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    I am 87 years old, with a problem of the prostate gland. A: There have been no interactions with other medications including diabetic medications, blood thinners, antacids, aspirin or alcohol. The peak blood level occurs in less than 60 minutes. A: The beneficial effect can be seen as late as 8 hours. Viagra has not been found to have any affect on sperm motility and has not had any affect on fertility or increased birth defects in animals. Q: Will this pill increase my libido (sex drive) or my aggressiveness? If there is a serious lack of blood flow the medication will probably not work. Q: What about any interactions with other medications? A: It should be taken 1 to 2 hours prior to intercourse. This specific question has not been investigated in the trials. Extensive testing in animals revealed no evidence of cancer causing potential in animals. Extensive psychologic testing has revealed no increase in aggressive behavior or desire. A: The effectiveness of the medication depends on the cause of the problem. Baum's treatment on my prostate, I go only 5 times per day and only 1 time at night! If you are unsure whether you are on these medications, check with your internist or cardiologist before considering this medication. 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. -Sidney Daigle I want to thank you for your due diligence. No patients have had any serious consequences after fainting. The higher the dose you use the higher the side effects. You can always increase or decrease your dose according to your response. In some of the Canadian trials a dose of 200 mg was used without improved efficacy and with more side effects. As the pill depends on stimulation to be effective, orgasms are not affected. A: There is no absolute answer to that question and caution should be advised. It is not like penile injections or intraurethral therapy. Q: When I use the injections, sometimes my erection will last after I have an orgasm. Q: Can I use this with my injections or MUSE if they are not working well. The use of Viagra with other forms of therapy (injections, MUSE, vacuum device) has not been tested and should be avoided. Several patients have fainted while using nitrates and Viagra because of the drop in blood pressure. A: The higher the dose used in the trials, the more problematic the side effects were. Q: Will the medication cause relaxation of all the smooth muscles in the body? The minimal cross-reaction is responsible for the side effects. Viagra does not cause erections without sexual stimulation. That is one of the remarkable attributes of the pill. If there is no sexual stimulation the erection subsides naturally. The only contraindication is the use of nitrates (sublingual nitroglycerine, long-acting nitrates, nitrate pastes). 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. Mild headache 16% Flushing 11% Indigestion 7% Runny nose 7% Transient visual disturbance (blue haze) 3% Q: Will Viagra affect my visual acuity (blurry vision)? Q: Does this drug cause an erection that will not go down (priapism)? There were NO episodes of priapism in any of the studies. where to buy minoxidil and propecia I am 87 years old, with a problem of the prostate gland. The side-effects of Viagra In a small number of cases, people who have taken Viagra have complained of headaches, flushing and stomachache. It achieved a success rate of 60-80%, depending on the dosage. Baum's treatment on my prostate, I go only 5 times per day and only 1 time at night! Viagra was tested on thousands of men with varying degrees of impotence. -Sidney Daigle I want to thank you for your due diligence. Viagra comes in three strengths, 25, 50, and 100 milligrams. Viagra helps by elevating the levels of the chemical that causes the tissues to relax. This allows large amounts of blood to flow into the penis, thus producing an erection. This article will review how Viagra works, the side effects and the precautions for using this exciting new drug. When a man is sexually aroused, certain smooth muscles around the blood vessels in his penis relax.

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    Which drug is best may depend on your preference for quick onset versus long duration and your individual medical needs. They all work the same way, producing an erection by increasing blood flow to the penis. The Food and Drug Administration has approved four similar drugs for erectile dysfunction, sold under such names as Viagra (sildenafil), Cialis (tadalafil), Levitra (vardenafil) and Stendra (avanafil). The discovery of Viagra is one of the classic stories of serendipity in drug development. In the 1980s, the pharmaceutical company Pfizer began studying sildenafil, the generic name for Viagra, as a treatment for heart disease. It didn’t work, but the men in the study developed unusually strong, long-lasting erections. All four of the currently approved drugs seem to be equally good at producing erections. But it is difficult to be more definitive in evaluatingtheir efficacy, because few studies directly comparing them have been conducted, a common problem with many drugs. Prescribing data from Medicare’s prescription drug benefit, known as Part D, was compiled and released by the Centers for Medicare and Medicaid Services, the federal agency that oversees the program. The data for 2015 includes more than 1.4 billion prescriptions written by nearly 1.4 million doctors, nurses and other providers. This database lists about 447,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. More than three-fourths of these prescriptions went to patients 65 and older; the rest were for disabled patients.

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