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Seven different erectile dysfunction medications are available to buy online from Dr Fox pharmacy: Viagra tablets (25mg, 50mg, 100mg) Viagra Connect tablets (50mg only) Sildenafil tablets: low cost generic Viagra (25mg, 50mg, 100mg) Cialis tablets (2.5mg, 5mg, 10mg, 20mg) Tadalafil tablets: low cost generic Cialis (2.5mg, 5mg, 10mg, 20mg) Levitra tablets (5mg, 10mg, 20mg) Levitra orodispersible tablets (10mg) Vardenafil tablets (5mg, 10mg, 20mg) Spedra tablets (50mg, 100mg, 200mg) Each tablet has a different duration of action and side effects – see tablet differences below.

You should always tell your regular doctor if you are having problems with erections. Erectile dysfunction can be a symptom of conditions such as diabetes, high blood pressure, high cholesterol, or narrowing of the arteries. A face-to-face assessment with a doctor is particularly important if symptoms develop over a period of weeks or months, or even suddenly, without an emotional event to set them off.

Erectile dysfunction can be a complication of previous operations or a side effect of some prescribed medication. It is best to start with a lower strength tablet and build up as needed (see how to start treatment).

One type of tablet sometimes works better than another. You may like to try out different tablets to see which ones suit you best. Sexual stimulation is required for tablets to work. You can request more than one type of tablet at a time. Erectile dysfunction can be distressing and lead to relationship difficulties, anxiety, and depression.

This may help resolve the cause of erectile dysfunction.

In some cases a problem of performance anxiety can be overcome by breaking the cycle of failure with tablet treatments. Compare erectile dysfunction drugs Sildenafil Tadalafil Vardenafil

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Brand names Viagra, Viagra Connect Cialis Levitra Spedra Available generically Yes Yes Yes No Starting dose 50mg 10mg 10mg 100mg Time taken to start working 30-60 minutes 30-60 minutes (2.5mg and 5mg tablets can be taken daily) 25-60 minutes - faster for orodispersible tablets 15-30 mins on empty stomach, 1.5 hours on full stomach How long effects last 4 hours 36 hours 4-5 hours 4 hours Warnings and cautions Warning Sildenafil Tadalafil Vardenafil Avanafil Do not take Allergic to ingredients, low or high blood pressure, severe heart or liver problems, loss of vision due to NAION , recent stroke or heart attack Rare inherited eye diseases Kidney dialysis, rare inherited eye diseases Liver or kidney problems, rare inherited eye diseases Exclusions - talk to your doctor first Sickle cell anaemia, multiple myeloma, leukaemia, deformity of the penis, problems with your heart, stomach ulcer or bleeding problems Drug interactions Any nitrate-based medication, usually to treat angina (important) ; 'poppers'; nitric oxide donors, medicines for HIV , AIDS , or fungal infections; riociguat; alpha-blockers; other ED medicines Common side effects (% occurrence) Adverse event Sildenafil Tadalafil Vardenafil Avanafil Headache 12.8% 14.5% 16% 9.3% Flushing 10.4% 4.1% 12% 3.7% Dyspepsia (indigestion) 4.6% 12.3% 4% uncommon Nasal congestion 1.1% 4.3% 10% 1.9% Dizziness 1.2% 2.3% 2% 0.6% Abnormal vision 1.9% Tony Steele Last updated 28 July 2020. ED can affect men of all ages, but needn't impact your quality of life.

We'll help you find the right treatment and strength to help support a fulfilling sex life and improve your erectile performance.

ED can affect men of all ages, but needn't impact your quality of life.

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ED is when a man is unable to get an erection or maintain it, making penetrative sex difficult or impossible.

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ED can have both physical and psychological causes. In most cases it is due to a reduced blood flow to the penis.

Anxiety, stress and depression can also cause erectile problems. Treatment works in 50-80% of cases, increasing blood flow to the penis and enabling an erection when aroused. Side effects vary, but may include nausea, back pain or indigestion.

Complete your consultation questionnaire and we will recommend a treatment and dose suitable for you. These are available for either discreet collection or delivery. Sildenafil 50mg vs 100mg How long does Viagra take to work? Sildenafil vs Tadalafil What's the difference between Viagra Connect, Viagra and Sildenafil? The blue pill Erectile dysfunction causes Erectile dysfunction young men What is Cialis Daily 5mg? Orders placed before 4pm Monday-Friday, and before 12pm on Sundays will be delivered the next working day. Order before 4pm Monday-Friday to collect in pharmacy the same day.

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Bigger and Better: How Pfizer Redefined Erectile Dysfunction.

In the pursuit of profits, pharmaceutical companies are continuously looking to expand the market for their products. This article examines how Pfizer transformed Viagra from an effective product for erectile dysfunction (ED) due to medical problems, such as diabetes and spinal cord damage, into a drug that “normal” men can use to enhance their ability to achieve an erection and to maintain it (in a “harder” state) for a longer period of time. An important emerging issue in health care is the availability of medications to treat what until recently have been regarded as the natural results of aging or as part of the normal range of human emotions.

Thus, we now see treatments widely advertised for male pattern baldness and shyness. Deviating even further, drug therapy is moving out of treating diseases to providing enhancements to what had hitherto been seen as normal functioning.

This evolution in the use of medications has introduced dilemmas and controversies about what are legitimate conditions and treatments for those concerned with prescription medications: is any deviation from normality fair game for treatment?

What about people who have nothing medically sildenafil citrate 100mg tab online wrong with them, but just want to feel better?

Who will pay for these therapies, and what are the implications for the way we use health-care resources?

Medications that embody these controversies are generally referred to as lifestyle drugs and perhaps the best known of these is sildenafil citrate (Viagra) This article will examine the strategies used by Pfizer, the maker of Viagra, to ensure that the drug was seen as legitimate therapy for almost any man. Pfizer took steps to make sure that Viagra was not relegated to a niche role of just treating men who had ED due to organic causes, such as diabetes or prostate surgery.

There is no doubt that Viagra is an effective and quite safe drug in treating ED secondary to these causes, although a systematic review of the evidence found that the drug probably only results in successful intercourse 50%–60% of the time sildenafil citrate tablets online purchase [ 1]. Had Viagra been confined to use only in cases of ED secondary to organic causes, the drug would probably have been a modest success for Pfizer.

In order to grow the market, Pfizer had to make Viagra the treatment of choice for a much wider population of men.

The perceived prevalence of ED needed to be expanded. The impression had to be created that ED was of significant concern to many, perhaps even most, men or at least those over 40 years of age. The criterion of success for treating ED had to be redefined. And finally, Viagra had to be seen as an important treatment option for men with any degree of ED, including rare or transitory failures to achieve or maintain erections.

Redefining the Prevalence of ED and Its Psychological Effects. On its Web site, Pfizer states that “in fact, more than half of all men over 40 have difficulties getting or maintaining an erection” ( http://www.viagra.com/ed/index.asp). The Web site does not give a reference to support this statement. One possible source of support for this statement is the Massachusetts Male Aging Study (MMAS), sildenafil citrate 100mg tab online a community-based, random sample observational survey of men aged 40 to 70 years old conducted from 1987 to 1989 in cities and towns near Boston, Massachusetts [ 2].

The authors of the study extrapolated the results to argue that 52% of the entire male population in the United States between the ages of 40 and 70 suffer from ED. The authors stated: “In the MMAS sample the prevalence of impotence of all degrees was estimated at 52%.

Projection of these results to 1990 population data would suggest that impotence affects 18 million American men 40 to 70 years old” [ 2]. However, the MMAS figures must be viewed with a number of caveats.

First, there were actually two different groups of men in this study. The first, and larger, group answered a series of nine questions about sexual activity. The second, and much smaller, group answered the same nine questions, plus an additional question to self-rate themselves as not impotent, minimally impotent, moderately impotent, or completely impotent. The answers to this final question by the men in the second group were then applied to the first group to derive the percent in the various classes of potency.

The authors do not provide any information about whether the two groups were similar, and there are reasons to think that differences may exist between the groups.

The first group was randomly selected from towns and cities in the Boston Standard Metropolitan Statistical Area [ 3], while the second group was made up of men presenting to a university center urology clinic [ 2].



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