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    Viagra q and a


    Inhibits PDE5, enhancing the effects of nitric oxide released during sexual stimulation. This action inactivates cyclic guanosine monophosphate (c GMP), which then increases c GMP levels in corpus cavernosum. Resulting smooth muscle relaxation promotes increased blood flow and subsequent erection. Also relaxes pulmonary vascular smooth muscle cells and, to a lesser degree, vasodilation in systemic circulation. Use cautiously in: • serious cardiovascular disease (such as history of myocardial infarction, cerebrovascular accident, or serious arrhythmia within past 6 months); coronary artery disease (current or previous) with unstable angina; resting blood pressure below 90/50 mm Hg or above 170/110 mm Hg (current or previous); heart failure (current or previous); renal or hepatic impairment (current or previous); bleeding disorder; active peptic ulcer; anatomic penile deformity; retinitis pigmentosa; conditions associated with priapism (sickle cell anemia, multiple myeloma, leukemia); pulmonary veno-occlusive disease; use not recommended for any of these conditions • history of uncontrolled hypertension or hypotension • concurrent use of alpha blockers and antihypertensives (particularly bosentan) • concurrent use of potent CYP3A inhibitors such as erythromycin, ketoconazole, itraconazole, ritonavir, or saquinavir (use not recommended) • patients older than age 65 • pregnant or breastfeeding patients • children (safety and efficacy not established). CNS: headache, dizziness, anxiety, drowsiness, vertigo, transient global amnesia, insomnia, paresthesia, seizures, cerebrovascular hemorrhage, transient ischemic attack CV: hypertension, hypotension, myocardial infarction (MI), cardiovascular collapse, ventricular arrhythmias, sudden death EENT: transient vision loss, blurred or color-tinged vision, increased light sensitivity, ocular redness, retinal bleeding, vitreous detachment or traction, photophobia, hearing loss, epistaxis, rhinitis, sinusitis nasal congestion GI: diarrhea, dyspepsia, gastritis Musculoskeletal: myalgia Respiratory: exacerbation of dyspnea GU: hematuria, urinary tract infection, priapism Skin: flushing, rash, erythema, pyrexia Other: hypersensitivity including anaphylactic reactions (rare) Drug-drug. Alpha blockers, Antihypertensives, nitrates: increased risk of hypotension Enzyme inducers, rifampin: reduced sildenafil blood level Hepatic isoenzyme inhibitors (such as cimetidine, erythromycin, itraconazole, ketoconazole), protease inhibitors (such as indinavir, nelfinavir, ritonavir, saquinavir): increased sildenafil blood level and effects Drug-food. how fluconazole works Viagra (sildenafil) and Levitra (vardenafil) are prescription medications used to treat erectile dysfunction and pulmonary arterial hypertension. Viagra was introduced by Pfizer Pharmaceuticals in March 1998 as a treatment for pulmonary arterial hypertension. The clinical trials revealed that the active ingredient — generically known as sildenafil citrate — also relaxed the muscle tissues in the penis, allowing for increased blood flow. Levitra, introduced in 2003 by Bayer Pharmaceuticals and marketed by Glaxo Smith Kline to treat erectile dysfunction, works similarly. In appearance, Viagra tablets are blue, rounded diamonds that are available in 25 mg, 50 mg, and 100 mg doses. Levitra has orange-colored tablets in 2.5 mg, 5 mg, 10 mg, and 20 mg doses. It is recommended that both medications be taken 30 to 60 minutes before sexual activity is intended.

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    Nov. 2008. Mögliche Ursachen für eine nachlassende Wirkung von PDE5-Hemmern Cialis, Levitra, Viagra. cialis versus viagra cost A Viagra is a new medication that is taken by mouth to restore erectile function in men with erectile dysfunction. It is the first of its kind. It works selectively on the penis. It is not a hormone or an aphrodisiac. Natural Viagra alternative questions Q. Would you consider horny goat weed a natural Viagra alternative? A. I still have not come across any single herb that is as good in enhancing an erection and a good natural Viagra alternative and quick acting except perhaps for yohimbe which has.

    A: Viagra is a revolutionary new medication that is taken by mouth to restore erectile function in men with erectile dysfunction. The incidence of adverse side effects causing patients to drop out of the studies was equal in patients taking placebo versus Viagra, 2.5%. A: It works by increasing the smooth muscle relaxation in the penis. Viagra has been extensively tested in over 4500 men prior to its approval by the FDA. A: Yes; however an absolute contraindication to using Viagra is the concomitant use of nitrates, e.g., nitroglycerin. When an erection occurs, the smooth muscles in the penis and in the arteries of the penis must be relaxed. Several deaths have recently occurred in patients taking Viagra. Extensive psychological testing has revealed no increase in aggressive behavior or desire in men on Viagra. A: The effectiveness of the medication depends on the cause of the problem. Viagra maximizes the relaxation, increasing the efficiency of the erection. The exact etiology of those deaths has not been determined. The higher the dose, the greater the potential for side effects. You can then increase or decrease your dose according to your response. A: The higher the dose used in the trials, the more problematic the side effects were. If there is serious lack of blood flow the medication will probably not work. Effectiveness in specific medical conditions are as follows: Q: What if it doesn't work? You may be too tired or insufficiently sexually excited. However we do not feature any prescription drugs on our website. It is liken to stretching a rubber balloon before blowing it up to make it easier to inflate. However, caution should be used in prescribing Viagra. In some of the Canadian trials a dose of 200mg was used, without improved efficacy and with more side effects. Viagra depends on stimulation to be effective; orgasms are not affected. A: There is no absolute answer to that question and caution is advised. If it does not work repeatedly, you should make an appointment to discuss treatment alternatives. Our top recommended herbal products are: - Vig RX Plus scored 90 out of a possible 100 points. The enzyme that the medication specifically works on is phosphodiesterase type 5 (PDE-5), which is almost exclusively found in the penis. Viagra is highly specific for the enzyme in the penis. Q: Will Viagra affect my night vision while driving? A good history and physical examination is prudent -- and remember, no Viagra and nitrates. Viagra has been administered in doses 8 times the recommended dose without significant safety concerns. There have been several pregnancies during the trial that have not been problematic. Vig RX Plus is an improved formulation of the original Vig RX. Would you consider horny goat weed a natural Viagra alternative? I still have not come across any single herb that is as good in enhancing an erection and a good natural Viagra alternative and quick acting except perhaps for yohimbe which has unpleasant side effects in high dosages. I just ordered some Passion Rx as natural Viagra alternative and had a question. This stinky herb contains an enzyme called Nitric Oxide Synthase, which is a component in aiding things down there. I know if you are taking Viagra or something and have a heart attack they need to know you are taking it because being given nitroglyceren while taking Viagra could be fatal. I don’t plan on having a heart attack but if I did do I need to tell the hospital staff I’m taking Passion Rx. We are not aware of an association between Passion Rx and nitroglycerin. Passion Rx can be taken 2 days or 1 day before using Viagra, but not the same day as Viagra. Garlic also contains Allicin, a potent chemical that helps renew a diminishing sex drive. There aren’t any side effects with garlic either, unlike Viagra or other erectile dysfunction medicines. This herbal extract helps increase blood to the head, not to mention other parts. Dubbed as Peru’s alternative of Viagra, this herb is usually ground, used as an herbal extract in drinks and food. Viagra is a single substance that works directly to dilate blood vessels and hence it’s potential risk for problems with nitroglycerin. Each herb has dozens of different substances in it. Is arginine a natural alternative to Viagra since it converts into nitric oxide? I personally do not consider arginine to be a natural alternative to Viagra since, even though it may convert into nitric oxide, the effects are short lived. I would like to buy a Viagra alternative but I am not sure which one will work for me. It is impossible to predict which herb or herbal combination is best suited for a person without trial and error. Can you continue to use Viagra and take Passion Rx? It does irritate your digestive tract if eaten too much, however, so take care to eat in moderation. The more blood circulates, the stronger the you-know-what. People today use it as an alternative to Viagra and its unwanted side effects. If you would like to buy a Viagra alternative, try tongkat ali, LJ100, mucuna pruriens, or better yet a combination of several herbs found in Passion Rx. Alternatively, it also has other healthy mental benefits, a great alternative to Viagra. It’s not clear why, but maca root boots libido, desire, and erectile capabilities. Horny Goat Weed is a herb originally used in China thousands of years ago to increase desire and erectile difficulties — and all of them rave about all the sexual benefits. It goes to work quickly, so men can reap the natural benefits of this herb very, very quickly. It’s China’s alternative to Viagra, but don’t expect to eat this. Fo-Ti is a traditional Chinese herb used for reversing the old age and of course, reversing impotence. Fo-Ti is found in many Viagra alternatives, but is best eaten alone for maximum effect. Mix it in a smoothie for a yummy alternative to Viagra. Horny Goat Weed is usually found in capsules in local health food stores. Warning: eating Fo-Ti raw has a laxative effect…so don’t eat it too much.

    Viagra q and a

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