Viagra Information for the Treatment of Male Importance
What is Viagra?
ViagraŽ is the first
significant oral medication for the treatment of Erectile
Dysfunction (ED). The medicine was originally developed as
a cardiovascular medicine designed to improve blood flow in
the vessels of the heart. However, during initial studies
the medication was found to have a profound side effect. Individuals
began to report a remarkable difference in their ability to
achieve and maintain an erection. Further studies were completed
and on March 27, 1998, the medication was approved by the
FDA for the treatment of (ED).
How does ViagraŽ work?
ViagraŽ is dispensed as a pill
and ingested orally. Approximately 30-60 minutes later the
drug is absorbed in the bloodstream. ViagraŽ then functions
as an inhibitor to an enzyme called phosphodiesterase type
(PDE5) which is found primarily in the penis. By inhibiting
PDE5, smooth muscle in the penis remains relaxed for a longer
period. This allows for increased blood flow into the cavernous
tissue of the penis thereby generating an erection. ViagraŽ
is unique in that it increases a natural occurring process,
therefore, only through sexual stimulation will an erection
occur.
What is the appropriate dose?
The standard dose is 50mg one
hour prior to sexual activity. However, if you are older than
age 65 or have a serious kidney or liver disease some physicians
will recommend starting with the minimal dose of 25mg. ViagraŽ
should not be taken more than once per any 24-hour period
and doses should not exceed 100mg. The half-life of ViagraŽ,
the time the drug remains effective after ingestion, is approximately
four hours.
What clinical studies have been
done?
Fortunately, there is now a proven way to treat impotence.
Viagra has been tested in over 130 clinical trails involving
men of all ages. In all of these clinical trial Viagra as
proven to be the most trusted treatment option for impotence.
There is no substitute for experience, some 600,000 physicians
have prescribed Viagra to more than 20 million individuals
worldwide.
The following graph depicts how men rate the long term
use of Viagra for the treatment of impotence:
 
Viagra (sildenafil citrate) has changed the course of
treatment for Erectile Dysfunction. Rarely has there ever been
so much enthusiasm surrounding a prescription medication.
How much time must surpass before
ViagraŽ is effective?
Viagra is rapidly absorbed. Maximum
observed plasma concentrations are reached within 30 to 120
minutes (median time 60 minutes) of oral dosing on an empty
stomach. Note: when ViagraŽ is taken with a high fat content
meal, the rate of effectiveness can be significantly diminished.
What happens if there is no sexual
stimulation following the ingestion of ViagraŽ?
ViagraŽ is naturally eliminated
from your body in a few hours.
What are the side effects of
ViagraŽ?
- The side effects of ViagraŽ are relatively
few and if they do occur, they are usually short lived.
However, some patients have reported the following side
effects:
- Congestion
- Diarrhea
- Facial Flushing
- Headaches
- Urinary Tract Infections
- Visual Changes (mild and temporary changes
in blue/green colors or increased sensitivity to light)
What are precautions/warnings
concerning ViagraŽ?
Men who are taking medicines
that contain nitrates (Nitroglycerin) of any kind must never
use ViagraŽ. Patients should not take ViagraŽ even if you
only take nitroglycerin medication occasionally. (Please see
list of nitrates) There is also a potential for cardiac risk
during sexual activity in patients with preexisting cardiovascular
disease. Therefore, ViagraŽ should not be used in men where
sexual activity is inadvisable because of their underlying
cardiovascular status. Several medications are known to interact
with ViagraŽ. Therefore, one should inform their physician
concerning all medications they are taking, including those
medications acquired by a prescription as well as over the
counter medicines. The use of ViagraŽ offers no protection
against sexually transmitted diseases, including HIV. Patients
should continue to use protective measures necessary to guard
against these diseases. In case of an overdose, call your
physician immediately.
Can I use ViagraŽ with other
medications?
Yes, it is generally safe to
use ViagraŽ while on other medications, however some medicines
may potentiate the effects of ViagraŽ. Individuals should
always consult with their healthcare provider prior to taking
any medication. Note ViagraŽ does have one absolute contraindication;
individuals who are taking medication-containing nitrate (even
intermittently) should not take ViagraŽ.
Why is ViagraŽ absolutely contraindicated
in individuals who are currently taking medications containing
nitrates?
ViagraŽ has been shown to potentiate
the hypotensive effects of nitrates to life threatening levels.
Therefore, individuals who are currently using nitrates in
any form even intermittently should not take ViagraŽ. Nitrates
are available in many medications; sprays, ointments, skin
patches, pastes and tablets dissolved in the mouth. Nitrates
are also found in illicit drugs such as amyl nitrate or nitrite
"Poppers". If you are unsure if you are currently taking nitrates
please value your health and consult with your local physician
or pharmacist.
Can I get ViagraŽ over the counter?
No, ViagraŽ should only be taken
by prescription from a licensed physician. FDA regulations
do not permit ViagraŽ to be taken without prescription. ORDER NOW for a ViagraŽ prescription. A Licensed Physician
will review your medical history and patient profile. If approved
for a ViagraŽ prescription, we will have your order shipped
discretely to your home or office.
For what types of ED is ViagraŽ
proving to be especially effective?
ViagraŽ is showing optimal results
in individuals who experience ED secondary to high levels
of anxiety (performance anxiety) and individuals with mild
ED.
Is ViagraŽ less effective in
treating ED that is secondary to certain underlying medical
conditions?
This question is somewhat difficult
to answer right now. More data is expected in the near future.
Some initial data suggests that men, who have undergone radical
prostatectomy (surgical removal of their prostate), using
nerve-sparing procedures, are not achieving the same positive
results with Viagra.
Can ViagraŽ be combined with
other treatments for erectile dysfunction?
The use of such combined treatments
is not recommended, since no studies have been done to access
Viagra'sŽ safety and effectiveness.
Is there a potential for ViagraŽ
to be used in the treatment of ED in women?
There are currently several medical
research centers that are studying whether ViagraŽ is a viable
oral therapy for woman with ED. The problem is, secondary
to anatomy, we know less concerning female ED than male ED.
Historically, research has focused on male ED. Until we have
a better understanding of the physiological processes causing
Ed in women are ability to treat the condition is limited.
Although some physicians are prescribing ViagraŽ to their
female patients, it is important to note, the FDA has not
approved the medication for the treatment of ED in women.
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