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This information does not contain all possible interactions or adverse effects. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share this information with your doctor and pharmacist. Check with your health care professional or doctor for additional medical advice, or if you have health questions, concerns or for more information about this medicine. Elicits vasodilatory properties, resulting in mild and transient decreases in blood pressure. See "What Are Side Effects Associated with Using Sildenafil?" Prolonged use may result in overgrowth of nonsusceptible organisms, including fungi See "What Are Side Effects Associated with Using Sildenafil?” Sildenafil may be acceptable for use during pregnancy Either animal studies show no risk but human studies are not available, or animal studies showed minor risks and human studies were done and showed no risk It is unknown whether sildenafil is distributed into breast milk. Consult your doctor before breastfeeding QUESTION Erectile dysfunction (ED) is… See Answer https://reference.medscape.com/drug/revatio-viagra-sildenafil-342834 Medical Reviewer: Sarfaroj Khan, BHMS, PGD Health Operations How They Work How do PAH PDE-5 inhibitors work? Uses How are PAH PDE-5 inhibitors used? Side Effects What are side effects of PAH PDE-5 inhibitors? Drug Names What are names of PAH PDE-5 inhibitor drugs?

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Cholesterol can cause damage to blood vessel linings in all parts of the body – including the penis. Blockages caused by elevated cholesterol levels or plaques that restrict flowing blood can prevent erectile tissue from filling with blood. A healthy diet and lifestyle, including regular exercise, can help control these levels and the risk of developing ED. In addition, doctors may prescribe pharmaceuticals to lower cholesterol in the blood.
Having erectile dysfunction isn't something you just have to live with. Almost all cases of erectile dysfunction are treatable, and treatment can lead to better overall physical and emotional health for nearly every patient as well as improve intimacy for couples. .

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Though erectile dysfunction treatment options may include ED medication and surgery, there are also noninvasive erectile dysfunction remedies that may help.
Our medical clinic specializes in non-surgical treatment options for impotence in order to prevent harmful side effects or painful recoveries. Other treatment options such as surgeries from a urologist, are not only uncomfortable during and after the treatment, but also have the potential to cause serious side effects.

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Results: A total of 65 men participated in the study. Of the total study participants, 33.8% were aged 25–34 years and about 40% of them had multiple sexual partners. The use of sildenafil for recreational purposes was 66.2% and was found to be higher than its use for medical purposes 33.8%. Use of the drug for <1-year duration (AOR = 34.086, 95% CI [2.90, 401.37]) and 2 years duration (AOR = 21.42: 95% CI [2.10, 218.82]) were significantly associated with its use for recreational purpose. Non-recreational use of sildenafil includes erectile problems associated with diabetes mellitus (27.1%), heart disease (9.2%), hyperlipidemia (4.2%), and relationship problems due to stress and poor communication (3.1%).
Here are some home/natural remedies which can be considered as a healthy alternative to viagra.

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24. de Tejada IS, Anglin G, Knight JR, et al. Effects of tadalafil on erectile dysfunction in men with diabetes. Diabetes Care. 2002;25(12):2159-2164.

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Home Archive Volume 93, Issue 1105 Recent advances in the treatment of erectile dysfunction

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    “The drugs work well in these patients because once they get their erectile function back, their confidence improves, their performance anxiety gets better, and they get better,” Dr. Walker says.

    You can help yourself by cutting down on alcohol, stopping smoking and reducing the stress in your life. References Sexual dysfunction in men – when Viagra doesn't work Goodfellow Unit, NZ, 2019 Erectile dysfunction BPAC, NZ, 2008 Erectile problems Best Health, UK, 2014 Dietary supplements for erectile dysfunction – a natural treatment for ED? Mayo Clinic, US, 2017 Reviewed by Jeremy Steinberg is a GP with special interests in musculoskeletal medicine, evidence-based medicine and use of ultrasound. He's been reviewing topics for Health Navigator since 2017 and in his spare time loves programming. You can see some of the tools he's developed on his website.
    Certain medications can result in the inability to maintain firmness for intercourse due to side effects encountered while taking the medication. Tranquillizers or sedatives used to calm the nerves and make a patient sleep can influence erectile dysfunction. Medications used for maintaining blood pressure can prompt the condition. Anti-depressants. Medications used by patients with ulcers. Anti-androgens utilized for patients diagnosed with prostate cancer can instigate the condition. Medications are taken to lessen the rate of hunger i.e appetite suppressants. Lifestyle

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    VIAGRA is not indicated for use in women. There are no adequate and well-controlled studies of sildenafil in pregnant women.

    Use Viagra (Sildenafil (Injection)) exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
    Books & Articles on the History of Urology Books & Articles on Specific Diseases & Procedures Books & Articles on People in Urology Books & Articles on Instruments

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    Prolonged erection greater than 4 hours and priapism (painful erections greater than 6 hours in duration) have been reported infrequently since market approval of VIAGRA. In the event of an erection that persists longer than 4 hours, the patient should seek immediate medical assistance. If priapism is not treated immediately, penile tissue damage and permanent loss of potency could result.

    To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.
    “If someone really wants an herbal supplement, I’ll recommend ginseng,” Laborde says. “At least it’s not going to hurt you.”

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    We typically start you off at 15 units. You may increase your dose by five units each time until you get the effect you want. If you are using 50 units and not getting the erection that you need, call us and we will prescribe you a stronger dose.

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    Researchers who took part in the Massachusetts Male Aging Study found that what you eat could reduce your chances of ED.

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Harvard Health Publishing also notes that ED can be a sign of heart disease. The physical implications of poor lifestyle habits can severely impact the heart’s function, which can, in turn, manifest as impotence. Seeking to improve one’s overall health may not only lead to better sexual performance but also boost their quality of life.

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The extensive clinical database that already exists for sildenafil citrate demonstrates that it is efficacious in the management of erectile dysfunction, and safe when appropriately used. The contraindication with any form of nitrate therapy is absolute because a synergistic response can result in severe hypotension.9 In normal volunteer studies sildenafil reduced mean maximum supine systolic and diastolic blood pressure by about 8 mm Hg and 5 mm Hg without an effect on the heart rate.

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Therefore, age > 65, hepatic impairment and severe renal impairment are associated with increased plasma levels of sildenafil. A starting oral dose of 25 mg should be considered in those patients [see DOSAGE AND ADMINISTRATION].

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An additional analysis compared treated and untreated men within each blood pressure group. In the hypertension category, treated and untreated patients had similar penile blood flow velocities. However, in the high-normal category, treated men had worse penile blood flow than untreated men. Similarly, in the normal blood pressure category, treated men had worse penile blood flow than untreated men.

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