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They belong to a class of drugs called phosphodiesterase 5 inhibitors (pde5 inhibitors), which will be explained below. It should be noted the maximum dose of cialis was compared not to 100 mg dose of viagra (the maximum) but the 50 mg dose. On occasion, a man will be on other medications that make a dose adjustment necessary.

An erection occurs when someone is stimulated by an erotic thought or sexual contact. However, in those dosages the cost will be far greater than the 20 mg sildenafil presently available at pharmacies. Someone who experiences nasal congestion or flushing with viagra, sildenafil or levitra (vardenafil) may find it an advantage to take the shorter acting medications, as opposed to cialis.

Based on effectiveness and tolerance, the physician and patient may find it is appropriate to increase the dose to 60 mg (3 tablets), 80 mg (4 tablets), or the maximum 100 mg (5 tablets). Moreover, the ability to achieve a robust erection initially supports a positive feedback mechanism that allows a man to focus on his, and his partners, experience and not worry about the process. Sometimes, a peculiar side effect might prevent a man from taking viagra or sildenafil but not levitra.

That means that while they are very effectiveapproximately 75 of patients will achieve a satisfactory erectionthey will work reliably only for 6-8 hours. Many find the cost of the brand sildenafil (viagra) so high they cannot start the medication nor continue its use. The ability to use small incremental shifts in dosages allows for continued sexual activity while underlying issues are approached without being clouded by concerns about losing sexual intimacy.

To review, viagra, which is sildenafil, has been approved for the treatment of erectile dysfunction (ed), including ed patients with diabetes mellitus or following radical prostatectomy. It is not necessary to take levitra on an empty stomach but a very fatty meal should be avoided. That leads to a series of chemical reactions in the blood vessels of the penis that results in 6 times the blood flow getting trapped in the penis.

If dining is part of the evenings plan, levitra may be a more practical choice, as it is unaffected by food and it too will be out of his system by morning. Simply stated, erectile dysfunction medications let the forces that give a man an erection rule over those that would not. Some medications lower blood pressure and each of these medications, viagra, sildenafil, levitra, or cialis, can add to that blood pressure lowering effect and be quite dangerous. A drug that works rapidly and leaves his system quickly thereafter would be perfect, as with sildenafil or viagra. That is exactly what the medications for erectile dysfunction do they block, or inhibit, the phosphodiesterases (thats why they are called phosphodiesterase inhibitors).


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    One last explanation is needed before a comparison can be made. Viagra, sildenafil, and levitra leave the body in about 6 to 8 hours. Compare this to a man who is able to predict when sexual activity will occur. The sildenafil in viagra is made in 3 doses (25 mg, 50 mg, and 100 mg) and is used for the treatment of erectile dysfunction (ed). A drug with a prolonged period of activity is far more important than how long it takes for it to start working.

    Some medications lower blood pressure and each of these medications, viagra, sildenafil, levitra, or cialis, can add to that blood pressure lowering effect and be quite dangerous. Based on effectiveness and tolerance, the physician and patient may find it is appropriate to increase the dose to 60 mg (3 tablets), 80 mg (4 tablets), or the maximum 100 mg (5 tablets). That balance makes sure the phosphodiesterases to do their job when they should, but no sooner. Another person might not be able to take levitra (vardenafil) because they are on a medication that might lead to a cardiac arrhythmia. Sildenafil is the generic name of the chemical in both those medications, but only revatio has been approved for use as a generic medication.

    The key is to get educated and share all your information with each of your healthcare providers. A drug that works rapidly and leaves his system quickly thereafter would be perfect, as with sildenafil or viagra. Before comparing the medications, it is important to know how an erection is achieved and how the medications used to treat ed help men achieve and maintain erections sufficient for sexual activity. Physicians have access to sildenafil and can write it for any reason, not just to treat pulmonary hypertension, but when they use it to treat ed, it is considered off label useeven though it is exactly the same medication as in viagra. In a study of 100 heterosexual couples in stable relationships (j sex med 2008511981207), the men were placed on a 12 week course of either cialis or viagra. Moreover, the ability to achieve a robust erection initially supports a positive feedback mechanism that allows a man to focus on his, and his partners, experience and not worry about the process. The differences people experience in terms of the effects or side effects can make one drug preferred over the others, depending on a persons circumstance. Nitrates, nitrites, and nitroglycerin can all be dangerous when combined with medications that treat erectile dysfunction. The ability to use small incremental shifts in dosages allows for continued sexual activity while underlying issues are approached without being clouded by concerns about losing sexual intimacy. Men with erectile dysfunction benefit from having the chemicals leading to the erection outweigh the actions of the phosphodiesterases that cause the penis to lose its firmness.

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