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The reason for creating Viagra Connect was to reduce the number of men buying Viagra from illegal sources, possibly because they don't want to go to their GP for a prescription.

They can all be bought online in the same way – you can buy all 3 versions using our online service. To order, you will need to complete a short online questionnaire which will assess your suitability for the treatment.

One of our doctors will then check your request and make sure it is the right choice for you and safe for you to take.

If agreed, our pharmacy team will prepare your medication and will post it directly to your door, free of charge. You can also choose to collect in store if you prefer.

Buying generic or branded – Viagra is the brand name for generic Sildenafil. Both of these medications have been proven to be equally effective for the treatment of erectile dysfunction. Sildenafil citrate is the active ingredient in Viagra and Sildenafil.

The main difference between them is pricing – Sildenafil is the cheaper of the two.

The reasons for the difference in pricing – in 2013, the producers of Viagra, Pfizer, lost their patent allowing generic manufacturers to begin producing their own version.

As Sildenafil is generic, its price is not under the control of a single manufacturer, and as it is produced by several different companies, the price is more competitive.

Viagra, however, is a well-known brand name so it can command a premium price. POM vs PMed – when buying in person, prescription-only medications (POMs) such as Viagra and Sildenafil require you to get a prescription from your GP, whereas pharmacy medication (PMeds) like Viagra Connect can be purchased over the counter at your local pharmacy following a consultation with the pharmacist. They can also be bought from online providers such as Superdrug Online Doctor.

When you buy from a pharmacy, you still need to discuss your symptoms and medical history with the pharmacist as you would your GP, but you can avoid visiting your GP to get a prescription. Some men would prefer not to see their regular GP for problems like erectile dysfunction. – you will need to pay the full price of the medication if you opt for pharmacy medication such as Viagra Connect. This is also true if you acquire a private prescription for a POM. If you are eligible for an NHS prescription you will only need to pay the current NHS charge, which is usually cheaper than the cost of the medication.

This is usually only for Sildenafil as branded medications aren't normally covered by NHS prescription.

Overall, Sildenafil is still the cheapest option with a private prescription, because it is non-branded. Though you may prefer one medication to the other, Viagra, Viagra Connect and Sildenafil are all thought to produce the same outcome at the same dosage, but if you need a lower or higher dosage than standard, Viagra and Sildenafil are more suitable. This is because you can get 25mg or 100mg dosages of these two medications.

Apart from available dosages, are they all as good as each other? They work in the same amount of time (usually 30 minutes), last the same length of time (around 4 hours), and all require arousal to work.

The side effects for all 3 types are also all the same.

The only difference is price and the fact that Sildenafil and Viagra are available in a wider range of dosages.

– the 25mg dosages are suitable for men who only need a low dose or are unable to take the standard 50mg dose due to existing medical conditions. The higher dose of 100mg should never be exceeded but may be given to men who find the 50mg tablet is ineffective at treating their ED symptoms. Viagra Connect is only available in the 50mg dosage – unlike the other two, Viagra Connect is currently only available in one dosage.

This means you can't get 25mg or 100mg Viagra Connect, even if those dosages would suit you better. There are several factors which may influence which type you will choose, including: Price : Generic Sildenafil tends to be cheaper NHS prescription is cheaper than a private prescription, but usually only available for Sildenafil Viagra and Viagra Connect are branded, so they command premium prices Method of purchase : Face-to-face visit either a GP (Viagra and Sildenafil) or pharmacist (Viagra Connect) Online (all 3): Simple, quick online consultation/questionnaire You may feel more comfortable ordering online Which dosage works for you : 50mg is the right dosage (all 3) 50mg is not the right dosage (Viagra or Sildenafil have other dosages but not Viagra Connect) Which one does the UK government recommend?

All 3 medications are approved for treatment for ED in the UK to the same standards. Sildenafil is prescribed more readily on the NHS – if you get a prescription from your GP for ED treatment, it is more likely that you will be prescribed generic Sildenafil. According to NHS guidance, generic Sildenafil is available on an NHS prescription for all eligible men who have ED. Whereas, branded Sildenafil (Viagra) should only be prescribed on a private prescription, or with an NHS prescription to few with very specific health problems.

Viagra Connect has been introduced by the UK government to improve men's access to ED treatment – Viagra Connect was authorised as the first over-the-counter medicine by the MHRA. The black market for Viagra is huge and the MHRA report that they seized ?50 million of counterfeit and unlicensed ED medications in the 5 years before the release of Viagra Connect.

Therefore, to clamp down on the illegal trading of Viagra, Viagra Connect is intended to encourage men to purchase the drug safely. Fun fact Pfizer is reported to have produced up to 90% of the penicillin that was taken ashore to treat allied soldiers on D Day.

Sildenafil Citrate for Treatment of Erectile Dysfunction in Men With Type 1 Diabetes.

Murphy , MD 3, Francesco Montorsi , MD 4, Ates Kadioglu , MD 5, Fadlo Fraige , MD 6, Pilar Manzano , MD 7 and Chaicharn Deerochanawong , MD 8 1 Keogh Institute for Medical Research, Department of Endocrinology and Diabetes, Sir Charles Gairdner Hospital, Nedlands, Australia 2 Hospital Carlos Durand, Buenos Aires, Argentina 3 Health Sciences Centre, Winnipeg, Canada 4 IRCCS H San Raffaele, Milan, Italy 5 University of Istanbul, Istanbul, Turkey 6 Hospital da Beneficencia, Sao Paulo, Brazil 7 Hospital Puerta de Hierro, Madrid, Spain 8 Rajavithi Hospital, Bangkok, Thailand. OBJECTIVE —In the 5–10% of diabetic men with type 1 diabetes, erectile dysfunction (ED) may be a particularly common and unwanted complication.

This is the first study focusing exclusively on the effects of sildenafil in men with type 1 diabetes and ED.

RESEARCH DESIGN AND METHODS —A total of 188 patients were entered into a double-blind, placebo-controlled, parallel-group, flexible-dose study and were randomized to receive sildenafil (25–100 mg; n = 95) or placebo ( n = 93) for 12 weeks. Efficacy was evaluated using questions three (Q3; achieving an erection) and four (Q4; maintaining an erection) from the International Index of Erectile Function (IIEF), a global efficacy question (GEQ; “Did treatment improve your erections?”), and a patient event log of sexual activity. RESULTS —Improvements in mean scores from baseline to end-of-treatment for IIEF Q3 (35.7 vs.

26.5%) were significant in patients receiving sildenafil compared with those receiving placebo ( P = 0.0001). Moreover, the percent of improved erections (GEQ, 66.6 vs.

33%) was significantly increased with sildenafil compared with placebo. Improvements in sexual function were seen irrespective of the degree of ED severity.

Adverse events were generally mild to moderate in severity, with headache (20 vs.

1%) reported more often in the sildenafil than in placebo-treated patients. CONCLUSIONS —Treatment with sildenafil for ED was effective, resulting in an increased percentage of successful attempts at intercourse, and was well tolerated among men with type 1 diabetes. ED, erectile dysfunction EF, erectile function GEQ, Global Efficacy Question IIEF, International Index of Erectile Function.

According to the World Health Organization, the number of adults with diabetes was ?135 million in 1995, which corresponds to a worldwide prevalence of 4% (1).

It is estimated that 5–10% of diagnosed cases are type 1 diabetes (2).

A common cialis super active plus kaufen complication of diabetes is erectile dysfunction (ED), with an estimated prevalence of 20–85% (ranging from mild to complete ED) (3), which occurs at an earlier age than in nondiabetic men.



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