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The introduction of the pill has made sexuality, among other things, intercourse-focused and thus less satisfying. Effects of VIAGRA on Sperm There was no effect on sperm motility or morphology after single 100 mg oral doses of VIAGRA in healthy volunteers.

However, it can have a serious interaction with nitrates. One-third to one-half of the subjects in these studies reported successful intercourse at least once during a 4-week, treatment-free run-in period. It is not recommended to mix one or more PDE5 inhibitors at the same time, as this can result in overdose.

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A: Viagra (sildenafil) and the other drugs for erectile dysfunction, such as Levitra (vardenafil) and Cialis (tadalafil), work by inhibiting the chemical phosphodiesterase, which leads to an increase in the effect of nitric oxide. In clinical trials, Viagra Connect worked for approximately 74% of men.

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For this drug to work well, a certain amount needs to be in your body at all times. Revised: Sep 2015 Side Effects SIDE EFFECTS The following are discussed in more detail in other sections of the labeling: Cardiovascular [see WARNINGS AND PRECAUTIONS] Prolonged Erection and Priapism [see WARNINGS AND PRECAUTIONS] Effects on the Eye [see WARNINGS AND PRECAUTIONS] Hearing Loss [see WARNINGS AND PRECAUTIONS] Hypotension when Co-administered with Alpha-blockers or Anti-hypertensives [see WARNINGS AND PRECAUTIONS] Adverse Reactions with the Concomitant Use of Ritonavir [see WARNINGS AND PRECAUTIONS] Combination with other PDE5 Inhibitors or Other Erectile Dysfunction Therapies [see WARNINGS AND PRECAUTIONS] Effects on Bleeding [see WARNINGS AND PRECAUTIONS] Counseling Patients About Sexually Transmitted Diseases [see WARNINGS AND PRECAUTIONS] The most common adverse reactions reported in clinical trials ( > 2%) are headache, flushing, dyspepsia, abnormal vision, nasal congestion, back pain, myalgia, nausea, dizziness, and rash.

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Dosage Adjustments In Special Populations Consider a starting dose of 25 mg in patients > 65 years, patients with hepatic impairment (e.g., cirrhosis), and patients with severe renal impairment (creatinine clearance < 30 mL/minute) because administration of VIAGRA in these patients resulted in higher plasma levels of sildenafil [see Use in Specific Populations and CLINICAL PHARMACOLOGY]. In addition, Cialis typically has a quicker onset of action and begins to work within approximately 30 minutes. Take as directed Sildenafil oral tablet is used for short-term treatment of ED, and long-term treatment of PAH. There are plenty of other ways to heat up your sack sessions. (Take a look through the Carnal Counselor archives for some suggestions.) So, do yourself a favor and try to get creative in bed the old-fashioned way — by relying on your brain, not a little blue pill.Some years ago I attended a conference in which one of the speakers was making a point about the expectations we have of ourselves.  As an illustration he asked us all to raise our right hands.  I did.  Then he said, “Now raise your hand as high as you can.”  With stretching I did that too.  Finally he said, “Now raise it just a little higher.”  Surprising myself, I did.  He said that is what maximum effort feels like.  I realized that I was able to do more than I had thought I could.  The speaker then told us we could lower our hands, which we all did, with sighs of relief.   As you begin this New Year, what do you expect of yourself?  Maybe you expect maximum effort from yourself in every area of life, all the time, everywhere.  That would be like trying to keep your hand raised in the third position all the time.  The reality is that you can’t keep that up.  It’s exhausting.  What are you going to do when you don’t measure up to your expectations?  Burnout results from chronic disappointment with one’s performance.  After so much disappointment, you feel like you can’t succeed, so you stop trying.  Trying hurts too much.  You probably keep showing up, but your heart’s not in it.  That’s burnout.  It’s usually is a result of unrealistic expectations, either the ones you have for yourself or those that others have of you.  Don’t expect more of yourself than you are capable of doing.  As someone has said, “Overconfidence gives you the courage to act on your misguided convictions.”  When we do that, bad things happen.  Falling flat on your face is a tough learning experience.  Romans 12:3 tells us not to think more highly of ourselves than we ought, but to think of ourselves with sober judgment.  In other words, be realistic.  Don’t have expectations that are so high or wide that they are impossible to meet.       Don’t beat yourself up when you don’t fulfill your expectations for yourself.  If you do, you’ll be wasting energy that could be used for creative and constructive purposes. Over 550 patients were treated for longer than one year. Michelle McDermott, PharmD Q: My urologist has prescribed 100 mg of Viagra for my erectile dysfunction.