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The following adverse reactions have been identified during post approval use of VIAGRA. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. These events have been chosen for inclusion either due to their seriousness, reporting frequency, lack of clear alternative causation, or a combination of these factors.

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Urogenital: cystitis, nocturia, urinary frequency, breast enlargement, urinary incontinence, abnormal ejaculation, genital edema and anorgasmia.
The options for management beyond behaviour modification include TRT, PDE5 inhibitors, intracavernosal injection therapy, vacuum constriction devices (VCDs), intraurethral prostaglandin suppositories and surgical placement of a penile prosthesis.40 .

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Sildenafil for pulmonary hypertension can also be known by the brand names Revatio and Grandipam.
Inhibition of the PDE-5 enzyme increases the concentration of a signaling molecule known as cyclic guanosine monophosphate (cGMP), which leads to relaxation of vascular smooth muscles, dilation of blood vessels, and improved blood flow.

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Renal Impairment: In volunteers with mild (CLcr=50-80 mL/min) and moderate (CLcr=30-49 mL/min) renal impairment, the pharmacokinetics of a single oral dose of VIAGRA (50 mg) were not altered. In volunteers with severe (CLcr < 30 mL/min) renal impairment, sildenafil clearance was reduced, resulting in approximately doubling of AUC and Cmax compared to age-matched volunteers with no renal impairment [see DOSAGE AND ADMINISTRATION, and Use In Specific Populations].
International Journal of Impotence Research: "Anxiety and erectile dysfunction: a global approach to ED enhances results and quality of life."

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Men with hypertension are almost twice as likely to have impaired penile blood flow and erectile dysfunction compared to men with normal blood pressure, increasing their risk of heart disease and death. High blood pressure damages artery walls, causing them to harden and narrow, and reducing blood flow to the penis. Erectile dysfunction is an early warning sign of damaged blood vessels.

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    An erection occurs because of increased blood flow to your penis. ED can occur as a problem in any stage of the erection process. It may be related to problems with blood flow to your penis, nerve damage, or stressors and emotions. Being able to achieve an erection sometimes but not every time you want to have sex Being able to achieve an erection that doesn’t last long enough for intercourse Being unable to achieve an erection at all

    Alprostadil is an FDA-approved erectile dysfunction drug that can be injected directly into the penis to trigger an automatic erection. "Penile injection is the most effective type of ED treatment for men who can't take oral treatment," says Nelson Bennett, MD, a urologist at the Lahey Clinic in Burlington, Mass. In fact, it has an 85 percent success rate. Possible side effects include a burning sensation and priapism, an erection that lasts more than four hours and requires medical treatment.
    Bleeding at the injection site — This usually results in a black and blue patch on the skin that disappears in a few days. This occurs when you don’t put enough pressure on the injection site after removing the needle or from puncturing a skin vein.

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    Viagra is the brand name of the prescription medicine sildenafil. It’s used to treat erectile dysfunction (trouble getting or keeping an erection) in men.

    Erectile dysfunction (ED) indicates something physical or psychological is preventing a man from achieving and sustaining an erection. The most common reasons for ED involve inadequate blood flow to the penis, damaged erectile tissue and problems with the brain sending sexual arousal signals to the penis. Conditions causing ED include high blood pressure, diabetes, low testosterone, heart disease, neurological disorders (Alzheimer’s, Parkinson’s) or undergoing radiation treatments for prostate cancer. Men who suffer anxiety, depression or other mental health issues may also experience erectile dysfunction.1
    Herbal remedies, along with lifestyle changes, provide therapeutic results for individuals with sexual problems. For men suffering from ED, here’s a list of herbs for erectile dysfunction.

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    Most men will experience some form of impotence in their lifetime, and the likelihood of developing symptoms increases with age and declining health.

    A clear, plastic tube that slides over the penisA manual or battery-operated pump that sucks air out of the cylinder, sending more blood to the penisAn elastic ring that is placed around the base of the penis after an erection is obtained. It’s like a rubber band. It helps maintain firmness by preventing blood from draining out of the penis. If you have venous leak syndrome, this may help you.
    There are two main causes of ED: physical and psychological. Most doctors agree that the majority of cases are physical but it's also clear that many men with ED also quickly start to feel anxious, stressed or depressed. These feelings can easily make the symptoms of ED worse. Relationship conflicts Stress and anxiety Depression (90% of men affected by depression also have complete or moderate ED) Unresolved sexual orientation Sexual boredom

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    Raynaud’s disease (a condition that causes fingers and toes to become cold and numb)Prostate cancerFemale sexual arousal disorderAthletic performance enhancement

    Sexual health clinics treat problems with sexual health. They can provide the same treatment you would get at your GP surgery.
    This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

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ED is a common health condition with many possible underlying causes. One of these potential causes happens to be low testosterone. A testosterone test can help you determine if this is what’s behind your ED. Thankfully these days, you have the option of testing your testosterone at home, with no lab order and no waiting in a medical office. We recommend you check out the high-quality at-home Testosterone Test from LetsGetChecked.

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From a lower abdominal midline incision, the dome of the bladder is opened and the lesion repaired intravesically with 3 0 absorbable sutures. To avoid secondary complications such as urinary incontinence or erectile dysfunction (ED), injuries of the bladder neck, the proximal urethra, the prostate, or the vagina must be excluded. These injuries should be carefully reconstructed intravesically via the bladder dome incision. If the vagina is affected, a formal repair from a transvaginal approach is necessary. Fecal Incontinence in Peripheral Neuropathies Last Updated on Wed, 15 Jun 2022 | Fecal Incontinence | 24 comments Hypospadiasepispadias Introduction Last Updated on Sun, 16 Jun 2019 | Pediatric Nursing

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Prescription ED medications are safe and effective ways for most men to treat ED. However, not all men want to take prescription medication, and some men cannot take PDE-5 medicine safely.

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Designed to be taken as needed shortly before sexual activity, Viagra can take 30 minutes to an hour to take effect. It can last in your system for up to 4-5 hours and help you become erect anytime during that window. The most common dose is 50 milligrams (mg), and it should not be taken with food. Instead, Viagra is most effective when taken on an empty stomach.

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