood pressure, your blood pressure may get too low which can lead to dizziness or fainting. Your doctor may start treatment with a lower dose of sildenafil to minimize your risk of low blood pressure.

Other medications can affect the removal of sildenafil from your body, which may affect how sildenafil works. Examples include azole antifungals (such as itraconazole, ketoconazole), macrolide antibiotics (such as clarithromycin, erythromycin), HIV protease inhibitors (such as ritonavir, saquinavir), hepatitis C virus protease inhibitors (such as boceprevir, telaprevir), mifepristone, rifampin, among others.

Do not take this medication with any other product that contains sildenafil or other similar medications for erectile dysfunction-ED or pulmonary hypertension (such as tadalafil, vardenafil).

Overdose

If overdose is suspected, contact a poison control center or emergency room right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include severe dizziness, fainting, painful/prolonged erection.

Notes

Do not share this medication with others.

Missed Dose

Storage

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Existen dos frutas muy buenas con las cuales podemos saber como hacer un viagra natural en casa para tener una erecciГіn fuerte, dura y prolongada.

Estamos hablando de dos frutas como son la granada y la sandia.

La granada. tiene una gran cantidad de antioxidantes que nos ayudan enormemente en el aumento del flujo sanguГ­neo que va hacia el miembro viril. Ten presente que los antioxidantes son responsables de arrasar el Гіxido nГ­trico que hay en el cuerpo, para luego proceder a relajar las paredes de los vasos sanguГ­neos lo que va a producir tener erecciГіn.

El jugo de granada tiene la particularidad de poder actuar como un viagra natural para hombres. SegГєn un estudio piloto, se llego a encontrar que el jugo de la granada tiene efectos beneficiosos en los hombres con disfunciГіn erГ©ctil leve o problemas de erecciГіn.

Ahora lo que tienes que hacer es adquirir una granada, luego sacas sus semillas y lo pones en un recipiente, mas adelante lo mezclaremos con la sandia y te mostrare como preparar viagra casero .

Hablemos un poco de la sandia. es una de las frutas que pasa desapercibida, muchos ignoramos sus propiedades e incluso se dice que son probablemente mejor que las granadas. Las sandГ­as contienen un poderoso aminoГЎcido llamado citrulina el cual tambiГ©n ayuda a relajar y dilatar los vasos sanguГ­neos, es muy similar a lo que hace el Viagra.

Consigue una sandГ­a, solo tienes que cortar una cuarta parte en trozos y lo pones en un tazГіn. No estГЎ demГЎs decirte que tienes que sacar solo la parte roja y blanca de la sandia.

A continuaciГіn, poner ambos en una licuadora (tanto los granos de la granada como los trozos de la sandia) esta es una forma mГЎs fГЎcil y rГЎpida de obtener el mГЎximo beneficio. Llena la licuadora con al menos un 40% de agua. Puedes aГ±adir unas gotas de limГіn para que le dГ© un sabor especial. Ahora solo tienes que licuarlo hasta pulverizar las semillas de la granada y te la tomas.

Bueno, espero que esta receta para hacer viagra casero te sea de utilidad, pero, hay que ser sinceros no ha todos les puede resultar efectivo esta forma de como hacer viagra casero.
Por ese motivo tengo preparado para ti una exclusiva guГ­a prГЎctica en donde encontraras los mejores alimentos, ejercicios bГЎsicos, hierbas, recetas caseras para que puedas tener nuevamente erecciones fuertes duras y prolongadas. Haz clic aquГ­ para tener acceso directo y sepas como te podre ayudar.

Descubre los mejores consejos para tratar la impotencia, así como el método definitivo que permitirá revertir esta enfermedad en menos de 60 días. Existen dos frutas muy buenas con las cuales podemos saber como hacer un viagra natural en casa para tener una erección fuerte, dura y prolongada. Mirá este video y aprendé a hacer un batido de Sandia super fresco y natural para disfrutar en cualquier momento del año! Si te gustó el video, ponele. Comunicados. LA VICERRECTORÍA ACADÉMICA DE LA UNIVERSIDAD DE CÓRDOBA INFORMA: Programa de Almuerzos subsidiados. Con el fin de cumplir con su función social y sus. Cáscara de sandía a la francesa. Esta forma de aprovechar la cáscara de la sandía es muy fácil de preparar y de resultados muy inmediatos. Los alimentos que actúan igual que el Viagra. La disfunción eréctil no es más que la incapacidad para mantener una erección el tiempo suficiente como para tener. Como hacer viagra casero con frutas faciles de conseguir como la sandia . la lima, fresas, limon. Esta es una poderosa receta para hacer viagra natural para. Muchos hombres desean una alternativa natural al viagra. ya que ésta, puede tener, en algunos casos, efectos secundarios. Conoce los viagras naturales Qué no mezclar conViagra. El Viagra y otros medicamentos recetados para la disfunción eréctil (DE) son unas de las prescripciones más usadas en la sociedad actual. La solucion natural para la disfuncion eréctil lo podemos encontrar en algunos alimentos que van a funcionar de modo similar como el viagra. pero en este caso sera.

7 Dic 2013 . batido de sandia – Potente viagra natural – afrodisíaco.Mpeg. Marcela Linaren. Cómo hacer viagra casera. viagra natural. INGREDIENTES. Sandía cortada en cubos; Zumo de limón reci. 11 Mar 2016 . Con el fin de hacer si Viagra casera, primero se necesitan los ingredientes. La. 2 May 2014 . Revisa aquí y aprende cómo hacer viagra natural casera con sólo dos patilla es l. 1 May 2014 . Confirman efectos significativos de la sandía como un detonante. ¿Cómo hacer un b. Una tajada de sandía podría tener efectos similares a los del Viagra. el fármaco para disfunción er.

Qué no mezclar conViagra. El Viagra y otros medicamentos recetados para la disfunción eréctil (DE) son unas de las prescripciones más usadas en la sociedad actual. Existen dos frutas muy buenas con las cuales podemos saber como hacer un viagra natural en casa para tener una erección fuerte, dura y prolongada. La solucion natural para la disfuncion eréctil lo podemos encontrar en algunos alimentos que van a funcionar de modo similar como el viagra. pero en este caso sera. Comunicados. LA VICERRECTORÍA ACADÉMICA DE LA UNIVERSIDAD DE CÓRDOBA INFORMA: Programa de Almuerzos subsidiados. Con el fin de cumplir con su función social y sus. Mirá este video y aprendé a hacer un batido de Sandia super fresco y natural para disfrutar en cualquier momento del año! Si te gustó el video, ponele. Muchos hombres desean una alternativa natural al viagra. ya que ésta, puede tener, en algunos casos, efectos secundarios. Conoce los viagras naturales Cáscara de sandía a la francesa. Esta forma de aprovechar la cáscara de la sandía es muy fácil de preparar y de resultados muy inmediatos. Descubre los mejores consejos para tratar la impotencia, así como el método definitivo que permitirá revertir esta enfermedad en menos de 60 días. Los alimentos que actúan igual que el Viagra. La disfunción eréctil no es más que la incapacidad para mantener una erección el tiempo suficiente como para tener. Como hacer viagra casero con frutas faciles de conseguir como la sandia . la lima, fresas, limon. Esta es una poderosa receta para hacer viagra natural para.

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Existen dos frutas muy buenas con las cuales podemos saber como hacer un viagra natural en casa para tener una erecciГіn fuerte, dura y prolongada.

Estamos hablando de dos frutas como son la granada y la sandia.

La granada. tiene una gran cantidad de antioxidantes que nos ayudan enormemente en el aumento del flujo sanguГ­neo que va hacia el miembro viril. Ten presente que los antioxidantes son responsables de arrasar el Гіxido nГ­trico que hay en el cuerpo, para luego proceder a relajar las paredes de los vasos sanguГ­neos lo que va a producir tener erecciГіn.

El jugo de granada tiene la particularidad de poder actuar como un viagra natural para hombres. SegГєn un estudio piloto, se llego a encontrar que el jugo de la granada tiene efectos beneficiosos en los hombres con disfunciГіn erГ©ctil leve o problemas de erecciГіn.

Ahora lo que tienes que hacer es adquirir una granada, luego sacas sus semillas y lo pones en un recipiente, mas adelante lo mezclaremos con la sandia y te mostrare como preparar viagra casero .

Hablemos un poco de la sandia. es una de las frutas que pasa desapercibida, muchos ignoramos sus propiedades e incluso se dice que son probablemente mejor que las granadas. Las sandГ­as contienen un poderoso aminoГЎcido llamado citrulina el cual tambiГ©n ayuda a relajar y dilatar los vasos sanguГ­neos, es muy similar a lo que hace el Viagra.

Consigue una sandГ­a, solo tienes que cortar una cuarta parte en trozos y lo pones en un tazГіn. No estГЎ demГЎs decirte que tienes que sacar solo la parte roja y blanca de la sandia.

A continuaciГіn, poner ambos en una licuadora (tanto los granos de la granada como los trozos de la sandia) esta es una forma mГЎs fГЎcil y rГЎpida de obtener el mГЎximo beneficio. Llena la licuadora con al menos un 40% de agua. Puedes aГ±adir unas gotas de limГіn para que le dГ© un sabor especial. Ahora solo tienes que licuarlo hasta pulverizar las semillas de la granada y te la tomas.

Bueno, espero que esta receta para hacer viagra casero te sea de utilidad, pero, hay que ser sinceros no ha todos les puede resultar efectivo esta forma de como hacer viagra casero.
Por ese motivo tengo preparado para ti una exclusiva guГ­a prГЎctica en donde encontraras los mejores alimentos, ejercicios bГЎsicos, hierbas, recetas caseras para que puedas tener nuevamente erecciones fuertes duras y prolongadas. Haz clic aquГ­ para tener acceso directo y sepas como te podre ayudar.

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    Sherry and Donna

    We are Sherry and Donna and together we welcome you to ‘irresistible ideas for play based learning ’, a blog designed to inspire and assist Teachers who follow a Developmental Curriculum, Tertiary Students of the Early Childhood Sector and Parents of children in the Early Years.

    While teaching preschool together our mantra was “Make it Irresistible”. As it is not always easy to find exciting, irresistible and appropriate play based learning ideas for children in the early years, we would like to share with you some of the ideas our students have enjoyed over the years.

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    Common use

    The main component of Viagra is Sildenafil Citrate.
    Sildenafil Citrate affects the response to sexual stimulation. It acts by enhancing smooth muscle relaxation using nitric oxide, a chemical that is normally released in response to sexual stimulation. This smooth muscle relaxation allows increased blood flow into certain areas of the penis, which leads to an erection.
    Sildenafil Citrate is applied for the treatment of erectile dysfunction (impotence) in men and pulmonary arterial hypertension.
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    La hipertensión arterial, denominada también el asesino silencioso es una condicion médica que no produce síntomas muy claros, y frecuentemente es el principal responsable de un número importante de enfermedades concomitantes.
    El infarto de miocardio y el accidente cerebrovascular pueden encontrarse entre las complicaciones más serias. Una posible consecuencia de la enfermedad o de su tratamiento es la Disfunción Eréctil, que si bien no pone en riesgo la vida de quien la padece, puede tener efectos devastadores sobre su calidad de vida.

    пїЅQué es la hipertensión arterial?

    La elevación de la presión de la sangre, conocida como Hipertensión Arterial, es una alteración que ocurre cuando los vasos sanguíneos más pequeños del cuerpo (llamados arteriolas) se estrechan, lo que hace que la sangre ejerza una presión excesiva sobre las paredes del vaso. Como consecuencia, los vasos sanguíneos se van deteriorando progresivamente, y dicho deterioro es particularmente relevante en las arterias del cerebro, corazón, riñón y ojos, así como en las arterias del pene.
    La Organización Mundial de la Salud (OMS) considera hipertensión cuando la presión sistólica (máxima) es superior a 160 mmHg y la diastólica (mínima) supera los 95 mmHg. Sin embargo, se deben considerar variables como la edad o condiciones médicas de cada individuo que pueden modificar estos estrictos criterios.

    пїЅQué es la disfunción eréctil?

    La Disfunción Eréctil es definida como la incapacidad para alcanzar o mantener una actividad sexual satisfactoria con penetración. Esto puede tener importantes consecuencias llegando a afectar la autoestima e incluso cuestionarse su masculinidad, además de los problemas de relación que puede generar dentro del círculo familiar.

    пїЅQué tan frecuente es la asociación entre hipertensión arterial y Disfunción Eréctil?

    Se calcula que el 26% de la población padece hipertensión arterial y el 14% de los hipertensos tratados con hipotensores presentan Disfunción Eréctil en algún momento de su vida, ya sea por la hipertensión en sí misma, o por los tratamientos utilizados.

    Estadísticamente los varones son más propensos a padecer hipertensión arterial.

    пїЅCuпїЅál es el mecanismo por el cual la hipertensión arterial provoca Disfunción Eréctil?

    La estructura del pene está compuesta por un tejido vascular (músculo cavernoso) que contiene un importante numero de vasos sanguíneos.
    Durante la flacidez el tejido del músculo cavernoso está contraído lo que hace que el flujo de sangre sea escaso. Por el contrario, cuando se produce la excitación sexual se pone en marcha el sistema nervioso provocando que los vasos del pene se expandan permitiendo el rápido ingreso de una mayor cantidad de sangre. A su vez, el músculo cavernoso lleno de sangre comprime las venas por donde retorna la sangre, generando, como consecuencia, una rígida erección.
    Los distintos estados del musculo cavernoso del pene (flacidez / erección) se encuentran en íntima relación con la producción de sustancias que favorecen la flacidez (adrenalina) y sustancias que favorecen la erección (óxido nítrico).
    El óxido nítrico se produce en las estructuras nerviosas y en el tejido vascular de las arterias y del músculo cavernoso del pene.
    La hipertensión arterial genera un progresivo daño de las paredes vasculares del tejido cavernoso alterando la producción de óxido nítrico y, como consecuencia, imposibilita su correcta relajación, paso fundamental para lograr la rigidez peniana.

    пїЅCuales son los factores de riesgo vascular?

    Por lo general los varones hipertensos pueden presentar otros factores de riesgo vascular como el sedentarismo, el sobrepeso, un exceso de las grasas circulantes en sangre (colesterol) o diabetes.
    Cuanto mayor es el número de factores de riesgo, mayor es la probabilidad de desarrollar la disfunción. El hipertenso que además fuma, tiene un 13% más de posibilidades de padecerla. Del mismo modo ocurriría si es diabético, enfermo cardíaco o tiene el colesterol alto.

    пїЅCómo tratar la hipertensión arterial?

    La hipertensión arterial generalmente es tratada por medios higiénicos dietéticos y muchas veces con medicamentos. Evitar el sedentarismo realizando por lo menos una caminata diaria de 30 cuadras es una de las medidas más simples y económicas para el manejo de las enfermedades cardiovasculares, entre ellas la hipertensión arterial. Restringir el exceso de sal en las comidas y evitar las dietas ricas en grasa se encuentran entre las principales medidas dietéticas para el tratamiento de personas hipertensas.
    En muchos casos, para un mejor control de la tensión arterial es necesario recurrir a fármacos que tienden a descender las cifras tensionales y así disminuir los riesgos de infartos cardíacos o cerebrales.
    Muchos pacientes hipertensos comienzan a notar cambios progresivos en la calidad de la erección y en algunos casos empeoran desde la toma de medicamentos antihipertensivos.
    Los motivos que generan cambios en la rigidez peniana, con la toma de medicamentos antihipertensivos, pueden deberse a que el pene de los hombres hipertensos necesita de una alta presión sanguínea para poder recibir una cantidad de sangre suficiente. Esta alta presión, compensaba de alguna manera la disminución de la luz de los vasos arteriales peneanos lesionados como consecuencia de la misma hipertensión. Al disminuir las cifras de tensión arterial, con el propósito de prevenir accidentes cardíacos o cerebrales, el pene comienza a sufrir la falta de sangre en el momento que más lo necesita, es decir, durante el esfuerzo físico de la actividad sexual, y por la necesidad de lograr y mantener una rígida erección para la penetración.
    Entre los mecanismos que pueden tener una influencia negativa sobre la erección están algunos medicamentos que afectan el eje hormonal relacionado con los mecanismos intrísecos de la erección.

    La consulta médica

    Cabe mencionar que no se debe tomar la determinación de suspender medicamentos antihipertensivos para mejorar la erección sin consultar al médico cardiólogo. En muchas oportunidades el profesional podrá considerar el cambio de las líneas de tratamiento farmacológico, con el propósito de mejorar la erección.
    Pero es muy importante saber, que en la mayorпїЅa de los casos, no son los medicamentos, sino la hipertensión arterial la responsable de la disfunción eréctil, y un cambio no consultado no solo pondrá en riesgo la vida del paciente, sino que muchas veces no modificará la calidad de erección.

    Afortunadamente, existen sencillas alternativas de tratamiento de la disfunción eréctil que pueden ser combinadas con los fármacos antihipertensivos.

    La hipertensión arterial y el Sildenafil

    Es frecuente creer que la hipertensión arterial es un factor que contraindica el uso de Sildenafil para el tratamiento de la Disfunción Eréctil.
    Los ensayos clínicos y las experiencias con su utilización han podido poner en evidencia que la toma de Sildenafil solo, o combinado con los diferentes tipos de antihipertensivos, no provoca ni aumentos ni disminuciones de las cifras de presiónn arterial. Esto pudo ser demostrado en varones de todas las edades.

    Control médico y adecuada prevención

    Por todo esto, es recomendable el control médico frecuente, y ante el diagnóstico de hipertensión arterial sea estricto en su control para prevenir sus consecuencias.

    Múltiples ensayos clínicos, demostraron además, que el Sildenafil puede ser combinado hasta con 3 drogas para tratar la hipertensión arterial sin haber provocado modificaciones clínicas de las cifras tensionales.

    * Se publica este artículo gracias a la gentileza del Laboratorio Pfizer por la entrega de material bibliográfico.

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    Wireless Innovation Alliance // Jun. 16

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

    Wireless Innovation Alliance // Apr. 17

    The Wireless Innovation Alliance (WIA) released the statement below on today’s FCC Open Meeting where the Commission approved an order to implement a spectrum sharing framework in the 3550-3700 MHz band. More

    Wireless Internet Service Providers Association // 10:05 AM EST// Mar. 23

    The National Association of Broadcasters (NAB) wants the FCC to declare an “emergency” and shut down the databases that let small businesses and others deliver broadband over vacant spectrum near television channels. More

    Wireless Innovation Alliance // 6:06 PM EST// Feb. 10

    The Wireless Innovation Alliance (WIA) released the statement below in response to the introduction of the House and Senate Wi-Fi Innovation Act More

    Wireless Innovation Alliance // 4:44 PM EST// Jan. 28

    The Wireless Innovation Alliance applauds the FCC for telling Marriott International, Inc. – and everyone else – that it is illegal to interfere with lawful communications. More

    Wireless Innovation Alliance // 3:00 PM EST// Dec. 15

    This October, the FCC found Marriott’s Gaylord Opryland Hotel and Convention Center to be guilty of blocking guests’ personal Wi-Fi hotspots and fined Marriott International $600,000. Lend your social voice to our Thunderclap. More

    Wireless Innovation Alliance // 5:47 PM EST// Sep. 4

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

    The Hill // 9:25 AM EST// Jun. 16

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

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

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

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

    Last reviewed by: Kristi Monson, PharmD;

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

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

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

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

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

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

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    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.

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    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.

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

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

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

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

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

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

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

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

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

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

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

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