VIAGRA
GENERIC VIAGRA (sildenafil)
Viagra Tablets
What’s the difference between a generic and a brand-name medication?
A generic drug must contain the same active ingredients and must be equivalent in strength and dosage to the original brand-name product. While generics and brand-name drugs contain the same active ingredients, the inactive ingredients may be different.
Inactive ingredients are used to keep a tablet from crumbling, add bulk to a tablet to make it large enough to handle, and/or provide a pleasant taste or color. Differences in inactive ingredients are generally harmless, but some people may have a reaction to them.
Are generic drugs safe and do they work as well as brandname medicines?
The FDA tests new generic drugs to ensure their safety and effectiveness. They make sure that generics contain the same amounts of active ingredients, that they are manufactured according to federal standards, and that they are released into the body at the same rate and the same way as the brand-name medicines.
Does a generic drug look different than its brand-name equivalent?
It may be a different size, color and shape from the brand-name version.
Why would I want to choose a generic drug over a brandname drug?
By choosing a generic equivalent, you can save a significant amount of money and you won’t compromiseon quality. Generic equivalent medications typically cost 30 - 60% less than their brand-name counterparts.
Why do generic medicines cost less?
Generic drug manufacturers don’t have to pay as much as brand-name drug manufacturers do for expensive research and development, sales, advertising and marketing.
Oryginal Viagra by Pfizer
WHAT IS VIAGRA?
VIAGRA (sildenafil citrate) is a pill used to treat erectile dysfunction (impotence) in men. It can help many men who have erectile dysfunction get and keep an erection when they become sexually excited (stimulated).You will not get an erection just by taking this medicine. VIAGRA helps a man with erectile dysfunction get an erection only when he is sexually excited.
HOW SEX AFFECTS THE BODY
When a man is sexually excited, the penis rapidly fills with more blood than usual. The penis then expands and hardens. This is called an erection. After the man is done having sex, this extra blood flows out of the penis back into the body. The erection goes away. If an erection lasts for a long time (more than 6 hours), it can permanently damage your penis. You should call a doctor immediately if you ever have a prolonged erection that lasts more than 4 hours.Some conditions and medicines interfere with this natural erection process. The penis cannot fill with enough blood. The man cannot have an erection. This is called erectile dysfunction if it becomes a frequent problem.
During sex, your heart works harder. Therefore sexual activity may not be advisable for people who have heart problems. Before you start any treatment for erectile dysfunction, ask your doctor if your heart is healthy enough to handle the extra strain of having sex. If you have chest pains, dizziness or nausea during sex, stop having sex and immediately tell your doctor you have had this problem.
HOW VIAGRA WORKS
VIAGRA enables many men with erectile dysfunction to respond to sexual stimulation. When a man is sexually excited, VIAGRA helps the penis fill with enough blood to cause an erection. After sex is over, the erection goes away.VIAGRA IS NOT FOR EVERYONE
As noted above (How Sex Affects the Body), ask your doctor if your heart is healthy enough for sexual activity.If you take any medicines that contain nitrates – either regularly or as needed – you should never take VIAGRA. If you take VIAGRA with any nitrate medicine or recreational drug containing nitrates, your blood pressure could suddenly drop to an unsafe level. You could get dizzy, faint, or even have a heart attack or stroke. Nitrates are found in many prescription medicines that are used to treat angina (chest pain due to heart disease) such as:
- nitroglycerin (sprays, ointments, skin patches or pastes, and tablets that are swallowed or dissolved in the mouth)
- isosorbide mononitrate and isosorbide dinitrate (tablets that are swallowed, chewed, or dissolved in the mouth)
VIAGRA is only for patients with erectile dysfunction. VIAGRA is not for newborns, children, or women. Do not let anyone else take your VIAGRA. VIAGRA must be used only under a doctor’s supervision.
WHAT VIAGRA DOES NOT DO
- VIAGRA does not cure erectile dysfunction. It is a treatment for erectile dysfunction.
- VIAGRA does not protect you or your partner from getting sexually transmitted diseases, including HIV-the virus that causes AIDS.
- VIAGRA is not a hormone or an aphrodisiac.
WHAT TO TELL YOUR DOCTOR BEFORE YOU BEGIN VIAGRA
Only your doctor can decide if VIAGRA is right for you. VIAGRA can cause mild, temporary lowering of your blood pressure. You will need to have a thorough medical exam to diagnose your erectile dysfunction and to find out if you can safely take VIAGRA alone or with your other medicines. Your doctor should determine if your heart is healthy enough to handle the extra strain of having sex.Be sure to tell your doctor if you:
- have ever had any heart problems (e.g., angina, chest pain, heart failure, irregular heart beats, heart attack or narrowing of the aortic valve)
- have ever had a stroke
- have low or high blood pressure
- have ever had severe vision loss
- have a rare inherited eye disease called retinitis pigmentosa
- have ever had any kidney problems
- have ever had any liver problems
- have ever had any blood problems, including sickle cell anemia or leukemia
- are allergic to sildenafil or any of the other ingredients of VIAGRA tablets
- have a deformed penis, Peyronie’s disease, or ever had an erection that lasted more than 4 hours
- have stomach ulcers or any types of bleeding problems
- are taking any other medicines
VIAGRA AND OTHER MEDICINES
Some medicines can change the way VIAGRA works. Tell your doctor about any medicines you are taking. Do not start or stop taking any medicines before checking with your doctor or pharmacist. This includes prescription and nonprescription medicines or remedies:- Remember, VIAGRA should never be used with medicines that contain nitrates (see VIAGRA Is Not for Everyone).
- If you are taking medicines called alpha-blockers for the treatment of high blood pressure or prostate problems, your blood pressure could suddenly drop. You could get dizzy or faint.
- If you are taking a protease inhibitor, your dose may be adjusted (please see Finding the Right Dose for You).
- VIAGRA should not be used with any other medical treatments that cause erections. These treatments include pills, medicines that are injected or inserted into the penis, implants or vacuum pumps.
FINDING THE RIGHT DOSE FOR YOU
VIAGRA comes in different doses (25 mg, 50 mg and 100 mg). If you do not get the results you expect, talk with your doctor. You and your doctor can determine the dose that works best for you.- Do not take more VIAGRA than your doctor prescribes.
- If you think you need a larger dose of VIAGRA, check with your doctor.
- VIAGRA should not be taken more than once a day.
- If you are older than age 65, or have serious liver or kidney problems, your doctor may start you at the lowest dose (25 mg) of VIAGRA.
- If you are taking protease inhibitors, such as for the treatment of HIV, your doctor may recommend a 25 mg dose and may limit you to a maximum single dose of 25 mg of VIAGRA in a 48 hour period.
- If you have prostate problems or high blood pressure for which you take medicines called alpha blockers, your doctor may start you on a lower dose of VIAGRA.
HOW TO TAKE VIAGRA
Take VIAGRA about one hour before you plan to have sex. Beginning in about 30 minutes and for up to 4 hours, VIAGRA can help you get an erection if you are sexually excited. If you take VIAGRA after a high-fat meal (such as a cheeseburger and french fries), the medicine may take a little longer to start working. VIAGRA can help you get an erection when you are sexually excited. You will not get an erection just by taking the pill.POSSIBLE SIDE EFFECTS
Like all medicines, VIAGRA can cause some side effects. These effects are usually mild to moderate and usually don’t last longer than a few hours. Some of these side effects are more likely to occur with higher doses. The most common side effects of VIAGRA are headache, flushing of the face, and upset stomach. Less common side effects that may occur are temporary changes in color vision (such as trouble telling the difference between blue and green objects or having a blue color tinge to them), eyes being more sensitive to light, or blurred vision.In rare instances, men taking PDE5 inhibitors (oral erectile dysfunction medicines, including VIAGRA) reported a sudden decrease or loss of vision in one or both eyes. It is not possible to determine whether these events are related directly to these medicines, to other factors such as high blood pressure or diabetes, or to a combination of these. If you experience sudden decrease or loss of vision, stop taking PDE5 inhibitors, including VIAGRA, and call a doctor right away.
In rare instances, men have reported an erection that lasts many hours. You should call a doctor immediately if you ever have an erection that lasts more than 4 hours. If not treated right away, permanent damage to your penis could occur (see How Sex Affects the Body).
Heart attack, stroke, irregular heart beats, and death have been reported rarely in men taking VIAGRA. Most, but not all, of these men had heart problems before taking this medicine. It is not possible to determine whether these events were directly related to VIAGRA.
VIAGRA may cause other side effects besides those listed on this sheet. If you want more information or develop any side effects or symptoms you are concerned about, call your doctor.
ACCIDENTAL OVERDOSE
In case of accidental overdose, call your doctor right away.STORING VIAGRA
Keep VIAGRA out of the reach of children. Keep VIAGRA in its original container. Store at 25°C (77°F); excursions permitted to 15-30°C (59-86°F) [see USP Controlled Room Temperature].The ED Conversation Dilemma: Forty Percent Of Men With ED Don't Talk To Their Doctor, Survey Finds
A new survey reveals that while 82 percent of men with erectile dysfunction (ED) surveyed recognize it as an indicator of other health conditions, such as heart disease and diabetes, nearly 40 percent have never discussed the condition with their doctors.Men Unaware Of Erectile Dysfunction Risk
A new survey shows that only ten per cent of men in their early to mid 40s know they may experience erection problems in the next decade, even though evidence suggests that the problem affects 40 per cent of men over the age of 40. Most men surveyed were unaware that erectile dysfunction (ED) may be a warning sign that they could have a serious underlying condition, such as diabetes or heart disease.Peyronie's Disease: Characteristics & Treatments
Peyronie's disease is characterized by a plaque, or hard lump, that develops on the upper or lower side of the penis in layers containing erectile tissue. It starts with an inflammation and can develop into a hardened scar. Symptoms may develop slowly or appear overnight and they consist of reduced flexibility, pain, curved and shortened penis during erection. The curvature of the penis generally leads to lowered self-esteem and makes sexual intercourse difficult, almost impossible.Erectile Dysfunction Lower In Men Who Have Intercourse More Often
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A cold slice of watermelon has long been a Fourth of July holiday staple. But according to recent studies, the juicy fruit may be better suited for Valentine's Day. That's because scientists say watermelon has ingredients that deliver Viagra-like effects to the body's blood vessels and may even increase libido. "The more we study watermelons, the more we realize just how amazing a fruit it is in providing natural enhancers to the human body," said Dr.Complications Of Penile Prosthesis Surgery
ORLANDO, FL (UroToday.com) - Dr. Levine moderated this session on penile prosthetic (PP) surgery. Penile prosthetic devices have been implanted for over 40 years. The overall satisfaction with penile implants in one study was 83%, compared to 51% for PDE5 inhibitors and about 30% for injection therapy. About a 10% mechanical failure rate can be expected at 10 years, although it may decrease with newer devices.Adult Stem Cell Therapy For Erectile Dysfunction
ORLANDO, FL (UroToday.com) - Dr. Tom Lue discussed autologous stem cell use for ED. He discussed that ability for the planarian species to regenerate any part of its body, but the salamander can only regenerate a limb. In man there are also stem cells, which are undifferentiated cells that have potential to also regenerate. In adipose tissue there are stem cells as demonstrated by immunohistochemistry, RT-PCR and Western blotting experiments.
