Spoke exclusively to Mr Vivek Wadhwa, Consultant Urologist at Spire Parkway Hospital in Solihull, about viagra, exactly what it does, how to use and it where to get. Phosphodiesterase-5 is viagra for sale viagra for men the viagra for men type viagra for sale of drug used in Viagra medication. The, nHS says: Phosphodiesterase-5 (PDE-5) inhibitors are one of the most widely used and effective types of medication for treating erectile dysfunction. They work by temporarily viagra for men increasing viagra for sale the blood flow to your penis. Sildenafil, vardenafil and avanafil work for about eight hours and they are designed to work 'on demand. While all these medications are often mistakenly referred to as Viagra as the term is also a brand name. Only one of the drugs that might is viagra covered by health insurance be prescribed by your doctor is actually Viagra. Sildenafil is sold under the brand name viagra for men Viagra. Tadalafil is sold under the brand name Cialis. Vardenafil is sold under the brand name Levitra, while avanafil is sold under the brand name Spedra. How does Viagra work? Its not a magic pill, Mr Wadhwa explained. You need to take does insurance cover viagra it an hour before the anticipated act. After taking the drug you new viagra commercial actress name do need to be sexually stimulated - so do not expect an erection to spontaneously is viagra covered by health insurance appear. You will need to be stimulated, meaning you and your partner will have to do some foreplay, Mr Wadhwa explained. What you eat is also important when taking the medication. Do not take it with a big hearty meal, Dr Wadhwa says, as it will cause problems with absorption rates. Where can I get Viagra? Mr Wadhwa says: You will go to the doctor who will give the medication at the smallest dose available. Then you will go home and try it, if it doesnt work there are two stronger doses available before the doctor will announce you unresponsive. Should you buy it online? This is not advisable, according to the expert. I wouldnt recommend it, Dr Wadhwa says, You basically dont know what youre getting.
Fildena vs viagra
For other uses, see. Sildenafil, sold as the brand name. Viagra among others, is a medication used to treat erectile dysfunction and pulmonary arterial hypertension. 3, its effectiveness for treating sexual dysfunction in women has not been demonstrated. 3, common side effects include headaches and heartburn, as well as flushed skin. Caution is advised in those who fildena vs viagra have cardiovascular disease. Rare but serious side effects include prolonged erections, which can lead to damage to the penis, and sudden-onset hearing loss. Sildenafil should not be fildena vs viagra taken by people who take nitrates such as nitroglycerin (glycerin trinitrate as this may result in a severe and potentially fatal drop in blood pressure. 3, sildenafil acts by inhibiting cGMP-specific phosphodiesterase type 5 (phosphodiesterase 5, PDE5 an enzyme that promotes degradation of cGMP, which regulates blood flow in the penis. Pfizer scientists, andrew Bell, David Brown, and Nicholas Terrett originally discovered sildenafil as a treatment for various cardiovascular disorders. 4 5, since becoming available in 1998, sildenafil has been a common treatment for erectile dysfunction; its primary competitors are tadalafil (trade name Cialis) and vardenafil (Levitra). Contents Medical uses 50mg tablets of sildenafil Sexual dysfunction The primary indication of sildenafil is treatment of erectile dysfunction (inability to sustain a satisfactory erection to complete intercourse). Its use is now one of the standard treatments for erectile dysfunction, including for men with diabetes mellitus. 6 Antidepressant-associated sexual dysfunction Tentative evidence suggests that sildenafil may help men who experience antidepressant -induced erectile dysfunction. 7 Pulmonary hypertension While sildenafil improves some markers of disease in people with pulmonary arterial hypertension, it does not appear to affect the risk of death or serious side effects as of 2014. 8 Raynaud's phenomenon Sildenafil and other PDE5 inhibitors are used off-label to alleviate vasospasm and treat severe ischemia and ulcers in fingers and toes for people with secondary Raynaud's phenomenon ; 9 10 these drugs have moderate efficacy for reducing the frequency and duration. 9 As of 2016, their role more generally in Raynaud's was not clear. 10 Adverse effects In clinical trials, the most common adverse effects of sildenafil use included headache, flushing, indigestion, nasal congestion, and impaired vision, including photophobia and blurred vision. 2 fildena vs viagra Some sildenafil users have complained of seeing everything tinted blue ( cyanopsia ). 11 Some complained of blurriness fildena vs viagra and loss of peripheral vision. In July 2005, the FDA found that sildenafil could lead to vision impairment in rare cases 12 and a number of studies have linked sildenafil use with non-arteritic anterior ischemic optic neuropathy. 13 Rare but serious adverse effects found through postmarketing surveillance include prolonged erections, severe low blood pressure, myocardial infarction (heart attack ventricular arrhythmias, stroke, increased intraocular pressure, and sudden hearing loss. 2 In October 2007, the FDA announced that the labeling for all PDE5 inhibitors, including sildenafil, required a more prominent warning of the potential risk of sudden hearing loss. 14 Interactions Care should be exercised by people who are also taking protease inhibitors for the treatment of HIV infection. Protease inhibitors inhibit the metabolism of sildenafil, effectively multiplying the plasma levels of sildenafil, increasing the incidence and severity of side effects. Those using protease inhibitors are recommended to limit their use of sildenafil to no more than one 25 mg dose every 48 hours. 2 Other drugs that interfere with the metabolism of sildenafil include erythromycin and cimetidine, both of which can also lead to prolonged plasma half-life levels. The use of sildenafil and an 1 blocker (typically prescribed for hypertension or for urologic conditions, such as benign prostatic hypertrophy ) at fildena vs viagra the same time may lead to low blood pressure, but this effect does not occur if they are taken at least. 15 Contraindications Contraindications include: 2 :11 Concomitant use of nitric oxide donors, organic nitrites and nitrates, 16 such as: Concomitant use of soluble guanylyl cyclase stimulators, such as riociguat Known hypersensitivity to sildenafil Sildenafil should not be used if sexual activity is inadvisable due. Citation needed Nonmedical use Recreational use Sildenafil's popularity with young adults has increased over the years. 17 Sildenafil's trade name, Viagra, is widely recognized in popular culture, and the drug's association with treating erectile dysfunction has led to its recreational use. 18 The reasons behind such use include the belief that the drug increases libido, improves sexual performance, 18 or permanently increases penis size.
Peyronie's disease and viagra
Its common for the penis peyronie's disease and viagra to peyronie's disease and viagra curve to the left or right slightly when erect. However, if the curved erection is painful or makes it peyronie's disease and viagra difficult to have sex, it may peyronie's disease and viagra be peyronie's disease and viagra a symptom of Peyronies disease. What is Peyronies disease? When scar tissue develops inside the penis, causing it to curve and to make erections painful, the condition is known as Peyronies disease. Penises vary in size and shape. Many men have a curved penis which may not be noticeable in the flaccid (soft) state, but they may get curved erections. The difference with Peyronies disease is that the penis bends a lot when its erect, and erections can peyronie's disease and viagra also be painful, making it difficult or impossible to have sex. The cause of Peyronies disease is unknown, but a number of factors may contribute to the development of the condition. Men with Peyronies disease may also experience erectile dysfunction (ED meaning that they are unable to get or sustain an erection well enough to have intercourse. The condition can be very stressful for sufferers but Peyronies disease can be treated, and occasionally it resolves without the need for treatment. Will I need surgery? If you have a slightly curved penis but have no problems with getting an erection and do not experience pain during sex, then treatment is probably not needed. If you have been diagnosed with Peyronies disease then you may not necessarily need surgical treatment. Whether or not surgery is appropriate depends on how much pain and discomfort you are experiencing and how your sexual performance and sex life is being affected. If you can still have satisfying sexual intercourse, you may not need treatment, because Peyronies disease can sometimes get better on its own. There are a variety of treatments for Peyronies disease available depending on the severity of the condition. A non-surgical option is extracorporeal shockwave therapy (eswt which involves using a device that applies sound waves to the skin peyronie's disease and viagra of the penis over the scar tissue to break it up and reduce the curvature and pain in the penis. Surgical procedures for the treatment of Peyronies disease include: Plication procedures (also known as Nesbits procedure) - stitches are inserted under the skin of the penis on the opposite side to the plaque (scar tissue) to straighten the penis. Grafting - the scarred tissue is replaced or expanded using healthy tissue grafted from another part of the body. Penile implants - patients who suffer from Peyronies disease and erectile dysfunction may also be treated with a penile implant.