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We will not reveal for ourselves secret, recognising, that among uncountable set of illnesses and illnesses which are on the earth, the most delicate and exciting men much problem is an impotency. It still name a erektilnoj dysfunction or potency disturbance. The very first name is perceived in a society more as a sneer, rather than, as a problem. Actually, people are always inclined to laugh at another’s inferiority, but only until it will not concern them.

The science and medicine move forward and to us offer all new and new agents for struggle against a eriktilnoj dysfunction. It is not difficult to guess, that round all it as Egyptian vultures, are twisted the people offering “an instant wonderful recovery” and “super tablets”, promising to restore a sexual life almost in few days. Until the person has not thought up absolute treatment from an impotency, about it always there will be swindlers. If to address to statistics almost half of man’s population of the earth, at the age of 40-70 years suffer an impotency in various severity level. Therefore, if you are disturbed by this question can be assured - you not one and, believe, to work on your problem thousand scientists and the physicians, developing more and more effective preparations.

Among ingenious inventions it is possible to note at once such preparations as “Viagra”, “Cialis”, “Levitra”. There are more many various analogues, but these, perhaps, the most popular and effective. We will survey each preparation separately.

“Viagra” - a preparation which is used for treatment of disturbance of a erektsii. “Viagra” improves blood supply of a sexual member, in a consequence of that the erection becomes steadier and long. It is shown all men who suffer disturbance of a erektsii which could be caused physiological, and psychological factors. To physiological it is possible to carry traumas, vascular diseases, old age. To the psychological: strong stress, various disorders of nervous system.

- By what principle Viagra operates?

The mechanism of action of Viagra is based on augmentation of blood supply of a penis that causes a normal erektsiju at sex stimulation. The big popularity of a preparation is bound by that it operates only on natural mechanisms of occurrence of a erektsii.
Viagra is how much effective?

Do not show a stimulator, it has high enough efficiency, in comparison with other preparations. Efficiency degree depends on a kind of a erektilnoj of dysfunction. In cases of strong stress or a nervous breakdown, most likely the result will be maximum, and, accordingly, less expressed at serious diseases.

- Whether Viagra raises a sex attraction?

As it has already been written, Viagra action is limited only to local action, I raise a blood flow in a sexual member and does not cause a sex inclination. It is not an “excitative” agent and does not raise a libido.
- Who can apply Viagra?

Viagra can be applied by the men suffering a erektilnimi by dysfunctions of various gravity. In any case, before application, it is useful to consult with the attending physician.

What is the sex norm?

The sex norm is defined by the erektsii occurrence, allowing the man to enter sexual relations, is successful them finishing. If the person considers itself healthy, accepting viagra and erektsii normalisation most likely he suffers from a dysfunction erektilnoj observes appreciable.

How to accept Viagra?

Before preparation application as it does with any medicines and additives, it is necessary to familiarise with the instruction. Viagra accept not more often than an once a day. Norm - one pill for an hour to sex affinity. Preparation action begins in 30-60 minutes and 4 hours proceed. That Viagra has worked faster, is better to accept it together with meal.
Now we will survey one more effective medicine for a dysfunction eriktilnoj - a Levitra. Developed specially for struggle against an impotency, this modern preparation is one of the most effective. Among advantage of a preparation it is possible to allocate:
- Practically instant action (15 minutes after reception)
- Long action (till 6 o’clock)
- The medicine begins to operate after the first reception
- Rather small by-effects
- It is possible to apply freely with meal

To the majority of men of a Levitra successfully helps to cope with a erektilnoj dysfunction, especially, when similar preparations do not give the necessary result. One more advantage is that the Levitru can be applied at a diabetes.
By results of the first trial researches, the Levitra much more surpasses platsebo preparations in efficiency. The Muzhiny, using Levitru, received three times more chances to spend and finish sexual intercourse. As, on the statistican, 9 from 10 patients observed positive changes in a potency and could spend normal sexual intercourse.

The Cialis is, approved FDA, the newest preparation for treatment of a erektilnoj of dysfunction at men. Clinical tests have shown, that the Cialis is safe and an effective remedy. In difference of the above described preparations, a Cialis operate till 36 o’clock (the erection remains at sex excitation), because of it there is no necessity in advance to plan time of sex contact, especially, not always there are situations when it is possible to accept a preparation.
The Cialis is rather convenient in application. A standard dose - 20 mg which accept without dependence from meal before prior to the beginning sex activity. You can be assured of a current of 36 hours, that the Cialis will not bring you and to enter sexual affinity when in any right moment. The preparation should be accepted not more often an once a day.

The Cialis has following advantages:

- Positively influences a erektsiju as a whole
- Gives the chance to reach a high-grade erektsii
- Prolongs pleasure from sexual intercourse
- Does intimate affinity brighter and spontaneous, at the expense of long action
- Is a safe agent for struggle against a erektilnoj dysfunction
In what a difference between all these preparations and how them to apply?
Preparations for erektsii rising (Viagra, a Levitra, a Cialis) belong to the class to inhibitors of a FDE 5. It is necessary to accept them before for 30-40 minutes prior to the beginning of sexual intercourse, except for a Cialis preparation (it is possible to apply for a day prior to the beginning of sexual intercourse). According to experts, these preparations need to be accepted only when when the chance of “failure” is rather great. It is useful to know and differences between preparations.

The most popular it is natural Viagra. It is in sale already more than 10 years and has impressive clinical experience. More than 16 million persons this preparation has helped to improve a sexual life and is the indisputable leader among similar preparations. Viagra is better be not to applying with fat nutrition, differently the effect from a preparation will be the least. The Levitra can be used 15 minutes prior to sexual intercourse. The Cialis is accepted to 30 minutes prior to sex and operates till 36 o’clock.
Depending on a kind of disturbance of a erektilnoj of dysfunction, it is possible to pick up preparation more suitable to and not to be assured of the successful sexual life.

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The big help, to the small friend

Let’s talk about weaknesses of the stronger sex, more precisely, about weakness. And though the conversation subject does not enter in any way into a category of gifts - viagra on a saucer from a blue kaemochkoj would look the insult even for the weakest man, - to talk about it costs. The quantity of the means promising the help in delicate questions, is so great, that in them can lose the way and analytical man’s mind. So, than can support the advantage of the man today?

Ancient Greek tragedy

Many consider, that as the first effective medicine helping men, there was a viagra. It not absolutely so. To it already was a kaverdzhekt, capable to help very many, and even in heavy cases. Speaking figuratively, the kaverdzhekt “lifted dead”. Why this medicine has not found such glory? The way of its application by much seemed too barbarous: the preparation was entered by means of a special syringe directly into “man’s advantage”.

Already therefore the kaverdzhekt could not become mass means, despite the fact that what the special needle did pricks almost painless. However, always were a marginaly, ready to go for the sake of sex and on big a victim. To urologists well-known cases when in the same way entered a papaverin, and it quite often came to an end with a priapizmom - “Ancient Greek tragedy”, named by name god Priapa possessing most impressive man’s “argument” on the Olympus. Only here at the person this “divine” gift got the form of the heavy illness quite often leading to loss of “man’s advantage”.

Shortly before occurrence of viagra of a kaverdzhekt modernised, having made its less ominous. A needle have cleaned, and a solution with active substance of a alprostadilom have transformed into a small candle which by means of a device shpritsepodobnogo inserted into an urethra. Efficiency of a preparation was approximately same, as well as at viagra, but is serious it and have not untwisted, and to Russia even have not taken. A preparation at us have registered, but viagra here has appeared in time, and it have decided not to import to Russia.

Spray with by-effects

Viagra has won the world, and at the same time and has cleared away a field to the future competitors thanks to two things - to convenience of application (easier than to accept inside a tablet, anything is not present) and the new mechanism of action. Before practically all means for strengthening of a potentiality in the form of pills were mythical. It is enough to recollect a johimbe. An extract from a bark of this tree traditionally used in Africa, but unequivocally to prove its efficiency and could not neither in Europe, nor in the USA. And it thus, that medicines from a johimbe in the form of tablets existed long before viagra. There are they and now: in Russia the johimbe preparation-shpigel is registered. And where it? Who uses it? And here BUDS from a johimbe widespread, very much love them credulous men, whose mentality is similar to the female logic.

Have not made a serious competition to viagra and the tablets of a juprima registered in 2000 in the USA. Their destiny is painfully improbable: the active substance of this medicine of a apomorfin was used very much for a long time as emetic means.

Being the student, I observed, how with its help developed an emetic reflex on vodka at alcoholics. The patient - to the classical intellectual, the worker and a gromile with the person of the serial murderer have entered a apomorfin. In half an hour when the preparation should start to operate, to it have suggested to drink “for three”. The intellectual has filled in a table in emetic weights, not having been in time and to touch vodka, the worker has broken on the third pile, and smashed has drunk up a bottle, not having hiccupped at all.

I think, not all lovers can far behave after a juprimy how smashed. Doctors assert, that among people with sexual problems it is a lot of intellectuals with the thin sincere organisation. And, probably, this preparation will not approach them. Though manufacturers assert, that a apomorfina dose in a preparation more low, than it is necessary for vomiting calling, this by-effect is present at the instruction.

Now in the USA the juprima in the form of a spray nazalnogo is tested. At such way of introduction the preparation should operate faster, despite the fact that what the nose is far from “man’s advantage”: simply so it is fast soaked up in blood. But besides, whether will cause this fast excitation of the emetic centre in a brain, the nose located much more close to a cavity? By the way, the way of introduction through a viagra nose is developed also. But the manufacturer of this preparation for some reason refuses to let out such spray.

Death in a saddle

Viagra has generated problems which were inherited also by its younger competitors - a cialis and a levitra. They possess the same mechanism of action, as well as viagra. When there was a viagra, physicians very attentively looked narrowly at it. It has appeared, that for some men sex with this medicine came to an end tragically. They had heart attack of a myocardium or other cardiovascular accidents. There were also deadly cases. Scientists argue till now, they are caused by the mechanism of action of a medicine or it is simple coincidence.

But this question in many respects the rhetorical. Even if similar medicines “to wash until white”, all of them it is equal in certain degree will be guilty both in heart attacks, and in these death. As the Swedish physicians from Karolingsky university have convincingly proved, sex and itself can cause a heart attack at people with ischemic illness hearts (IBS). The risk of it is insignificant, but it exists, and the the condition of the vessels supplying heart by blood, the it above is worse.

Far not all patients from a IBS can practise sex - loading during sexual intercourse is so high, that heart can not take out it. And having tried sex with tablets, they can erect themselves to a scaffold: cases “death in a saddle” (so name  destruction of men not on the battlefield, and on a love box) to physicians well-known. After such death manufacturers of medicines for an impotence began to bring in the instruction obligatory point that the preparation does not need to be accepted to those men at whom sexual activity is undesirable because of a condition of cardiovascular system. However precisely to define such condition it is uneasy.

- For this purpose it is better to test with physical activity on a veloergometre or a running path, - Raphael Oganov, the academician of the Russian Academy of Medical Science and the director of a GNII of the Center of preventive medicine considers. Is will help to look, as heart reacts to loading. It is possible to spend and a so-called holterovskoe monitoring - record of the electrocardiogram within days. It is quite good, if record is made and during sexual intercourse. It will show, how heart transfers this specific loading. If cardiogramme changes will not be, sex is not counter-indicative to the patient.

The basic compromising evidence is saved up on viagra, its competitors of a cialis and a levitra are still very young. But there are all bases to assume, that behind them business too does not become. As they call for more serious sexual feats, promising to deliver pleasure to the partner more than once. Certainly, it is healthy. But also the risk of warm accidents at double loading should be above. Besides the cialis promises you to hold in a condition of “the raised readiness” within 36 hours. It can increase risk for one reason. Such long “be ready” often unduly in home life, and here at extramarital affairs, spontaneous and unpredictable, will be just right. And as English scientists have established, probability “death in a saddle” at sex with the mistress four times above, than during love with the lawful spouse, - all business in stress and in emission of superfluous adrenaline.

Whether dangerously to you to have sex?

Experts of the British organisation on heart studying offer two simple tests which can help to define to cores, sex is safe for them or not.

The test the first: try to rise on 2-3 flights of stairs. If thus you did not have a pain in a breast or a short wind for you yet all is lost - moderate sex is not forbidden you.

The test of the second: instead of lifting on a ladder try to pass a distance in 300 metres. Speed should be moderated, but not slow. It is results of the test are interpreted in the same way, as well as in the previous case.

Keep in mind, that these tests are very primitive and can serve for most to the general and a rough estimate of your condition. They do not cancel medical consultation and the control and do not replace. Special tests for a veloergometre, a running path or a holterovskoe monitoring are more reliable, and to refuse them it is not necessary.

Viagra, Levitra, Cialis - win new segments of the market

“Viagra”, «Levitra» and «cialis» - three similar medicines for an impotence - win all new segments of the market. If earlier, in the first advertising campaign of “Viagra”, the elderly senator a Doul Bean now heroes of rollers of the man do not become more senior forty acted in film.

Experts in marketing any more do not suggest buyers to be treated for an impotence, and position the preparations as tablets for pleasure. «Levitra», for example, is painted in cheerful orange colour.
Who now buys “Viagra”

As newspaper The New York Times writes, the first people really sick of an impotence began to receive such medicines. Under the recipe of the doctor the sexual life managed to be adjusted suffering from a diabetes, neurologic infringements or by-effects of energizers.

However demand for “Viagra” has sharply increased in a consequence. First, doctors began to write out without superfluous questions recipes to all who asked. Secondly, there were numerous Internet drugstores which offered preparations from an impotence without the recipe and with delivery.

Accordingly, the circle of buyers has extended also. Healthy people who wished to make secure before disturbing appointment became “patients”.

The portrait of one of such consumers is described in New York Times. 41-year-old Chris London (Chris London) lives in New York and works as the lawyer. One of its business partners has declared once, that cannot normally work with the man if before it they did not have a sex. London has been at least discouraged by such statement, but has agreed to meet after work. According to the advice of the familiar doctor he has won the excitement by the “Viagra” silently swallowed in a bathroom.

Easier speaking, “Viagra”, «Levitra» and «cialis» all who wishes to be assured of the sexual possibilities irrespective of circumstances now buy. Manufacturers of medicines thus underline, that food intake or alcohol does not influence at all their efficiency.
What impotence?

The impotence (a erektilnaja dysfunction) is defined as repeated inability to support a erektsiju necessary for sexual intercourse.

This frustration young enough men suffer both elderly, and. In the first case the impotence reason are chronic diseases or traumas more often, and in the second the impotence is a psychological problem.

Contrary to opinion of many men, “Viagra” and its analogues operate exclusively on blood supply of a sexual member and have no psychotropic effects. That is, such preparations can improve a potentiality, but do not stimulate a libido. However, as doctors have found out, together with a normal erektsiej the desire of sex frequently comes.
Sex In The City

According to psychologists, the requirement for “Viagra” and its analogues first of all is at inhabitants of large cities. Sexual revolution has led to that even more often sexual contacts occur between unfamiliar people: the fellow workers who have got acquainted on a party or under the announcement on the Internet.

Thus in consciousness of the majority of people there is an image of the ideal man always ready to sex and the interested person this. Trying to correspond to such representation, men accept tablets secretly, as Chris London mentioned above. Entering into a bedroom with a flush on cheeks - a widespread by-effect of “Viagra” - they complain of a heat and closeness. And in the morning often hide as suffer from a headache.

As omechaet The New York Times, such tablets are drunk frequently also by men-gays. Both lovers do it secretly the friend-from to the friend, and then those by-effects together worry.

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Viagra - Sildenafil

Viagra

viagra (sildenafil)

Medicinal forms
Tablets covered with a cover 25мг, tablets covered with a cover 50мг, tablets covered with a cover 100mg

Manufacturers
Pfajzer (United States of America), Pfajzer of a PGM (France)

FarmGruppa
Agents stimulating a potency

The international nepatentovannoe the name
Sildenafil Citras

Structure
Active substance - a sildenafila Citras.

Pharmacological action
Improving erectile function. Selectively inhibits a cGMP-dependent of a fosfodiesterazu of type 5 (ФДЭ5), containing mainly in unstriated muscles of a cavernous body, and interferes with cGMP destruction. Rising of level of the last leads to depression of intracellular concentration of calcium and a relaxation of a gladkomyshechnyh of cells of a cavernous body with the subsequent raised filling of sine with blood against augmentation of an arterial blood flow in a sexual member and a prelum of taking out veins. Strengthens and enlarges duration of the erection which have resulted sex stimulation. Does not render influence on morphology, mobility and viability of spermatozoons, volume and viscosity of an ejaculate. Inhibits ФДЭ6 retinas (though and is more weak, than ФДЭ5, selectivity of action 10:1) and can cause disturbances of colour sight. Raises a antiagregantnyj and a dezagregatsionnyj effects of a oksida of nitrogen (II) and its donors, formation of thrombuses ex vivo blocks. Dilates both arterial, and venous vessels, depression causes a garden and a dAD, CARDIAC CONTRACTIONS RATE augmentation. Antidiuretic an effect has. Does not influence genesial function, has no teratogennyh, mutagen, a klastogennyh (studying of chromosomal abberatsy) and cancerogenic properties. At intake on an empty stomach quickly and practically it is completely soaked up. The maximum concentration in plasma is reached through 0,5-2 ch, absolute bioavailability - 41 % (is exposed to a presistemnomu to a metabolism), reception of fat nutrition reduces absorption degree on 11 %, the maximum concentration on 29 %. Substantially (96 %) contact fibers of plasma, a half-life period - 4 ch (2-8 ch). Collects in an organism: at application 3 times a day within 9 days, the cumulation makes 36 %. To 80 % of metabolites of a sildenafila it is deduced with excrements and 14 % - with urine.

Indications to application
Erection disturbances (organic, psychogenic, admixed), in т.ch. At sick of a diabetes, adiposity, after a radical prostatectomy or a spinal cord trauma.

Contraindications
Hypersensitivity, therapy by Sodium nitritums. Restrictions to application: Serious disturbances of function of a liver and kidneys, anatomic deformations of a sexual member, a multiple myeloma, acute leukoses, a sickemia, the raised predilection to bleedings, a hereditary pigmental retinitis, an exacerbation of a peptic ulcer of a stomach and a duodenum, serious forms of an arterial hypertonia and a hypotension, anamnestic indicatings on the infarct transferred in previous 6 months and a stroke menacing to a life of an arrhythmia, a heart failure, an astable stenocardia, age till 18 years.

Side effect
Headache, giddiness, vazodilatatsija (inflow), hypotension, asthenia, nose zalozhennost, dacryagogue, disturbance sveto - and colour perception, a sight sharpness, a dyspepsia, a diarrhoeia, a nausea, a abdominalgija, a ljumbalgija, an arthralgia, a mialgija, a hypertonus of muscles, a sleeplessness, a dyspnea, dermal rashes, predisposition to an infection of respiratory and urinary ways, a long painful erection (more than 4 ch).

Interaction
Strengthens the orthostatic hypotension caused by Nitroglycerinum, a antiagregantnye effects of Sodium nitroprussidum. Inhibitors CYР3А4 (Cimetidinum, a ketokonazol, a intrakonazol, erythromycin, etc.) raise concentration in plasma, inductors (etc.) - reduce rifampicin.

Overdosage
Symptoms: it is shown by sensation of fever, giddiness, a face reddening, a headache, disturbance of a sharpness of sight, the dyspeptic phenomena, BP depression. Treatment: symptomatic, the dialysis is noneffective.

Special indicatings
Before the beginning of reception for diagnostics of disturbances of an erection, definition of its possible reasons and a choice of adequate methods of treatment it is necessary to collect the full medical anamnesis and to spend careful urological and a obshcheklinicheskoe inspection, especially at patients with accompanying cardiovascular diseases at which the raised sex activity is undesirable (for example, serious forms of an ischemic heart disease and an idiopathic hypertensia). Appointment of high doses is not recommended to elderly patients. Frequent (more than 1 time a day) use in high doses enlarges risk of by-effects. Patients concern a category of the raised risk from an accompanying ischemic heart disease, since renewal of an active sexual life, in т.ch. The augmentation of number of sexual contacts, can negatively affect a current of the basic somatopathy or demand correction of medicamental therapy. The estimation of a parity advantage/risk is necessary at patients with a heart failure, a low OTSK. Care at appointment is required to men with an arterial hypertensia (a BP of 170/110 mm hg) and an arterial hypotension (a BP of 90/50 mm hg). With extra care prescribe the patient with the accompanying arterial hypertensia, receiving multicomponent hypotensive pharmacotherapy, it is cautious - at the diseases contributing to development of a priapism. It is not recommended to combine with other preparations used for treatment of erectile dysfunction.

That you wished to know all about a medicinal preparation VIAGRA, but were afraid to ask.

Today we will talk about a preparation under the name: VIAGRA, also this preparation has the second name: a Sildenafil (yes, this name is international and it is used everywhere). This medical product which is used for stimulation of a man’s erection. At viagra set of synonyms, generally speaking an in itself word VIAGRA this commercial name which is used by the American manufacturers of this medicinal preparation. The big share of tablets is made by the Indian pharmacists. Make viagra in the form of the tablets, the different form and weight (25, 50, 100 milligramme) For the inquiry, in Russia there is a priest group which is called VIAGRA, to be exact, a writing at it a GRA VIA. It is collective from 3 attractive girls, with good external data, knowingly this group named: viagra since these girls promote improvement of an erection at men! There is a set of ways of stimulation of a man’s erection, it is a lot of preparations for treatment of erectile dysfunction which are applied variously, up to nyxes immediately in a sexual member. Viagra against other medicinal preparations looks very attractively, apply this preparation directly ahead of sexual intercourse (for some time, as a rule one tablet), that is very simple and easy, demands having pricked not other medical procedures. People are interested: how, why viagra works for men at whom serious problems with an erection, after preparation application, there comes a natural erection? All is very simple, viagra stimulates blood giving to a sexual member, pumps up it as a wheel the pump, in a consequence of that there comes a good, natural erection which will give the chance to conduct a normal sexual life, will relieve the man of the complexes bound to a problem of an erection. The most interesting, that the preparation works thus: the erection will come only when the man will want it. In other words, after preparation application when the man will have a natural sex desire, the erection will come, after sexual intercourse, the sexual member will accept the relaxed condition. Here in it such popularity of this medicinal preparation also is concluded, it influences only natural mechanisms, forcing them to work how they would work without it. It not the extremity, in following article we will try to study in more details medicinal a preparation viagra, to survey history of occurrence of this preparation, the release form, a dosage, reception, side effects, and also medicinal preparations - competitors. If you would not like, you can familiarise with a medicinal preparation Viagra here!

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