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Viagra was the first oral treatment for impotence, or “erectile dysfunction” and rapidly replaced clumsy, if effective, pumps and injections. It was discreet, it was readily available on free online prescription, and it was marketed with the appealing message that erecti le difficulties were due to an underlying physical problem. Until then, many men had been told their problems were most likely in their heads; the product of unresolved psychological issues or neuroses. Buy Cheap Discreet Viagra .

Viagra took the discussion about male sexuality out of the shadows. A subject that was taboo, became treatable according to Pfizer’s head of legal services.

Worldwide, about half of all men older than 40 have some degree of erectile dysfunction. While psychological issues such as anxiety certainly play a role, for many men, the trouble simply lies with a condition that affects blood supply to the penis, such as cardiovascular disease, diabetes, hypertension, or even prescription drugs.

Viagra has been a sexual revolution, an incredible gift to men and their partners. It has brought huge attention to the issue of erectile dysfunction and made it acceptable to talk about sexuality.

Pfizer’s Viagra was swiftly followed by similar products from Eli Lilly, which markets Cialis, and Bayer, which sells Levitra. All three dilate the blood vessels in the penis to increase blood flow. They do this by inhibiting an enzyme called PDE-5, which allows a chemical produced during sex, called cyclic GMP (cGMP) to persist. The longer c GMP sticks around, the better the chances of more blood flow, and a better penis erection. Compare Cialis Levitra Vigra

All three companies have campaigned hard to drive home the message that sex is a vital indicator of overall health. If there is an erection problem, it is often an indication of something else. A lot of men with erectile dysfunction have hypertension, dyslipidaemia (high cholesterol) or diabetes.

The success of the drugs has spawned a massive global counterfeit industry, centred in Pakistan, India, China and Eastern Europe, that has dented sales of the real thing. Many men are willing to try a real cheap Viagra, or some herbal remedies that prove a night of unrestrained passion.

The prescription pills do do come cheap: a pack of two tablets of the lowest dose (25mg) Viagra is sold to pharmacists at R96 excluding VAT, and consumers can expect to pay an additional markup of up to 35%. Cialis and Levitra are at a similar price. Medical schemes are reluctant to foot the bill for impotence medication, even for patients with underlying chronic diseases such as diabetes.

Lost sales due to competition from counterfeit and herbal products have been compounded by tougher economic conditions in SA, which have left consumers with less disposable income.

Viagra Sales of erectile dysfunction drugs follow the trends for consumer products — we always see a rise in Levitra sales during the holidays.

The downside of Viagra and its companion drugs is that they have led many men to have unrealistic expectations of sexual fulfilment.

We have younger people with no underlying problems using them for recreational purposes. If they’re getting normal erections, Viagra will make them any stronger and the drugs can have side effects, such as hot flushes and palpitations.

The other danger of the pills is that they may lead people to neglect other aspects of their sexual relationships. A drug alone is going to make the magic.

As is so often the case with the company that is first to market with a new class of drugs, Pfizer led the way in convincing doctors and the public that sexually inactive men had a simple dysfunction that could be corrected.

Its rivals swiftly capitalized on Pfizer’s marketing efforts, and it now commands just a third of the R110m South African market for erectile dysfunction prescription medication. Cialis is the market leader, with about half the sales.

In recent decades, men who sought help for impotence might have found themselves on a therapist’s couch. In the 70s, sexual medicine was all psychological, Masters and Johnson type stuff. There was no understanding of how an male erection worked.

The U.S. Food and Drug Administration approved a small daily dosage of Cialis to help preserve sexual function in the long term.

Canada online pharmacy Levitra is among the prescription drugs that have emerged after Viagra to treat erectile dysfunction. Such drugs have been heavily marketed over the years.

In the 80s, chemists working for Pfizer in England were studying a compound called sildenafilcitrate to treat high blood pressure and angina, chest pain that’s often a sign of cardiovascular disease. Early clinical trials found sildenafil didn’t do much for angina, but it did have a strange side effect – it caused better erections.

At the same time, researchers were learning more about the role of nitric oxide in the body. Nitric oxide relaxes the smooth muscles of the penis, allowing blood to rush into tissues called the corpora cavernos. The engorgement of the corpora cavernos leads to an penis erection.

When smooth muscle relaxation is impaired, blood can’t flow in quickly enough. Sildenafil works by blocking enzymes that degrade nitric oxide, improving smooth muscle relaxation and blood flow.

Because of its effect on the smooth muscles, Viagra-like drugs are also used to treat pulmonary hypertension, or extremely high blood pressure in the lungs.

In animal studies, sildenafil showed promise in treating a dangerous heart enlargement called cardiac hyptertrophy and helped lab rats get over artificially induced jet lag. Studies have also suggested Viagra is useful in treating altitude sickness for mountain climbers.

The FDA approved a small daily dosage of Cialis to help preserve sexual function in the long term. Some doctors also give prostate cancer survivors anti-impotence drugs immediately after surgery, which can help prevent some of the nerve damage caused by the surgery. Israeli and Australian researchers even found that dissolving Viagra in water can keep cut flowers from wilting longer.

As with anything involving sex, Viagra has spawned plenty of kookiness, from the jokes – What’s the difference between your first honeymoon and your second? The first is to Niagara, the second is to Viagra – to the wince-inducing TV commercials.

Who can shake the image in the Levitra commercial that showed the man throwing the football through the tire swing again and again, or the latest Viagra ad with the middle-aged guys in the bar band singing “Viva Viagra!” to the tune of “Viva Las Vegas”?

Doctors have few medical solutions for women troubled by their lack of sexual desire.

Pfizer abandoned studies on Viagra in women after it showed little promise. Researchers still have much to learn about the complex interplay between a women’s thoughts and her physical response.

For women, sexual problems still tend to be dealt with as psychological issues, she said. In some camps, there’s even disagreement about what constitutes female sexual dysfunction. With so many older women reporting little desire, some psychologists object to the medicalization of what might be a normal phase of a female’s life or a reasonable response to conditions in a marriage.

Women are left out of the equation when doctors dole out Viagra. What about some Viagra?’ And the doctor scribbles off the prescription, hands it to the patient without any discussion. In many cases, the female partners haven’t been sexually active for months or years. They need reconditioning in terms of being able to resume a female satisfying sex life.

Despite Viagra’s success, it hasn’t put them out of business.

Couples having problems in the bedroom may still need to deal with intimacy and anger, she said. But Real Viagra can enable them to keep having sex, preventing a further erosion of their relationship while they work things out.

Sexual self-esteem is very fragile for both men and women. Both men and women are very sensitive about how desirable they are, how well they perform and please their partner. The thing that makes Original Viagra so wonderful is that it can take away a lot of the performance anxiety.

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On mountains and in planes, bedrooms, kitchens and flower shops, real Viagra changed lives everywhere.

In addition to the straight-up benefits of helping a generation of men perform without pressure, Vigra sildenafil, has thrust its way into other areas.

Discreet Viagra has tackled jet lag, boosted soldiers’ cardiovascular performance in high-altitude areas of Afghanistan, and extended the life of cut flowers.

It’s become firmly established in the popular culture, earning the nickname Vitamin V.

Take, for example, The Rise of Viagra: How the Little Blue Pill Changed Sex in America, by sociologist Meika Loe (New York University Press, 2004), and Hard Sell: The Evolution of a Viagra Salesman, by Jamie Reidy (Andrews McMeel Publishing, 2005).

In addition to their clever titles, both books offer some worthy information.

The former book explores the marketing of the little blue pill that established low cost erectile dysfunction treatment as a common disorder.

Hard Sell, written by a former pharmaceutical sales rep for the industry giant Pfizer, documents a career spent pushing the little blue soldier and other FDA medications in the competitive world of prescription drug sales.

Yes, Viagra’s got staying power.

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We can thank a team of chemists at a Pfizer pharmaceuticals research lab in Kent, England, for stumbling on Viagra’s unintended side-effects.