Online Consultation
Accurate information is required before any physician can write a
prescription for any illness or condition. A U.S. licensed physician will
review your online consultation and either approve or decline your
prescription. If you are declined there will be no charge to you. If you
are approved, you will be charged only for the cost of your product and
its associated shipping and consultation fee, there are no hidden costs.
How to take this medication
Viagraź is taken by mouth as needed between four hours and one-half hour
before sexual activity (about one hour before is most effective). Take
only as directed, usually once daily as needed. Sildenafil works along
with sexual stimulation to help achieve an erection.
Side Effects
Headache, flushing, stomach upset, nasal stuffiness, diarrhea and
dizziness might occur. If these effects persist or worsen, notify your
doctor promptly.
Precautions
Before using Viagraź, tell your doctor your medical history, including any
allergies (especially drug allergies), any penis conditions such as
fibrosis/scarring, history of painful or prolonged erection (Peyronie's
disease or priapism), sickle cell anemia, blood system cancers (such as
leukemia or myeloma), eye problems (retina diseases). kidney or liver
disease, bleeding disorders or active stomach ulcers, heart diseases,
stroke or severe high or low blood pressure. Limit alcohol intake, as it
may aggravate side effects of this drug. To avoid dizziness and
lightheadedness when rising from a seated or lying position, get up
slowly. The elderly may be more sensitive to the side effects of this
drug, therefore caution is advised.
Drug Interactions
Tell your online doctor about all nonprescription and prescription
medications you take, especially any nitrate medications (e.g.,
nitroglycerin, isosorbide dinitrate), nitroprusside (any "nitric oxide
donor" medicines), cimetidine, erythromycin, azole antifungals (e.g.,
itraconazole, ketoconazole), mibefradil, rifamycins (e.g., rifampin), and
high blood pressure medicines.
Storage
Store at room temperature between 59 and 86 degrees F (15-30 degrees C)
away from light and moisture. All prescription medications must be kept
out of reach of children.
Notes
Do not share Viagraź with others, since they may have a problem that is
not effectively treated by this drug. Use of this drug does not protect
against sexually transmitted diseases (e.g., HIV, Hepatitis B, gonorrhea).
Medical and Patient Information
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[Erectile dysfunction]
Erectile dysfunction effects 1 in 10 men at some
point in their lives.
Erectile dysfunction varies with age. Some degree of
dysfunction is experienced by 40% of men by age 40
and by 70% by age 70.
In most cases of erectile dysfunction the cause will
be a combination of psychological and physiological
factors.
Of people with sexual problems up to one third of
their partners will also have some form of
sexual dysfunction.
20% of men with erectile dysfunction also experience
low sexual desire.
[Do you Need Help]
Erection problems defined:
An erection problem is the inability to get or
maintain an erection that is firm enough for a man
to have intercourse. You may be unable to get an
erection at all, or you may lose the erection during
intercourse before you are ready. If the condition
persists, the medical term is erectile dysfunction.
Impotence
An erection problem is the inability
to get or maintain an erection that is firm enough
for a man to have intercourse. You may be unable to
get an erection at all, or you may lose the erection
during intercourse before you are ready. If the
condition persists, the medical term is erectile
dysfunction.
If you have difficulty having or keeping an erection
more than 25% of the time, it is considered a
problem.
In the past, erection problems were thought to be
"all in the man's mind." Men often were given
unhelpful advice such as "don't worry" or "just
relax and it will take care of itself." Today,
doctors believe that when the problem is not
temporary or does not go away on its own, physical
factors are often the cause.
One way to know if the cause is physical or
psychological is to determine if you are having
nighttime erections. Normally, men have 3 to 5
erections per night, each lasting up to 30 minutes.
Your doctor can explain a test to find out if you
are having the normal number of nighttime erections.
In most men, erection difficulties do not affect
their sex drive.
Premature ejaculation (when orgasm comes on too
quickly) is not the same as impotence. Together with
your partner, you should seek counseling for this
problem, which is usually due to psychological
factors.
Male infertility is also quite different from
impotence. A man who is unable to maintain an
erection may be very capable of producing sperm that
could fertilize an egg. An infertile man is usually
able to maintain an erection, but he may be unable
to father a child due to problems with sperm count
or other factors.
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[Causes]
An erection requires the interaction of your brain,
nerves, hormones, and blood vessels. Anything that
interferes with the normal process can become a
problem. Common causes include:
"Vicious cycle" of doubt, failure, or negative
communication that reinforces the erection problems
Erection problems tend to become more common as you
age, but it can affect men at any age and at any
time in their lives. Physical causes are more common
in older men, while psychological causes are more
common in younger men.
[Home Care]
For many men, lifestyle changes can help:
Cut down on smoking, alcohol, and illegal drugs.
Get plenty of rest and take time to relax.
Exercise and eat a healthy diet to maintain good
circulation.
Use safe sex practices, which reduces fear of HIV
and STDs.
Talk openly to your partner about sex and your
relationship. If you are unable to do this,
counseling can help.
Couples who cannot talk to each other are not likely
to be able to make love to each other. Men who have
trouble communicating their feelings may find it
difficult to share with their partner any anxieties
about their sexual performance. If you keep worries
to yourself, you are more likely to lose erections.
Men who cannot express and resolve feelings of anger
or frustration towards their partner may hold back
their erection as a weapon in the conflict. In
these circumstances, counseling can be very helpful
for both you and your partner.
[Psychological Causes of
Impotence]
The psychological aspects of erectile
dysfunction are considered to have major
significance so have to be addressed when seeking
treatment. Psychological issues often stem directly
from physical problems but psychological factors
could also be the prime reason for erectile
dysfunction. The most common psychological problems
can generally be related to:
Inhibited sexual desire
Anxiety Disorders
Depression
Mental fatigue
Stress
Guilt
Relationship problems
Lack of interest in sex by partner
[We Know Possible Causes But Will
That Help Me?]
The thing about impotence is that
just because we know possible causes it does not
follow that they are certain to be the cause.
Impotence is so caught up with men's image,
socialization as well as psychology and the way our
bodies function, or in this case do not function to
our satisfaction.
The important thing is if you have a problem
achieving and/or maintaining an erection that you
get help, treatment for impotence.
If erection problems seem to be caused by a
medication you are taking for an unrelated
condition, consult your doctor. You may benefit from
reducing the dose of the drug or changing to another
drug that has the same result but not the same side
effects. DO NOT adjust or discontinue medications
without consulting your doctor first.
Talk to your health care provider if your erection
problems are related to fear of recurring heart
problems -- sexual intercourse is usually safe in
these circumstances.
[Facts about erectile dysfunction
and impotence]
Despite a general reluctance to seek
medical help when men do finally make the effort
they are more likely than women to seek help and
treatment for sexual problems. Sometimes quite
simple interventions, information, reassurance,
talking to someone, contraceptive advice etc, can
resolve the problem.
[When to Contact a Medical Professional]
Call your doctor if:
Self-care measures do not resolve the problem and
you continue having difficulty with erections,
effective treatment alternatives are available.
You suspect that a medication is causing the
problem.
The problems begin after an injury or prostate
surgery.
You have other symptoms like low back pain,
abdominal pain, or change in urination.
Call your doctor immediately or go to an emergency
room if medication for erection problems give you an
unwanted erection that lasts more than 4 hours.
Permanent impotence or other lasting damage to your
penis may result from this condition.
[What to Expect at Your Office
Visit]
Your doctor will perform a physical
examination, which will likely include checking your
circulation, a rectal exam, a neurological exam, and
an exam of your penis.
[The Many Health Benefits of
Viagra]
United States health statistics
indicate that one in ten men suffer from erectile
dysfunction, which means more than thirty million
men in the country are combating this frustrating
ailment. These figures don?t take into consideration
the number of men who suffer from impotency as well.
Both issues can be the result of physical or
psychological problems, but both also have a simple
and reliable solution ? Viagra.
With approval from a doctor, a male patient can
expect safe and affective treatment when using the
little blue pills. Most doctors will insist that
their patients follow a general health regimen,
which often demands a reduction or elimination of
smoking, alcohol consumption and any drug use. They
also implement a healthier and more active lifestyle
because these behaviors will also help to greatly
improve sexual function in most men.
One of the most difficult issues confronted by a man
with impotency or erectile dysfunction is the need
to openly discuss it with his partner.
Interestingly, such a verbal barrier can often be
the underlying cause, or part of it, for the sexual
condition. This too is the reason that so many
doctors ask their patients to consider counseling in
addition to beginning to use Viagra.
If it is safe, why do I need a doctor to prescribe
it? Currently Viagra is a controlled treatment
because it may interact with other prescription
medications and because it is used strictly for the
purpose of sexual activity. This could mean elevated
blood pressure and heart rate, and only a doctor
will know if a patient will be able to safely
participate in such activities. This is the reason
it is imperative to be completely honest during any
medical assessment prior to receiving a prescription
for Viagra.
If a man creates such a multi-layered approach to
addressing their erectile dysfunction or impotency
they will usually see a remarkable improvement in
their performance. The question remains as to where
to find reasonably priced supplies of Viagra? The
answer is PharmacyNextDay.com. Their licensed
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[Effective Treatment with Viagra]
Viagra is one of the most popular
prescribed medications used to address problems with
impotency and erectile dysfunction. Because these
issues are so widespread, with more than thirty
million men in the United States alone suffering
from the effects of erectile dysfunction, Viagra has
had a lot of use and coverage. It has been proven a
safe and potent method for reintroducing sexual
activity into the lives of men with the most common
sexual problems.
Of course the ?little blue pills? are not the only
way to try to eliminate such issues as impotency and
erectile dysfunction and many doctors will prescribe
Viagra along with providing patients with a list of
recommended changes in their lifestyle. What kinds
of changes? Generally a reduction or total
elimination of alcohol consumption, cigarette
smoking and illegal drug use is the most important
of these recommendations. This is especially
important with Viagra because it is a prescription
drug and a patient must be honest with their doctor
about their personal habits before beginning its
use.
Physical activity has also always been a reliable
approach to reducing the stress that might cause
impotency or erectile dysfunction, and it also helps
to improve circulation. So, most doctors suggest
that their patients also add some regular exercise
to their daily lives in addition to using Viagra for
sexual activity.
Communication is also a key to successfully treating
sexual issues and busy schedules, daily stress and
frustration can all pile up between a man and his
sexual partner, which can create an emotional or
psychological barrier that impairs their sexual
relationship. For this reason a doctor will also
discuss counseling with their patients who are to
soon begin using Viagra as well.
When this kind of ?home care? is coupled with the
use of Viagra a man usually sees remarkable results.
An improved sense of well-being, a stronger or
reinforced bond with a partner, and a sense of
psychological balance can all occur in conjunction
with a healthy and regular sex life.
If you think you are ready to confront your
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