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The Most Popular Drug for Erectile Dysfunction Treatment

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Introduction

Erectile dysfunction is the most common pathology of the male reproductive system. It consists in the inability to achieve an erection sufficient for a full sexual intercourse, or in its too weak expression. Also, erectile dysfunction can be attributed to a condition when an erection is normal in strength, but lasts too little time and does not end with ejaculation. Meanwhile, too fast ejaculation refers to another pathology, namely, premature ejaculation. However, these two conditions quite often go hand in hand.

Such a violation of potency as erectile dysfunction occurs in many men, regardless of age. At a young and middle age, the most common cases are associated with psychological reasons: stress at work, psychological trauma, self-doubt, unsuccessful sexual experiences.

At an older age, physiological causes come to the fore, such as natural aging of the body, accompanied by a decrease in the level of the male sex hormone testosterone (the so-called male menopause), prostatitis, and benign prostatic hyperplasia (BPH). For the effective treatment of erectile dysfunction of both psychological and physiological etiology, as well as their combination, since the late 1990s, a drug from the group of PDE-5 inhibitors called Viagra has been successfully used.

You can read about the peculiarities of the relationship between psychological state and potency in an interesting article authored by H. A. Feldman, I. Goldstein and D. G. Hatzichristou “Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study”. Despite the fact that this article was written before the creation of Viagra, the information in it remains relevant to this day.

Description of Viagra

So, Viagra is a drug for the treatment of erectile dysfunction (ED) of various etiologies. This medication is available in form of oral pills. Due to blue color and diamond shape they are sometimes called “magic pills”, “blue pills” or “blue diamonds” on forums for men. The main active ingredient of Viagra, which determines its effect on the male body, is a chemically synthesized compound called Sildenafil citrate. There are three Viagra dosage options available to consumers: 100, 50 and 25 mg of Sildenafil in one pill.

It is noteworthy that initially Viagra was not planned to be used as a means to increase potency. Sildenafil citrate was supposed to become the active substance of a drug for the treatment of pulmonary hypertension (an increase in pulmonary vascular resistance, which leads to the development of right ventricular heart failure and can cause premature death of patients). And only in the course of clinical trials of the new drug was it found that Sildenafil had a much stronger effect on potency than on pulmonary hypertension. This discovery, which took place in 1998 and was made by the American pharmaceutical company Pfizer, was a turning point in the centuries-old history of mankind’s attempts to find a means to increase potency that would not be toxic and dangerous to the body. Our ancestors have tried everything, from frankly witchcraft potions like tinctures from the wings of bats to various stimulants of a narcotic nature, the most famous of which was the so-called Spanish fly. All of them were useless at best, and at worst inflicted significant damage to the organism, up to and including death. And until the very end of the twentieth century, when Viagra was invented, the situation didn’t change.

Branded Or Generic Viagra?

Men who experience symptoms of erectile dysfunction can be advised not to let the course of the disease take its course in the hope that “it will go away somehow by itself, I’m not impotent to start taking pills,” but start treatment as soon as possible. Then the treatment will be shorter, and the disease will not have time to transform into a chronic form. You should not be afraid that you will develop an addiction to Viagra: this drug is not addictive at all.

If you are going to buy Viagra for the first time, perhaps you are hesitating whether it is better to choose an original medicine or a generic one. Not too many men can afford branded Viagra, especially if there is a need to regularly take this medicine, but it has its own adherents, because the production of the Pfizer company is a guarantee of quality. However, on the other hand, for several years already numerous generics (analogues) of Viagra have been presented on the world pharmaceutical market, which are absolutely identical to the original drug in their properties and characteristics, but are much cheaper. The quality of generic Viagra from many European and Asian manufacturers is undeniable, and you can save a lot on buying them by contributing to the fight against Big Pharma’s strategy of overpricing drugs.

In terms of their composition, generics of Viagra are full-fledged analogues of their prototype: these are drugs that are produced according to the medicinal formula of the original Viagra from Pfizer, that is, they contain the same active substance Sildenafil citrate in the same dosage, they are just manufactured by other pharma companies since Pfizer’s patent protection for Viagra had expired. Ancillary components, however, may differ in various generics. They determine the color of the pill, its density, and weight. Generics vary in appearance: these are far from always blue diamond-shaped pills, they can be green, white and even red, of any geometric shape, they taste different if you lick them, but all this doesn’t affect their effect. A notable characteristic of generics is that they cannot be called the same as the original Viagra, they have many names such as Silagra, Kamagra, Super Sildenafil, etc. This is due to the fact that, according to international pharmaceutical law, generics cannot have the same names as branded drugs. Otherwise, the situation with the same names would be viewed as an attempt to counterfeit (directly imitate) a brand medicine and would be punished. But if before the word “Viagra” you see the additive “generic”, then it means that the manufacturer chose this name for its analogue. You can also find the names of generics by the combination of the active substance and the manufacturer, for example, Sildenafil Sandoz.

Principles of Action of Viagra

Some men experiencing symptoms of erectile dysfunction are ready to start treatment, but doubt that Viagra will be safe for their health. Others are convinced that only preparations based on natural ingredients can be used to normalize potency, and all chemically synthesized substances can damage their body.

In order to dispel such myths, it is necessary to understand how Viagra affects the male reproductive system.

First of all, it should be borne in mind that taking Viagra in itself doesn’t make a man to desire sexual intimacy. This medicine doesn’t affect libido, it cannot cause an increase in sexual desire, as it is not a hormonal drug and not an aphrodisiac. The basis of the action of Viagra is the ability of Sildenafil citrate to increase blood flow to the penis, due to which, under the condition of sexual stimulation or the presence of sexual mood, a strong prolonged erection is achieved. It is important to note that the effect of Viagra doesn’t occur immediately after a man takes it, but after 30-60 minutes, depending on the individual sensitivity of the organism. In addition, the rate of absorption of the drug in the gastrointestinal tract is affected by whether the pill is taken on an empty stomach, after a small meal or after a hearty meal. Food, especially fatty and abundant, slows the onset of the effect and can significantly weaken it.

At The Doctor’s Appointment

If you feel that the quality of your sex life has become unsatisfactory, it’s time to take care of your health and visit an urologist. This is not very pleasant, especially morally, but it will help you find out the cause of erectile dysfunction and give you the opportunity to consult about the optimal treatment tactics.

Naturally, the urologist conducts a medical examination – a visual examination, if necessary, an ultrasound examination of the prostate and/or testicles, but the doctor’s main tool is taking anamnesis, that is, your story about when and against what background problems with potency began. This will help your doctor prescribe the right treatment for you. Although sometimes hormonal drugs are needed, in the vast majority of cases, the causes of ED can be treated with PDE-5 inhibitors, the most common of which is Viagra.
It is important to be honest and not hide any details of your condition from your doctor. A visit to the urologist is necessary to obtain a prescription for Viagra, which is especially important if you are going to purchase not a generic, but a branded drug, especially in the USA. At the same time, for buying generic Viagra, especially online, prescription is far not always needed.

Viagra’s Side Effects

Despite the fact that Viagra is well tolerated by most men, the incidence of side effects from this drug is very high. The most common of these are headache, dizziness, nasal congestion, rush of blood to the skin of the face and neck, as well as such a specific phenomenon as a violation of color perception. It is characterized by the fact that some colors are distorted, for example, green appears blue, red appears yellow, etc.

The side effects of Viagra are usually more pronounced in the first days of taking the drug, they tend to subside over time. At the same time, the effect of the medicine doesn’t weaken.

Main Safety Information

Despite the widespread use of Viagra, this drug is not as harmless as it might seem. It is contraindicated for men with disorders of the cardiovascular system, including hypertension, for those who have any hereditary diseases of the retina, with exacerbation of gastric or duodenal ulcers, with severe forms of hepatic and renal failure, and in some other diseases. To learn if you have any contraindications to Viagra, before purchasing this medicine it is necessary to visit a doctor or at least carefully study the instruction for use.

Also remember that Viagra cannot be combined with certain medications: other PDE-5 inhibitors, nitric oxide donors, organic nitrates or nitrites, ritonavir, and others.
Caution should be taken with this medication if you have anatomical deformities of the penis, a tendency to priapism, Peyronie’s disease.
Sildenafil should not be taken by men whom due to the state of the cardiovascular system sexual activity is not recommended.