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Viagra is approved to treat erectile dysfunction (ED) in men. With ED, you have trouble getting and keeping an erection that’s firm enough to allow you to have sex. When you’re sexually aroused, either through sexual thoughts or touch, your brain sends messages to your penis. These messages cause certain chemicals to be released in your penis. One of these chemicals, called cyclic GMP, relaxes and widens certain blood vessels in your penis. Cyclic GMP also relaxes the muscles around the erectile tissue in your penis that’s called the corpus cavernosum. These actions allow blood to flow into the corpus cavernosum, which causes your penis to get hard and become erect. ED can occur if you have certain problems that affect your body’s ability to have an erection. The condition can result from problems with messages being sent from your brain. ED can also result from problems with blood flow into your penis. Viagra works to treat ED by helping you have and maintain an erection. The drug does this by improving blood flow into your penis when you’re sexually aroused. Viagra is a type of drug called a phosphodiesterase type 5 (PDE5) inhibitor. It works by inhibiting (blocking) the action of an enzyme called PDE5. (An enzyme is a protein that helps chemical reactions to happen inside your body.) Normally, an erection goes away when PDE5 breaks down the cyclic GMP in your penis. But Viagra blocks the action of PDE5, so it allows cyclic GMP to keep working for a longer period of time than usual. This action improves blood flow to your penis and helps you to have and keep an erection. No, Viagra doesn’t directly increase your sex drive. However, some men find that if Viagra works to treat their erectile problem, it also increases their sexual confidence. Viagra may not work for everyone, and it may not work every time you take it. If you’re sexually aroused, Viagra should work to help you have or keep an erection within 30 minutes to 2 hours. But if you don’t get an erection within 4 hours after taking a dose, Viagra didn’t work for you this time. If the drug doesn’t work for you, you shouldn’t take another dose until at least 24 hours later. And talk with your doctor if you feel Viagra isn’t helping to treat your ED. They may recommend that you try a different medication for your ED. It’s important to remember that Viagra only works if you’re already sexually aroused. Arousal may involve having sexual thoughts, looking at sexual images, masturbating, or engaging in foreplay. But if you feel anxious, nervous, depressed, or stressed, your body may not respond well to sexual stimulation. If this is the case, try to relax, make yourself comfortable, and take your time. In addition, it’s best to avoid drinking a lot of alcohol. This is because consuming large amounts of alcohol can make it more difficult for you to get an erection. If you’re having trouble getting an erection, even while using Viagra, talk with your doctor. Instead, it belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. (A class of drugs describes a group of medications that work in a similar way.) Viagra works by inhibiting (blocking) the action of a certain enzyme in your body. Since Viagra has been released onto the market, there have been a few reports of bleeding in people who’ve taken the drug. However, there’s no evidence that Viagra caused these bleeding problems. It’s not known if Viagra is safe for use by people with a bleeding problem. If you have viagra no prescription needed any bleeding problems, talk with your doctor about whether Viagra is safe for you. Here are answers to some frequently asked questions about Viagra. And for answers to questions related to Viagra’s dosage, see the section “Viagra dosage” above. No, studies haven’t shown that Viagra makes sex last longer. However, the drug can help you to get and keep an erection. And studies have shown that Viagra can increase satisfaction from sex. No, Viagra doesn’t increase the size of a man’s penis. In fact, to date, there aren’t any known ways to permanently increase the size of a man’s penis. Viagra helps you get an erection if you’re sexually aroused. This may temporarily increase the size of your penis, until the erection goes away. But Viagra doesn’t permanently increase the size of your penis. Yes, Viagra is generally considered safe to use if: it’s been prescribed by a doctor who knows your medical history you’re taking the drug as directed. Viagra’s safety has been shown in several clinical studies. The drug does have a few serious side effects, but these rarely occur. For more information about the side effects of Viagra, see the section “Viagra side effects” above. However, Viagra may not be safe to use if you have certain medical conditions, including heart disease. And it’s not safe to use Viagra if you’re taking certain other medications, such as nitrates. (Nitrates are sometimes used to treat chest pain that’s related to heart problems.) This is why you should only take Viagra if it’s been prescribed by a doctor who knows your medical history. For more information about conditions that may viagra without doctor prescription make it unsafe for you to take Viagra , see the “Viagra precautions” section below. And for more information about taking other medications with Viagra, see the “Viagra interactions” section below. Can you take Viagra if you have high blood pressure? For example, if you have high blood pressure that’s not controlled, your heart may not be healthy enough for sexual activity. (With uncontrolled high blood pressure, your blood pressure is greater than generic medication for viagra 170/110 mmHg.) If this is the case, talk with your doctor about whether Viagra is safe for you. However, if you have high blood pressure that’s controlled with medication and you also don’t have a heart condition, it’s usually fine to take Viagra. Just be aware that taking the drug could cause your blood pressure to be lowered. Low blood pressure from Viagra usually isn’t a problem for most people. But if you’re taking a type of blood pressure drug called an alpha-blocker, taking Viagra might cause certain side effects. These side effects can include dizziness, lightheadedness, or even fainting. For more information about using Viagra with alpha-blockers, see the “Viagra interactions” section below. If you have high blood pressure that’s controlled with medication, your doctor may prescribe a dose of Viagra for you that’s lower than the typical dose. Before starting Viagra, talk with your doctor about any blood pressure problems you have. Yes, for most people, Viagra works the first time it’s used. But for other people, it may take a few times of trying the drug to get the desired effect. Keep in mind that you shouldn’t take Viagra more than once every 24 hours. If Viagra doesn’t seem to work for you, talk with your doctor. They may increase your dose of the drug or recommend that you viagra online 25 mg try a different medication. Does Viagra help me keep an erection after ejaculation? But even if your erection goes away after you’ve ejaculated, Viagra can help you to get another erection for up to 4 hours after you’ve taken a dose. The safety and effectiveness of taking Viagra through your nose hasn’t been tested. Can I take Viagra after I’ve had my prostate removed? However, Viagra may be less effective in treating erectile dysfunction (ED) in men who’ve had their prostate removed than it is in men who haven’t. Across several clinical studies, Viagra was effective in 43% of men who’d had this surgery. And a placebo (treatment with no active drug) was effective in 15% of men who’d had the surgery. In comparison, in studies of men with ED due to: complications from diabetes, 57% had improved erections with Viagra. This is compared with 10% of men who took a placebo. spinal cord injury, 83% had improved erections with Viagra. This is compared with 12% of men who took a placebo. If you have questions about using Viagra after you’ve had your prostate removed, talk with your doctor. In fact, one study found that Viagra was effective in 57% of men with erectile dysfunction (ED) that was thought to be related to diabetes. In several studies, Viagra has been looked at as a possible treatment for premature ejaculation (PE). And typically, you’ll ejaculate within 1 minute of penetration when you’re having sex.) Some studies found that Viagra can help men with PE to delay ejaculation longer than they could without treatment. However, other studies didn’t show that Viagra had a significant effect in treating PE. More research is needed to know for sure whether or not Viagra is effective for treating PE. Keep in mind that Viagra isn’t approved in the United States to treat PE. And it’s not recommended in current PE treatment guidelines from the American Urological Association. However, Viagra is recommended in similar guidelines from the European Association of Urology. If you’re interested in taking Viagra to treat PE, talk with your doctor. What’s the youngest age for which Viagra is safe to use? Viagra is approved for use in males ages 18 years and older. You shouldn’t take Viagra if you’re younger than 18 years. This is because the safety and effectiveness of Viagra haven’t been studied in people of this age group. The manufacturer of Viagra doesn’t give any specific warnings about drinking alcohol while using this drug. But in general, it’s best to avoid drinking lots of alcohol with the medication. This is because certain side effects of Viagra may be worsened by alcohol. This includes such side effects as headaches, flushing, and dizziness. And drinking lots of alcohol can also make it more difficult to get an erection, which is what you’d be using Viagra to do. If you drink alcohol, talk with your doctor about how much is safe for you to drink while you’re taking Viagra. Viagra can interact with several other medications. Different interactions can cause different effects. For instance, some interactions can interfere with how well a drug works. Other interactions can increase side effects or make viagra without a doctor prescription them more severe. Below are lists of medications that can interact with Viagra. These lists don’t contain all the drugs that may interact with Viagra. Before taking Viagra, talk with your doctor and pharmacist. Tell them about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and supplements generic no prescription viagra you use. Sharing this information can help you avoid potential interactions. If you have questions about drug interactions that may affect you, ask your doctor or pharmacist. You shouldn’t take Viagra with any other medications for erectile dysfunction (ED). This includes prescription medications, such as: tadalafil (Cialis) avanafil (Stendra) vardenafil (Levitra, Staxyn) alprostadil (Muse, Caverject, Caverject Impulse, Edex) It also includes natural or over-the-counter ED treatments, such as l-arginine and yohimbine. Taking Viagra with other ED medications increases your risk of certain side effects, such as low blood pressure and priapism.* If you’re using Viagra, don’t use any other medications for ED without talking with your doctor. * Priapism is a long-lasting and sometimes painful erection that doesn’t go away. It’s a medical emergency because it can damage the tissues in your penis and lead to permanent ED. This includes certain prescription drugs, such as nitroglycerin, used to treat angina (a type of chest pain). It also includes certain illicit drugs called poppers, such as amyl nitrate. Taking Viagra with nitrates can cause a dangerous drop in your blood pressure that can lead to heart attack or stroke. Examples of nitrate drugs that should not be taken with Viagra include: nitroglycerin (Nitromist, Nitro-Dur, viagra without a doctor prescription Nitrolingual Pumpspray, Gonitro, others) isosorbide mononitrate (Monoket) isosorbide dinitrate (Dilatrate SR, Isordil) glyceryl trinitrate amyl nitrate alkyl nitrate butyl nitrate.
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