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Sildenafil is approximately 4,000-fold more selective for PDE5 compared to PDE3. Viagra was even posted over home base when Pfizer was the primary sponsor of pro baseball. If you have an erection that lasts more than 4 hours, get medical help right away. Jackson G "Treatment of erectile dysfunction in patients with cardiovascular disease : guide to drug selection." Drugs 64 (2004): 1533-45 27. It is eliminated predominantly by hepatic metabolism (mainly CYP3A4) and is converted to an active metabolite with properties similar to the parent, sildenafil. Symptoms may include swelling, pain, and problems with urination.

Knight Dubai Knight UAE, Dubai Forums Lord of the posts Posts: 5520 Location: Dubai Reply Nov 07, 2008 Why don't you get a prescription jakobander Dubai Forum Visitor Posts: 15 Reply Re: Viagra - HELP! For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action.What is sildenafil, and how does it work (mechanism of action)? S. if this question does not belong here? please move to appropriate section. Hands and toes are still getting my attention fairly frequently. Ask your health care provider for samples or coupons to help with the cost of this medication. The pharmacist will not give you a physical examination ­or ask you personal questions about your sex life – they will just ask you a few questions about: Your general physical health Any medicine you might be taking This is to confirm that you have ED symptoms and to confirm treatments suitable for you.

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The use of the two together can cause work against each other and could lead to problems. Michelle McDermott, PharmD Q: I have diabetes and a replaced valve.

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If you usually take another ED brand, or a different dosage, you may wish to discuss switching to Viagra Connect with your doctor first. Read More Hi Wife, OK his diabetes, is it 1 or 2, if its 1 then so to say not a lot of hope, now ifits 2 then there is some scope, with to he can do it with a diet, if he stays on meds then its them thats giving him ED its the side effects, but if I remember right then he could try trimex shots, these he injects into his p***s, you need to be a real man to do that.

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When the drug leaves the body, it does so by being filtered out through a specific pathway in the liver. Whilst alcohol can help to overcome anxiety, it can also affect sexual prowess. Female Viagra is intended to provide long lasting pleasure during sexual intercourse by combating disorders that inhibit arousal and sexual function in women. Kimberly Hotz, PharmD Q: Please tell me about the coffee that has the same drug in it that makes Viagra. Researchers observed an increased amount of arousal sensations, vaginal lubrication, and orgasm in study participants. For example, Sildenafil (Viagra) and Tadalafil (Cialis).