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The need for ViagraŽ and related sexual enhancement drugs exists
because erectile dysfunction, commonly known as impotence, is a significant and worldwide
medical situation that affects the lives of more than 100 million men and their partners.
Before you order ViagraŽ online, you should inform yourself of the potential
advantages and disadvantages of this drug. Here are answers to some of the ViagraŽ
world's most frequently asked questions.
What is ViagraŽ?
Viagra is a new drug developed by Pfizer for the treatment of male impotency. Its
pharmacological name is sildenafil citrate. It was approved by the US Food & Drug
Administration in March 1998 for the treatment of male impotency.
What does ViagraŽ do?
Viagra increases the body's ability to achieve and maintain an erection during sexual
stimulation. Viagra does not produce spontaneous erections; sexual stimulus must be
present for erection to occur.
How does ViagraŽ work?
Viagra is dispensed as a pill and ingested orally. After absorption into the bloodstream,
it functions as an inhibitor to an enzyme called phosphodiesterase 5 (PDE5) which is found
primarily in the penis. The enzyme, PDE5 breaks down cyclic GMP. Cyclic GMP is produced
during sexual stimulation, leading to penis erection. The longer the cyclic GMP is allowed
to persist, the greater the chance for increased blood flow to the penis, thereby
generating an erection.
How long does ViagraŽ remain effective after ingestion?
The half-life is approximately 4 hours. If is recommended that sexual stimulation commence
from 30 to 60 minutes after Viagra is taken.
What happens if there is no sexual stimulation
after ViagraŽ is taken?
Sildenafil, or Viagra, is excreted as metabolites from the body in feces and urine.
What is ViagraŽ's success rate?
Viagra's success rate is about 75%.
Are there any side effects?
Yes, a small percentage of the study group experienced headaches, nausea, facial flushing,
diarrhea, urinary tract infection and visual changes to color sensitivity. When not
taken properly, Viagra can be dangerous for certain individuals with blood pressure or
heart problems and even lethal although such occurances are uncommon.
Who should NOT take Viagra?
The main contraindication to prescribing ViagraŽ are people who suffer from a rare
disease, retinitis pigmentosa, or those who are on nitroglycerin or nitrous oxide.
Recently, it has been reported that 16 ViagraŽ patients have died. While there is no
direct evidence that Viagra caused the deaths, readers should be aware that sexual
activity increases cardiac risk. Male impotence is often a side effect of more serious
cardiovascular problems.
ViagraŽ MUST NOT be taken by men who are on medications containing nitrates, such as
nitroglycerine tablets, as this could lead to dangerous lowering of blood pressure. There
is evidence to suggest that Viagra may interact with other medications in such a way as to
increase health risk. Men who have medical conditions, such as sickle cell anemia,
leukemia, or multiple myeloma, or those with abnormally-shaped penis should also not take
Viagra because of a possibility of producing a sustained erection.
Can I get ViagraŽ over-the-counter?
No, ViagraŽ should only be taken by prescription from a qualified physician. You must
tell your doctor exactly what other medications you are taking. FDA regulations do not
permit ViagraŽ to be purchased without a physician's prescription.
How often should Viagra be taken?
For those patients who have been prescribed ViagraŽ by their doctors, ViagraŽ should
only be taken once per day, about 1 hour before sexual activity.
What ViagraŽ dosage is best?
Many physicians are now recommending Viagra therapy begin with 25mg dosage, the minimum.
Standard dose is 50mg. Dosages higher than 100mg per day are NOT recommended.
Can ViagraŽ be combined with other treatments for erectile dysfunction?
The use of such combinations is NOT recommended, since no studies have been done to assess
its safety and effectiveness.
Are there concerns about taking ViagraŽ
for long periods of time?
Yes. Some health practitioners are concerned since little is known about ViagraŽ's long
term effects.
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