Viagra (Sildenafil Citrate) Reviews and Drug Information

People love new things. They find those more effective and useful. Especially when it goes about saving their time. Progress takes place in all spheres of life including the sphere of healthcare. New medications along with new devices turn up. In most cases they lead to better results and sooner healing. However, as researches of certain new medications go on, people often find out that with the growth of efficiency side effects multiply as well. That is why before trying some new medications people take care of checking out if the medications are totally safe to health and if proper researches have been held over those medications. Or else, before trying some new medications for men’s health improvement like Viagra they dig over the Internet to check out what ways of men’s health enhancement were applied before Viagra turned up.

Basic Reasons of Men’s Health Disorders

Reasons of men’s health disorders can be of two natures:

• psychological;
• organic.
Every physically healthy man experiences a spontaneous erection at night and in the morning. If you notice that your erection turns up rarer and rarer or if it fails to turn up at all, then you have been dealing with impotence of organic nature. A gradually decreasing erection can be the result of the following hidden diseases:

• diabetes;
• nerve system disorder;
• blood circulation disorder;
• low level of male hormone – testosterone.

Unexpected rare erections at night and in the morning can tell you about the psychological nature of impotence. In this case, sufferers can even experience difficulties to maintain erection, and it often fails in a few seconds after turning up. Such condition can be caused by the following psychological reasons:

• depression;
• fears;
• lack of self-confidence.

Comparatively Ancient Ways of Impotence Treatment

So, before Canadian Pharmacy offered such an easy and effective medication for impotence treatment as Viagra, people stuck to the ways on the natural basis.

• herbal medications;
• massages;
• and even leechcraft (as leeches influence blood circulation troubles).

Herbal Treatment

This includes treatment with certain herbs, vegetables, bark and so on. Many men can find it cheaper than Viagra because among vegetables there are so frequently used onions, carrots and garlic. As for herbs, parsley, coriander, motherwort and hop were quite popular. Even nuts can be used for men’s health enhancement. Walnut is recommended as the most effective one.

Massages

Penis is actually a muscle which must be regularly trained. Thus, massaging it you actually train it. Though, penis massage must in no way be understood as masturbation because the final results are different. In old times massages were not much popular but certain healers tried to insist on their efficiency. Modern researches prove that it was true.

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Well, it’s true that medications on the natural basis are good and safe. But are they that effective? No way. No matter how many onions with garlic and parsley you eat, you will rather scare your partner away than have any chance to boast of your perfect erection and durable sexual contact. Herbal treatment never performs instant results as Viagra online does. It is a long process that should begin when you have noticed erection failure for the first time and go on for the rest of your life.

You should look over the side effects expected from such effective medications for men’s health improvement as Viagra offered by Canadian Pharmacy once again and consider the co-relation of effectiveness and range of those effects. In fact, those that just do not feel that bold to leave their attempts of improving their health by old methods should take a closer look at Viagra consisting of natural ingredients. This is a wonderful alternative to herbs because it is more effective and causes fewer side effects than pills based on chemical ingredients.

Testicular Failure In recent years, there has been increasing interest in the study of aging males. Testicular failure increases with age as serum testosterone levels gradually decline. This process is not universal. When it does occur, there is significant variability in the age at the onset and the degree of the androgen decline associated with age.

Androgen Deficiency The estimated prevalence of androgen deficiency among men 40–70 years of age ranges from 12% to 45%. Approximately 481,000 new cases of androgen deficiency are diagnosed yearly in the USA.

Physiologic levels of testosterone support several critical processes involved in penile erectile response, including the maintenance of libido and energy levels, in addition to the cascade of events mediated by nitric oxide leading to arteriolar dilatation and relaxation. Screening for hypogonadism in men initially presenting with ED can help identify these men. Drug-Induced ED Erectile dysfunction is a common adverse effect of a number of drugs, and it often has a great effect on patient compliance.

This subject as a risk factor is lightly discussed here and further discussed in more detail later in the textbook. It is important to recognize that many of the drugs associated with ED are used to treat conditions that are themselves risk factors for ED, thus the interpretation of ED in the setting of pharmacological therapy is often difficult in the clinical setting.

Antipsychotics Antipsychotic medications are also implicated in ED. These drugs exert their effects primarily by antagonism of dopamine receptors but have effects on several other receptors.

In addition, dopamine antagonism causes hyperprolactinemia which contributes to the sexual dysfunction associated with these drugs. Antiandrogens Antiandrogens are a well-known cause of sexual dysfunction and ED. In recent studies, finasteride has been shown to cause minimal ED at higher doses (5 mg) for prostate cancer prevention, and almost no effect on erectile function at low doses (1 mg) for the treatment of alopecia Illicit Substances and Nicotine Several illicit substances cause ED. In addition, men on methadone maintenance therapy for heroin dependence have been reported to have significant impairment of erectile function.

The use of tobacco products, and specifically nicotine, is associated with ED in both chronic and acute exposure. Nicotine produces vasoconstriction through its actions on endothelial cells through a likely underproduction and degradation of nitric oxide.

A recent study of healthy men between the ages of 18 and 27 reported that the use of nicotine gum immediately decreased erectile response to visual stimuli despite unchanged subjective measurements of sexual arousal. This study may imply an immediate neurogenic and hemodynamic response of the penile tissue to nicotine. Furthermore, chronic cigarette smoking is also associated with an independently increased risk of ED and clinically significant damage to penile vasculature

While hyperprolactinemia is often clinically associated with the existence of ED and hypoactive sexual desire, the prevalence and pathophysiology of this association are debated in the literature. The prevalence of hyperprolactinemia in men with ED or sexual dysfunction ranges from 1.5% to 10% in recent literature.

While several studies support the classic hypothesis that hyperprolactinemia causes ED through the suppression of GnRH, there is no consensus as of yet.
While severe hyperprolactinemia is a risk factor for sexual dysfunction, the role of moderate hyperprolactinemia in the pathophysiology of ED is unclear.

Thus, as with androgens, it is unclear if pathophysiologic findings from clinical studies and animal models are applicable to the clinical evaluation of ED. There is also evidence that prolactin may have a dichotomous role in erectile physiology. A recent study found that men with prolactin levels below 5 ng/mL had increased prevalence of arteriogenic ED, while men with hyperprolactinemia only had an increased prevalence of hypoactive sexual desire.

Thyroid Disease Both hypothyroid and hyperthyroid states are associated with ED, though the specific pathophysiology remains elusive. A recent study compared men with thyroid dysfunction to controls and reported that men with both hypothyroidism and hyperthyroidism had significantly increased the prevalence of and more severe ED. Overall, 79% of men with thyroid dysfunction had ED compared to 34% of controls. Both hyperthyroid and hypothyroid men had a prevalence of ED that exceeded the prevalence of ED in the control group. Additionally, both groups had significant response to treatment.

While extrapolation of specific physiologic mechanisms from clinical treatment is limited, these findings suggest that thyroid dysfunction acts at multiple sites to cause ED. There is some evidence that hypothyroidism causes a decline in both testosterone and steroid hormone binding globulin (SHBG).

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

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.

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.

Men always worry before and after they spend time with their partners in bed. They always wonder if they have satisfied their partners. This is why most men buy Viagra just to be more confident.

What is Viagra?

Viagra or Sildenafil Citrate is a popular pill for men. They take this pill to treat Erectile Dysfunction (ED) and pulmonary arterial hypertension. Viagra today is very well-known to many people. Nearly everyone has heard of this drug and can tell what it is for.

History

Sildenafil Citrate or Viagra came from British Scientists. After several years, Pfizer, a US-based pharmaceutical company, bought the patent and launched it on the market. It has become the prime treatment for erectile dysfunction since 1998. You will also find many Generic Viagra in the market today.

How does Viagra work?

The main purpose of Viagra is to regulate blood flow in the male organ. This eliminates the phosphodiesterase (PDE) in the penis to build up more cyclic guanosine monopohosphate (cGMP) andprotect the enzymes from PDE.

What is Erectile Dysfunction?

Erectile Dysfunction or impotence is the inability or difficulty to achieve erection. This condition happens when the blood flowing to the penis is not enough to stimulate it. Everyone can experience this condition; however, it is most common with men over 40.

What are the common causes of Erectile Dysfunction?

• High blood pressure
• Anxiety
• Depression
• Abuse of alcohol and cigarettes
• Fatigue or stress
• High blood sugar
• Neurological disorder
• Heart disease

The importance of your relationship with your partner

Erectile Dysfunction may cause problems in a relationship. Anxiety and stress can reduce stimulation, leading to a point where the person no longer feels aroused with their partner and they lose control of their sexual reflexes.

It is important to improve your relationship with your partner. Personal issues can also lead to erectile dysfunction. Couples must also find different ways to please one another and show affection. This is why a healthy sex life with your partner is also important. It is part of building a foundation in your relationship. Men are always eager to know about their performance in bed. For men, it is embarrassing to not have an erection and not satisfy their partners. This issue may lead to unwanted fights and continuous arguments from both sides.

Most women feel less attractive and suspect their partners of having affairs. This is also one of the reasons why many men buy Viagra, or take other remedies to avoid such problems.

Important things to remember

Before you buy Viagra, make sure you consult a physician to see if you are fit to take the drug. If you think it is embarrassing to talk to a pharmacy clerk to buy your medicine, then it is advisable to buy Viagra online. There are many websites offering generic Viagra at lower prices and with free shipping services.