Tips for the return of male potency

Have you ever thought about something that makes a man a man? It turns out - this is testosterone (male sex hormone), which is formed in the testicles and is different from the female sex hormone (estrogen), can say almost anything - one atom of hydrogen!

And because testosterone is very unstable, just that mutates into a female sex hormone estrogen. (And the reverse mutation never happens!) You will not believe it - testosterone disappears even when the weather change! As with the remains of men in general? - It is not clear ... However, with human beings on a common bed and dream is not worth it.



American scientists have long been known as that of a ruler and compass to determine the causes of male insolvency by measuring levels of testosterone during all kinds of experiments. Moreover, these experiments were repeated in tens of thousands of men!

So they installed? It appears the decline of testosterone (in many cases to zero) associated with a number of reasons:

1. At first psychology course
2. Food
3. Dream
4. Temperature
5. Infectious diseases

Well begin to understand in order.
What about psychology? Yes, nothing new, however, is to advise you on this note!

The man loves eyes! From that it looks like the favorite, as the thermometer can immediately jump or fall off the level of male hormone. So, the wife remember her appearance constantly! And not to work, pancake, beautiful dress! Who are you for? And vice versa home!

The man loves the ears! Typically, both about the women say. In fact - more than raise the importance of men, the higher will be its level of testosterone! A woman, a man who often reproaches, deservedly received instead of her husband - impotent! Well, and so on. Went further.

A man likes to nose! He is very sensitive to smell, particularly unpleasant. Then just dump testosterone to zero.

The temperature at which the sperm must be born by about 3.5 degrees lower than body temperature. Therefore, warm blankets, jeans and shorts swift act as killers of our dear men. Otherwise, and do not say! Eggs should be free to hang out! It is not Scotch, and Hindus cowards are not ...

A Chukchi as a contraceptive method to put eggs fur bags! In doing so, they have discontinued the development of sperm!

Permanent extremely dangerous overheating of the testicles and lead to prostatitis and prostate adenoma. This is an end fashion jeans wear or use heated car seat! Men are also strictly forbidden to keep a computer on his knees. Sleeping too, must be in a cool pomeschenii.Pomnite - testoteron these errors will not forgive!

Food. It turns out not all the food is useful for men! Especially dangerous silnokislye products (they convert testosterone into estrogen hormone) and products containing estrogens and fitoestrogeny:

- Broiler chicken to fatten poultry farms in the female hormone, that it grew faster,
- Beef, its the same stuff,
- Vinegar,
- Mint, Melissa,
- Protein yeast bread
- Large amount of refined oil, sugar and salt,
- Fat milk
- Caffeine,
- Greypfrukt,
- Soybeans (as well as boiled bacon - without soy do not),
- A large amount of alcohol,
- Festfud

All this black spisochek hang himself in the kitchen at the funeral framed! These products are a strong reduction of testosterone. But women can have it all!

And what food increase testosterone?

Man Food:

- First of all fatty fish: halibut, anchovies, herring, sardines, tuna, salmon, clams, shrimp, oysters,
- In huge quantities of greens: parsley, coriander, celery, cabbage, lettuce, onion, leek, cress salad,
- Pumpkin,
- Berries, grapes,
- Red wine - every day little by little,
- Walnut oil, sesame oil,
- In large numbers in spices: cardamom, chilli, brown, coriander, turmeric, horseradish, mustard, and especially make men men!

So it's time to move chicken to seledochku. You should be at lunch herring under Shuba schedule! Oh how my husband loves it! A particularly useful parsley and pumpkin because it is - the main source of zinc, which is part of the testosterone.

Sleep - it is a separate story. Testosterone was produced during sleep, reaching a maximum concentration of the morning. And for this process require the complete silence and total darkness ... So if teschya snore too loudly, a small child crying, or the light in the room was left to burn - you have no marital happiness did not succeed!

ED generic drugs

Is «Generic Viagra» you personally?

Is your personal Generic Viagra or not, it's best to know, of course, you and your doctor. If you have not seen the emergence of erection at night while they sleep by day with your partner or a partner, or with self, the cause of erection dysfunction organic disease can not be, most likely a violation of erection due to mental disorders. With great confidence we can say that Generic Viagra will help you, but think again, maybe you should try to understand yourself, or use the assistance of a psychologist to reveal the causes of your mental agony and thus solve the problem of potency.

Even if you have erection occurs during the self, and she saved enough until ejaculation, but during sex with a partner or a partner with erection problems, it seems, causes Erectile Dysfunction rooted in your psyche. Generic Viagra can help you, but despite this, you need to thoroughly think about why there was a violation of erection. Maybe you and your partner having friction or any problems, you may no longer feel a craving for it as before? Or maybe you are stressed and just can not get pleasure from sex?

If you have not seen the emergence of erection or there, but very rarely, the same problems with its long-term preservation, when, during the erection of sleep you also does not occur, then it is very likely that the cause of dysfunction - the physical violation. Whether there is an organic disease, may identify only a doctor. It can also tell you with certainty, whether you Generic Viagra.

In most cases, when the disfunction of erection due to physical disorders, Generic Viagra is valid. There are some diseases in which the use of Generic Viagra carries a risk. Danger waits and who together with the application of Generic Viagra use some other drugs. And if you want to use the Generic Viagra, driven by simple curiosity, or think that this miracle to improve the sex, you should again think carefully before accepting such a responsible decision.

In many cases Generic Viagra can be applied without hesitation, but we need to adhere to certain restrictions and conditions. For example, those who suffer from heart disease or recent heart attack or stroke brought may use Generic Viagra, only if permitted by the physician. I would particularly like to warn the men, who due to any illness a long time did not engage in sexual contact, and now wish to correct the situation with the help of Generic Viagra. Sexual intercourse carries a greater burden, and otvykshy body could not withstand the stress, which in turn can lead to cardiovascular or heart failure or cardiac arrest. That is why sex with the use of Generic Viagra and in the presence of heart disease - only after the permission of a doctor!

With eye diseases also need to be careful to accept the Generic Viagra, because this drug may primarily affect the eyes - for example, before my eyes would be blue fog, which are found in some patients after receiving Generic Viagra. From the application Generic Viagra should give men suffering from two diseases of the eye - retinitom pigment spots and retinal degeneration. Following the case of a man who has suddenly emerged immediately after receiving glaucoma Generic Viagra, doctors recommend not to use the Generic Viagra those who suffer the increased internal pressure of the eye. In these patients increases the risk of glaucoma, which in turn leads to blindness.

Caution should be used Generic Viagra also those men who suffered a stomach ulcer or blood clotting disorders (no matter whether it is caused by the use of certain drugs, or because of physical disorders). Before Generic Viagra, must be examined by specialists.

Also, will refuse to accept Generic Viagra to the person who suffers anatomical differentiation of the penis due to a very rare disease - the plastic hardening of the penis. Apply Generic Viagra should not be patients suffering from diseases such as leukemia, drepanocytosis and malignant tumors of the bone marrow. These diseases can cause, however in rare cases, prolonged erection, which can be eliminated only doctor. Application Generic Viagra, as a matter of course, could further exacerbate the possible prolonged erection, although still not aware of cases where Generic Viagra became her cause.

It is also necessary to warn those who might be allergic to one of the components of Generic Viagra. Hypersensitivity to any component of a Generic Viagra can cause life threatening allergic shock people.

Anyone who suffers from heart disease, at the reception of Viagra must consult a doctor
Viagra can be taken at:

- Asthma: Take Generic Viagra it is possible, but should draw attention to the fact that it can cause respiratory failure and asthma attacks.

- Allergies: take Generic Viagra could be, but if you are allergic to one of the components of the drug, then you should abandon the use of Generic Viagra.

- Depression: take Generic Viagra possible.

- Diabetes: take Generic Viagra possible.

- Dialysis patients: admission Generic Viagra undesirable.

- Heart disease: acceptance Generic Viagra allowed only under certain conditions, should consult a doctor, do not contain nitrates, or whether molzidomin those medicines that you are taking.

- Multiple sclerosis: take Generic Viagra possible.

- If the remote prostate Generic Viagra can take.

- Infected spinal cord: take Generic Viagra can

Superfast erection

As you strive to achieve maximum efficiency, it is useful to teach your mind and body work in close unity with each other to achieve the desired erection as soon as possible. The purpose of this training - to give both partners the assurance that they will be able to improve the effectiveness of controls over the penis after erection.

Of course, this is normal and good, if your penis is lifted immediately, as soon as you start to make love. But what if this does not happen? And what happens if during the pre-game or in the midst of sexual intercourse, he had already dropped?

The only thing do not have to do is to panic or lose confidence in the ability to achieve erection. You will be able to control the erection much better than it seemed - with the crucial help and support you will have your mental and physical condition as well as the right response partner.

For the training you need notepad. In two weeks - with the faithful and regular execution of the exercises - you can not only achieve erection when you want, but do it for half that time to spend now.

Divide the notebook into 14 squares. In one square for each day of training. Then each of them divided into sections: the time of erection, the peak time of erection, opadaniya time, length, thickness, and notes. The only thing you need to exercise - tape measure, stopwatch, if available, or wristwatch with second hand and pen to record.

Find a place where every day at the same time, you will be able to remain alone with them without the risk of strangers. I understand that this is not always easy, but we must try. The room should be warm and comfortable, but if circumstances allow you to use the bathroom, do not worry, it will come. But it is clear that in the dressing room, you will not be able to relax sufficiently, so the results may not be as impressive »as if you were alone with him in a warm bedroom. But in any case, significant improvement is guaranteed.

If possible, remove all clothing and loans position that are convenient for practicing masturbation. You do not need to be close at hand any erotic pictures, or magazines - no artificial stimulants. All stimulation should occur in your own brain, it will be one of the ways that you can make the brain work and the penis is in full harmony.

Turn on the stopwatch and simultaneously start to masturbate as soon as you can. Purpose: To quickly reach the highest point. While masturbiruete, think only about the most excitatory things which only come to mind. It is best to let them have tried and reliable sexual fantasies, usually leads to the desired result. For example, a fantasy about ways that you would like to make love to his wife or his girlfriend. Or focus on the sensations that you feel, being in the middle of the day naked in a room and frantically masturbiruya.

If the initial erection not to make a mark in the notebook, how long it took you to achieve full hardness of the penis. Then masturbiruyte so quickly and strongly as it can, to achieve the highest peak, focusing on the fact that most excites you.

Learn to focus. Learn how not to think about anything more than the ever-increasing sexual initiation. Imagination is more zoom you to the highest point. Focus solely on the penis, burning it looks empty.

Here's what Kevin said, 28 years, the department store sells a White Plaine, New York: «I always played with the fantasy that I was kidnapped fifteen girls from the women's gymnasium. They zataskivayut me into his bedroom and undress. Then, and undress themselves. They begin to touch me, touch all parts of my body, then one after another sosut my penis. They climb in my face teats, leads them all over his body - I can not do anything. For hands and legs tied to my bed, and them too much. They are stronger than Tiscali and shaking me and put me on a member of a condom. Here's where my imagination begins to partially coincide with reality. I think that one hand is not mine, but a girl who puts me a condom. I barely touch their heads faster waff fingertips. Sometimes while I stroke the second hand of a testes, representing that it makes the other girl. I have more dreams that one of the girls sits me on the face. Her vagina is placed directly against my mouth, so that I can barely breathe. All a person covered by juice evolved from there. Her face with wide-open mouth bends over my member, pending when it rises. Here's the place to which it usually comes my imagination, and then comes ejaculation ».

I have a lot of descriptions of such fantasies, used by men in masturbation sessions, most of them stated that, by the love with their wives and girlfriends, they resorted to fantasies significantly less. «I have dreams sometimes, when to make love with Fred, but then it becomes an integral part of all fantasies, it said 35-year-old Leonard of San Francisco. Usually, I imagine her slave, as she does not suspect. I bought it on the market either slaves, or somewhere else, in short, it was me. She is constantly naked, and I can deal with her love where want, when want and how to want ».

I was interested to learn that Fred will say about this fantasy, which learns. «I do not know. I can not even imagine how she would respond. Never talked to her about it. Sometimes it is not even a fantasy, but just a feeling. There for a moment and then disappears. I think she thought it would be strange to me ».

I am convinced Leonard to tell Fred about this fantasy and do not be afraid that it would take him for «strange». As it turned out, Fred has found this fantasy for a flattering and exciting. Then they both incorporates it into practice: Leonard tied wrists and ankles to the back of the bed, Fred, knotted scarf his mouth, and they played the whole scene. Both of them admitted that the game had resumed their interest in sex, but Leonard said: «This is my fantasy moves from the head in the bedroom».

At the time the highest point of excitation - which fired the first trickle of sperm - press the stopwatch and the fix is exactly the time that was spent to achieve orgasm from eregirovannogo member. You can also mark yourself, how many sperm izlilos spasm out and how much you have experienced with this.

In the first act of this kind of masturbation, you are likely to very quickly reach the highest point. At the second, third, fourth day, when you are in the usual time you enter the room to engage in masturbation, we found that we would need a little more time to become a member of a firm and you can reach a peak orgasm. You'll also find that your attention was once easy to disperse, after so you have enough of sex acts during the week to get the satisfaction, at least physically.

And here it is now your concentration and training play a major role. You can not feel the approximation of the highest point of excitation, can not even notice how masturbiruete. The main thing is that you need - is to awaken in ourselves the most powerful dreams and fantasies, which only can give your imagination. Then you should work on the penis a way that best promotes your excitement, so quickly and strongly as soon as you can. During masturbation, continue to strain and relax the muscles perineum. This will help to maintain the erection and keep seminal fluid in the prostate gland.

It does not matter what type are your imagination. You have only one goal - accelerating erection and the accompanying high point of enjoyment. On the fifth or sixth day, you notice signs of improvement in concentration, but on the tenth day can feel like you succeeded in retaining control over the erection of penis and the extension of time to enjoy higher.

You may have noticed that the sperm did not vomit as much as the first day, but semyaizverzhenie can be increased, because now through the perineum muscles you can control the process. The number of sperm is increased precisely because of the effective stimulation of the prostate.

You do not immediately see the improvement. But we must learn from the failures. You know exactly what fantasy guarantee erection, and what does not. Perhaps you create a new fantasy, even more erotic than ever. You will also learn the limits of their abilities to concentrate on the most important.

High sex depends on how much you absorbed what was being done - a pleasure to partner, get the pleasure that it gives you.

Many men, having mastered the science of purification of thinking different from everyday cares and concerns, external disturbance, observed that this activity contributes to the achievement of very good high-performance sex. As I said 27-year-old Denise from Los Angeles: «You can not enjoy the exercise love fully, if half of your brain is still trying to cope with household budget or busy issue choice menu for tomorrow's dinner. There was a time when I used to love classes half a brain. When Rick told me: «What is it with you? Why are you such a cold? »- Until I got what I was doing. Sex was turned into a routine, like shopping trips. I make love just like walking with a bag on the market or to remove children from school ».

After two weeks of high-speed masturbation you'll see that your ability to achieve erection and rapid ejaculation has improved markedly. You can do exercises on the high-speed masturbation is not necessarily a period of two weeks, but longer, as long as you need to learn to focus and improve their sexual ability.

Interestingly, the high-masturbation may help men suffering from premature ejaculation. Although it might seem that the ability to reach the highest point very quickly - not the most necessary. Controlling ejaculation, which provide these exercises, equally good solutions to any problems that can occur in men to achieve erection and maximum sexual pleasure.

If, however, after two weeks of practicing high-speed masturbation you will still continue to suffer from premature ejaculation, try to switch to the exercises with the slowing masturbation. This implies masturbation strong, but slow, and with the impending orgasm, you will need to make a pause. In other words, you should postpone the time of ejaculation and how can this continue with the sexual samostimulyatsiyu.

After three weeks of such exercises male semen vomit before, not having to enter the vestibule, discovers that he is now able to continue sexual intercourse without ejaculation and «three or four minutes ... yet I have not started to worry about it », then« to five minutes or more - until I do so want ». The person who sent the letter, certainly knew that his penis - this is not a separate creature, which he had not the power, but control of its own body.

Men do not have to all this activity with a high / maloskorostnoy masturbation itself. Depending on the nature of sexual problems and individual circumstances can be even more helpful if you assist him in reaching the highest point would be a woman.

Clyde, 32-year-old driller from Paskaguly, Mississippi, wrote: «I have always had problems because I was finishing too quickly. It began with my first wife, who was two years older than me. It was always the impression that it was a nurse taking care of our relationship, and that I was very fidget ... and causes premature ejaculation. Sometimes I was just enough to touch her «киски», and I immediately regurgitate it Cursed place. When I got married a second time (to Belinda), at first everything was in order, but then I started to worry again about their sexual problems, and has come about the same ... ejaculation without the slightest strain. Then I tried bystroskorost-ing masturbation. I can not imagine how it could help me. Since the early semyaizverzhenie was my problem, I do not think it would be useful to know that shows how to achieve semyaizverzheniya even faster. But in reality, the exercises have given me more control over semyaizverzheniem, giving the first control himself. I began to understand that the care of your body, and began to understand his reactions ».

After two weeks of classes bystroskorostnoy masturbation alone with a Clyde decided to try to slow masturbation using Be-Linda. He tried, as far as could delay the onset of orgasm and semyaizverzheniya teaching while Belinda, how to compress his penis to prevent premature ejaculation.

«We lezhim side by side in one bed undressed, and Belinda is very slowly massages my member until it was not filled with blood and not zatyazheleet. I felt the desire to ask it to expedite their handling, but it continued to do so slowly, up and down, up and down, compressing the penis shaft and head massaging fingertips.

The first signs, I began to feel after a few moments after the start of the exercises - in the depth between the legs. Because of my membership began to sap, and soon Belinda massage my head, as if floating in the greases. I knew that there would have only two or three movements, that I had finished, and therefore asked her to stop. She was firmly squeezed my dick, thumb upersya just below the head of the base channel member nakrutila around his little finger, wrist vyvernuv and the excitement gradually subsided.

We have again and again repeated this, and so lasted about forty-five minutes. Never before had I not kept for so long, not reaching orgasm and ejaculation ... although this time I just was not ready to finish. As. only I felt that just about sorvus up, I gave the command to stop Belinda, she stopped massage and compress the member, as I described above.

Finally we decided that I had been able lasted a long time. Belinda climbed on me and sent me a member of «pussycat». I usually do not like when it is on top ... have a sense that I can not control themselves, that I am not a real man. But now I feel different. I moved to a member as deeply into it. Then upersya in the bed and lifted his hips so that Belinda practically hung on me, not touching the bed. My member penetrated so deeply that even touched on the uterus, and it made her cry.

I still continue to worry until suddenly did not understand that is not going to stop, and immediately calmed down. I am quite able to control the sensitivity and the onset of orgasm. Belinda finished the first - it was surprising - the first time she had finished before me. I could feel a pulse, and her vagina clench me a member with such force that you do not even believe it. Then I also finished, but how! I was just in pieces, of five or six times in a row. Fair call, I thought that the unconscious. Belinda rose from me, and the sperm is literally poured out of her vagina on my thighs ».

Clyde is a classic case of men with premature ejaculation. His marital relationships and conflicts with the first wife contributed to the development and consolidation of the painful condition. As Masters and Johnson, in «Human sexual inadequaty»: «man impotent wife is inclined to perceive as an actor, its sense of self-humiliation. After all, she - the only creature who knows well the depth of his inadequacy: he feels that he could not take a man in her presence. Women with these or other disadvantages of sexual function, can achieve revenge itself, or at least an apology - verbal attacks or any similar means. In fact, in such a situation, it should be entirely on the side of her husband's persistent desire to overcome his alienation to help ».

The first wife of Clyde - although he and answer it too kindly - considered it premature ejaculation as a personal contempt, as if he is not interested in the way you can meet her. This is understandable, because the sexual disorder of this kind may distort who want the true picture of the relationship of love. It just was not prepared to help him get rid of the disorder. When he proposed to go along to consult a doctor, she said: «All that you need to do is to behave like a man».

Men's inability to achieve erection or ejaculation control sometimes depends on the attitude that he feels for his lover. Most men with whom I talked about premature ejaculation, were passionately in love with their partners, they are very sexually brought them. The only problem: they have lost confidence in their ability to meet them and for whatever reason, feel that it is impossible to return it.

«Sometimes I manage to achieve erection, and then I think: I have been able to do so, I have achieved erection! I hope that God will help and the erection returns. And I thought about it, just from that simple thought, and remembered again opadaet and the erection goes away. I am ready to burst into tears, believe me ... »

Compression, which makes Belinda to delay orgasm Clyde, was a modified version of «compression technology», developed by Masters and Johnson in the sexual-therapy sessions with men suffering from premature ejaculation. The success was astounding - over eleven years Masters and Johnson cured in St. Louis, Missouri, 186 people, and only 4 cases are not treatable.

As soon as a man close to orgasm, his partner suboccluding barrel index finger just under the base of the penis head, thumb pad exerting strong pressure on the bridle (a thin layer of skin lower holes in the head of the urethra).

Usually a 5-10 seconds of compression to contain ejaculation. This is done to show the man that he could keep and maintain erection for a sufficient period of time.

Those who tried this technique, recognized that the compression was more effective if accompanied by a rotation eregirovannogo penis to 90 degrees when opening the urethra at the head is turned at right angles. Female partners should be aware that male eregirovanny member can be compressed with sufficient force to turn and not being afraid to cause him damage, or cause a feeling of discomfort.

Obviously, there comes a time when a man has WANT finish. Indeed, approaching the stage of imminent ejaculation, he still finished, want to or not.

External signs of the male orgasm is that the man suddenly starts pushing into the vagina partner quickly compress it stronger, but for some fraction of a second before ejaculation is trying to infiltrate its maximum depth.

Since the approximation of orgasm in men, all of its external and internal sexual organs involved in the movement of sperm into the urethra. At this point - the first stage of the male orgasm - all muscles of the pelvis involuntarily reduced; similarly reduced pelvic muscles and women at the time of the female orgasm.

Sperm in the testicles are formed, namely, the tortuosity of seminal canals. All the canals opened in the testis semyavynosyaschy duct, which after a few bends to special bag, called the «ampoule semyavynosyaschego duct». After the connection secernent Protocols to the seminal vesicles, semyavynosyaschie ducts form semyavybrasyvayuschie ducts. In ampoule semen awaiting the moment of ejaculation. Seminal vesicles provide a special liquid, which is connected with the secret of the testicles, sperm is formed.

At the same time as the sperm make their way in the ampoule, prostate begins to shrink rhythmically and allocates chalybeate white liquid, forming the basis of sperm and supports the viability of sperm.

When the seminal vesicles release their secret cells of the sperm at this point are discarded from the bag (ampoules), that mixed with the seminal fluid. This is in the department of the urethra, which passes through the prostate gland. At the same time, onion urethra, which is located above the scrotum, and the increasing strain, in preparation for a final and complete emptying.

For a fraction of a second before ejaculation inside the bladder muscle is severely straining, preventing sperm from penetrating into the bladder, and indicate that the ejaculation, in principle, only one way - by maximizing the pressure and compression. Voltage internal bladder muscle also prevents the allocation of urine at the time of sexual intercourse.

Then the exterior muscles of the bladder relax, while all other muscles of the pelvis remain strained. Scientists have yet to be fully apprised of the nature of this reflex, but importantly, it allows semen to get from the prostate through the urethra in the department increased the flesh grounds of the penis. You can compare this pear flesh with a rubber syringe or pears old car horn.

When the bulb is filled with fluid, she drastically reduced, and the semen - sperm-jets ejected from the penis. At the same time, decreasing muscle and perineum, promoting stronger orgasm.

Strength spasm is that if a jet of sperm has no way of obstacles, it can izvergnutsya over a distance of 60 cm, and sometimes more.

Spastic reduction of internal genital organs of men lasted about 3-4 seconds, no more than once per second.

Generic Viagra and Cialis

Freedom from impotence ... And even much more? Generic Viagra!

Generic Viagra gives excellent results in the treatment of specific violations of erection, which are non-circles are generally referred to as impotence - conditions such as a man unable to reach a full erection or maintain it long enough to achieve the sexual satisfaction of the time. Generic Viagra can help.



However, considerable interest is the question whether Generic Viagra is able to influence the sexual ability of men who already do not complain about the erection? Can Generic Viagra diversify their sex life, making the penis stronger erection time - longer, and satisfaction with orgasm and fully saturated? In addition, the latest data is that the Generic Viagra help women - while taking Generic Viagra them increases sexual excitement.

By the way, we suggest a new "Men's Health!
Generic Cialis.

* Clinically proven efficacy and safety of any etiology and severity of erectile dysfunction.
* Duration of up to 36 hours - a return to natural sexuality.
* The effect is manifested only in response to sexual stimulation.
* The effect is not dependent on the meal - no need to change their traditional way of life.

Suction.

After ingestion tadalafil quickly absorbed. The average maximum concentration (Cmax) in plasma is reached after an average of 2 hours after ingestion.

The speed and extent of absorption tadalafil do not depend on food intake, so Generic Cialis drug can be taken irrespective of food intake. Hours (morning or evening) had no clinically meaningful effect on the rate and extent of absorption.

Pharmacokinetics tadalafil in healthy persons is linear with respect to time and dose. At doses ranging from 2.5 to 20 mg of the area under the curve concentration-time "(AUC) increases proportionally to the dose. Equilibrium concentrations in plasma are reached within 5 days while taking the drug once a day.

Pharmacokinetics tadalafil in patients with dysfunction of erection is similar to drug pharmacokinetics in patients without violating the functions of erection.

Dosing and Administration.

For the reception inside.

The use of men of middle age.

Generic Cialis recommended dose is 20 mg. Generic Cialis take before the alleged sexual activity, regardless of the meal. The drug should be taken at least 16 minutes prior to sexual activity.

Patients may attempt to perform sexual acts at any time within 36 hours after taking the medication in order to determine the optimal response time to receive the drug.

The maximum recommended frequency of admission - once a day.

The use of older men.

For elderly patients a special selection of doses of Generic Viagra is not required. Recommendations for the reception, described in the section "Use of middle-aged men" apply to elderly patients.

The application for men with impaired function of the kidneys and liver.

For patients with impaired renal function (creatine clearance 30 ml / min) and a special selection of the liver doses of Generic Viagra is not required.

Cautions.

Sexual activity is a potential risk for patients with cardiovascular diseases. Therefore, treatment of erectile dysfunction, including the use of the drug Generic Cialis, should not men with heart disease, in which sexual activity is not recommended.

It should take into account the potential risk of complications of sexual activity in patients with cardiovascular diseases:

* Myocardial infarction in the last 90 days
* Unstable angina, or angina that occurred during sexual intercourse
* Heart failure class 2 and higher NYHA, developed over the last 6 months
* Non-breach of the heart rate, hypotension (blood pressure of <90/50 mm Hg. St.), Or uncontrolled hypertension
* Stroke, forward over the last 6 months

The impact on the ability of driving and working with machinery.

No special requirements.

Viafra FAQ

What is Viagra?
Viagra is a proven and safe medicine which improves male sexual function, helping to live a full sexual life.

Viagra is a sexual stimulant?
No, Viagra - IT'S NOT stimulant. Everything comes naturally. Viagra is valid precisely when it is necessary, but not when it is not necessary.

What mechanism of action of Viagra?
Receiving Viagra leads to the expansion of arteries and a large influx of blood into the penis. Viagra has shown its effect in the presence of sexual initiation when his no-erection does not arise. At the end of sexual intercourse erection of the penis is naturally terminated. Effects of Viagra is not associated with effects on libido or hormones.

How effective Viagra?
Viagra improves erection in 76% of cases.

Does Viagra Improves ability for sexual intercourse?
Yes. When using Viagra the number of successful acts to six per month. 89% of partners of the improvement of erection while taking Viagra.

Is there Viagra in severe Erectile Dysfunction?
Yes, up to 60% of men with severe violations of erection while taking Viagra erection was evaluated as good or excellent.

What are the results of long-term care insurance?
97% of men taking Viagra during 2let and more, the improvement in erection.

I once took Viagra, but it did not act. Does this mean that I'm not fit?
Most men Viagra is valid after the first or second reception. The best effect is observed after the third or fourth reception, so it is very important to continue treatment. Of course, you should follow your doctor's recommendations on the use of Viagra.

How fast starts and how long Viagra work?
Effects of Viagra starts in 30 minutes and lasts for at least 4chasa after admission.

I heard that Viagra bad influences on the heart.
These clinical studies (the use of Viagra in the period> 11,000 patient-years, placebo-> 700 patient-years) confirmed the absence of increased risk of cardiovascular disease due to receive Viagra.

How often can I take Viagra?
Not more than once a day.

What are the contraindications for the reception of Viagra?
The existence of some serious diseases in which sexual activity is contraindicated: unstable angina, severe heart failure, severe hepatic failure, hypotension, recent stroke or transferred myocardial infarction, retinal pigmentation, hypersensitivity to sildenafilu or another component of Viagra.

Your doctor may prescribe a specialty Viagra?
The doctor of any specialty, but first and foremost, an oncologist, sexual, andrologist, endocrinologist and cardiologist.

How does Viagra to healthy people?
The company Pfizer is not investigated and does not intend to investigate the effect of Viagra in healthy people. Manufacturer Pfizer has developed this drug for the treatment of severe and sufficiently expressed pathological conditions. It is on this basis, the company has filed an application in the Office of Food and Drug U.S. and the European Office of Evaluation and Monitoring.

Tests on healthy individuals involve planning the sale of the drug healthy people. According to company representatives, company Pfizer has no plans to do so. Viagra is intended for people suffering from erection problems.

How to define sexual norms?
Otherwise the matter can be formulated as follows: if the so-called healthy people are taking Viagra and feel the improvement, they really can be considered healthy?

Healthy is considered the one who has the erection occurs and persists, allowing him to engage in sexual intercourse and successfully complete them. Since Viagra suffering from Erectile Dysfunction returns to normal, or at least, provides a shift in this direction, it is, by definition, have no effect on those who originally "healthy".

However, if a person claiming to be healthy, take Viagra and found improvement in erection function, the fact he may well suffer some violation of erection, at least temporarily, and it can not be healthy in the exact meaning of the word. Therefore, the media have to say that, by definition, the "healthy" people do not need Viagra, and they did not receive any benefit from it.

Does Viagra Increases sexual interest?
Effects of Viagra is based only on improving the local blood flow in the cavernous body of penis, and it is strengthening the sexual attraction. It does not increase libido and is not an "exciting" tool. Viagra merely suppresses the effect of an enzyme that affects blood flow to the penis. And its actions are necessary for sexual excitement. In short, it promotes a natural body response to sexual stimulation. Clinical studies show a lack of attraction to enhance the group of patients receiving treatment for drug Viagra when compared with a control group of patients of the same age who took placebo without Viagra.

Do husbands wife hope to return the youth?
We recommend that you first find out the attitude of doctors to treat the patient directly with him and only then, if necessary, with his sexual partners. However, the results of clinical trials have shown that in normal circumstances, Viagra improves the quality of sexual partners of patients taking the drug. Moreover, we know that in many countries, oddly enough, wives are often the first to go to the doctor. And in the U.S. 80 percent of those suffering from Erectile Dysfunction are discussing this issue with their sexual partners before the start of treatment.

Does Viagra preserve potency, even after drinking?
No data on the interaction with alcohol. However, because alcoholic beverages can hardly be regarded as stimulating sexual activity, they are not encouraged to eat before taking Viagra. They can only impede the achievement of goals and, perhaps, in proportion to the amount drunk.

Acceptance of alcohol may lead to a temporary inability to achieve erection. To get the maximum benefit from the medication, before taking Viagra is not recommended to use a large amount of alcohol.

If Viagra is safe and effective, why not sell it without prescription?
Yes, clinical trials have proven the safety of Viagra. However, expression of a known drug interactions, especially with nitrates used in the treatment of heart disease. It is therefore very important that Viagra the doctor ordered, thoroughly familiar with the history of the patient.

As it interacts with other drugs?
In clinical trials found a negligible interaction with other drugs or a complete lack of it. However, exceptions to this rule are the nitrates, which are primarily used for treating heart disease. That is why Viagra is contraindicated to patients receiving treatment with nitrates. The risk represents a significant potential drop in blood pressure - hypotension.

Viagra should not be taken with nitroglycerin, and nitroglycerin products containing short and long-term actions. You can not take it with drugs, nitric oxide donor, for example, molsidominom (Korvaton, Sidnofarm) and sodium nitroprusside. These drugs are used to treat angina.
Do not take Viagra with other funds intended for the treatment of Erectile Dysfunction.
If you are not sure whether taking these medicines, contact your doctor.

What are the long-term side effects from Viagra?
During the last five years, Pfizer conducted clinical trials, involving patients who received Viagra Duration - up to three years. With proper use of the drug, there was no data indicating a risk of its application. There was only mild and transient side-effects, not heavy and not prolonged.

Viagra can cause some adverse reactions. Usually they are slightly or moderately expressed and last short: sometimes a headache, redness of face, heartburn, nasal mortgaged.
If you have unwanted reactions notify your doctor.

More than 90 clinical studies that involved more than 8000 patients have confirmed the efficacy and safety of the drug if it is applied in accordance with the instruction.

Does not affect whether Viagra's ability to bear children?
Viagra itself has no effect on the ability to bear children. However, in cases where violations of erection impede conception among couples of childbearing age, Viagra may be useful.

As far as Viagra is effective for women?
Viagra is designed for men. There have been pilot studies and is currently recruiting volunteers for future research. However, so far no results of these studies. Studies of women with sexual dysfunction are more complex than studies of men. For them there is no established methodology.

Are there any age limits for admission Viagra?
Viagra does not appoint a person under the age of 18.

Viagra is a natural (vegetable) or synthetic product?
The active component of Viagra, sildenafil is a synthetic substance.

What Form of Viagra?
Viagra is available in packages of 1tabletke on 50ili 100mg; on 4tabletki on 50ili 100mg. There are also other forms of supply of Viagra.

Which company manufactures Viagra?
Viagra was developed and produced the world's largest pharmaceutical company Pfizer. Opening mechanisms of the scientists who showed the way for the creation of Viagra, was awarded the Nobel Prize in Medicine. At the present time, other pharmaceutical companies began to produce cheaper and equally effective generic form of Viagra. Frames form the composition is identical to Viagra, manufactured by other brands, or as the beginning of the current - Sildenafila and are much cheaper, because advertising expenses in the proportion of the cost of generic forms of drugs are usually much lower.

- Much of the drugs supplied by the world market for pharmaceutical companies - so-called generic forms. They have exactly the same effect as drugs sold under a brand name, given him the inventor of the drug because they are absolutely identical composition. Stojat such drugs are usually cheaper, because firms do not have to have to invest big money in an advertising campaign to promote the drug.

Viagra

Freedom of impotence ... And much more? Viagra!

Viagra gives excellent results in the treatment of specific violations of erection, which are not circles are generally referred to as impotence - conditions such as a man unable to achieve or maintain an erection long enough to complete and achieve the sexual satisfaction of the season. Viagra can help.

However, great interest is the question of whether Viagra is able to influence the sexual ability of men who no longer complain about the erection? Viagra can diversify your sexual life, making the penis stronger erection time - longer, and satisfaction with orgasm and fully saturated? In addition, more recent data is that the Viagra help women - while they take Viagra increases sexual arousal.

By the way, we suggest a new "Men's Health!
Sial.

* Clinically proven efficacy and safety of any etiology and severity of erectile dysfunction.
* Duration of up to 36 hours - a return to natural sexuality.
* The effect is manifested only in response to sexual stimulation.
* The effect is not dependent on the meal - no need to change their traditional way of life.

Suction.

After ingestion tadalafil quickly absorbed. The mean maximum concentration (Cmax) in plasma is reached after an average of 2 hours after ingestion.

The speed and extent of tadalafil absorption does not depend on food intake, so SIAL drug can be taken irrespective of food intake. Hours (morning or afternoon) had no clinically significant effect on the rate and extent of absorption.

Tadalafil pharmacokinetics in healthy people is linear with respect to time and dose. In doses ranging from 2.5 to 20 mg of the area under the concentration-time curve (AUC) increase proportionally to dose. Equilibrium concentrations in plasma are reached within 5 days, while the drug once a day.

Tadalafil pharmacokinetics in patients with dysfunction of erection is similar to drug pharmacokinetics in patients without violating the functions of erection.

Dosage and Administration.

For the reception inside.

The use of men of middle age.

SIAL recommended dose is 20 mg. SIAL taken before the alleged sexual activity, regardless of meals. The product should be taken at least 16 minutes before sexual activity.

Patients may try to perform sexual acts at any time within 36 hours after taking the medication to determine the optimal response time to receive the drug.

The maximum recommended frequency of admission - once a day.

The use of older men.

For elderly patients a special selection of doses of Viagra is not necessary. Recommendations for the reception, described in "Use of middle-aged men" apply to elderly patients.

The application for men with inadequate function of the kidneys and liver.

For patients with renal failure (creatine clearance 30 ml / min) and a special selection of the liver doses of Viagra is not necessary.

Care.

Sexual activity is a potential risk for patients with cardiovascular diseases. Therefore, the treatment of erectile dysfunction, including the drug Sial, should not men with heart disease, in which sexual activity is not recommended.

Should take into account the potential risk of complications of sexual activity in patients with cardiovascular disease:

* Myocardial infarction in the last 90 days
* The unstable angina or angina occurring during sexual intercourse
* Heart failure NYHA class 2 and above, developed over the last 6 months
* Non-infringement of heart rate, hypotension (blood pressure <90/50 mm Hg. St.), or uncontrolled hypertension
* Stroke, in front over the last 6 months

The impact on driving ability and working with machinery.

No special requirements.

buy ed generic drugs

INDICATIONS AND USAGE

Viagra used to treat erectile dysfunction.



CONTRAINDICATIONS

Consistent with its known effects on the nitric oxide / cGMP path, Viagra has shown potential hypotensive effects of nitrates and its administration to patients using organic nitrates, either regularly and / or intermittently, in any form, by rioja therefore, is contraindicated.

After the patients had Viagra, it is unknown when nitrates, if necessary, can be managed. Based on the pharmacokinetic profiles of a single 100 mg oral dose to normal healthy volunteers, plasma levels of sildenafil at 24 hours after a dose of 2 ng / ml (compared to peak plasma levels of approximately 440 ng / ml). In the following patients: age> 65 years, liver disorders (eg, cirrhosis), severe kidney damage (eg, creatinine clearance <30 ml / min) and concomitant use of potent cytochrome P450 3A4 inhibitors (erythromycin ), plasma levels of sildenafil at 24 hours after the dose were 3 to 8 times higher than in healthy volunteers. Although plasma levels of sildenafil at 24 hours after the dose is significantly below the maximum concentration, it is unknown whether nitrates can be safely coadministered at this time.


Viagra is contraindicated in patients with known hypersensitivity to any component of the tablets.



WARNINGS

There is a potential risk to the heart of sexual activity in patients with preexisting cardiovascular disease. Therefore, for the treatment of erectile dysfunction, including Viagra should not be used in general, men for whom sexual activity is not desirable, because their major cardiovascular condition.


Viagra has systemic vasodilatory properties, resulting in a temporary reduction in blood pressure in supine healthy volunteers (mean maximum reduction of 8.4/5.5 mm Hg). While this usually has little consequence in most patients, prior to the appointment of Viagra, doctors should carefully consider whether their patients with cardiovascular disease, can adversely affect such vasodilatory effects, especially in combination with sexual activity.


Patients with these conditions may be particularly sensitive to the actions of vasodilators including Viagra - those with obstruction of left ventricular outflow (eg, aortic stenosis, idiopathic hypertrophic subaortic stenosis) and those who are severely affected autonomic control blood pressure.


There are no controlled clinical data on safety and efficacy of Viagra in the following groups, if any, should be done with caution.

• Patients who have suffered a heart attack, stroke, or life-threatening arrhythmia in the past 6 months;

• Patients with hypotension rest (AD 170/110);

• In patients with heart failure and coronary artery disease causing unstable angina;

• Patients with retinitis pigmentosa (a minority of these patients have genetic diseases retinal phosphodiesterases).


Prolonged erection over 4 hours and priapism (painful for more than 6 hours in duration) have been reported infrequently since market approval of Viagra. For the installation, which is already more than 4 hours, the patient should seek immediate medical attention. If priapism is not treated immediately, damage to the penile tissues and permanent loss of potency may result.


Concomitant administration of protease inhibitor ritonavir increases serum concentrations of sildenafil (11 times the AUC). If Viagra is assigned to patients taking ritonavir, caution should be used. These subjects exposed to high systemic levels of Sildenafil limited. Visual disturbances occurred more commonly at higher levels of sildenafil effects. Reduction of blood pressure, syncope, and prolonged erection were reported in some healthy volunteers exposed to high doses of sildenafil (200-800 mg). To reduce the risk of adverse reactions in patients taking ritonavir, a decrease Sildenafil dose.

About Viagra

1. Name of medicine

Viagra

2. Quantitative and qualitative

Active ingredient: sildenafil citrate

Viagra 25 mg: tablet contains sildenafil citrate at a dose equivalent to 25 mg sildenafil.

Viagra 50 mg: tablet contains sildenafil citrate at doses equivalent to 50 mg sildenafil.

Viagra 100 mg: tablet contains sildenafil citrate in a dosage of 100 mg sildenafil.

The list of inactive ingredients

Microcrystalline cellulose, calcium gidrofosfat (anhydrous), kroskarmelloza sodium, magnesium stearate, gipromelloza, titanium dioxide (E171), lactose, triatsetin, lacquer aluminum indigo carmine (E132).

3. Pharmacological properties

Sildenafil; ATC code G04V E

3.1. Pharmacodynamic properties

Viagra is a new oral medication designed to treat erectile dysfunction. A violation is restored erectile function and provides a natural response to sexual arousal.

Physiological mechanism of erection of the penis involves release of nitric oxide (NO) in the corpus cavernosum during sexual stimulation. Nitric oxide activates the enzyme guanilattsiklazu, leading to increased levels of cyclic guanozinmonofosfata (tsGMF), relaxation of smooth muscles of cavernous bodies and increasing the blood flow to the penis.

Sildenafil is a potent and selective inhibitor specific tsGMF-fosfodiesterazy type 5 (FDE5), which is responsible for the collapse of the tsGMF in the corpus cavernosum. Viagra has an effect on peripheral arousal. Sildenafil has no direct relaxant effect on corpus cavernosum but also actively improving the relaxing effect of NO in this tissue. When the road Navarre / tsGMF observed in sexual initiation, inhibition FDE5 influenced sildenafil leads to increased levels of tsGMF in the corpus cavernosum. Thus, for the demonstration of a favorable pharmacological effect of Viagra requires sexual stimulation.

When receiving a single dose of Viagra in the 100 mg in healthy volunteers, the drug produced no clinically significant changes in ECG. The maximum decrease in systolic blood pressure in the prone position in the application of the drug into a dose of 100 mg was on average 8.4 mm Hg. Section A decrease in diastolic blood pressure in the prone position was 5.5 mm Hg. Art Reducing blood pressure is vazodilatiruyuschimi sildenafil effects, possibly through raising tsGMF in vascular smooth muscle.

Viagra has no effect on visual acuity and contrast perception. Some patients in 1 hours after taking the drug in a dose of 100 mg showed mild and transient violation distinguish colors (blue / green) using the Farnsworth-Munsell test 100, at 2 h after taking medication, these changes were absent. The mechanism provided for violations of oppression felt FDE6 color, which is involved in the transfer of light in the retina. In vitro studies have shown that the effect of sildenafil FDE6 10 times lower than its activity against FDE5.

In vitro studies indicate that the activity against sildenafil FDE5 10 -10 000 times larger than its activity against other isoforms fosfodiesterazy (FDE 1, 2, 3, 4 and 6). In particular, activity against FDE5 4 sildenafil 000 times larger than its activity against FDE3 - tsAMF specific fosfodiesterazy involved in the reduction of the heart.

3.1.1. For more information on clinical trials

Efficacy and safety of Viagra has been studied in 21 randomized, double-blind study platsebokontroliruemom for 6 months. Viagra used by more than 3,000 patients with erectile dysfunction of various etiologies (organic, psychogenic, mixed), aged 19 to 87 years. Effectiveness is determined by the overall assessment, the newspapers, the assembly of registration, evaluation of the International Index of Erectile Function (IIEF, a questionnaire to assess sexual function), and the survey of partners.

Effectiveness of Viagra, which is estimated by the drug’s ability to attack, and the preservation of an erection sufficient for sexual intercourse, has been demonstrated in 21 studies, and persisted over the long term (one year). If you use drugs in fixed doses, the proportion of patients reported improvement in erectile function was 62% (25 mg), 74% (50 mg) and 82% (100 mg), and to receive a placebo - 25% . In addition to improving erectile function, IIEF results showed that the treatment of Viagra also improved orgasm, satisfaction from sexual intercourse and overall satisfaction.

In all studies, the proportion of diabetic patients, improvements in the treatment of Viagra amounted to 59% of patients experienced a radical prostatektomiyu - 43% of patients with spinal cord injury - 83% (vs. 16%, 15 % and 12% of patients receiving placebo, respectively).

3.2. Pharmacokinetic properties

Intake

Viagra readily absorbed. The concentration of drug in plasma after administration in the stomach reaches its peak within 30-120 minutes (mean 60 min). The absolute bioavailability of oral, with an average of 41% (25-63%). The pharmacokinetics of the ingestion of Viagra in the range of doses (25-100 mg) is linear.

When you receive Viagra in combination with fatty food intake rate decreases; Tmax is increased by 60 minutes, and Cmax were reduced by half from 29%.

Distribution

The volume of distribution (Vss) sildenafil at steady state is an average of 105 liters, indicating that its tissue distribution. Sildenafil and its major circulating metabolite N-desmetilovy by approximately 96% binds to plasma proteins. Protein binding does not depend on the total concentration of the drug.

In healthy volunteers who received Viagra (100 mg once), less than 0.0002% (average 188 ng) dose was found in semen after 90 minutes after administration.

Metabolism

Sildenafil is primarily metabolized by the action of CYP3A4 (major route) and CYP2C9 (optional pathname) of the liver microsomal isozyme. The main circulating metabolite formed by the N-desmetilirovaniya sildenafil. According to the selectivity of action comparable to sildenafilom FDE metabolite and its activity against FDE5 is approximately 50% activity of the drug. Concentrations of metabolites in plasma is about 40% of the sildenafil. N-desmetilmetabolit continue under its metabolism, during his terminal half is approximately 4 h.

Derivation

Total body clearance of sildenafil equal to 41 l / h, terminal elimination half - 3-5 h. After ingestion or intravenous sildenafil is in the form of metabolites mainly in the faeces (approximately 80% tax-dose) and to a lesser extent in the urine (approximately 13% imposed dose).

Pharmacokinetics in special patient groups:

Older people

In healthy elderly volunteers (65 years and over) reduced sildenafil clearance and the concentration of free drug in plasma by approximately 40% higher than in young healthy volunteers (18-45 years). However, an analysis of safety data showed that age does not influence the frequency of undesirable events.

Renal

In volunteers with mild (creatinine clearance 50-80 ml / min) and moderate (creatinine clearance 30-49 ml / min) the pharmacokinetics of renal Viagra after a single oral (50 mg) did not change. In volunteers with severe (creatinine clearance <30>

4. Clinical part.

4.1. Indications for Use

Viagra is used to treat erectile dysfunction.

Contraindications

Viagra is contraindicated in patients with hypersensitivity to any component of the tablets.

Thanks to the well-known effects on the exchange of nitric oxide / tsGMF (see Pharmacodynamic properties). Viagra amplified hypotensive effect of nitrates, so its use contraindicated in patients receiving nitric oxide donors or nitrates in any form.

4.3 Dosage and Administration

Viagra tablets are inside.

The use of adult

Recommended dose is 50 mg taken, if necessary, about an hour before anticipated sexual activity. Given the efficiency and portability of the dose may be increased to 100 mg or decreased to 25 mg. The maximum recommended dose is 100 mg. The maximum recommended frequency of application - once a day.

* Request for elderly and patients with renal or hepatic

The elderly and patients with renal or hepatic impairment is recommended applying the same scheme.

The use in children

Viagra should not be for children.

4.4. Special warnings and precautions

To diagnose erectile dysfunction, to determine possible causes of their choice and adequate treatment is necessary to compile a complete medical history and perform a thorough physical exam.

Sexual activity poses a risk in the presence of heart disease. In this respect, before any therapy in the erection of violations doctor considers it necessary to study the cardiovascular system.

Drugs used to treat erectile dysfunction, you should use with caution in patients with anatomical deformation of the penis (eg angulyatsiya, cavernosal fibrosis or Peyronie’s disease) and those suffering from diseases that predispose to the development priapizma (such as anemia cell anemia, multiple myeloma or leukemia).

Drugs used to treat erectile dysfunction should not designate the men for whom sexual activity is undesirable.

The safety and effectiveness of Viagra in combination with other funds intended for the treatment of erectile dysfunction, has not been studied. In this sense, the use of such combinations is not recommended.

Viagra does not affect bleeding time, even in the appointment, in combination with aspirin. In vitro studies of human platelets indicate that sildenafil increases antiagregatsionny effect of sodium nitroprusside (nitric oxide donor). Information about the safety of Viagra in patients with diseases accompanying bleeding, ulcer or exacerbation of the disease is not. In this sense, these patients must use Viagra with caution.

A small number of patients with hereditary pigmentary retinitom there are violations of hereditary retinal fosfodiesteraz activity. Information about the safety of Viagra in patients with pigment retinitom no. In this sense, these patients must use Viagra with caution.

4.5. Interaction with other medicaments and other forms of interaction

Effect of other drugs on Viagra

In vitro studies:

Sildenafil metabolism is principally under the influence of the isoforms 3A4 (major route) and 2S9 (less meaningfully), cytochrome P450. Therefore, inhibitors of this isoenzyme may decrease the clearance of sildenafil.

In vivo studies:

Tsimetidin (800 mg), a non-inhibitor of CYP3A4, while admission to the Viagra Sildenafil causes increased plasma concentrations by 56% in healthy volunteers.

Population pharmacokinetic analysis of clinical studies showed a reduction in sildenafil clearance while the application of inhibitors of CYP3A4 (such as ketokonazol, erythromycin, tsimetidin). However, the frequency of undesirable phenomena in these patients is not increased.

Only receive an antacid (magnesium hydroxide / aluminum hydroxide) did not influence the bioavailability of Viagra.

According to a population pharmacokinetic analysis of the CYP2C9 inhibitors (such as tolbutamide, warfarin), CYP2D6 (such as selective serotonin inhibitors reverse the seizure, tricyclic antidepressants) and tiazidopodobnye thiazide diuretics, loop diuretics and kaliysberegayuschie, inhibitors of APF , calcium antagonists, beta-and adrenoblokatory inducers of CYP450 metabolism (such as rifampicin, barbiturates) have no influence on the pharmacokinetics of sildenafil.

Viagra’s effects on other drugs

In vitro studies:

Sildenafil is a weak inhibitor of cytochrome P450 isoenzyme - 1A2, 2S9, 2S19, 2D6, 2E1 and 3A4 (IK50> 150 mol). Andalusia sildenafil implement the recommended dose of its maximum concentration in plasma is about 1 mol, therefore, unlikely that Viagra can affect the clearance of isoenzyme substrates.

In vivo studies:

Signs of significant interaction with tolbutamidom (250 mg) or warfarin (40 mg), metabolized by CYP2C9, is not revealed.

Viagra (50 mg) did not produce an additional increase in bleeding time to receive aspirin (150 mg).

Viagra (50 mg) was amplified hypotensive effect of alcohol in healthy volunteers at the maximum level of alcohol in the blood of an average of 80 mg / dL.

In patients with signs of hypertension interaction Viagra (100 mg) with amlodipinom not detected. The average reduction in blood pressure in the prone position (systolic - 8 mm Hg. Art, Diastolic - a 7 mm Hg. Art) was comparable to that on receipt of a Viagra in healthy volunteers (see Pharmacodynamic properties).

Analysis of information security has demonstrated the lack of differences in the nature of side effects in patients taking Viagra in combination with antihypertensives in without them.

Viagra amplified hypotensive effect of nitrates in the sample of acute and long-term use in the past. In this sense, the use of Viagra in combination with nitrates or nitric oxide donors contraindicated (see Contraindications).

4.6. Application of pregnancy and lactation

Viagra is not designed for use in women.

In reproductive studies in rats and rabbits sildenafil oral application is not teratogenic action does not affect the reproductive function and does not cause a violation of peri / postnatal development of the fetus and newborn.

Unique in receiving a dose of Viagra 100 mg in healthy volunteers has not been accompanied by changes in sperm motility or morphology.

4.7. Impact on ability to drive and use machines

When driving, or require special precautions.

4.8. Adverse Reactions

In clinical studies conducted in several countries around the world have used Viagra, more than 3700 patients (aged 19 to 87 years). Over 550 patients were treated for more than a year.

Portability Viagra was good. Platsebokontroliruemyh In clinical studies the frequency of discontinuation of treatment due to unwanted effects was low and comparable to that when receiving placebo. Unwanted effects were generally transient and light or moderately expressed.

In studies with all models of undesirable phenomena in patients who received Viagra, was similar. In fixed dose studies of the frequency of undesirable events increased with increasing dose. In studies with the selection of doses chosen (such as research to better reflect the implementation of the recommended regimen), the nature of unwanted effects was comparable to that in studies with fixed doses.

In clinical studies, with a selection of individual doses, the majority of the following reactions phenomenon, linking the dose reduction was possible, probable or unknown:

Cardiovascular: headache, flushing, dizziness.

Digestion: dyspepsia.

Breathing: Nose mortgaged.

Senses a change in vision (light and transient, especially changing the color of objects, as well as an increased perception of light and clarity of the violation).

If you are using the drug in doses that exceed recommended, adverse reactions were similar to those mentioned above, but usually meet more often.

Priapizma cases not marked.

4.9. Overdosage

In studies in healthy volunteers who received the drug in single doses of 800 mg of adverse events were comparable with those of Viagra intake in lower doses, but have met more often.

In cases of overdose should take the standard symptoms. Dialysis should not accelerate the payment sildenafil, as the last activity is associated with plasma proteins and does not appear in the urine.

5. Part of the pharmaceutical industry

5.1. Composition

Viagra 25 mg tablets: blister packs of aklar / aluminum containers of 1,2, 4, 8 and 12 tablets. Bottles of high density polyethylene and 4, 8 and 12 tablets.

Viagra 50 mg tablets: blister packs of aklar / aluminum containers of 1, 2, 4, 8 and 12 tablets. Bottles of high density polyethylene and 4, 8 and 12 tablets.

Viagra pills 100 mg: aklar ampoules / aluminum containers of 1, 2, 4, 8 and 12 tablets. Bottles of high density polyethylene and 4, 8 and 12 tablets.

Important news

All you need to know about generics before deciding on a purchase.
If you think you know what Viagra - no hurry. Read this text to the end, and you can learn a lot about the pharmaceutical companies, government, and his doctor, and they are hiding from you!
Dear friend!

Five years ago, I thought that my life is over. I was a complete cipher. I was in very serious condition. I felt like all tuzhe rope tied around my neck …
I thought you could never get used to not be able to learn to live with it …
Nobody in the whole universe can not help until I realized their own problem!

I realized that there is nothing shameful in that, I have some problems with achieving and maintaining a full erection. This is a fairly common medical problem, just like arthritis, kidney stones, or, for example, diabetes.

My life changed dramatically the perception of the ease of dealing with this problem!

The second thing I discovered for myself - must not dither in this state - because you are not the only one who is able!
National Institute of Health (USA) has estimated that worldwide 30 million men have a similar problem.

Doctors call it "erectile dysfunction". And unfortunately, people who suffer from erectile dysfunction, there are plenty of reasons for the disorder:

Firstly, everyone knows that, on average, every man thinks about sex 8 times a minute. So, willy-harm than good problem constantly reminds you - if you’re a sex or not.

Secondly, in a world of little things that can compare with the night they spend together on a bed …
And thirdly: the sex is addictive!

In fact, sex is very similar to the drug - which crashed due to relations rushilis careers, the Empire came to nothing.

And on top - not the substance, it is important to say or think, no matter what circumstances you are - you will always remember about sex … about the quality … the number, how you been good (or bad) …

No?

Therefore, - all these thoughts and images in your head, the endless memories of sex - all this, when you suffer from erectile dysfunction, which leads to despair!
Life becomes empty!

After all, what I wrote, tell me: is there light at least one person who does not want sex you like me?

Listen. Listen carefully.
Having a healthy sex and enjoy sex - that is their inalienable right to every person from birth!

Each person who suffers, erection problems, there are at least three ways:

- Cease to be a complete man, and as a result - the loss of self-esteem and moral level,

- Continue for shame and humiliation because of a weak erection and upset because of an inability to meet a partner (by the way: the majority of women with the understanding that apply to this situation, but no patience is unlimited, and attention can result in dissatisfaction and frustration)

- Switch to other activities: fun not to have sex, but because of work or a hobby (this is also the option, but since then, and wish that this happiness?)

But the results of the three modes of life will be one: the gradual deterioration of the quality of life in all respects, although not directly related to sex.

Let us stop for a minute. Think about your sex life now. You are completely satisfied with it? And most importantly - who is very happy with my partner? Are you sure that all their partners orgasm - Really? Or there is no such certainty? Maybe your girlfriend simulated orgasm that just does not disturb you?

For reference: according to statistics, about 80% of women at least once in their life to simulate orgasm.
If any of my questions apply to you - you know - this is not your fault!

As I have said about 30 million men in varying degrees, suffer from disorders of the power. And if to be precise - the 52% of men aged 40 and 70 have some form of sexual disorders in the area.

This package should continue to add hundreds of bad advice and opinions that come home without the "experts" who often "everybody knows", but actually very little awareness (god knows where all this knowledge …)

Fact: 91.3% of all cases of erectile dysfunction due to side effects of other physiological disorders:

- High blood pressure

- High cholesterol

- Diabetes

- Operation (some surgical procedures can damage arteries and nerves around the genital organs)

- Heart disease

- A side effect of some drugs

- Hormonal Imbalance

- Psychological (stress, depression)

and other causes.

There are various reasons from time to time, some - life.
YOU ARE IN TIME satisfied with his erection?

If not - it’s great that you’re reading this text, because what I say, may be more important that you do hear in your life.

Okay, you do not hear every day that could change everything and restore to a full life?

I do not know at what point is your erectile dysfunction. I do not know what brings you pain.
But I know that most - if your sex life has ceased to meet with you, you have to do until it was too late!

You do not want to be a sad guy who walks with his head down and loss of sight? That are very bad with sexuality? And at worst - only not? And constantly remind the glorious youth, when everything was fine?
Good news! Since then, there is no more reason not to have a good and healthy sex!

The thing here is:

In March 1998 the Committee on Drugs (FDA) approved the application of a drug called "Viagra", designed for men suffering from erection disorders.

There is no doubt that you ever heard the word "Viagra."

Viagra has been called the "drug of the new millennium." Important role in this has been that it has helped 23 million men worldwide.

Why? The answer is simple:

Viagra - is the first product in the world, whose success in the treatment of erectile dysfunction is clinically proven.
More than 13,000 clinical trials were conducted before Viagra was launched in the market.

If you are experiencing difficulties in achieving or maintaining an erection, Viagra will more accurately the love of your life … without any anxiety about the duration and strength of his erection.

Listen, you deserve the "slaughter" of sex and full sex life. Not just different, namely the "slaughter" of sex - regardless of their years … Preparation … or physical capacity.

For example. Close your eyes for a moment and remember how good it was when you were a teenager, and could deal with this all night …

Well, Viagra gives you the chance to feel the "channel" of the new sex!

Let me explain what happens to your body and how …
Viagra can literally save your life and build relationships!

If you suffer from erectile dysfunction, which means that blood flow to your penis in the difficult moments of intimacy. When it began, the body increases blood flow to the penis. His penis is growing, and this allows you to be strong and excited.

Viagra "unlock" all the arteries or vessels in his penis, cork, making it difficult and filled with blood to achieve a full erection.
The best that can be said about Viagra … it works when you’re 33 years when your 73 years!
And that actually works and returns a complete assembly, even if the problem was 5 years … or even 25!

Viagra 100% guarantee of a significant improvement in their sex lives.
With Viagra, it will never be disappointed by sex, ever!

Several meritorious Viagra:

- Improve your sexual strength and power - which will again feel the excitement and enthusiasm of turmoil, once again, before they started with erection problems!

- To restore a vigorous and healthy sex life between you and your partner and restore their relationship (at least - to improve seriously)

Think about how difficult it would be if all this is happening with your partner, not you and your partner would be in their place? I have news for you - despite the patience of women more than men, in the end, have exactly the same sexual needs.

When your penis should be as full of blood, the skin becomes thinner and stronger than strong, which means more powerful orgasm, and not only you but also your partner!

- Renewed interest in sex, even if you have not experienced. And this, as we have found a radically better quality of life and other areas.

- Will allow you to once again feel what you feel for the first time, repeating the proof of the passion that once more before you feel so good to have sex with my partner again and again.

- You once again start to enjoy before caress with a partner rather than ashamed of his painful and unnatural in the moments before the sex.

- Raise your self esteem! When you undress - a woman who wants to see a man, who in turn will give you confidence.

- Your penis will remain strong for the whole sexual act. (You can trust him, how to trust a Swiss bank.)

- Do Viagra in a very high security. This is confirmed by 9 years of use of Viagra and the fact that 23 million men who had. This is more than the total number of people (men and women), Finland, Iceland, Jamaica and New Zealand together. And the proportion of side effects has increased in recent years.

- Viagra is very easy to use. Just take one pill 30-60 minutes before sex. Viagra works for 4 hours. Do not be afraid of anything - everything is under control. Viagra takes effect only if you are in a state of sexual arousal. The fact that Viagra works 4 hours, does not mean you will have an erection for 4 hours continuously. This means that it will only be able to get an erection in any event, the excitement during these 4 hours. For example: when you touch or kiss your partner, often start to breathe, and skin "running creep" - that means sexual excitement - just a case of Viagra work. This means you can relax and act without haste! Everything that happens during sex occur in a normal speed, and (surprise!) Even longer than normal!

- Viagra may also help young people cope with the natural uncertainty and anxiety (put your hand on heart - those who have not suffered in his youth?)

- You can take Viagra on an empty stomach and after lunch.

- You can take Viagra along with most other medications. True, there are some medications for admission should be avoided receipt of Viagra, but will be discussed later.

- If you have heart disease, Viagra is not more dangerous for you than for healthy people.
Not bad for a small pill, right?

What if you’re constantly taking Viagra?

Most doctors have observed that his patients not only improves sexual function and relationships with partners - again, because they both start having sexual interest in them, which can only positively affect the relationship. And of course, almost immediately begin to feel better.

Usually, when people are happy in a pair, especially in the sexual sense, it can be seen to smile on their faces, hear their voices and see it with ease and confidence to walk. All this suggests that the couple is in complete harmony, and live with others.

And why Viagra is so popular?
The answer is simple: what really works!

Believe me, it is not a drug like Viagra not seized and no drugs are not always used the Viagra.

Furthermore, there is no medication and are close to the number of Viagra prescriptions - more than 600 000 doctors issued more than 22 million prescriptions for Viagra.
All this suggests that Viagra will be with us for a long time!

And as I said before, there is nothing shameful in that you are having problems with erection.

But they really should be ashamed to call …
This is what large pharmaceutical company deceives you, "VPARIVAYA" Viagra YOU THE PRICE OF 314% OF ITS PRICE OVER REAL!

Pharmaceutical companies are really super, and only laugh when the most money for their drugs.
And most importantly - the big corporations are in collusion with the government to avoid changing the situation is not in your favor!

And this is why: In recent years in the United States operates a health insurance program Medikeyr literally requires retirees to buy drugs for poor quality, not to exceed the limit of insurance.

Meanwhile, large companies as fat cat smiled, smiling from ear to ear. As you can see who has spared no time and money for their plan worked.

Dr. Ron Pollet, a Republican from Texas, said:

"The new program Medikeyr only enriches pharmaceutical companies at the expense of taxpayers and the millions of seniors, and does nothing to address the real problems of the cost of drugs … The big companies that are funded as Medikeyr through this program at the expense of taxpayers … the pharmaceutical companies want a huge benefit "
Yes, Viagra is a great thing for millions of men worldwide, but that does not mean you should give the last shirt to buy it.

You need not be pyadey seven in front and see what happens. Large pharmaceutical companies cheat and profit for you!

Think: Viagra, there are 9 years old. Can you remember any other product in history, which for a short time has become so popular?

Only 9 years old brand "Viagra" has become widely known around the world (used in 90 countries) increased in line with major brands such as Coca-Cola, McDonald’s and IBM.

A lot of celebrities seen in the use of Viagra:

- The legendary actor Richard Harris;

- Comedian Jim Curry;

- A real man and the actor Bruce Willis;

- World-renowned opera singer Luciano Pavarotti (who claims that Viagra has allowed him to be happy with his fiancée, who is 34 years younger than him!)

- 72 years old, father-founder of "soul" James Brown;

- The leading television Jerry Springer (Springer argues that provides an incredible sexual energy Viagra);

- And many others, wish to remain anonymous.

Well, despite the government and big pharmaceutical companies to shake up our wallets …
A wonderful new opportunity to buy Viagra at crazy low prices now available!

(at that time, while our government mad and powerful pharmaceutical companies and not prikroyut vein of gold)

So why is a new wonder, we wonder? Well, the first order …
You do not need a prescription to buy

Besides this, you need not only more!
In fact, you pay 63% less for Viagra.
Viagra and it’s called "Martha".

I will say that "Mark", but first:

though it is a little tedious, you should understand how to build their big pharmaceutical companies, and why is there so much money to pay for their medicines.

Once the other day I read in The New York Times alleged that Americans buy cheap drugs. Will actually buy the drugs at higher prices in the world!

But I only hope that very well known.

Currently, many of the governors, including Illinois, Minnesota, Iowa, as well as the mayors of New York and Miami to buy drugs outside the U.S., in countries where they are much cheaper!

Not deceive ourselves, because we have this not happen, at least in the near future …
Pharmaceuticals is the only product that is banned from entering!
Here’s how the big pharmaceutical companies powerful!

Think about it: if you buy something, somewhere is released here in America or from somewhere else, right?

There are only 2 options: either you have a national product, or import as well?

For example, drive a Japanese car, the French eat cheese and drink wine, beer, and European manufacturers. Bring the popular Italian designer clothes, buying clothes and accessories, produced in factories in China (including your IP od made in China), fuel tank of gasoline in the Middle East.

ut if you want to use 100% of authorized medicines to prolong life or improve its quality, without the risk of obobrannym the thread …
Good luck! Try to find!

Listen: I do not pretend to know how
How can I buy Viagra is cheaper than taking the video output?

And here’s how:

A very enterprising "Generic-Pharmacy Pty Ltd has invented a curious and intelligent solution for you:
Buy Viagra now 68.3% cheaper than that bought before!

But wait, that’s not all:

Specialists "Generic-Pharmacy Pty Ltd" went a step further - it also comes as a (legally of course) that sell for Viagra:
You do not even need a prescription to buy it.

As you can see - "Generic-Pharmacy Pty Ltd - a supplier of generic products. The company has offices worldwide, including USA, London, Tokyo, Japan, Beijing, China!

It turns out that many countries do not recognize the American restrictions.

India, for example, does not recognize. This means that Indian companies can manufacture and sell copies of drugs developed in the United States. I mean, absolutely identical copy, including
Viagra!

This is what these companies produce and is, as I said, generic Viagra. So what’s the difference between generic drugs ( "generic" Viagra) and the product brand (Viagra)?

The Federal Trade Commission is responsible for this issue is very simple. They say that the distinction is …
Yes innocent! Just no! Actually!

Of course, not counting the cost.
While Viagra is sold in your nearest drugstore at a price of $ 12 per pill, "Generic-Pharmacy SA sells generic pill only 21 cents and $ 2.

Another difference is that brand name drugs are called, as well as brand and generic name comes from its chemical name.

For example, Viagra - is sildenafil citrate, but it is much easier to pronounce Viagra generic.

So what is the generic Viagra:
This is absolutely 100% brand products IDENTICAL Viagra!

In fact, there is a harsh medical supervision and quality control that goes all the products of the company Ranbaxy (an Indian company that produces generic Viagra).

These standards were set by international regulatory associations such as the World Health Organization and the Food and Drug Administration in the industry, which is the control of compliance.

These organizations are also prescribe generic influence on the body as brand Viagra. In fact, the only difference Viagra Generic Viagra - the color of the pads! That’s it!

Generic Viagra contain the same elements in the same proportions as in the Viagra brand, with the exception of the mark!
Viagra stoitna 314% more expensive, but your penis eregirovan As with the generic Viagra with the brand!

Literally, the distinction for you:
That extra $ 9, and 33 cents left in your pocket every time you buy a pill for "Generic-Pharmacy Pty Ltd"!

Think about when you buy in the supermarket, frozen vegetables, sliced carrots and cranberry sauce brand, or the same thing, only under the brand of the supermarket? It is true that you save 50%.

Although, to be very precise - the same as broccoli, carrots, and the same sauce. … Thank goodness!
Since generics are exactly the same thing happening!

"Generic-Pharmacy Pty Ltd" now sells more than 217,000 tablets of Viagra, and India, where it launched production of the company has chosen not casually.

First, India has long been known, its medical school, who are not specialists. In fact it is fair to say that there is no hospital in America, that would not work, at least, an Indian expert.

Secondly, 80% of generics produced in India, including medicines that the doctor what is written.

Ranbaxy in India are cited as one of the most powerful and firmly standing on the feet of production companies. And not just in India, everyone!

As the largest in India, the company has achieved a lot and at the global level. Here are some indicators of their experiences:

formed in 1961 (Bill Gates was still in kindergarten)

- The company has production sites in 7 countries including China, USA and India.

- The company employs 8000 employees worldwide.

- In the year 2002 that have received government approval for the deployment of 455 new products in 74 countries.

You have probably already realized how profitable to produce and sell generic drugs on the market!

Okay, now let’s see how much you can save. There are different plans for you to order, here are 3 most popular:
Generic Viagra
Generic Viagra 100 mg
Price for the number of tablets. asset
Table 12. 135 p. 1620 rub. BUY
Table 24. 115 p. 2760 rub. BUY
Table 48. 90 p. 4320 rub. BUY
100 tablets. 75 p. 7500 rub. BUY

Uses normal male 10-12 tablets per month (depending on how many times he is the sex), and when you feel lonely, you’ll see:
How many money-saving generic Viagra. It’s amazing!

Let’s say you have 100 tablets per year (about 8 per month). If for them, which will cost 7500r. But if you buy Viagra at the pharmacy on the corner of 236r. Was 23,600. Feel the difference!
16100r. remain lying there - in your pocket!
As I said, saving 68.3% in each pill!

In fact, you can not have the opportunity to save that amount of money on something you buy!

Imagine, if you’re a family in a luxurious dinner in the restaurant and instead of paying 5,000 rubles, you pay only 1589 rubles! Understand? That’s what nearly 70% savings for you.

And because they buy generic Viagra through distributors outside the U.S. —
doctor if you do not need!
Generic Viagra is very easy to order. See how it works:

1. Visit the website for the sale of generics. You see a lot of options orders. Select the number you want (personally, I recommend 100 tablets). Well, if you first try the generic Viagra and only want to check, I think the 4 pills of purchase will be much easier.

2. You will have to answer simple questions about yourself and your health. Your responses will be reviewed by a licensed physician. It is important to answer truthfully the questions that the specialist can make a correct image about your health before advising the use of generic Viagra.

First, the physician must ensure that your heart is healthy to participate in an active sexual activity!

And a second! Although Viagra can be used in conjunction with almost all medications, there are still a number of drugs that are prohibited from using Viagra!

For example, you should never use Viagra if you take nitrates, even if the product contains only nitrate, anyway - never!

There are a few products with which you can not use Viagra, be sure to check with your doctor. I think you do not have time to explain that all questions are answered that the truth!

3. Then the doctor checks your answer and if he needed to talk to you if you send an email.

4. Once your request is approved by a doctor - who will send it to the "Generic-Pharmacy Pty Ltd", which was immediately implemented.

5. When your order is ready to send through the credit card to pay for it. In order to receive the next business day.
And not least, you generic Viagra in the usual cardboard box with labels and logos!

So you can get generic, such as home or office. Not understand anyone.

Sometimes you think that by taking a wonderful pill, which is immediately in the twinkling of an eye supergeroem sexual. Sometimes those thoughts lead to an opposite effect. And his "performance" falls.

Do not worry. This is normal! Just let the express generic Viagra! Sometimes, at least you have to wait 6-8 sexual contact, using one tablet of Viagra before each one until your anxiety will not go and not go to normal state.
And when it finally happens, remember - the prime of their sexual life with new colors and you will be able to experience these feelings, which had no time!

That’s what I’m saying - this is an extreme case, in fact, 94.9% of men who use Viagra generic noticed the effect after 1-2 times of use.

In fact, Viagra works much better than you can imagine. The first time you see it, you think this is just a coincidence.

Furthermore, "Generic-Pharmacy Pty Ltd" did not publish the personal information you have provided.

Imagine, from the appearance in 1998, Viagra has helped
23000000 men worldwide!

Regarding statistics, the results are truly amazing: every second worldwide sales Viagra pills 9! And over time, which led him to read this article
10,800 tablets of purchase on the same man as you.
Naturally, because this is a good reason!
Generic Viagra makes your life much better … allows you to relax … and feels much better … in general, enjoy life!

I can not even describe what a truly great changes occur in your life when you can have sex when, where and with whomever you want! And I’m not talking about changing attitudes toward sex, just say that in order to regain what they once were (as in my case, it is obvious).

You know what I am talking about. Viagra gives you:
guaranteed the opportunity to enjoy a deep sense of intimacy with your partner

way to clean PLEASURE!

Inflames passions and breathe fire in the relationship! Frankly speaking, not so long ago when you had sex, the Viagra again briefly in the long extinguished fires of passion!

Generic Viagra gives you the fun, the number of years than ever!
You can get all the benefits of Viagra to a much lower price than that offered by the giant corporations - the use of generics!
Generic Viagra and other popular medications for treating erectile dysfunction
- This is the happiness and all the prices!