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Sildenafil
Clinical data
Pronunciation/ s ɪ l ˈ d ɛ n ə f ɪ l / sil- DEN -ə-fil
Trade namesViagra, Revatio, others
AHFS/Drugs.comMonograph
MedlinePlusa699015
License dataEU  EMA:  by INN, US   FDA: Sildenafil
Pregnancy categoryAU: B1 US: B (No risk in non-human studies)
Routes of administrationBy mouth (tablets), IV
ATC codeG04BE03 ( WHO )
Legal status
Legal statusAU: S4 (Prescription only) CA : ℞-only UK: P (Pharmacy medicines) US: ℞-only In general: ℞ (Prescription only)
Pharmacokinetic data
Bioavailability41% (mean) [1]
Protein binding~96%
MetabolismLiver: CYP3A4 (major route), CYP2C9 (minor route)
MetabolitesN -desmethylsildenafil (~50% potency for PDE 5 )
Elimination half-life3–4 hours
ExcretionFeces (~80%), urine (~13%) [2]

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Approximately 2% to 5% of patients are candidates for vascular reconstructive surgery, which includes arterial bypass and venous ligation. Risks include those related to other major surgical procedures. The placement of an implant requires permanent buy viagra same day and adjusting of the erectile tissue of the penis, and this makes the treatment irreversible, without the guarantee of success.

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474-627. -3628. Am J Cardiol 9 9 Suppl. Urology. McMahon CG, Smali R, Johnson H "Efficacy, safety and patient acceptance of sildenafil citrate as treatment for erectile dysfunction. Brindis RG, loner RA "Sildenafil in patients with cardiovascular disease.

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I have had heart problems and HBP for years but recently had erection probs. Take Viagra (sildenafil) as needed before sexual activity. Sildenafil does not prevent pregnancy or the spread of sexually transmitted how to get viagra on line such as human immunodeficiency virus (HIV) If you are taking Viagra (sildenafil) to treat erectile dysfunction, follow your doctor's directions and the guidelines in this paragraph.
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Specially tell your healthcare provider if you take any of the following: medicines called alpha-blockers, such as Hytrin (terazosinHCl) Flomax (tamsulosin HCl) Cardura (doxazosinmesylate) Minipress (prazosin HCl) Uroxatral (alfuzosin HCl) Jalyn (dutasteride and tamsulosin HCl) or Rapaflo (silodosin) Alpha-blockers are sometimes prescribed for prostateproblems or high blood pressure. how to get viagra on line Buy viagra same day Other health effects noted are hypothermia, extreme anxiety, panic attacks, and coma. Generally, polydrug users are more likely to overdose, sometimes fatally.
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Montorsi F, McDermott TED, Morgan R, Olsson A, Schultz A, Kirkeby HJ, Osterloh IH "Efficacy and safety of fixed-dose oral sildenafil in the treatment of erectile dysfunction of various etiologies. Am J Cardiol. Urology. 1011-817. n11-716.

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DHEA Dehydroepiandrosterone Testosterone is essential for a healthy libido and normal sexual function, and erectile dysfunction sufferers known to have low testosterone improve when placed on prescription testosterone replacement therapy. Espinosa says that men with known cardiovascular problems should take it only with a doctor's supervision; L-arginine can interact with some medications.

The amino acid L-arginine, which occurs naturally in food, boosts the body's production of nitric oxide, a compound that facilitates erections by dilating blood vessels, increasing blood flow to the penis.

A 1999 trial published in the online journal BJU International found that high doses of L-arginine can help improve sexual function, but only in men with abnormal nitric oxide metabolism, such as that associated with cardiovascular disease a disease that damages blood vessels In another study, published in 2003 in best way to get viagra of Sex Marital Therapy, Bulgarian scientists reported that ED sufferers who took L-arginine along with the pine extract pycnogenol saw major improvements in sexual function with best way to get viagra side effects.

Arginine can be helpful, says Geo Espinosa, ND, director of the Integrative Urological Best way to get viagra at NYU Langone Medical Center. Studies examining L-arginine's effectiveness against impotence have yielded mixed results.

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Multiple treatment options for ED are available with relatively higher or lower success rate to Viagra and similar products, but, it is important to realize some individuals might be more responsive to certain treatment options how to get viagra on line to others, due to certain underlying conditions, physiological differences, or severity of their ED. Considered a very effective but often under-utilized treatment for Erectile Dysfunction, ICP involves an injection of a combination of How to get viagra on line vasodilators into the spongy tissue of the penis, using an auto-applicator.

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Responsibility for the text. Options to prepare for the retest are: This decision will be made on a case-by-case basis with the employee and the appropriate agency personnel i. If the person fails, he or she may retest.

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Responsibility for financial transactions - Our Applications do not share your health information with HealthKit or with other HealthKit-enabled software. SSB-3, Los Angeles, CA 90048 Call 1-800-CEDARS-1 and submit a verbal request. With your permission, certain versions of our Applications can connect to Apple HealthKit to receive health information and to share that information with your healthcare providers.

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Ih. ov/pubmed. Yan, W. J. Yu, N. Yin, T. L. Zou, Y. J. Yang, J. 2014 A new potential risk factor in patients with erectile dysfunction and premature ejaculation: folate deficiency. lm.

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While sildenafil-induced vasodilation where do u get viagra results in only transient modest reductions in systolic and diastolic blood pressure that usually are clinically unimportant when the drug is taken alone, which rarely may be severe; hypotension, including postural orthostatic hypotension; and syncope have been reported in about 2% or less of where do u get viagra receiving the drug for the treatment of ED, with the latter effects occurring at a rate comparable to that reported with placebo.

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