Do You Think Viagra will Help You?

Pharmacists have noticed a strange consistency: during strikes generic Viagra consumption rapidly increases. Experts explain such a demand by unbalanced state of mind. So who needs blue pills more – sick or healthy, but self-inconfident man? For whom some scientists are trying to create pink Viagra?

To fully cover this topic, My Canadian Pharmacy organized a distance round table, having interviewed specialists responsible for different areas of human body.

As gynecology can’t exist in isolation from other «logies», so Canadian Pharmacy Viagra affect not only intimate sphere.

First Expert – Brandon Walsh, Sexologist, Candidate of Medical Sciences.

– If a healthy person takes Viagra, does it change sexual feelings?

– Great sexual achievements anywhere, anytime and with anyone shouldn’t be expected. Normal erection is unlikely to become stronger, but reduction or increase of sexual intercourse duration is possible. But does it make any sense to take medicine with this purpose? But it is another cup of tea, if a healthy man’s erection is unstable due to fatigue, stress, anxiety. Then Viagra pill can be used to keep your back covered. But it may not always be a miracle even for a completely healthy man. And to use it just in case, to be your best – a complete nonsense! Unpurposed generic Viagra use as a stimulant can have sad consequences up to impotence. It is not a sex toy, it is a medicine. Drugs for erectile dysfunction (impotence) are prescribed in cases when it comes to vascular problems, spinal cord injuries, diabetes, side effects of certain drugs, as well as age-related changes, psychogenic disorders. To those who truly suffer from impotence pill in most cases do not help.

– Why?

–  Because pills increase mechanical penis properties, provide a natural response to stimulation, but it is impossible without sexual stimulation. Generic Viagra, Cialis and Levitra action is based on blocking phosphodiesterase type 5 enzyme, enhancing blood flow to penis. This means that all three drugs affect only potency, but do not cause sexual desire. You should understand that erection is a specific process, exposed to external and internal influences, perception. Men feel sexual desire to women, their brain sends signals to genitals to fill cavernous bodies with blood for elasticity of penis. Erection can occur when a man only thinks about woman he loves and sometimes it won’t occur even after the most daring foreplay. If there is no desire, the pill will not work.

– Can a man himself realize that it’s time to take medication for erection enhancement?

– To do this he needs to understand the real state of potency. The first sign that erection is «under threat», is increased number of failures in bed. If every third sexual act within six months fails, then it is time to ring alarm bells – look for the cause of failure. For erectile dysfunction diagnosis, causes statement and treatment appointment, there must be conducted examination of cardiovascular system, blood penis supply measurement, its skin sensitivity. Do not ignore the fact that with age there is a natural decline in sexual activity. This does not mean that you need to give up on this sphere of life.

– But sex is a serious load on the body, especially with erection enhancers.

– Sex does not pose any harm, on the contrary it helps men improve their quality of life. Poor erection, libido disorders and other factors, on the contrary, contribute to psychological and physiological disorders. Therefore, sex is good for people who have problems with erection. Pills give you confidence, support in difficult times.

– Do these drugs build up tolerance?

– Purely psychological. Do not be afraid to become dependent on these drugs. They are not addictive. On this matter, US researchers conducted a survey including 150 men taking Viagra. If at first patients were satisfied with 25 – 100 mg dosage, after two years the dosage was increased by 50 mg. At the same time doctors could not find link between drug use frequency and dosage increase. However, other researchers have a different point of view on this subject. In particular, dosage increase in explained with the fact that the drug is often didn’t provide effect that was expected. When a man taking erectile dysfunction drugs, enzyme is blocked and nitric oxide remains in blood. Over time, the body begins to struggle with it, trying to eliminate this interference. Drug effect is reduced – a person begins to increase dosage, and at some point the drug is no longer effective. Is it true or not, I do not know, but the fact that drug reception must be conducted under doctor’s supervision causes no doubt. Besides, medication effect overestimation is related to advertisement, which increases drug demand. Twelve pharmaceutical companies in different countries already produce modified forms of the drug.

– What is the difference between most popular of these drugs?

All three drugs have similar mechanism of action, but they differ in efficiency in time. Cialis works up to 36 hours, compared to Viagra – 4 – 5 hours. Levitra action starts about 15 minutes after administration. Besides Levitra helps men, even in cases when Viagra fails, for example, at diabetes. Apparently, this is due to stronger drug effect on blood circulation in genital organs. The main thing is not to overdo with dosage.

– What dosage is considered to be dangerous for health?

Usually, recommended dosage is 50 mg, maximal – not more than 100 mg once a day. Low dosages of 25 mg are prescribed to patients with hepatic disorders and renal insufficiency. Maximal daily dose does not exclude various complications. Therefore, effective dosage for each patient is chosen individually. Especially careful patients should be at anatomical penis deformity and diseases that predispose to priapism development.

– But before Viagra, Cialis and Levitra invention how did people deal with it?

Medications were injected directly into penis or via tube into urethral lumen. Injection or suppository administration causes erection in any case, regardless of patients feeling. Pills have another mechanism of action, foreplay is required.

– Is there female Viagra?

– Sexual dysfunction at women were recognized as disease not so long ago. But, as men, women may be a precursory symptom of cardiovascular diseases, diabetes. «Pfizer» scientists – Viagra manufacturer – for a long time were trying to adapt this drug to address women’s sexual problems. Their study showed that pink generic Viagra restores erogenous zones sensitivity, especially at postmenopausal period. However, effect is not manifested in 100% of cases. As a result, the development was stopped. Leading pharmaceutical companies have reported about drugs for «increasing women’s excitability», based on male sex hormone testosterone. But none of them appeared on the market. The fact that physiological responses of female body is much more complex than male. Women’s perception of sex is more dependent on psychological and physiological factors. In case of female impotence drug treatment is not always enough.

Second Expert – Yasmin Middleton, Sexologist, Candidate of Medical Sciences.

– Ten years ago, when they began to study drugs for depression, there was hope for female sexual dysfunction drug development. Recently, it was reported that this medicine is not related to female sexual excitement. Nevertheless, this development has done its job – caused interest to study female sexual disorders.

Women’s sexuality is affected by many problems and is associated with both mental and physical disorders. It is usually changed after labor operations. It manifests in sleep disorders, pain syndromes during sex as well as housing problems of everyday life, disharmonious relationships between relatives undermine biological sexuality. Besides, if we talk about couples, often when men feel «decline», woman – «rise», and vice versa. How to adjust? Moreover, conflicts, misunderstandings distract sexual adaptation in couples which can last for a long time.

Studies in 19 countries found out that sexual dysfunction at women occur three times more often than at men. At first place there are desire disorders, excitation frustration concerning lubrication (vagina moisturizing), reduced orgasms, sensitivity. As a result – pain that make sexual intercourse torturous. If formally it is possible, in practice it is not. Such pain disorders appear more often than vaginismus (sexual disorder when women have involuntary muscle spasms, blocking entrance into vagina), but this condition is obscure and hard to cure.

150 million men worldwide suffer from impotence. In 20 years, this number will double. Such conclusion is based on studies: at middle-age men and women sexual dysfunction is 25 – 30%, at people over 50 years – 50%.

Third Expert – Gabriel Hamilton, Professor, Doctor of Medical Sciences.

– The main causes of disorders: diabetes, somatic, cardiovascular, urological diseases. Drugs also reduce sensitivity, excitement, erection, ejaculation volume and force. In fact, many people over 40 years are already taking on permanent basis one or two drugs.

I underline that studies were held on doctors – people who lead more or less healthy lifestyle. This studies found out that 60 – 70% restore sexual function with drugs. As a rule, it is fifth type inhibitors, which today are considered first line therapy. They are safe, unlike dietary supplements with their low efficiency and quality control, as well as expensive and not always effective surgical methods. Moreover, our respondents put on the first place reliability and effectiveness, second – safety of use in combination with other drugs. Next – reasonable price and fast action.

Another study showed that although phosphodiesterase type 5 inhibitors – generic Viagra, Cialis and Levitra – chemical formula is the same, but Levitra has proved to be the most effective and powerful drug compared to Viagra – two-fold, Cialis – six-fold. Its effect reaches its maximal level after 40 – 50 minutes, and sometimes after 15 – 20 minutes.

Twelve-month clinical study in US on patients with diabetes and resistant to generic Viagra, proved that Levitra in flexible dosages gives positive result. It increases sexual intercourse frequency at mild to moderately severe erectile dysfunction. At this, side-effects are the lowest compared to Cialis and Viagra. Cialis, for example, may cause back pains. Generic Viagra changes sensitivity to light. There are no data about new preparation Zydena yet, as it appeared recently and experience in its application is small.

Fourth Expert – Andrew Norton, Doctor of Medical Sciences, Professor of Department of Urinology.

– How do most men perceive sex?

As joy and pleasure. But if sex at young age is natural and spontaneous, at mature – organized, at old age – problematic.

– It is possible to describe typical man suffering from erectile dysfunction?

This is a man with an excessive body weight, precursory symptom of cardiovascular disorders, diabetes. He spends more time watching TV and smoking or used to smoke, excessively drinks alcohol. Strange as it may seem, but moderate amount of alcohol protects male body.

– How important is it for a man to have sexual intercourse every 24 hours?

For 19% it is important. For men older than 40 years – 4 – 5 times a month.

– How long does it usually take from first thoughts about sex to sexual intercourse?

Both at healthy men and men with erectile dysfunction it is the same period – 35 – 40 minutes. It is characteristic that at men with age and erectile dysfunction this period becomes even smaller. Moreover 70% of couples have no set time for sexual intercourse. For many moment of spontaneity is crucial.

– When do men start to seek for medical help?

When they feel that their problem is serious and begins to affect their self-confidence.

– And what do patients want from treatment?

Efficiency at any time. They do not want to think about whether medicine worked, whether they took a pill or not. Didn’t they forget to take it? Patients want everything to happen naturally as in everyday life. Men rely on quick action, security, as well as reasonable cost.

Many ask: «Does your treatment help me forever or for one time?» This speaks to their desire to be treated. They don’t want to be dependent on pills. They want to enjoy pleasure of sexual intercourse, it to be long and spontaneous.

– What drugs do patients with erectile dysfunction prefer?

Nine out of ten want to get guarantee. At the same time, eight out of ten do not want to schedule sex. They do not want to worry about sexual intercourse inconvenience, thinking what is necessary for it. There are different points of view, what patients prefer. Long-acting drugs contribute to more natural patient’s behavior, taking into account that pill action lasts between 17 and 35 hours.

A comparative study of three drugs – generic Viagra, Cialis and Levitra – which was given to patients in three groups, showed positive effect.
Regarding choice: I like well-known German urologist approach. He recommends patients to try all three drugs and identify the most suitable for them. Each drug blocks different centers in the body. Still there is no drug which blocks all three centers at the same time. Therefore, if Viagra doesn’t help, patient may choose Cialis or Levitra. After all, men with erectile dysfunction are different, so selection of drugs may be different.

If sex is necessary only once a month, short-acting drugs will be perfect. Sexual intercourse for such men is a kind of celebration, and they carefully prepare for it. For more natural and regular sex long-lasting drugs are preferred drug.

Fifth Expert – Ethan Hudson, Cardiologist.

– Viagra is a drug for cardiovascular disease or impotence treatment?

Impotence is usually a reason of any disorder, I mean, physical or mental, or both. If you started to experience problems with potency, then first of all it should be examined by endocrinologist and cardiologist. At hypertension disorders erection occurs because of penile arteries narrowing and their walls elasticity reduction. Initially, Viagra was developed as a means for treating patients with ischemic heart disease. Great hopes on normalizing high blood pressure were put on Sildenafil (international generic Viagra name) mechanism of action. But it turned out that invented preparation better stimulates erection.

– How does this happen?

Viagra pharmacological effect is based on Sildenafil ability to selectively inhibit (delay) phosphodiesterase type 5 enzyme activity, involved in internal organs smooth muscles and penis blood vessels relaxation. It improves blood circulation in pelvic area and makes erection longer and stable. Sildenafil enhances vasodilatory effect of nitric oxide released during sexual stimulation.

– If this medicine is «two in one» – treats heart and restores potency – why it provokes cardiovascular complications and sometimes death?

Before applying generic Viagra, it is necessary to establish cause of impotence. It is possible, that this is primarily an indicator of possible myocardial infarction or blood stroke development, preceded by hypertension, high blood cholesterol, diabetes, obesity. It is established, that erectile dysfunction occurrence frequency increases with cardiovascular risk frequency. Moreover, almost every cardiovascular disease is connected with erectile dysfunction. At the same time men who are willing to be treated, are not numerous. This is due to the fact that erectile dysfunction occurs earlier than cardiovascular diseases.

Complications most often occur in case of self-medication with Viagra. Men do not know that, for example, nitroglycerine or other drugs of nitrates class are strictly contraindicated in combination with medications for erectile dysfunction. What is the reason? Generic Viagra and nitroglycerine are potent vasodilators. But if nitroglycerine acts mainly on coronary vessels, Viagra – on pelvic organs vessels. Thus when taking them together a dangerous situation may occur, when as a result of rapid coronary and pelvic vessels blood widening pressure decreases to a level that threatens life. That, in turn, can lead to blood supply to cardiac muscle (myocardium) or brain disorder with myocardial infarction or blood stroke. It is proved that Viagra enhances other blood vessels in the body, which can cause headaches, flushing, nasal stuffiness.

– Maybe it is not necessary to cause erection artificially? Let’s assume that impotence is a natural state, prolonging men’s life?

There is a point of view that it is like a protective mechanism to save man’s life. But what man will agree with this statement, as well as with the fact that sexual intercourse is a serious physical and psycho-emotional stress to the body, which not everyone can bare? After all, normal sexual relations opportunity for men is extremely important in terms of self-realization in society. On the other hand, returning to full sex life with erectile dysfunction drugs help reduces cardiovascular disease intensity.

Besides, Viagra, for example, approved itself in transplantation. Studies conducted by American scientists, found out that the drug is effective in reducing blood pressure after heart transplantation surgery. It causes significantly fewer side effects than classical antihypertensive agents.

Strongly contraindicated sexual activity to patients with unstable cardiac angina, chronic cardiac insufficiency, uncontrolled heart rhythm disorders, hypotension, as well as to those who had during last 6 months blood stroke, myocardial infarction or coronary artery bypass grafting.

US Health officials check reports that anti-impotence drugs could cause varying degrees of blindness. The fact is that US FDA revealed 50 such cases at patients with cardiac insufficiency or diabetes. Dr. Howard Pomeranz claims that relation between drugs and vision problems was detected long time ago – generic Viagra supposedly leads to temporary change in color perception at men.

Sixth Expert – Grace Stephenson, Chief Ophthalmology Officer.

– Yes, vision problems while taking Viagra may occur, but not at all patients, but at those who are predisposed to it, about which drug instructions notify. That is, patients with vascular disease, pigmented retinitis and optic nerve structural specifics (small optic nerve head and lack of physiologic cup) must be very careful while taking the drug and consult doctor.

– Is it true that some individuals one hour after administration of 100 mg dose really can’t distinguish colors, such as blue / green?

– Yes. Some patients observe vision disorders in contrast sensation and color perception. This is the reason to consult doctor to decide on further drug administration, dosage and administration frequency.

– And what causes blurred vision or visual perception impairment?

– With similar formula of PDE-5 and PDE-6. It is phosphodiesterase-6 that is responsible for phototransmission in retina.

– To whom are Viagra, Cialis and Levitra drugs contraindicated?

– To patients with congenital degenerative retinal disorders, including pigmented retinitis, proliferative diabetic retinopathy.

Seventh Expert – Randal P. Levine, Urologist-andrologist.

– Are Viagra, Levitra, Cialis reliable remedies for men? If not, what is their danger for the body? What are side effects?

– Since first drug of this group appeared in early 1990s, its popularity among men only grew. The reason for this, on the one hand, is high efficiency and relative safety, on the other – active advertisement. But despite their popularity, preparations of this group are medications that have their indications and contraindications. Therefore, self-medication without consulting specialist is not allowed. Only a doctor can accurately determine dosage, frequency of use and compare this with individual characteristics complex. As for side effects, they are quite numerous. Most often, they are: flushing, headaches, dizziness, blurred vision, nasal stuffiness, dyspepsia. These or other symptoms occur almost in each case after taking drugs of this group.

– How do drugs work? How long does the effect last?

– These drugs mechanism of action is the same. They caused increased blood flow to penis, thereby erection is achieved. But not the drug itself causes erection but further sexual stimulation. Duration of action depends on the drug and on individual characteristics, from 2 to 36 hours.

– What dosage and when is it better to take these drugs? Can patients independently determine their needs?

– Drugs are taken 30 – 60 minutes before planned sexual intercourse. The dosage depends on the drug and is chosen individually depending on erectile dysfunction type and severity degree. Besides it is necessary to exclude contraindications, I strongly recommend not to take drugs of this group independently without first consulting specialist.

– Is it possible to get addicted to these pills?

– No, they do not build up tolerance. Over time, patients, regularly and for a long time taking drugs for erectile dysfunction treatment, can notice decrease in their effect, but this is explained not by addiction, but underlying disease progression, which led to problems with erectile function, such as diabetes, hypertension, atherosclerosis.

– Do these drugs differ in extent of exposure?

– They have different action duration. And regarding adverse reactions, they differ from each other only in frequency of various side effects occurrence.

– Do erythromycin and cinamet increase Viagra, Levitra, Cialis effect?

– Yes, these drugs plus some anti-fungal and anti-viral drugs lead to increased effect when using generic Viagra, Levitra, Cialis, prolonging their action duration. Such increase in some cases may reach dozens of times, so there is a risk of serious adverse effects caused by overdose.

– How would you comment the statement that the more a person has sex, the better it is for his health?

– This view is mistaken, everything in nature is in harmony. The human body is a complex self-regulating system, and violent sexual overload against its needs and opportunities will cause more harm than benefit.

– Is it true that Viagra, Levitra, Cialis restore sex hormones reproduction in the body?

– Their administration does not affect sex hormones level in blood and does not lead to shortage replenishment.

– How dangerous experiments with Viagra, Levitra, Cialis as stimulants for young people are?

– As far as I know, serious studies that determine drugs of this group effect on healthy people were not carried out. Accordingly, young experimentators assume all the risks. And yet, ignoring contraindications by men, not suffering from erectile dysfunction, can result in unfortunate consequences, including death.

– What is the danger of uncontrolled self-medications with these drugs? Do they affect reproduction?

– Generic Viagra and other drugs of this group significantly reduce refractory period (period of sexual inexcitability), naturally occurring after ejaculation. The body maintains its performance through our feelings – we do not drink water if we do not feel thirsty, do not eat, if not hungry. Reproductive performance regulation works the same way, that is, normally after ejaculation sexual desire is temporarily lost, there comes a period when the body is hardly perceptive to any sexual stimulation. It is necessary for recovery after enormous energy release. This period duration is individual.

And listed above drugs can reduce this period and cause erection when the body had no time to fully recover and does not want it. Naturally, regular overload of this kind can affect male sexual health. There are even some small medical studies which showed men who had regular sexual overloads, over time, reported reduced sexual function: sexual intercourse quality and satisfaction with it, erection, libido.

Besides, healthy young people have a risk of psychogenic erectile dysfunction after such stimulants withdrawal.

– Are there other ways to cope with impotence, besides these drugs? Maybe there are new methods of treatment?

– There are other methods of erectile dysfunction treatment, but they are not new – vacuum erectors, special rubber rings worn on penis root, intracavernosal injections, introduction of the drug into urethra, and finally surgery to restore vascular blood flow and penile prosthesis. It is possible to combine several methods. Which to preference decides doctor in each individual case.

– How to prevent impotence?

– It is possible, if not to prevent, then at least significantly reduce possibilities of its occurrence. Lead healthy lifestyle. It consists of proper nutrition, exclude ample fatty foods, alcohol, especially beer. Regular physical exercise. No smoking. Avoid uncontrolled sexual behavior, and be moderate in your sexual activities.

Based on this interview, My Canadian Pharmacy made a conclusion: generic Viagra is a safe and effective drug when taken properly, that’s why we strongly recommend before purchasing Canadian Viagra consult your doctor about contraindications, dosage and possible side effects.

In case if you already have consulted your doctor and get a prescription (although we also sell drugs without rx) – welcome to our online pharmacy! Here you can find a wide range of various medications and related products at favourable terms and reasonable price! My Canadian Pharmacy team is glad to do its best to make your shopping as comfortable and easy as possible. We are glad to provide consultations on any product you choose (if you have not received proper specialist’s advise) or our service if necessary.

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