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viagratabletspk · 4 years

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Read medical information about erectile dysfunctionAnswer medical questions to check for eligibilityReviewed by doctors - medication posted from UK pharmacy (tracked 24hr service)All men with ED should consult their doctor before obtaining erectile dysfunction medication online.

Generic Viagra also available

Lower cost generic Viagra, called sildenafil, has been available since Viagra's patent expired in the UK in June 2013. Sildenafil citrate is the medical name of the active ingredient in

Viagra

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How does Viagra work?

Viagra works by increasing blood flow to the penis which helps men get and sustain an erection long enough for sex.

The active ingredient in

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is sildenafil, which is known medically as a PDE5 inhibitor. Sildenafil inhibits (blocks) an enzyme which regulates blood flow in the penis. PDE5 inhibitors multiply the natural process of arousal and increase blood flow to the penis in situations of sexual stimulation. Sildenafil helps to achieve an erection but relies on natural arousal as a trigger. It, and other PDE5 inhibitors such as tadalafil, vardenafil, and avanafil, support sexual relations when erections are failing.

How to take

The usual first starting dose of

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is one 50mg tablet, for men who have not used it before, although men over the age of 65 years would normally start on the lowest dose tablet (25mg).

Viagra works in 30 to 60 minutes after it is taken and usually remains active for 4 hours.

If 50mg strength of tablet is highly effective subsequent doses may be reduced down to one 25mg tablet. If a 50mg tablet is ineffective, or the duration of activity is less than 4 hours, the dose can be increased to one 100mg tablet. Do not take Viagra more than once per day, or more than 100mg dose.

Arousal is required for the treatment to work. Viagra Tablets in Islamabad is most likely to be suitable if taken in situations where sexual arousal is expected within an hour or two of taking the tablet. Without sexual arousal there will be no benefit and the effect of the tablet will simply wear off after about 4 hours.

Avoid large meals, meals high in fat, excessive alcohol, and grapefruit as these can affect efficacy (effectiveness).

Do not take more than 1 dose or more than 100mg in 24 hours, or combine with other erectile dysfunction drugs.

Does it work every time?

A trial of erectile dysfunction medication should be repeated at least 4 times before deciding whether

Viagra

is working and before requesting a change of dosage or change to another ED medication. As with any treatment, there are times when ED tablets might not work and may not improve or overcome the underlying cause of erectile dysfunction.

Satisfactory erections require the following:

Adequate blood supplyArousalHealthy nervous systemIf erectile dysfunction is the result of spinal injury or operation, nerves might be damaged. In this case

Viagra

may help a little but other measures, such as injections or stiffening aids, may be required.

Other causes of erectile dysfunction may require specialist treatment apart from tablets. Some men, whose erectile dysfunction has psychological causes, may benefit from counselling.

The clinical study data reports the following results:

Graph: sildenafil 100mg bioavailability over time, with and without food.

Are there any side effects?

Viagra

is remarkably well tolerated and free from significant side effects in the vast majority of men who take it. Viagra increases blood flow which can have adverse affects on other parts of the body, although these are usually mild. Most men who experience side effects carry on treatment regardless.

Slightly over 1% of men taking

Viagra

notice a bluish or yellowish discolouration of their vision. This is not in itself a cause for concern, and usually does not interfere with normal activity. It wears off after a few hours.

The most commonly reported adverse reactions in clinical studies were:

Headache - very common and can be treated with simple painkillers such as paracetamol.Flushing (redness of the skin, typically over the cheeks or neck).Indigestion (dyspepsia) - can be treated with indigestion remedies.Visual disorders/distortion.Nasal congestion - can be treated with menthol or eucalyptus inhalers.Dizziness - if affected it is recommended not to drive or operate machinery.In the rare event of serious side effects seek immediate medical advice. This applies particularly to chest pains (possibly heart attack), loss of vision, and a prolonged and painful erection.

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Priapism is the medical name for prolonged painful erections which have the potential to cause permanent damage to the penis. Priapism is rare. A persistent and painful erection of more than 2 hours requires immediate emergency medical attention.

The full range of side effects is also listed in the patient information leaflet supplied with the tablets.

WarningsDuring the assessment process with Dr Fox men are required to complete an erectile dysfunction questionnaire to determine suitability.

Men with the following conditions should not take

Viagra

without further assessment from their GP:

Taking medicines called nitrates (often given for chest pain)Taking or intend to take amyl nitrite ('poppers')Taking riociguat (to treat high blood pressure in the lungs)Low or high blood pressureAllergies or reactions to past ED treatmentsRecent heart attack (within 6 weeks) or suffer from angina (heart pain on exertion) or any form of heart diseaseHistory of strokes or mini-strokes (transient ischaemic attack)History of vision problems caused by circulation problemsHistory in the family of rare degenerative eye diseaseSerious kidney (renal) or liver diseasePeyronie's disease – angulation or deformity of the penisLeukaemia, multiple myeloma or sickle cell diseaseBleeding disorders (such as haemophilia)Current active stomach ulcers (peptic ulcer or gastric ulcer)Lactose intolerant (tablets contain lactose)Dr Fox cannot supply ED treatment to men who have any of the above conditions.

Recreational misuse

Viagra is sometimes used for recreational rather than therapeutic purposes. If taken in this way, particularly in combination with non-prescribed drugs, there is an increased risk of significant side effects, some of which may be serious.

Viagra Connect

Viagra - the little blue pill recognised across the world - changed the face of erectile dysfunction treatment when it was launched by

Pfizer

in 1998. With its relatively few side effects, ease of use and proven effectiveness, it is little wonder the drug has become so popular.

Viagra Connect

Viagra was under patent protection in the UK until June 2013, after which legal cheaper versions have been made available under its medical name sildenafil.

In November 2017 the UKs medicines regulator, the MHRA, approved an application by Pfizer to reclassify its sildenafil 50mg to a 'P' medicine (available without prescription) which is sold as a new product called Viagra Connect.

Alternative treatment

Other oral ED drugs work in a similar way, with similar side effects.

Viagra

was the first drug in this class to become widely prescribed.

The following oral tablet treatments for ED and are available to buy online in various strengths and pack sizes from Dr Fox after completing the same medical consultation:

Sildenafil (generic Viagra)Cialis (tadalafil)Tadalafil (generic Cialis)Levitra (vardenafil)Vardenafil (generic Levitra)Spedra (avanafil)Other treatments for ED include topical applications, injections into the penis, surgical devices, penis pumps, and counselling.

Why do men get erectile dysfunction?

Many factors can contribute to erectile dysfunction (also known as impotence). Lifestyle choices, such as excessive drinking, smoking, illegal drug use, as well as obesity and stress, can all have an impact on erections. Erectile dysfunction can also be a symptom of underlying health problems such as atherosclerosis (narrowing of the arteries), heart disease, and diabetes, amongst others.

Men suffering from erectile dysfunction should inform their GPs who will undertake an assessment, possibly perform tests, and provide advice. GPs are trained to deal with ED and are sympathetic to any embarrassment it may cause.

See erectile dysfunction medical information for further details.

Further reading

Viagra Tablets Price in Pakistan - 1999/-PKR

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gloverdominic92 · 4 years

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archergabriella · 4 years

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erectiledysfunc · 4 years

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etsaydaraz · 4 years

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Original Black Cobra Tablets in Pakistan (Sildenafil) acts by blocking phosphodiesterase 5 (PDE5), an enzyme that promotes breakdown of cGMP, which

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Black Cobra in Pakistan originally discovered the medication in 1989 while looking for a treatment for heart-related chest pain. It was approved

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2017 it became available as a generic medication. In the United Kingdom it is available over the counter.

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The primary indication of Black Cobra Tab in Pakistan (Sildenafil) is treatment of erectile dysfunction (inability to sustain a satisfactory

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In clinical trials, the most common adverse effects of Sildenafil use included headache, flushing, indigestion, nasal congestion, and impaired

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Storage of Black Cobra 150 mg Tablets in Pakistan

Store Black Cobra 125mg Tablets in Pakistan at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications

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Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or

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Common side effects include headaches, heartburn, and flushed skin. Caution is advised in those with cardiovascular disease. Rare but serious side

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people on nitrates such as nitroglycerin (glycerin trinitrate), as this may result in a serious drop in blood pressure.

Uses

Sildenafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, sildenafil works by increasing blood flow to the penis to help a man get and keep an erection.

This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). Practice "safe sex" such as using latex condoms. Consult your doctor or pharmacist for more details.

How to use Sildenafil Tablet

Read the Patient Information Leaflet provided by your pharmacist before you start taking sildenafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

To treat erectile dysfunction-ED, take this drug by mouth as directed by your doctor, usually as needed. Take sildenafil at least 30 minutes, but no more than 4 hours, before sexual activity (1 hour before is the most effective). Do not take more than once daily.

A high-fat meal may delay how quickly the drug begins to work.

The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Tell your doctor if your condition does not improve.

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Levitra 20 mg film-coated tablets

Due to regulatory changes, the content of the following Patient Information Leaflet may vary from the one found in your medicine pack. Please compare the 'Leaflet prepared/revised date' towards the end of the leaflet to establish if there have been any changes.

If you have any doubts or queries about your medication, please contact your doctor or pharmacist.

Package Leaflet: Information for the user

Levitra 20 mg film-coated tablets

Vardenafil

Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

Keep this leaflet. You may need to read it again.

If you have any further questions, ask your doctor or pharmacist.

This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

What is in this leaflet

1. What Levitra is and what it is used for

2. What you need to know before you take Levitra

3. How to take Levitra

4. Possible side effects

5. How to store Levitra

6. Contents of the pack and other information

1. What Levitra is and what it is used for

Levitra contains vardenafil, a member of a class of called phosphodiesterase type 5 inhibitors. They are used for the treatment of erectile dysfunction in adult men, a condition which implies difficulties in getting or keeping an erection.

At least one in ten men has trouble getting or keeping an erection at some time. There may be physical or psychological causes, or a mixture of both. Whatever the cause is, due to muscle and blood vessel changes not enough blood stays in the penis to make it hard and keep it hard.

Levitra will only work when you are sexually stimulated. It reduces the action of the natural chemical in your body which makes erections go away. Levitra allows an erection to last long enough for you to satisfactorily complete sexual activity.

2. What you need to know before you take Levitra

Do not take Levitra

If you are allergic to vardenafil or any of the other ingredients of this medicine (listed in section 6). Signs of an allergic reaction include a rash, itching, swollen face or lips and shortness of breath.

If you are taking containing nitrates, such as glycerol trinitrate for angina, or nitric oxide donors, such as amyl nitrite. Taking these with Levitra could seriously affect your blood pressure.

If you are taking ritonavir or indinavir, used to treat human immunodeficiency virus (HIV) infections.

If you are over 75 years of age and are taking ketaconazole or itraconazole, anti-fungal .

If you have a severe heart or liver problem.

If you are having kidney dialysis.

If you have recently had a stroke or heart attack.

If you have or have had low blood pressure.

If your family has a history of degenerative eye diseases (such as retinitis pigmentosa).

If you have ever had a condition involving loss of vision due to damage to the optic nerve from insufficient blood supply known as non-arteritic ischemic optic neuropathy (NAION).

If you are taking riociguat. This drug is used to treat pulmonary arterial hypertension (i.e. high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e. high blood pressure in the lungs secondary to blood clots). PDE5 inhibitors, such as Levitra have been shown to increase the hypotensive effects of this medicine. If you are taking riociguat or are unsure tell your doctor.

Warnings and precautions

Talk to your doctor or pharmacist before taking Levitra.

Take special care with Levitra

If you have heart trouble. It may be risky for you to have sex.

If you suffer from irregular heart beat (cardiac arrhythmia) or inherited heart diseases affecting your electrocardiogram.

If you have a physical condition affecting the shape of the penis. This includes conditions called angulation, Peyronie’s disease and cavernosal fibrosis.

If you have an illness that can cause erections which won’t go away (priapism). These include sickle cell disease, multiple myeloma and leukaemia.

If you have stomach ulcers (also called gastric or peptic ulcers).

If you have a bleeding disorder (such as haemophilia).

If you are using any other treatments for erection difficulties, including Levitra orodispersible tablets (see section Other and Levitra).

If you experience sudden decrease or loss of vision, stop taking Levitra and contact your doctor immediately.

Children and adolescents

Levitra is not intended for use by children or adolescents under 18.

Other and Levitra

Please tell your doctor or pharmacist if you are using, have recently used or might use any other , including obtained without a prescription.

Some may cause problems, especially these:

Nitrates, for angina, or nitric oxide donors, such as amyl nitrite. Taking these with Levitra could seriously affect your blood pressure. Talk to a doctor without taking Levitra.

Medicine for the treatment of arrhythmias, such as quinidine, procainamide, amiodarone or sotalol

Ritonavir or indinavir, for HIV. Talk to a doctor without taking Levitra.

Ketoconazole or itraconazole, anti-fungal

Erythromycin or clarithromycin, macrolide antibiotics

Alpha-blockers, a type of medicine used to treat high blood pressure and enlargement of the prostate (as benign prostatic hyperplasia)

Riociguat.

Do not use Levitra film-coated tablets combined with any other treatment for erectile dysfunction, including Levitra orodispersible tablets.

Levitra with food, drink and alcohol

You can take Levitra with or without food but preferably not after a heavy or high-fat meal as this may delay the effect.

Don’t drink grapefruit juice when you use Levitra. It can interfere with the usual effect of the medicine.

Alcoholic drink can make erection difficulties worse.

Pregnancy and breast-feeding

Levitra is not for use by women.

Driving and using machines

Levitra might make some people feel dizzy or affect their vision. If you feel dizzy, or if your vision is affected after taking Levitra don’t drive or operate any tools or machines.

3. How to take Levitra

Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure. The recommended dose is 10 mg.

Take a Levitra tablet about 25 to 60 minutes before sexual activity. With sexual stimulation you may achieve an erection anywhere from 25 minutes up to four to five hours after taking Levitra.

Swallow one tablet with a glass of water.

Do not take Levitra film-coated tablets with any other forms of Levitra.

Do not take Levitra more than once a day.

Tell your doctor if you think Levitra is too strong or too weak. He or she may suggest a switch to an alternative Levitra formulation with a different dose, depending on how well it works for you.

If you take more Levitra than you should

Men who take too much Levitra may experience more side effects or may get severe back pain. If you take more Levitra than you should, tell your doctor.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all , this medicine can cause side effects, although not everybody gets them. Most of the effects are mild or moderate.

Partial, sudden, temporary or permanent decrease or loss of vision in one or both eyes has been experienced by patients. Stop taking Levitra and contact your doctor immediately.

Sudden decrease or loss of hearing has been reported.

The chance of having a side effect is described by the following categories:

Very common:

may affect more than 1 in 10 users

Headache

Common:

may affect up to 1 in 10 users

Dizziness

Flushing

Blocked or runny nose

Indigestion

Uncommon:

may affect up to 1 in 100 users

Swelling of skin and mucous tissue including swollen face, lips or throat

Sleep disorder

Numbness and impaired perception of touch

Sleepiness

Effects on vision, redness of the eye, effects on colour vision, eye pain and discomfort, light sensitivity

Ringing in the ears, vertigo

Fast heart beat or pounding heart

Breathlessness

Stuffy nose

Acid reflux, gastritis, abdominal pain, diarrhoea, vomiting; feeling sick (nausea), dry mouth

Raised levels of liver enzymes in your blood

Rash, reddened skin

Back or muscle pain, increase in blood of a muscle enzyme (creatine phosphokinase), muscle stiffness

Prolonged erections

Malaise

Rare:

May Affect up to 1 in 1,000 users

Inflammation of the eyes (conjunctivitis)

Allergic reaction

Anxiety

Fainting

Amnesia

Seizure

Increased pressure in the eye (glaucoma), acclamation increased

Effects on the heart (such as heart attack, altered heart beat or angina)

High or low blood pressure

Nose bleed

Effect on results of blood tests to check liver function

Sensitivity of the skin to sun light

Painful erections

Chest pain

Very rare or not known:

may affect less than 1 in 10,000 users or frequency cannot be estimated from the available data

Blood in the urine (Haematuria)

Penile bleeding (Penile Haemorrhage)

Presence of blood in the semen (Haematospermia)

Reporting of side effects

If you get any side effects, talk to your doctor. This includes any possible side effects not listed in this leaflet. You can also report side effects directly (see details below). By reporting side effects, you can help provide more information on the safety of this medicine.

United Kingdom

Yellow Card Scheme

Website: http://teletopdukan.com

or search for MHRA Yellow Card in the Google Play or Apple App Store

Ireland

HPRA Pharmacovigilance

ADR Reporting

Website: http://teletopdukan.com

5. How to store Levitra

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the carton after “EXP”. The expiry date refers to the last day of that month.

Do not throw away any TeleTopDukan via wastewater or household waste. Ask your pharmacist how to throw away TeleTopDukan you no longer use. These measures will help protect the environment.

6. Contents of the pack and other information

What Levitra contains

The active substance is vardenafil. Each tablet contains 20 mg of vardenafil (as hydrochloride).

The other ingredients of the tablets are:

Tablet core: crospovidone, magnesium stearate, microcrystalline cellulose, colloidal anhydrous silica.

Film coat: macrogol 400, hypromellose, titanium dioxide (E171), ferric oxide yellow (E172), ferric oxide red (E172).

What Levitra looks like and contents of the pack

Levitra 20 mg film-coated tablets are orange with the BAYER cross on one side and the strength (20) on the other side. The tablets are provided in blister packs containing 2, 4, 8, 12 or 20 tablets. Not all pack sizes may be marketed.

Marketing Authorisation Holder and Manufacturer

Marketing Authorisation Holder

Bayer AG

51368 Leverkusen

Germany

Manufacturer

Bayer AG

Kaiser-Wilhelm-Allee

51368 Leverkusen

Germany

For any information about this medicine, please contact the local representative of the Marketing Authorisation Holder.

United Kingdom

Bayer plc

Tel: +923052503906

This leaflet was last revised in 09/2018.

Other sources of information

Detailed information on this medicinal product is available on the European TeleTopDukan Agency web site:

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dosage:Take one pill 20-30 minutes before the ideal action. If it's not too much trouble ensure you don't eat anything preceding taking the pill.

Important information:

Taking Levitra with certain different medications can cause an abrupt and genuine abatement in blood weight. Try not to take vardenafil on the off chance that you additionally take riociguat (Adempas) or a nitrate medication such as nitroglycerin.

Stop utilizing Levitra and get crisis medicinal help on the off chance that you have unexpected vision loss.

Contact your specialist or look for crisis therapeutic consideration if your erection is difficult or keeps going longer than 4 hours. A drawn out erection (priapism) can harm the penis.

During sexual movement, in the event that you become dazed or sickened, or have torment, deadness, or then again shivering in your chest, arms, neck, or jaw, stop and summon your specialist right. You could be having a genuine side effect.

Before taking this medicine:

You ought not utilize Levitra on the off chance that you are adversely affected by vardenafil.

How does Levitra work?

Being a PDE5 inhibitor tranquilize, Levitra loosens up the patient's corridors, hence upgrading the blood stream to his penis once explicitly excited. Without sexual incitement, the prescription itself is not ready to accomplish an erection. Hence, your sexual accomplice and Levitra should to 'participate' so as to accomplish an erection.

Taking Levitra with certain different medications can cause an unexpected and genuine abatement in circulatory strain. Try not to take vardenafil on the off chance that you too take riociguat (Adempas), or in the event that you take a nitrate tranquilize for chest agony or heart issues. Nitrates incorporate nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are additionally found in some recreational medications, for example, amyl nitrate or nitrite ("poppers").

To ensure Levitra is ok for you, tell your specialist on the off chance that you have:1-coronary illness, heart musicality problems;

2-an ongoing history (in the previous a half year) of a heart assault, stroke, or congestive heart failure;

3-an individual or family ancestry of Long QT syndrome;

4-high or low blood pressure;

5-seizures;

6-liver sickness, kidney sickness (or in the event that you are on dialysis);

7-a platelet issue, for example, sickle cell frailty, various myeloma, or leukemia;

8-a draining issue, for example, hemophilia;

9-a stomach ulcer;

10-hearing or vision issues, history of vision loss;

11-an eye issue such as retinitis pigmentosa (an acquired state of the eye);

12-a physical deformation of the penis, (for example, Peyronie's sickness); or

13-on the off chance that you have been let you know ought not have sex for wellbeing reasons.

Levitra can diminish blood stream to the optic nerve of the eye, causing abrupt vision misfortune. This has happened in few individuals taking Viagra or different medications like vardenafil. The vast majority of these individuals likewise had certain pre- existing eye issues or hazard factors for vein issue, (for example, coronary illness, diabetes, hypertension, elevated cholesterol, coronary supply route illness, smoking, or being more than 50 years of age). It isn't certain whether vardenafil is the genuine reason for vision loss.

Store at room temperature far from dampness and heat.Try not to squash or break the tablet. Try not to take more than one tablet inside a 24-hour frame!!

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For males, in the very unlikely event that you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and seek immediate medical attention, or permanent problems could.

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Prostate cancer is the cancer in the cells of the prostate gland, prostate cancer by itself does not cause erectile dysfunction, it is the treatment.

Has not spread outside the prostate gland A radiation oncologist will create a treatment. Another possible side effect is problems with erections. This is known as erectile dysfunction (ED). The.

Erectile Dysfunction is the consistent inability to sustain an erection sufficient for. An operation (e.g. prostate gland removal); Substance use (e.g. tobacco,

· Prostate enlargement, also known as benign prostatic hyperplasia (BPH), and erectile dysfunction (ED) are separate problems. Both increase with age, but one causes problems in the bathroom and the.

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· Erectile dysfunction can have many causes, including some forms of prostate disease and prostate cancer surgery. The problem can often be effectively addressed. Some men find relief by taking medications. If these aren’t effective for you, a number of other options, including injections and vacuum devices, are available.

Prostate enlargement or benign prostatic hyperplasia (BPH) – BPH frequently occurs in men over the age of 50. It is a natural part of the aging process. BPH can.

Bladder cancer; Colon cancer; Prostate cancer; Rectal cancer. Erectile dysfunction: Most common sexual side effect of cancer treatment for men. For some cancers, nerve damage can't be avoided if the surgeon is to remove all of the.

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This prostate is a small gland in men that produces seminal fluid for. Is ED directly linked to prostate cancer or can a swollen prostate also.

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General history and specific reproductive history are relevant, including diet, medications, prior diseases, evidence of endocrine dysfunction. urinary tract disease should be noted. The prostate.

Erectile Dysfunction (ED) is a significant and common medical condition. erectile Dysfunction can be defined as the inability to achieve and/or maintain an erection sufficient for satisfactory sexual activity. It is estimated that as many as 100 million men worldwide suffer from ED. However, more than 85% of men with ED don’t seek treatment.

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Homeopathy offers almost 203 remedies for men suffering from erectile dysfunction (ED) or impotence. Unlike allopathic medicines, homeopathic medicines are non toxic and non addictive. homeopathy doctors frequently treat patients suffering from anxiety, fear of failure to do sex, erectile dysfunction (ED) or impotence associated with stress and.

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It can have psychological consequences. It is a common male disorder usually affecting older men that significantly impacts quality of life and well being. Erectile Dysfunction affects 50% of men older than 60 years of age. younger men typically report a great degree of bother than older men which leads them to seek treatment at the earliest.

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