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Common side effects include headaches, heartburn, and flushed skin. The primary indication of sildenafil is treatment of erectile dysfunction inability to sustain a satisfactory erection to complete intercourse. Sildenafil and other PDE5 inhibitors are used off-label to alleviate vasospasm and treat severe ischemia and ulcers in fingers and toes for people with secondary Raynaud's phenomenon ; these drugs have moderate efficacy for reducing the frequency and duration of vasospastic episodes. In July, the FDA found that sildenafil could lead to vision impairment in rare cases, and a number of studies have linked sildenafil use with non-arteritic anterior ischemic optic neuropathy. Contraindications include:: The US FDA has banned numerous products claiming to be Eurycoma longifolia that, in fact, contain only analogs of sildenafil.

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The penis is one of the areas where this enzyme works. Erectile dysfunction is a condition where the penis does not buy spray on viagra and expand when a man is sexually excited, or when he cannot keep an erection. When a man is sexually stimulated, his body's normal response is to increase blood flow to his penis to produce an erection. By controlling the enzyme, sildenafil helps to maintain an erection after the penis is stroked. Without physical action to the penis, such as that occurring during sexual intercourse, sildenafil will not work to cause an erection.

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Erectile function in man depends upon a complex interaction of psychogenic, neurologic, hormonal and vascular factors, and therefore the management of erectile dysfunction ED reflects this complexity of control. Therapeutic options include psychological and non-pharmacological approaches as well as drug treatments. The effectiveness of the type-5 cGMP phosphodiesterase inhibitor sildenafil citrate Viagra confirms the pivotal role of the NO-cGMP axis in promoting and maintaining erection. Although widely acclaimed, sildenafil leaves many questions unanswered, especially regarding its susceptibility to pharmacokinetic drug interactions, and its safety in patients with ischaemic heart disease and those taking nitrates. Frequently asked questions. My Bibliography Add to Bibliography.

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It helps in relaxing the blood vessels and allows more blood flow to the penis. It is also not suitable for use in children and adolescents below 18 years.

Oral medications are often the first line of treatment for erectile dysfunction. For most men who have trouble keeping an erection firm enough for sex erectile dysfunction, these medications work well and cause few side effects. Sildenafil Viagra, vardenafil Levitra, Staxyn, tadalafil Cialis and avanafil Stendra are oral medications that reverse erectile dysfunction price of penegra enhancing the effects of nitric oxide, a natural chemical your body produces that relaxes muscles in the penis. This increases blood flow and allows you to get an erection in response to sexual stimulation. Although they work in similar ways, each oral medication has a slightly different chemical makeup. These minor differences affect the way each medication works, such as how quickly it takes effect and wears off, and the potential side effects.

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Continued use indicates your consent. Erectile dysfunction is a very common condition, particularly amongst men over the age of It is characterised by an inability to achieve and maintain an erection, making sexual activity very difficult. Erectile dysfunction can be caused by many different things, and so treatment options vary. If the ED is caused by an underlying condition such as diabetes then medical treatment for this condition will take precedence. Counselling is usually advised if the root cause of the impotence is psychological.


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