Viagra (Sildenafil Citrate) Reviews and Drug Information

Estimates from the National Health and Nutrition Examination Survey (NHANES) suggests that the cost of treatment of ED in the U.S. could reach $15 billion if all men sought care.

Analyses by the Erectile Dysfunction subgroup for the Urologic Diseases in America Project identified that almost 1.5 percent of privately insured males between the ages of 18 and 64 had at least 1 claim related to ED in 2002; shifting forms of health care were demonstrated, as the use of diagnostic tests for underlying causes of ED markedly decreased and utilization of pharmacological therapy especially with oral PDE-5 inhibitors, increased.

National pharmacy claims data indicated an increased prevalence of sildenafil use from 1.5 percent in 1998 to 2.9 percent in 2002, with its use increasing with age. For example, in 2002, 6 percent of men aged 55 or older had one or more claims for sildenafil.

Furthermore, the Department of Veteran Affairs (VA) indicated a nine-fold increase in treatment for ED between 1999 and 2003, with 9.3 percent of men 55-64 years of age reporting filling a prescription for oral agents in 2003. The overall use of pharmacological treatment for ED increased from 17,458/100,000 in 1999 to 56,716/100,000 in 2003. This is reflected by data from the VA Pharmacy Benefits Management Group, as prescriptions for specific ED drugs increased from 681/100,000 to 6,120/100,000 during this period. According to national sales, in 2005, the pharmaceutical costs of sildenafil, tadalafil, and vardenafil were $1.6 billion, $747 million, and $327 million, respectively.

Harms Observed in Clinical Trials Headache, flushing, rhinitis, and dyspepsia are the most commonly observed adverse events related to treatment with PDE–5 drugs. There also have been concerns regarding the excess incidence of cardiovascular events and visual disturbances occurring in patients receiving PDE–5 drugs; however, the current evidence does not indicate any marked trends for increased rates of these events in ED patients taking PDE–5 drugs compared with those in the general population

ED is a common disorder of male sexual function that affects all age groups and has a profound impact on quality of life. Given the increasing trends in life expectancy across the Western world (i.e., the aging of the general population) and the high prevalence of diabetes and cardiovascular disease, the impact on lifestyle and quality of life imposed by ED in men is projected to be substantial.

– It was estimated that, in 1995, over 152 million men worldwide experienced ED.

– For 2025, the prevalence of ED is predicted to be approximately 322 million worldwide.

The severity, prevalence and incidence of ED increase with age.

The Massachusetts Male Aging Study surveyed 1,709 men aged 40–70 years between 1987 and 1989, using a self-administered questionnaire that asked participants to rate themselves as not having ED, or having minimal ED, moderate ED, or complete ED. There was a total prevalence of erectile dysfunction of 52 percent when participants with minimal (17.2 percent), moderate  (25.2 percent) and complete (9.6 percent) dysfunction were combined. Both the prevalence and severity of erectile dysfunction increased proportionally with age. When adjusted for age, patients with lower level of education, heart disease, hypertension, and diabetes had a higher probability of ED.

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– In the same study, a sample of 847 men without ED at baseline (1987– 1989) was followed prospectively until 1995–1997.

The crude incidence rate of ED in this population was estimated to be about 26 cases per 1,000 man-years (95% CI: 22.5–29.9).

The annual age-specific incidence rate of ED increased with each decade of age.

For example, the incidence rates (and 95% CIs) for men in two age groups of 50–59 and 60–69 years were

• 29.8 cases per 1,000 man-years (95% CI: 24.0–37.0)
• 46.4 cases per 1,000 man-years (95% CI: 36.9–58.4), respectively.

In a Canadian cross-sectional survey of primary care facilities, about 50 percent of 3,921 men aged 40–88 years had ED (IIEF “EF” domain score <21). The presence of cardiovascular diseases or diabetes was associated with an increased risk of having ED after adjustment for age and other confounders.

Erectile dysfunction (ED) is defined as the persistent inability to achieve or maintain penile erection sufficient for satisfactory sexual performance. The 1992 National Institutes of Health (NIH) Consensus Development Conference recommended the use of erectile dysfunction as the preferred term to impotence, the former being more precise. There is no universal consensus or agreed criteria as to how consistent the problem (i.e., inability to achieve or maintain a penile erection sufficient for satisfactory sexual performance) has to be and for what duration it should last to fulfill this definition. A period of persistence over 3 months has been suggested as a reasonable clinical guideline.

The diagnosis of ED involves a clinical evaluation including medical/physical examination as well as documentation of sexual and psychosocial history. Erectile dysfunction is one of many symptoms of sexual disorders including premature ejaculation, increased latency time associated with age, psycho-sexual relationship problems, and loss of libido. During diagnosis of ED, it is important that other sexual dysfunctions (e.g. loss of libido) be recognized and taken into account. A few validated instruments are used in diagnosing ED, grading its severity, and assessing treatment satisfaction. Some examples of such instruments are the International Index of Erectile Function (IIEF),15 the modified 5-item version of IIEF (IIEF–5), and the Erectile Dysfunction Index of Treatment SatisfactionEDITS). The IIEF is a self-administered 15-item questionnaire consisting of five distinct domains:

• erectile function (total score range 1– 30),
• orgasmic function (total score range 0–10),
• sexual desire (total score range 2–10),
• intercourse satisfaction (total score range 0–15),
• overall satisfaction (total score range 2– 10).

Recommendations based on biochemical investigation may consist of hormonal screening to detect hypogonadism or other underlying common diseases such as hyperprolactinemia, diabetes and dyslipidemia. Other methods that may be used are urine analysis, blood count, lipid levels, or prostate-specific antigen (PSA) concentration. There are also specialized evaluation techniques such as duplex ultrasonography, penile tumescence studies, RigiScan, test injections, audio-visual stimulation and penile brachial index measurement.

Today a score of adults are facing the problem of erectile dysfunction and they are struggling in the battle field of sexual problem. The erectile dysfunction in the men life possess the direct proportion with their other mode of happiness because when a men didn’t get succeed in giving satisfaction to their sex partner then that person feel ashamed in front of their beloved one and try to avoid their partner because of their sexual problem. So it’s not the time to worry about these entire sexual problems and every problem has a solution and here the name of your solution is Viagra. Viagra is sex medication which decrease the problem of impotency in men’s and according to the recent online survey it’s the most popular and usable drug in between impotent men. Viagra has helped out a score of adults through its treatment in erectile dysfunction in men. In past decade many persons blamed their selves for their disable manpower but that time has been gone and today Viagra is the first medically acclaimed sex drug which definitely reduces the erectile dysfunction and gives you the proper feedback in your sexual disease.

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If anybody have the same erectile dysfunction then don’t feel less confident in front of others only you have to order it online if you feel a hesitation to discuss it with your friends. Some had the perception in previous time that the erectile dysfunction comes with the age but today it doesn’t have any relevance with the correctness. Before you decide to go with Viagra product it’s the primary stages that make sure with yourself that how it works in the treatment of male erectile dysfunction and also some necessary things about body. According to the sexologist it can be harmful for those who have some kind of heart problem or any blood pressure problem. The Viagra mainly increase the blood flow in the cells of penis that generate an erection in it. The drug is only for adults who dream for a sexual satisfactory life. If u want to purchase online sexual tablets than order now Viagra online.

There are a score of adults exist who don’t want to discuss their sexual problem with their doctors, friends and their sex partner and always feel embarrasses. Today a number of websites are claiming for the sale of accurate Viagra product so be careful to buy any Viagra product and get it only those who also mention their medical prescriptions.

Life veers to a negative way when depression hits, leaving life at stake. The patients of hypertension and depression are prescribed antidepressants. Depression itself lowers the libido or sexual urge, on top of it one of the most common side effects of antidepressants is erectile dysfunction thus leading to overall sexual dysfunction. According to different studies, 75% of people suffering from depression and hypertension also suffer from loss of libido. And the balance damage to the sexual life of these already depressed people is done by the SSRIs, MAOIs, Tricyclics, and Tetracyclics. These antidepressants induce more decrease in the libido level, loss of orgasm or delay in getting one and premature or painful ejaculation.

The PDE5 mechanism has revealed a way of discussion on erectile function and provided a better understanding of the issue. The open and honest discussions on sexual problems helped the scientists to know more about the nature of sexual function and thus led to the search of certain medicines which have proved to be a boon to the Human Sexual World. One such miraculous chemical Sildenafil Citrate was manufactured by Pfizer and sold under brand name Viagra. Viagra has successfully treated varied organic, psychogenic or mixed aetiology in the last 7 years and more than 750,000 physicians have prescribed Viagra to more than 23 million men. In the same way, it is also effective in men with ED and co morbidities such as hypertension, diabetes related depression and hyperlipidaemia.

Sildenafil Citrate, the blue pill named Viagra, this wonder drug can treat almost all types of erectile problems. A current research on patients with ED aged 18 years and older results showed that 68% of them have at least one diagnosis of diabetes related depression or normal depression, hypertension, hyperlipidaemia (Seftel et al. J Urol 2004;171: 2341-5). In another study, researchers concentrated on the effects of taking Viagra just before sexual activity, the samples contained 90 men with an average age of 45 suffering from sexual dysfunction as a result of their treatment for depression. The result showed that the erectile function, arousal, ejaculation, orgasm, improved who took Viagra. Many studies running under different institutes show that the action of Viagra in the human body does not get effected by SSRIs and tricyclics like selective serotonin reuptake inhibitors, such as Prozac, Celexa, Paxil, etc.

Viagra, the first PDE5 to rock the ED world, can treat the antidepressant and depression and other psychological problems induced sexual dysfunction. Viagra has opened a door of pleasure and happiness to those who are depressed and unhappy. New facts are coming up everyday related to human sexual behavior and its intricacies. Let’s see what else Viagra has to offer!

Generic Viagra is very much effective in repairing the dysfunction of men.

The treatment of impotence of men, generic Viagra plays the important role in all over the world. Generic Viagra is the similar working medicine of Viagra. Viagra works on the erectile dysfunction of men. If anybody takes it, the working process is like the Viagra itself. Generic Viagra is made of Sildenafil citrate. It increases the blood circulations in the reproductive organs in men. The medicine increases the blood circulations in the muscles of those organs and makes them relaxed so that they can perform well in time of need. When the reproductive organ becomes erect the medicine increases the blood circulations in the veins and arteries of men to make the erectile condition long lasting. This makes the men confident and enhances vigor in a man and increases joy in him.

The impotence in men may enter into men in various reasons such as excessive intake of alcohol; excessive masturbation in childhood, the side effect of any medicine, aging etc. are the main reasons for it. The cause may be any; Generic Viagra is the cheap solution for it. This type of medicine has no patent property and there is no need of advertising to get a place in the market. So, the cost of the medicine is low. That is why all the companies can offer the medicine in cheap. All the online companies are providing the medicine in cheap. This kind of medicine may be found in many names like Kamagra, Kamagra, oral jelly, Zenegra, Silagra, Zenegra, Generic Levitra, Caverta, and Forzest etc. All that medicines can be found in online pharmacies. These can be of various forms like, oral pill, jelly type, polo ring type, chewing gum type etc. The cost of other types except oral pill is higher. If there is any problem of taking the oral pills they can choice the other. The effect of the Generic Viagra remains 4 to 6 hours and starts effective after an hour. So, it is better to take before an hour of copulation.

If you wish to have a dose of generic Viagra, you do not need to have the prescription. You have to log in to the particular site and fill up some general information of yours and get the medicine sitting at home. Some companies are offering ‘take free sample and then purchase’ offer. So, have a dose for you for confident vigorous life.

Erectile dysfunction is a very common male condition and affects millions of men every year. If a man is suffering from erectile dysfunction then he finds it difficult to achieve or maintain an erection to complete sexual intercourse. Almost all men suffer from this condition once in their lifetime. This condition can happen at any age but for different reasons at different ages. For instance, a young man suffers from erectile dysfunction due to anxiety caused by various factors namely fear of pregnancy, using a condom or being caught. At middle age, men suffer from erectile dysfunction due to fatigue, stress, relationship issues and sometimes diabetes. Erectile dysfunction becomes more common with age; however, this does not mean that only old people suffer from it. Only a third of elderly people suffer from erectile dysfunction.

Erectile dysfunction effects

The factors that often cause erectile dysfunction are also the effects of it. This becomes a vicious cycle and men suffer from stress, anxiety, depression, low self-esteem and other psychological issues due to their condition.

– Erectile dysfunction can disrupt other spheres of a man’s life as well and upset his personal relationships, career and his social behaviour.
– Erectile dysfunction can cause people in a relationship to drift apart and is known to break many a relationship.
– Erectile dysfunction can also be a sign that something is wrong with your health.

Erectile dysfunction causes

Erectile dysfunction can be caused due to physical as well as psychological factors. Sometimes it is even caused due to lifestyle habits such as drug abuse, smoking and drinking excessively. The most common physical causes of erectile dysfunction are reduced blood flow to the penis, nerve damage, ageing, vascular diseases, systemic diseases, neurological conditions, penile conditions, hormone disorders, prostate or bladder surgery, spinal cord injuries amongst many others.

Even though only 20% of erectile dysfunction cases can be attributed to psychological cases, the factors such as anxiety, guilt and depression can severely impact a man’s erection abilities. Some medications are also known to cause erectile dysfunction; they are blood pressure medications, tranquilizers, antidepressants and sedatives.

Erectile dysfunction treatments and solutions

From ancient Chinese drugs to vacuum devices, lots of solutions for erectile dysfunction are resorted to by men. Some of the age-old therapies and herbs are nothing but snake oils and a random concoction sold under glorious names. Another option available is urethral injections. These injections reported a success rate of 60%. They are inserted directly in the urethra of the penis and help by stimulating the blood flow in the penis. However, this method is very painful and dangerous.

The first ever clinically tested, solidly proven and FDA-approved treatment for erectile dysfunction is Viagra. This easy-to-take oral drug changed the way erectile dysfunction was regarded and treated and this simplified the lives of men suffering from it. After 5 years after the introduction of Viagra, it was joined by other drugs namely Cialis and Levitra. All 3 of these drugs work in the same way i.e. by inhibiting an enzyme called PDE-5 and increasing the levels of a chemical called cGMP. In simple terms, they help by increasing the flow of blood to the penis and help in achieving erections.

The inability to achieve erection is a common issue when guys attain the age of 30-70. It has designed a number of sleepless evenings to men all more than the planet. But the precise variety of men and women enduring from ED is even now left unknown since most of them would relatively cover their head in the sand due to the fact of shame. There are nevertheless various answer to the dilemma, this report focuses on erectile dysfunction narcotic evaluate so sufferers can handpick the most effective medication to bring back individuals nights spent in cuddle with their partners.

The blue pill

This is by far the most known brand identify when it arrives to ED. Promoted and produced by Pfizer, The blue pill is also obtainable with the title, Caverta and Ravatio. It is promoted in a type of a blue pill in milligrams of 25, 50, and a hundred. The blue pill is only accessible via prescribed and though there are retailers that provide the drug even without having prescribed, it is not really a wise technique to pick given that there are contradictions of using the medication. Generic viagra Canada – cheap ed meds online pharmacy.

Surprisingly, The blue pill was not designed with the sole goal of healing erectile dysfunction; relatively, the notion for making the medicine is to treatment a heart ailment known as angina pectoris. It didn’t operate the way it is expected to, nevertheless researchers observed by way of testing a sure exciting aspect results and it’s the truth that it consistently induced erections.

Cialis

Also recognized as the Tadalafil, this is a medicine which is mainly use for the goal of dealing with erectile dysfunction. Canadian cialis operates by assisting increase blood flow into the places surrounding the penis thus erection is achieved. The second when sexual exercise is completed, the blood will immediately flow back again to the penis and so erection goes away. Like The blue pill, this is also accessible only with doctor’s doctor prescribed.

Levitra

Vardenafil is a group of medicines acknowledged to have a delaying activity to enzymes named as phosphodiesterases. The enzymes work in the penis. With this, the medication is employed to treat males suffering from erectile dysfunction which is occasionally referred as sexual impotency. Vardenafil might support in attaining erection specifically the minute when a male is sexually thrilled. This medicine is also seen to increase the blood movement heading to the penis therefore erection is satisfactory obtained for sexual activity. The moment when the deed of sexual exercise is end, there will also be a lower in the blood movement consequently erection will stop to carry on. Let it be reminded nevertheless that Levitra online Canada is not use to treatment erectile dysfunction and it is only obtainable with doctor’s health professional prescribed.

Having problems getting an erection? Can’t keep an erection long enough? Having problems maintaining an erection ahead of or during sexual intercourse? If you have responded yes to all these questions, then you might need toget hold of generic Viagra or other impotence prescription drugs. Erectile dysfunction (ED) is more widespread than many peoplethink. A recent study has proved that over 1 / 2 of males that are in their 40s experience erection problems at some level.

On the other hand, to be sure that a man is indeed suffering from impotence problems, he must talk to his health care provider first. There are a lot of general practitioners who can accurately identify and also treat erectile dysfunction. A person can easily also talk to an urologist which is a medical specialist regarding this particular type of problem.

Every niche that may aid in dealing with erectile dysfunction is widely represented, as several are psychologists, urologists, and internal medicine specialists. These types of physicians can easily recommend the ideal treatment method necessary with regard to impotence problems, such as generic Viagra, generic Cialis, or generic Levitra.

It is suggested that men consult a physician first before purchasing virtually any of these medications. This is to make certain that the doctor has accurately identified the patient’s situation as well as which the health care provider has prescribed the proper dosage for the customer.Manufacturers guide that taking any kind of other medicine (besides erectile dysfunction prescription drugs) might endanger a patient’s wellness.

Users of generic Viagra, generic Cialis, and generic Levitra shouldn’t take these types of prescription drugs if they are taking nitrates, which in turn are generally given for chest pains. Dosages also vary when it comes to age. For generic Viagra, the lowest dosage advised for guys older than sixty five years old is usually 25 milligrams. The dose is actually also different for generic Cialis and generic Levitra.

Guys can purchase these types of prescription drugs via a neighborhood drug store or through an online pharmacy, and these pharmacies will certainly demand a prescription from the health care provider. Prospective consumers are cautioned against some drug stores which are offering to sell them these kinds of medicines without the need of requesting a prescription as these are likely counterfeit drugs. Counterfeit medications may have components that can become unsafe to a patient’s health. Theycould also be dangerous if they have an excessive amount of a substance in each drug, and that can cause an overdose.

Consumers should also check out pharmacy reviews on the internet to check if the pharmacies which are supplying these drugs arelegitimate. The process can protect consumers from obtaining counterfeit medicines which they spend a great deal of money for. Today, people are more vigilant when it comes to their overall health and also where they shell out their money.

Online drug stores which provide generic Viagra, generic Cialis, and generic Levitra Canada are especially helpful to men of all ages having difficulties from erectile dysfunction since they have made the prices of such pills more affordable. On the other hand, reading through online pharmacy reviews can provide the consumer in-depth knowledge and a lot more choices. Be certain you get generic Viagra from the best online pharmacy. If you’re able to do this, you don’t have to worry about buying bogus drugs. You can actually just relax in the assurance that you are dealing with your condition properly.

Impotence or Erectile Dysfunction is not an unknown word anymore. With each passing day you get to know more about this sexual problem of men. Several treatments for this disease have been invented. All of them have been thoroughly tested some have succeeded in the test and some have not.

More than hundred million men all around the world suffer from this problem. Viagra is the best option for the impotence treatment till now, this fact we all know. But just like other prescription medication this can also cause some unwanted side effects and thus it is not appropriate for everyone.

“Necessity is the mother of inventions”, we’ve heard this quote several times. So there was a need for the products which can be taken by those men who didn’t find Viagra suitable for them. And after years of hard work and research one can say that fortunately there are many options available to cure impotence.

Vacuum Penis Pumps

The main reason for the erectile dysfunction is the loss of erections, this happens due to poor blood flow in the genitals. The vacuum pumps works by creating the vacuum around the penis which forces the blood to reach the penile region. This increases the blood flow in the penile region and enlarges its size.

These devices may appear cumbersome to you, but they are really effective to get the desired erection. It is appropriate for men who are suffering from moderate degree of erectile dysfunction and generally well adapted by them.

One recent study suggest that a large number of men who have used both Viagra and penis pumps opt for the latter because they have benefitted more from it as compared to the pill.

Herbal medications to improve testosterone levels

Low testosterone is a common problem among men, men older than 60 years suffer from this problem. Hormonal replacement therapy is still in debate regarding the risks involved in it.

Testosterone can improve the ED in men. This hormone is pretty effective in improving the sexual desire and libido and has other beneficial effects to the ED.

Herbal medications like VigRX improve the libido in men along with improving the testosterone levels in man, though the primary role of VigRX is to increase penis size. One other herbal pill which is really popular for impotence cure is Viapro. This pill helps to achieve the erections within 30 minutes of its intake.

Other medications may also have a positive effect on ED. It has been observed that anti smoking medication bupropion (Wellbutrin) not only helps to quit smoking but it also increases the libido.

Penile Implants and Surgeries

For more serious cases of ED, surgical implants are available toady. Some of these devices add permanent stiffness to the penis, while others have an inflatable balloon, which allows man to produce an erection mechanically.

While the promotion of Viagra has led to perhaps reduce the interest in procedures for surgical implants, at least one study suggests that a relatively long-term follow-ups of surgery are better than those from the drugs including Viagra.

These results should however be interpreted with caution because they have not been widely confirmed. Also, men should be warned that once the implants are placed, they may never have an erection regardless because the implants can damage the erectile tissue.

For men with damaged blood vessels, surgery can be performed to bypass blocked arteries to the penis, or tie leaky veins that allow blood to leak from the penis during erection.