Viagra
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Is Viagra Available in a Spray Form or a Transdermal Patch?

Viagra Question

Is Viagra available in any other form than oral tablets? I seem to remember reading about plans to produce it in spray form and also as a transdermal patch. Are those reports accurate?

Answer

Over the years, reports have circulated that Pfizer scientists and others were considering offering alternative delivery methods for the ED drug. Such alternatives have included transdermal patches and nasal sprays. So far, these reports remain unconfirmed, and no such products have appeared on the market, nor have there been credible announcements that they were actually in the pipeline. A number of medications are delivered via a transdermal patch, but how well this would suit Viagra is unclear.

Erectile Dysfunction
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Performance Anxiety is Destroying My Marriage What Can I Do?

ERECTILE DYSFUNCTION QUESTION:

I have performance anxiety and It is destroying my marriage. I can get hard, but when it comes to the time of penetration, I often go soft, or get soft during sex or ejaculate pretty quickly, I have tried Cialis and it sort of worked, I’m not sure what the next step for me is from here.

DOCTOR ALSAYES ANSWER:

I advise you first to visit a psychotherapist, he will create a suitable treatment plan for you and will help you to deal with stress and performance anxiety. And it’s very important that you committed to the treatment.

In the meanwhile, you can take Cialis or Viagra (when needed / before intercourse), and I advise you to establish a healthy lifestyle by exercising regularly, eating healthy food (low cholesterol), and stop or avoid alcohol and tobacco as they both contribute to ED. These steps will help him regain his normal erection faster.

I hope this answers your question.

Thanks, Dr. Alsayes

Viagra
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Can Viagra Reduced the Risk of an Heart Attack

Viagra Question

I read somewhere that Viagra reduced the risk of heart attack. Is that accurate and could it help me too?

Answer

While earlier studies had already established Viagra’s benefits for those with damaged hearts, a more recent study found that men with type 2 diabetes could reduce their chances of heart attack significantly by taking Viagra. The study, conducted by researchers at England’s University of Manchester, also found that type 2 diabetics taking Viagra were more likely to survive a heart attack than those not on the drug.

The research team reviewed the electronic health records of nearly 6,000 male type 2 diabetics between the ages of 40 and 89.

As a treatment for ED, Viagra works by temporarily disabling an enzyme known as phosphodiesterase-5 that can interfere with optimal blood flow. It turns out that sildenafil citrate, the active ingredient in Viagra, also optimizes blood flow to the heart, thus reducing the risk of heart attack and increasing the survival odds for those who do have heart attacks.

Findings from the study, funded by the British Heart Foundation and the United Kingdom’s National Institute of Health Research, were published in a 2016 issue of the BMJ journal “Heart.”

Erectile Dysfunction
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31 and I’ve Been Having Sexual Problems Erectile Dysfunction

ERECTILE DYSFUNCTION QUESTION:

I’m 31 & I’ve been having sexual problems/erectile dysfunction for about 1 year/10 months whether it’s with a girl or when I’m alone. There are some days I can’t get an erection at all the days I can I can’t maintain it for more than 10 minutes!

It’s not psychological cause I’ve had ED for about 10 months/ a year ( I admit there were 1 or 2 occasions when I was stressed). But even when I’m home alone when I masturbate I can get an erection ( sometimes a semi-erection depending on what I ate earlier like food high in saturated fat or high in carbs like sweets, chocolate, cheese, lasagna which can cause ED as it narrows the arteries & raises your blood sugar & cholesterol levels). Anyway, I can’t maintain an erection especially when I stand up.

So my doc gave me a pack of 4 pills of Viagra(50mg). I took it on 2 different occasions before sex it worked ( in fact it was the best sex I had cause I managed to get/maintain an erection for 1 hour & my dick was rock hard) BUT I had some worrying side effects afterwards so I told myself I would never ever take Viagra again.

The side effects I had were: bad headaches, difficulty breathing, chest pains, really fast irregular heartbeat I was gonna call the ambulance or go to the A&E department it was so bad I thought I was gonna die or have a stroke/cardiac arrest.

Eventually, the symptoms went away so I didn’t call the ambulance but I then looked at the leaflet & I couldn’t believe the list of dangerous side effects that were listed!
On the leaflet, it states: tell your doctor or go to the casualty department straight away if you notice any of these side effects: difficulty breathing (which I had), dizziness, swelling of your eyelids, mouth or throat. What was written afterward was even worse it states: if you have a stroke or have sharp chest pains (which I had) call the A&E immediately!

Other side effects include Sudden death(!), loss of blood to the brain & heart. Most, BUT NOT ALL MEN, had heart problems prior to taking Viagra. There have been cases of convulsions & seizures. There were many more side effects written on the leaflet I’m not gonna list them all: headaches, impaired vision, vomiting, irregular or fast heartbeat(which I had), high or low blood pressure, fainting,

So I’m looking for an alternative to Viagra. A pill to take just before sex & that is effective & that works on getting/maintaining erections.

The most famous ones are Vigrxplus, Prosolution, Sinrex, Maleextra but before buying one of them I’d like to know do I have to take these pills every day or just 1 pill before having sex?? I’m looking for the latter i.e a pill before sex. I’m not looking for a pill I’d have to take every day.
Sorry about the long post thanks for reading

DOCTOR ALSAYES ANSWER:

I’m very sorry to hear that.

First of all, I do not recommend any of these products. If you must take something then you should take a proven medication such as Viagra, or Cialis.
What happened to you could be because you have taken a higher dose than you should. For instance, if you started with 50 mg Viagra, then try 25 mg. or 50 mg if you started with 100mg.

Regarding these side effects, they are not that common as you think, and they occur in patients who may have other health problems like a heart disease or coronary disease, or in those whom may take it wrongfully or in higher doses.

But in normal healthy men, and when taken as prescribed, Viagra is considered a safe solution.

Unfortunately, I can’t recommend any alternatives herbs or formulas, because their efficacy is not proven scientifically.

You should know that above 80% of ED problems we see in our clinics are due to psychological problems and what makes them harder to treat is that many of these patients refuse to believe it’s just a psychological issue. And it could psychological issue even if you are alone.

ED has many factors and underlying causes, one of these aspects are the psychological aspect.

A psychological aspect can in form of anxiety or pressure to perform under heightened anxiety, or acute stress disorder, or Low sex drive due to an underlying cause.
Watching pornography and masturbation more frequently can also lead to erectile dysfunction during actual sex relation. Some studies have found that frequently masturbating to porn can contribute to ED by desensitizing you to certain imagery and physical intimacy.

Alcohol drinking and tobacco or any smoking can also contribute to ED.
Health issues like high sugar level and high cholesterol can also lead to ED.

We must first identify the cause and then treat it accordingly. I advise you first to visit a doctor and make some evaluation tests to exclude any medical/physical causes, and if all tests came up negative then your doctor will advise you on how to deal with stress and performance anxiety or he may refer you to a psychotherapist (if needed). In the meanwhile, I advise you to establish a healthy lifestyle by exercising regularly, eating healthy food (low cholesterol), and stop or avoid alcohol and tobacco as they both contribute to ED. These steps will help him regain his normal erection faster.

I hope this answers your question.

Thanks, Dr. Alsayes

Viagra
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Can I Overdose on Viagra?

Viagra Question

Is it possible to overdose on Viagra? And, if so, what would the symptoms of an overdose be?

Answer

The maximum recommended daily dose of Viagra is 100 milligrams, which some men need to get the desired results from the drug. Taking more than that would constitute an overdose and would increase the likelihood — and severity — of the drug’s known side effects. The most common side effects of Viagra are back pain, diarrhoea, dizziness, flushing, headache, muscle aches, runny or stuffy nose, and upset stomach.

Because sildenafil citrate works by temporarily lowering blood pressure to dilate the arteries that supply the penis, thus increasing blood flow to the organ and facilitating erection, too much of the drug could cause a precipitous drop in blood pressure. This, in turn, could lead to extreme lightheadedness and even loss of consciousness.

In addition to amplifying the drug’s regular side effects, taking too much Viagra could also cause shortness of breath, chest pain, and/or an irregular heartbeat. A Viagra overdose could also increase your risk of experiencing one of sildenafil citrate’s more serious side effects, which include a sudden decrease or loss of hearing or vision and an erection that lasts for four hours or more.

Although the latter might seem at first glance a potential benefit, priapism is no laughing matter. An erection that lasts more than four hours can cause permanent damage to erectile tissue, making it even more difficult or impossible to get an erection in the future.

Erectile Dysfunction
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71 Year Old Alcoholic (mild) with ED Need Help?

ERECTILE DYSFUNCTION QUESTION:

I am a 71-year-old alcoholic (mild) with ED. If I don’t have any alcohol for a week, can I see any improvement in my ED condition?

DOCTOR ALSAYES ANSWER:

As you know, drinking more than one or two units of alcohol for long-term can compromise erections and eventually lead to erectile dysfunction. It also will make Viagra less effective.
The effect of stopping alcohol drinking on that matter vary from man to another depending on many factors, such as age, number of drinking years, the average amount per day, etc.

However, most long-term alcohol users experienced significant improvement after 6 months of quitting.

You may start noticing some kind of improvement sooner than that.

In the meanwhile, I advise you to establish a healthy lifestyle by exercising regularly, eating healthy food (low cholesterol), and stop or avoid alcohol and tobacco as they both contribute to ED. These steps will help you regain your normal erection faster.

I hope this answers your question.

Thanks, Dr. Alsayes

Viagra
Viagrabyedquestions

Is the Generic Substitute for Viagra Sildenafil Citrate

Viagra Question

I’ve been fortunate thus far in life to enjoy healthy erectile function, but I have been treated in the past with a drug called Revatio for difficulty in breathing diagnosed as pulmonary arterial hypertension. When I went to refill a prescription recently, I noticed that the generic substitute was labelled sildenafil citrate, which is the same active ingredient as that in Viagra. What gives?

Answer

In the two decades since Pfizer first introduced Viagra, the little blue pill’s active ingredient sildenafil citrate has been found to have a number of other medicinal properties. One of the first of those to be discovered is its ability to improve respiratory function in patients suffering from pulmonary arterial hypertension, or PAH.

This is a condition in which high blood pressure is localized to the arteries that supply the lungs and heart, making it difficult for patients to breathe normally.

In 2005, the FDA approved Pfizer’s new drug application to market sildenafil citrate in 20-milligram tablets under the brand name Revatio. The sildenafil temporarily dilates the arteries supplying the lungs and heart, allowing near-normal blood flow and easing respiratory difficulties.

Although Revatio was introduced seven years after Viagra, Pfizer’s patent on the brand name drug has already expired, opening the market to generic competition.

Viagra
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Where is Viagra Manufactured?

Viagra Question

I know that Pfizer is a major international pharmaceutical manufacturer and has offices and factories around the world. But I was surprised recently when I heard that the company produces most of the world’s Viagra in a factory in Ireland. Is that true?

Answer

Although it’s headquartered in New York City, Pfizer Inc. is truly a global corporation with offices and manufacturing facilities scattered around the world. For several years now, Pfizer’s plant at Ringaskiddy in Ireland’s County Cork has turned out the bulk of Viagra’s active ingredient, sildenafil citrate. While Pfizer has lost its patent on the little blue pill in most major markets worldwide, its American patent will not expire until April 2020.

However, under special agreements that Pfizer negotiated with Teva Pharmaceutical and Mylan, those generic drugmakers have won the right to begin marketing generic formulations of the medication in December 2017. Because Pfizer’s U.S. patent runs until 2020, both Teva and Mylan will be required to pay licensing fees to Pfizer until the latter’s patent expires.

With six locations and more than 3,000 employees across Ireland, Pfizer is a major employer in Ireland, where it has a capital investment of roughly $7 billion.

Erectile Dysfunction
Erectile Dysfunctionbyedquestions

Can Creatinine Elevation Cause Erectile Dysfunction?

ERECTILE DYSFUNCTION QUESTION:

If I see an elevated level of creatinine can this cause me to have erectile dysfunction?

DOCTOR ALSAYES ANSWER:

The creatinine level in the blood will rise due to poor clearance of creatinine by the kidneys, which means possible malfunction or failure of the kidneys. And erectile dysfunction (ED) is known to be a common condition (80%) among male chronic kidney disease (CKD) patients.

The cause of ED in these patients is multifactorial. Factors including abnormalities in the gonadal-pituitary system, disturbance in the autonomic nervous system, endothelial dysfunction, anemia (and erythropoietin deficiency), secondary hyperparathyroidism, drug effects, zinc deficiency, and psychological problems.

I hope this answers your question.

Thanks, Dr. Alsayes

Viagra
Viagrabyedquestions

How Much Time Does it Take for Viagra to Have an Effect?

Viagra Question

How long does it take for Viagra to take effect?

Answer

The little blue pill usually takes effect 30 to 60 minutes after you pop it. For the vast majority of users, the average time before the onset of effects is 30 minutes, although some may find they have to wait a bit longer for Viagra’s effects to kick in.

For some men, Viagra’s effects last for up to five hours, but the average duration of effect is more like three to four hours. The recommended starting dose for Viagra is a 50-milligram tablet, which works for the vast majority of men. However, if the 50-milligram tablet doesn’t get the job done, you can increase your dose to 100 milligrams.

In the unlikely event that the 50-milligram tablet is more than you need, you can lower your dose to 25 milligrams to see if that works for you.

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