Viagra Information For Impotence Treatment
The following Viagra frequently asked question
section is for informational purposes only. The information has
been compiled from a variety of resources in order to give the
reader an overview of the use and various effects of Viagra in
treating impotence.
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What is Viagra?
Viagra 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), later that fall Viagra was
approved in the European Union and has since been approved by
regulatory authorities in over 100 countries around the world.
Viagra has help more men around the world
treat their impotence symptoms!
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.
Viagra was approved in Europe in September 1998 and has since been
approved by regulatory authorities in over 100 countries around
the world. In the past four years, Pfizer Inc. has sold enough of
the drug, trade named Viagra, to fill 100 million prescriptions
for some 20 million patients worldwide, making Viagra one the most
prescribed medication worldwide.
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How does Viagra work?
Viagra is dispensed as a pill and ingested
orally. Approximately 30-60 minutes later the drug is absorbed
in the bloodstream. Viagra 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.
Viagra is unique in that it increases a natural occurring process,
therefore, only through sexual stimulation will an erection occur.
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Why is Viagra sometimes referred to as sildenafil citrate?
Sildenafil citrate is the generic name for
Viagra pronounced as sill-DEN-uh-fil citrate. The generic name
represents the medications nonproprietary or chemical name, whereas,
the brand name is the name a pharmaceutical give to a medication
for marketing purposes.
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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. Viagra should not be taken
more than once per any 24-hour period and doses should not exceed
100mg. The half-life of Viagra, the time the drug remains effective
after ingestion, is approximately four hours.
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What about pill splitting?
Viagra is manufactured in 25mg, 50mg and 100mg
tablets. Most physicians would agree that since Viagra is a lifestyle
medication there is no harm in splitting the 100mg tablets into
two 50mg doses for a significant cost savings.
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What clinical studies have been done?
Viagra was administered to more than 3000 patients
(age 19-87 years) with (ED) of various etiologies (organic, psychogenic
or mixed) with a mean duration of 5 years. Viagra demonstrated
statistically significant improvement as compared to a placebo
in all studies. In one particular study concerning the frequency
of successful penetration during sexual activity and maintaining
erection after penetration, 83% of these patients reported an
improved erection on Viagra verses 12% on a placebo medication.
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How much time must surpass before Viagra 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
Viagra is taken with a high fat content meal, the rate of effectiveness
can be significantly diminished.
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What happens if there is no sexual stimulation following
the ingestion of Viagra?
Viagra is naturally eliminated from your body
in a few hours.
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What are the precautions/warnings concerning Viagra?
Men who are taking medicines that contain nitrates
(Nitroglycerin) of any kind must never use Viagra. Patients should
not take Viagra even if you only take nitroglycerin medication
occasionally. There is also a potential for cardiac risk during
sexual activity in patients with preexisting cardiovascular disease.
Therefore, Viagra should not be used in men where sexual activity
is inadvisable because of their underlying cardiovascular status.
Several medications are known to interact with Viagra. 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 Viagra 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.
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Can I use Viagra with other medications?
Yes, it is generally safe to use Viagra while
on other medications, however some medicines may potentate the
effects of Viagra. Individuals should always consult with their
healthcare provider prior to taking any medication. Note Viagra
does have one absolute contraindication; individuals who are taking
medication-containing nitrate (even intermittently) should not
take Viagra.
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Why is Viagra absolutely contraindicated
in individuals who are currently taking medications containing
nitrates?
Viagra has been shown to increase the hypotensive
effects of nitrates to life threatening levels. Therefore, individuals
who are currently using nitrates in any form even intermittently
should not take Viagra. 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.
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Can I get Viagra over the counter?
No, Viagra should only be taken by prescription
from a licensed physician. Regulations do not permit Viagra to
be taken without prescription. Secondary to the advent of the
internet individuals may now order Viagra online simply by completing
an online medical questionnaire. Subsequently, a licensed physician
will review your medical history and patient profile. If approved
for a Viagra prescription, your order shipped discreetly to your
home or office in 1-2 business days (order Viagra online now).
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Should I use Viagra if I have not had sexual intercourse
in a long time?
Sexual activity can cause a strain on the cardiovascular
system. If you have not had any physical activity or if you have
any pre-existing medical conditions you should consult with your
local physician prior to using the medication.
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For what types of Erectile Dysfunction (impotence) is
Viagra proving to be especially effective?
Viagra is showing optimal results in individuals
who experience ED secondary to high levels of anxiety (performance
anxiety) and individuals with mild ED.
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Is Viagra 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.
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Can Viagra 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's
safety and effectiveness.
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What if Viagra does not produce the
desired effects that I anticipated?
If Viagra does not produce the desired effects
do not despair. Viagra is just one in many treatment options for
erectile dysfunction (please see the erectile dysfunction information
section).
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Is there a potential for Viagra to be
used in the treatment of ED in women?
There are currently several medical research
centers that are studying whether Viagra is a viable oral therapy
for woman. Unfortunately, secondary to their anatomy, researchers
know less concerning female sexual dysfunction than with the male
sexual dysfunction. Historically, research has focused on male
sexual dysfunction. Until we have a better understanding of the
physiological processes causing sexual dysfunction in women are
ability to treat the condition is limited. Although some physicians
are prescribing Viagra to their female patients, it is important
to note, the FDA has not approved the medication for the treatment
of sexual dysfunction in women.