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11/22/2006

There are several alternative treatments you can take if you have erectile dysfunction. Other similar medicines include Sildenafil, Tadalafil, Vardenafil and Avanafil, which you'll still need a prescription to get. Some men find that lifestyle changes, such as exercise or stopping smoking, can also be helpful in overcoming erectile dysfunction. For more helpful information on what other options are available to treat erectile dysfunction, read our doctors recommendations on Viagra alternatives. Does Viagra make you last longer? Viagra can help you to get and maintain an erection, so you can stay harder for longer if you find it difficult to keep an erection. However, Viagra does not delay ejaculation so it will not make you last longer if you feel you are orgasming too quickly. For more information, you can read our doctors' advice on how to last longer, and if Viagra can help. Can You Take Viagra With Alcohol? Drinking alcohol may reduce your ability to get an erection, making Viagra less effective, and can also make the side effects of Viagra worse. While alcohol is often used by some people to overcome nerves and sexual anxiety, drinking can actually make it harder to get an erection - and can make Viagra less effective. Alcohol can also worsen the side effects of Viagra, even when drinking in moderation. Read what our doctors have to say about the risks of taking Viagra with alcohol. Can you get Viagra over the counter? As Viagra is a prescription-only medication, you can't buy Viagra over the counter. However, there is a different type of Viagra, called Viagra Connect, that you can buy over the counter without a prescription. Read more to find out how to buy Viagra over the counter.

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11/22/2006

Patients who find a strength of Viagra that works for them, may wish to consider switching to the generic ED treatment Sildenafil, which is available at a significant discount following the expiry of Pfizer's patent on Viagra. Many men do not notice a difference between taking Viagra and generic sildenafil pills for ED. Understanding ED, Viagra & sex Viagra 100mg tablets will, for most, resolve the symptoms of erectile dysfunction and impotence. As they open the blood vessels that supply blood to the penis, they are effective at treating the physical causes of erectile dysfunction. However, if the cause of ED is psychological, its effect can help to break the cycle of anxiety associated with being unable achieve and maintain a satisfactory erection. If you suffer from ED due to psychological causes it is recommended that you discuss your condition with your GP or a sexual health therapist. Viagra 100mg tablets will not cause sexual arousal. It is a common misconception that erectile dysfunction treatments have this effect. An erection cannot be achieved or maintained without the necessary sexual stimulation. To fully understand how Viagra works it is first necessary to understand the mechanics of an erection. When a man becomes sexually stimulated, the nervous system in the erectile tissue of the penis starts to release nitric oxide. This release stimulates an enzyme (cGMP) that relaxes the smooth muscle cells of the penis. This muscle relaxation has two effects: The arteries in the penis dilate, allowing blood to flow more easily The erectile tissue fills with blood It's these two processes that result in a successful erection. Viagra pills work by maintaining the levels of cGMP in the smooth muscle cells. However, if a man isn't sexually stimulated then nitric oxide isn't released and no cGMP will be produced, resulting in no erection.

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Slightly over 1% of men taking Viagra notice a bluish or yellowish discolouration of their vision. This is not in itself a cause for concern, and usually does not interfere with normal activity. It wears off after a few hours. The most commonly reported adverse reactions in clinical studies were: Headache - very common and can be treated with simple painkillers such as paracetamol. Flushing (redness of the skin, typically over the cheeks or neck). Indigestion (dyspepsia) - can be treated with indigestion remedies. Visual disorders/distortion. Nasal congestion - can be treated with menthol or eucalyptus inhalers. Dizziness - if affected it is recommended not to drive or operate machinery. In the rare event of serious side effects seek immediate medical advice. This applies particularly to chest pains (possibly heart attack), loss of vision, and a prolonged and painful erection. Priapism is the medical name for prolonged painful erections which have the potential to cause permanent damage to the penis. Priapism is rare. A persistent and painful erection of more than 2 hours requires immediate emergency medical attention. The full range of side effects is also listed in the patient information leaflet supplied with the tablets. Warnings During the assessment process with Dr Fox men are required to complete an erectile dysfunction questionnaire to determine suitability. Men with the following conditions should not take Viagra without further assessment from their GP: Taking medicines called nitrates (often given for chest pain) Taking or intend to take amyl nitrite ('poppers') Taking riociguat (to treat high blood pressure in the lungs) Low or high blood pressure Allergies or reactions to past ED treatments Recent heart attack (within 6 weeks) or suffer from angina (heart pain on exertion) or any form of heart disease History of strokes or mini-strokes (transient ischaemic attack) History of vision problems caused by circulation problems History in the family of rare degenerative eye disease Serious kidney (renal) or liver disease Peyronie's disease - angulation or deformity of the penis Leukaemia, multiple myeloma or sickle cell disease Bleeding disorders (such as haemophilia) Current active stomach ulcers (peptic ulcer or gastric ulcer) Lactose intolerant (tablets contain lactose) Dr Fox cannot supply ED treatment to men who have any of the above conditions.