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Sildenafil inhibits blocks an enzyme which regulates blood flow in the penis. PDE5 inhibitors multiply the natural process of arousal and increase blood flow to the penis in situations of sexual stimulation. Sildenafil helps to achieve an erection but relies on natural arousal as a trigger. It, and other PDE5 inhibitors such as tadalafil , vardenafil , and avanafil , support sexual relations when erections are failing.

The usual first starting dose of Viagra is one 50mg tablet, for men who have not used it before, although men over the age of 65 years would normally start on the lowest dose tablet 25mg. If 50mg strength of tablet is highly effective subsequent doses may be reduced down to one 25mg tablet. If a 50mg tablet is ineffective, or the duration of activity is less than 4 hours, the dose can be increased to one mg tablet. Do not take Viagra more than once per day, or more than mg dose.

Arousal is required for the treatment to work. Viagra is most likely to be suitable if taken in situations where sexual arousal is expected within an hour or two of taking the tablet. Without sexual arousal there will be no benefit and the effect of the tablet will simply wear off after about 4 hours. Avoid large meals, meals high in fat, excessive alcohol, and grapefruit as these can affect efficacy effectiveness. Do not take more than 1 dose or more than mg in 24 hours, or combine with other erectile dysfunction drugs. A trial of erectile dysfunction medication should be repeated at least 4 times before deciding whether Viagra is working and before requesting a change of dosage or change to another ED medication.

As with any treatment, there are times when ED tablets might not work and may not improve or overcome the underlying cause of erectile dysfunction. If erectile dysfunction is the result of spinal injury or operation, nerves might be damaged. In this case Viagra may help a little but other measures, such as injections or stiffening aids, may be required. Other causes of erectile dysfunction may require specialist treatment apart from tablets. Some men, whose erectile dysfunction has psychological causes, may benefit from counselling.

The clinical study data reports the following results:.

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Viagra is remarkably well tolerated and free from significant side effects in the vast majority of men who take it. Viagra increases blood flow which can have adverse affects on other parts of the body, although these are usually mild. Most men who experience side effects carry on treatment regardless. This is not in itself a cause for concern, and usually does not interfere with normal activity. It wears off after a few hours. In the rare event of serious side effects seek immediate medical advice.

This applies particularly to chest pains possibly heart attack , loss of vision, and a prolonged and painful erection. Priapism is the medical name for prolonged painful erections which have the potential to cause permanent damage to the penis. Priapism is rare. A persistent and painful erection of more than 2 hours requires immediate emergency medical attention. The full range of side effects is also listed in the patient information leaflet supplied with the tablets.

During the assessment process with Dr Fox men are required to complete an erectile dysfunction questionnaire to determine suitability. Men with the following conditions should not take Viagra without further assessment from their GP :. Dr Fox cannot supply ED treatment to men who have any of the above conditions. Viagra is sometimes used for recreational rather than therapeutic purposes. If taken in this way, particularly in combination with non-prescribed drugs, there is an increased risk of significant side effects, some of which may be serious. The Patient Information Leaflet PIL is the leaflet included in the pack with a medicine and must be read before taking the medicine.

It is written for patients and gives information about taking or using a medicine. Viagra - the little blue pill recognised across the world - changed the face of erectile dysfunction treatment when it was launched by Pfizer in With its relatively few side effects, ease of use and proven effectiveness , it is little wonder the drug has become so popular. Viagra was under patent protection in the UK until June , after which legal cheaper versions have been made available under its medical name sildenafil. Most men who experience side effects carry on treatment regardless. This is not in itself a cause for concern, and usually does not interfere with normal activity.

It wears off after a few hours. In the rare event of serious side effects seek immediate medical advice.

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This applies particularly to chest pains possibly heart attack , loss of vision, and a prolonged and painful erection. Priapism is the medical name for prolonged painful erections which have the potential to cause permanent damage to the penis. Priapism is rare. A persistent and painful erection of more than 2 hours requires immediate emergency medical attention. The full range of side effects is also listed in the patient information leaflet supplied with the tablets.

During the assessment process with Dr Fox men are required to complete an erectile dysfunction questionnaire to determine suitability. Men with the following conditions should not take Viagra without further assessment from their GP :.

Storia di Parma4°B – DON MILANI – PARMA | Storia di Parma

Dr Fox cannot supply ED treatment to men who have any of the above conditions. Viagra is sometimes used for recreational rather than therapeutic purposes. If taken in this way, particularly in combination with non-prescribed drugs, there is an increased risk of significant side effects, some of which may be serious. The Patient Information Leaflet PIL is the leaflet included in the pack with a medicine and must be read before taking the medicine. It is written for patients and gives information about taking or using a medicine. Viagra - the little blue pill recognised across the world - changed the face of erectile dysfunction treatment when it was launched by Pfizer in With its relatively few side effects, ease of use and proven effectiveness , it is little wonder the drug has become so popular.

Viagra was under patent protection in the UK until June , after which legal cheaper versions have been made available under its medical name sildenafil. In November the UK s medicines regulator, the MHRA , approved an application by Pfizer to reclassify its sildenafil 50mg to a 'P' medicine available without prescription which is sold as a new product called Viagra Connect.

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Other oral ED drugs work in a similar way, with similar side effects. Viagra was the first drug in this class to become widely prescribed. The following oral tablet treatments for ED and are available to buy online in various strengths and pack sizes from Dr Fox after completing the same medical consultation :. Other treatments for ED include topical applications, injections into the penis, surgical devices, penis pumps, and counselling.


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Many factors can contribute to erectile dysfunction also known as impotence. Lifestyle choices, such as excessive drinking, smoking, illegal drug use, as well as obesity and stress, can all have an impact on erections. Erectile dysfunction can also be a symptom of underlying health problems such as atherosclerosis narrowing of the arteries , heart disease, and diabetes, amongst others. Men suffering from erectile dysfunction should inform their GP s who will undertake an assessment, possibly perform tests, and provide advice.

GP s are trained to deal with ED and are sympathetic to any embarrassment it may cause. See erectile dysfunction medical information for further details. Not usually. Studies show men usually find the same dose will be effective over a period of years. The body does not get used to the medicine.

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ED tends to be a slowly progressive condition, increasing with age, however unless there is an underlying medical progression the same dose should produce the same effect. The main difference is the name. Viagra is a brand name for sildenafil. Medically they are the same, having the same active ingredient, the medical name of which is sildenafil. Both come in packs of 4 and 8 tablets and in strengths of 25mg, 50mg, and mg. Sildenafil is usually much lower cost because it is produced by numerous competing drug companies. Branded Viagra is produced only by Pfizer. The main difference is their duration of action: Viagra sildenafil works for about 4 hours; Levitra vardenafil for hours; and Cialis tadalafil for about 36 hours.

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Contact your doctor if your diarrhoea lasts for longer than two days, or if it is particularly severe or watery. Azithromycin oral suspension can increase your sensitivity to the sun. Try to avoid the sun where possible. Alternatively, wear protective clothing and sunscreen if avoidance is not possible. Do not use sunlamps or tanning beds. If you experience any side effect from taking Azithromycin oral suspension, you should report them to your doctor or healthcare professional as soon as possible.