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"If you're taking certain other medications that could make your blood pressure drop even further, it could be risky as you could pass out or reduce the blood flow to your heart or brain." Viagra can be particularly dangerous if combined with poppers (amyl nitrate), another drug often used recreationally to enhance sexual sensation. In rare cases, combining these two drugs has proven fatal. The quest for a 'female Viagra' So for women experiencing arousal problems, are there any other drugs that might help where Viagra can't? The answer to this, says Morton, will depend on the nature of the problem. "The most important thing to address is: 'Does it hurt?' There are many gynaecological conditions to consider so get expert advice," she says. “The majority of postmenopausal women should almost certainly be using oestrogen into the vagina plus good lubrication if they're experiencing vaginal dryness or painful sex." Research suggests that topical oestrogen is generally pretty safe, at least in the short term, but some doctors may be cautious about prescribing such a medication if a woman has a history of oestrogen-positive breast cancer. In these cases, there are many hormone-free vaginal moisturisers and lubricants available that may provide relief. Patel adds that some postmenopausal women may benefit from small amounts of testosterone in addition to hormone replacement therapy (HRT). While this is not generally recommended, owing to limited evidence about its efficacy and concerns about side-effects, he says some doctors will prescribe it 'off licence'. Another interesting candidate is Addyi (flibanserin), a medication licensed in the US but not the UK. Intended for women with hypoactive sexual desire disorder (HSDD), it is thought to work on certain chemicals in the brain (serotonin, dopamine and norepinephrine) to increase sexual motivation. This drug was widely dubbed 'female Viagra' when it hit the market in 2015. However, it was something of a commercial flop, with critics pointing to its frequent side-effects and underwhelming impact. There is still some controversy as to whether it should be available or not. "In studies, the drug was found to increase the number of sexual events that would occur by one per month," says Patel. "Lots of people said this is rubbish - if it only increases sexual events by one per month, what's the point in taking it? But for some women with very severe HSDD, one per month could be the difference between never having sex and having a sexual relationship with their partner." To date, then, we don't have a true 'female Viagra' - or even a real definition of what this would mean. If you're experiencing arousal difficulties, it is worth seeing your GP as a starting point, and perhaps a psychosexual specialist further down the line. There are various treatments that might help, whether physical or psychological. However, the answer probably doesn't lie in a little blue pill from Boots. We're sorry, but we cannot locate the page you are looking for. You may have followed an outdated link or perhaps you typed in an invalid URL (web address). One of the following steps may help you find what you're looking for. Click the back button on your browser to return to the previous page. United Way of Idaho Falls & Bonneville County 330 Shoup Ave #202 Idaho Falls, ID 83402 208-522-2674 Login. © 2020 United Way of Idaho Falls & Bonneville County . Viagra is the brand name for a medicine known as Sildenafil which has been proven to be effective for the treatment of erectile dysfunction. Sildenafil is the active ingredient and has also been available since 2013 as a generic drug. A generic drug contains the same active ingredient as a branded drug and is medically equivalent but can be produced by any generic manufacturer. History – Pfizer Loses Patent in 2013 on Viagra Allowing Generic Viagra (Sildenafil) Viagra was one of the first treatments to be approved for the treatment of erectile dysfunction and has been used by men across the world for over a decade with excellent results. Pfizer was the original manufacturer for Viagra and developed a patent on the product in 1996. Originally Viagra was used for the treatment of heart disease, but during clinical trials it was noticed that it also helped treat erectile dysfunction. In 1998, Pfizer received FDA approval to license the product for the treatment of erectile dysfunction. In 2013, the Pfizer patent on Viagra ended in the EU, allowing generic manufacturers to start producing their own version. The generic version of the drug is known as Sildenafil which is the active ingredient in Viagra. The name Viagra is still a brand name which only Pfizer can use. So effectively in the market the drug can be bought as either buy sildenafil tablets online the branded Pfizer product Viagra, or the generic drug Sildenafil. Pfizer, as well as holding the rights to use the brand name Viagra, has a patent on the unique blue diamond appearance of Viagra. For many people, Viagra is known as “the little blue pill” and this is still associated with only the branded Pfizer product. The appearance of the product is purely cosmetic and has no medical difference. Sildenafil is a generic drug which means that its price is not controlled by a single manufacturer. As several manufacturers produce Sildenafil, the market is very competitive which has helped drive down the price substantially. Viagra on the other hand is produced only by Pfizer who control the price without any competition. As Viagra is a well known brand name, Pfizer are able to charge a premium price. However, as Sildenafil becomes more well established it is expected that demand for the branded Viagra product will decrease and the price for Viagra will drop as a consequence. Sildenafil 50mg Viagra 50mg 4 tablets ?19.99 ?34.99 8 tablets ?29.99 ?69.99 12 tablets ?39.99 ?104.99 16 tablets ?49.99 ?139.99 24 tablets ?69.99 ?189.99 28 tablets ?79.99 ?209.99 32 tablets ?89.99 ?239.99 64 tablets ?139.99 ?479.99. Viagra has been proven to be a very effective treatment for erectile dysfunction with over 80 percent of men finding it works for them. Sildenafil is produced by several manufacturers and contains the exact same medical ingredient and dosage as the branded Viagra counterpart. To receive market approval, a generic medicine must be ‘bioequivalent’ to the branded product which ensures that the generic product has the same effectiveness. As a result you can be confident that the Sildenafil sold in the UK is as effective as the branded Viagra tablets. Most of the men I see with erectile dysfunction (ED) have ED as a result of a long-standing medical condition such as diabetes or hypertension. Over time these chronic illnesses have slowly compromised the small blood vessels in the penis in much the same way that small vessels of the heart get diseased. The result is a reduced or abnormal vascular performance of the penis. Viagra, Cialis, Stendra, and Levitra all try to stimulate normal blood flow to the penis by relaxing the penile arteries. The side effects of headache and stuffy nose often occur because blood vessels in the head and nose can do the same thing as a result of the medication. If the blood vessels are damaged enough, pills like Viagra won’t work. When Viagra doesn’t work, there are a number of options that essentially fall into three main categories: Vacuum Erection Devices (VED) Penile Injections (Trimix) Inflatable Penile Prosthesis (IPP) A vacuum erection device is an external device that pulls blood into the penis to obtain an erection. Additionally, many insurances have stopped paying for it. I have very few patients who actually like this device. Penile injections are a very good way to obtain an erection. They work to stimulate the blood vessels of the penis but in a slightly different and in a more direct way than the pills. A special combination of medications called Trimix is prescribed that compounding pharmacies can fill. One vial can deliver 20-30 injections, so the overall cost is comparatively low. The medication is administered in a clinical setting or office for the first time, but then the patient is able to inject himself (or have his partner do it) at home. It works for about 95% of men, but many do grow tired of the injection process. Because of dissatisfaction with the vacuum erection device and Trimix, an inflatable penile prosthesis is an excellent choice. I often do this procedure for men who have erectile dysfunction as a result of prostate cancer treatment. In this surgery the patient has two cylinders inserted in the penis that replace the spongy tissue that collects blood in a normal erection. A reservoir of water is placed next to the bladder and a little pump is put in the scrotum. When an erection is desired, the patient simply squeezes the pump and an erection is obtained. There is a 1-5% risk of infection after this procedure, which means that the device would have to be removed or replaced if that were to occur. Despite this small risk, an inflatable penile prosthesis has the highest satisfaction rates and the highest partner satisfaction rates of all the treatments discussed. In closing, if the little blue pill isn’t working like you hoped it would, make an appointment with your doctor and talk about your options. 20 mg, round, white, imprinted with RVT 20, pfizer. 25 mg, diamond, blue, imprinted with Pfizer, VGR 25. 50 mg, diamond, blue, imprinted with Pfizer, VGR 50. 100 mg, diamond, blue, imprinted with Pfizer, VGR 100. 100 mg, diamond, blue, imprinted with Pfizer, VGR 100. 100 mg, diamond, blue, imprinted with Pfizer, VGR 100. 25 mg, diamond, blue, imprinted with Pfizer, VGR 25. 50 mg, diamond, blue, imprinted with Pfizer, VGR 50. What is the most important information I should know about oral sildenafil? Some medicines can cause unwanted or dangerous effects when used with sildenafil. Tell your doctor about all your current medicines, especially riociguat (Adempas). Do not take sildenafil if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking sildenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure. Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis. Stop using sildenafil and get emergency medical help if you have sudden vision loss. Sildenafil relaxes muscles of the blood vessels and increases blood flow to particular areas of the body. Sildenafil under the name Viagra is used to treat erectile dysfunction (impotence) in men. Another brand of sildenafil is Revatio , which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women. Do not take Viagra while also taking Revatio, unless your doctor tells you to. Sildenafil may also be used for purposes not listed in this medication guide. What should I discuss with my healthcare provider before taking oral sildenafil? You should not use sildenafil if you are allergic to it, or: if you take other medicines to treat pulmonary arterial hypertension, such as riociguat (Adempas). Do not take sildenafil if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking sildenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure. Tell your doctor if you have ever had: heart problems (chest pain, a heart rhythm disorder, heart attack); high or low blood pressure; blood circulation problems; retinitis pigmentosa (an inherited condition of the eye); blindness in one or both eyes; bleeding problems; a stomach ulcer; pulmonary veno-occlusive disease (PVOD); liver or kidney disease; a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia; a physical deformity of the penis (such as Peyronie's disease); or if you have been told you should not have sexual intercourse for health reasons. Sildenafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking sildenafil, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoked or were over 50 years old. It is not clear whether sildenafil is the actual cause of vision loss. It is not known whether this medicine will harm an unborn baby. However, having pulmonary arterial hypertension (PAH) during pregnancy may cause complications such as heart failure, stroke, or medical problems in both mother and baby.
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