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What is Viagra pill?
Viagra is a proven and reliable drug that enhances male sexual function, helping men to achieve a strong erection enough for the sexual intercourse.

Is Viagra pill is a sexual stimulant?
NO VIAGRA - THIS IS NOT a stimulant. Viagra works naturally. The medication works only when it is necessary.

What is Viagra pill action mechanism? 

After oral administration Viagra is absorbed into the blood circulation where it works by inhibiting the enzyme called PDE5(phosphodiesterase type 5). This enzyme is responsible for the breaking down the cGMP. By inhibiting this enzyme, the medication increases the blood levels of cyclic GMP. Physiological mechanism of erection is the following: sexual stimulation contributes to the release of nitrogen oxide from the neurons. Nitrogen oxide binds to guanylate cyclase resulting in production of cyclic GMP (Guanosine cyclic monophosphate). Cyclic GMP interacts with the proteins of the smooth muscles of the cavernous body causing them to relax. This in its turn increases blood flow to the penis resulting in erection.

Viagra work only during sexual excitement.  At the end of sexual intercourse erection of the penis is naturally terminated. The action of Viagra is not associated with the impact on sexual desire or hormones.

How effective is Viagra pill?
Viagra improves erections in 76% of cases.

Does Viagra improves the ability to perform a sexual intercourse?
Yes.  89% of partners indicated improved erections while taking Viagra.

Can Viagra be effective in patients with severe erectile dysfunction?

Yes. Clinical experience shows that Viagra pill can be effective in more than 60% of patients with severe erectile dysfunction.

What are the results of Viagra pills in long-term treatment?
97% of men taking Viagra for a period of 2 years and more point on significant improvement of erection.

Once I took Viagra pills, but it had no effect. Does this mean that it does not suit me?
In most of men viagra works after the first or second administration. The best effect is observed after the third or fourth application, so it is very important to continue the treatment. Of course, you should follow your doctor's recommendations on Viagra pills use. 

How fast and how long Viagra work?
Effects of Viagra starts in 30 minutes and lasts for at least 4 hours after ingestion.

I heard that Viagra affects heart?

Clinical trials showed that Viagra pill does not cause cardiovascular diseases. However, the medication should be used with caution in cardiovascular diseases. Viagra pill should not be taken in patients with angina, coronary heart disease, recent heart attacks and strokes. 

How often can I take Viagra?
Not more than once a day.

What are the contraindications for taking Viagra pill?
Viagra is contraindicated in serious diseases, in which sexual activity is contraindicated: unstable angina, severe heart failure, severe liver failure, hypotension, recent stroke or myocardial infarction, retinal pigmentation, hypersensitivity to sildenafil or other component of Viagra.

Which doctor may prescribe Viagra pills?
 Viagra pill can be prescribed by the urologist, sexologist, andrologist, endocrinologist and cardiologist.

How does Viagra pill work in healthy people?
Viagra should not be taken in healthy people. The effectiveness and safety of the medication in healthy patients was not studied. Viagra pills is indicated only for the treatment of erectile dysfunction in men over 18 years of age. Healthy men which have a good erection should not take this medication.

How to define a sexual norm?
Otherwise, this question can be formulated as follows: if the so-called essentially healthy people taking Viagra and feel better, can they really be considered healthy?
Healthy men are those who can achieve and maintain erection, enough for the sexual intercourse. If you are not satisfied with your erection, ask your doctor if Viagra pills are good for you. Healthy people which have good erection should not take Viagra pills to improve their erection. In most of cases healthy people will not benefit from Viagra.

Does Viagra increases sexual desire?

The action of Viagra is based only on the local increase in blood flow to the corpus cavernosum, and it does not increases sexual desire. It does not increase the libido and is not an "exciting" tool. Viagra simply inhibits an enzyme that affects blood flow to the penis. Viagra pills contributes to the natural response of the organism to the sexual stimulation. Clinical trials showed that Viagra does not increases sexual desire in most of patients comparing with those patients taking Viagra placebo.

Are the wifes are satisfied with the quality of erection in men taking Viagra pill?

Excellent results of the clinical trials showed that Viagra pill significantly improves the quality of the sexual life of the both partners. In many countries women are the first who consult the physicians on their husbands sexual problems.

Is Viagra effective when taken with Alcohol?

Viagra pill should not be taken in men while drinking alcoholic beverages. The combination of alcohol and Viagra pill is contraindicated. This combination may cause drop in blood pressure leading to faint in some men. Also drinking alcohol can lead to a temporary inability to achieve erection. To get the maximum benefit from medication, before taking Viagra is not recommended to use a large amount of alcohol.

Can Viagra be bought without prescription?

No. In spite of it high effectiveness and safety Viagra is available only with a doctor's prescription. However, in many countries Viagra can be bought without prescription. Especially this relates to generic forms of Viagra.

Can Viagra interact with other medications?

Viagra pills should not be taken with certain medications. This list includes:

Nitrogen oxide donors also called Nitrates like Nitroglycerin,  sodium nitroprusside - medicines which used for the treatment of angina.

Other erectile dysfunction remedies. The medication should not be taken in combination with these drugs (especially Viagra, Cialis, Levitra) because the effectiveness and safety of the combination was not established.

Viagra pills should not be taken in combination with protease inhibitors which are used to treat HIV.

Avoid taking Viagra pills with drugs which are metabolized in the liver through cytochrome 450. This list includes: erythromycin, rifampicin, ketoconazole, miconazole, fluconazole, itraconazole, grape fruit  juice. 

What are the long-term side effects from Viagra?
For the last five years Pfizer conducted clinical trials that involved patients who received Viagra for a period of more than  three years. In appropriate use the drug showed no evidence of the danger of its use. There was only mild and transient side effects, not severe and not prolonged.

Viagra can cause some side effects. Usually they are mild or moderate and do not require the cessation of therapy. The most common Viagra side effects include headache, facial flushing, heartburn, nasal congestion. If any of these Viagra side effects occur during the treatment consult your health care provider. More than 90 clinical studies involving more than 8000 patients have confirmed the efficacy and safety of the drug when its used in accordance with the instruction.

Do Viagra pills affect childbearing?
Viagra has has no effect on fertility. However, in cases where fertility is caused by erectile dysfunction, these patients may benefit from taking Viagra.

Which is effect of large doses of Viagra?

Viagra should not be taken in doses higher that is indicated. The most common adverse effects associated with taking large doses of Viagra was diarrhea, stomach problems, hot flashes, chest pain and other. Seek immediate attention if you took large doses of Viagra.

Is Viagra good for women?

No.Viagra should not be taken in women. The effectiveness and safety of Viagra for women was not studied. Viagra pills are contraindicated in women and children. There were some experimental studies of Viagra action on women which didn't prove the effectiveness of the medication in women.

Are there any age limits for admission of Viagra?
Viagra is not prescribed for persons under 18 years.

Viagra is a natural (vegetable) or synthetic product?
Active component of Viagra  sildenafil is a synthetic substance.

What is the pharmaceutical form of Viagra?
Viagra is available in the form of tablet 50mg and 100mg. Besides its main components Viagra contains a lot of additives.

Which company manufactures Viagra?
Viagra was developed and produced the world's largest pharmaceutical company Pfizer.  For the discovery the exact action mechanism of Viagra pill the scientists  were awarded the Nobel Prize in medicine. At the present time, other pharmaceutical companies began to produce cheaper and equally effective generic form of Viagra. Many of generic forms (not all them) are absolutely identical in composition with Viagra.

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