Patient Perceptions of Integrated Care (PPIC)

Main Facts about Viagra

Online Viagra

Viagra is an erectile dysfunction drug that allows hundreds of thousands of men to return to an active sex life every year. In addition, Viagra often serves as a kind of glue for marriages that begin to crack and unregistered love relationships, because a lot of problems in the family occur due to the fact that a man begins to have difficulty achieving or maintaining an erection. It is a mistake to think that sex is important only for a man, and a woman is only inferior to him. This myth has been debunked and debunked many years ago. There are frequent cases when male erectile dysfunction leads to divorce, psychological trauma and mutual insults, due to which a man cannot have sex with a woman as often and as qualitatively as she wishes. Tensions in the family also adversely affect children, who feel that a crack has appeared in the relationship between their parents. If there is an element of physiological problems in a relationship, such as ED, often psychologists are interested in whether a man is undergoing treatment, whether he is in the process of using drugs to improve potency, because not all problems can be solved with heart-to-heart talks.

Like the vast majority of other drugs, Viagra can be bought not only in ordinary offline pharmacies, but also ordered online with home delivery or delivery to the local post office. This method is preferred by an increasing number of men, which is associated with its advantages, such as: anonymity, no fear of encountering acquaintances, neighbors, colleagues or relatives while buying a medicine; much lower prices; time savings and a wider range of dosages and drug forms. The latter is due to the fact that it is in the online segment of trade that consumers are offered numerous generics of Viagra. In essence, they are no different from the original medicine, but they allow you to save a lot of money when buying these drugs. Viagra can be bought in both large and small online pharmacies, both in national American and national foreign, as well as large international online pharmacies. The purchase process is in most cases elementary, and payment is made online.

Where Can I Buy Viagra over the Counter in the USA

Viagra is a prescription drug, and if you are going to buy it from offline pharmacies in the US, no matter how hard you try, you'll have to get a prescription from your healthcare provider. If in some pharmacies you will be offered Viagra without a prescription, in most cases this will turn out to be a very dubious institution. Perhaps they will try to sell you not the original effective medicine or its generics, but a fake or a placebo. Most of these fakes are made in China. It is very easy to distinguish them: the active substance is not indicated, or the trade name has nothing to do with the words Viagra or Sildenafil. It can also be a package with hieroglyphs. If you are facing something like this, don't risk your health, it's not worth it.

What to do if there is no prescription, but you need to buy medicine? There are different situations when, for whatever reason, it is not possible to obtain a prescription for the necessary drug. Maybe you have a prescription but it's out of date, or you're very busy and can't spend a few hours going to the doctor. Finally, you may be in a tight financial situation, as a result of which a visit to the urologist will hurt your pocket. It is also not uncommon for a man to fundamentally refuse to share even with a doctor information about his intimate problems and prefer to solve them on his own. If you are a responsible person who carefully studies the instructions for using the drug, and is generally aware of what diseases, especially chronic ones, you have, you can easily buy Viagra without a prescription without harm to your body.

For US residents, the easiest way to buy Viagra over the counter is through placing an order at one of the online pharmacies, mainly Indian or international. However, some US-based online pharmacies also offer Viagra without a prescription. These are the pharmacies that perform the functions of warehouses rather than directly pharmacies. You place an order on the website of an international pharmacy, and she, having warehouses in America, sells medicine from them. In such cases, quite often no one is interested in whether you have a cherished recipe.

Indian pharmacies are the most loyal to the issues of prescription drug status. Indian generics of Viagra are freely sold to any category of consumers.

Buy Viagra Online Cheap

When buying online, the consumer has a more than real opportunity to save a significant amount of money. The cheapest Viagra can be purchased from Indian online pharmacies. The products of Indian pharmaceutical companies occupy the first line in the list of the most affordable versions of Viagra. Somewhat more expensive are Canadian generic Viagra, but buying them online has the advantage of fast delivery. The United States and Canada are separated by a land border, so the medicine will be in your hands within 2-3 days after ordering.

Regardless of which generic Viagra manufacturer you choose, in most pharmacies there is such a rule as an inverse relationship between the cost of one tablet and the number of tablets in the order. Thus, we can conclude that the most profitable option is to buy a large number of tablets at the same time. However, this method is not suitable for those men who have only recently encountered the need to take drugs to increase potency and are not yet sure that Viagra will be effective for them, and their bodies will tolerate it well. In such cases, it will not be superfluous to purchase a set of tools to increase potency. Many pharmacies, both Canadian and Indian, as well as British and some others, offer such kits, which include all three of the most popular erectile dysfunction drugs, namely Viagra, Cialis and Levitra. In most cases, they are presented in such sets in an average dosage. For Viagra it is 50 mg, for Cialis - 10 mg, and for Levitra - 10 mg. Such kits allow to save money, as they are often offered at a discount, and provide an opportunity to determine the most appropriate treatment strategy.

Viagra Ingredients

The main active ingredient of Viagra is sildenafil citrate, a selective inhibitor of the PDE-5 enzyme. Excipients may vary in Viagra generics, but not significantly. They include crystalline cellulose, silica, flavor, color, magnesium stearate, and some other compounds. Due to some auxiliary components, patients with lactase deficiency, lactose intolerance, lactase deficiency and glucose-galactose malabsorption are not recommended to take Viagra.

How Do You Know When Viagra Is Working

Some men doubt that they will be able to understand whether Viagra works. Because of this, they doubt whether to buy this medicine or not. In fact, if a man has a pronounced violation of potency, not due to hormonal disorders, spinal cord injuries, some operations on the genitals or taking certain medications, Viagra is most likely to have a tangible effect on his body.

However, you should not expect that after you take the pill, you will immediately feel like a sex giant and enjoy a persistent erection. In order for the medicine to work, first of all it must be absorbed, absorbed into the blood. After taking the medicine, it makes sense to start sexual intercourse at least half an hour later. The sensitivity to the drug in all men is different, so for some this period can stretch up to an hour. Since sildenafil is not an aphrodisiac or narcotic, it doesn't cause sexual arousal or erection. In order for the drug to work, it is necessary to experience sexual desire, sexual inclination, or direct sexual stimulation. In such cases, the drug begins to work, because sexual stimulation and arousal are accompanied by the release of nitric oxide in the cavernous bodies. This leads to an increase in the level of cGMP and delamination of the smooth muscle tissue of the cavernous body and penis vessels and an increase in blood flow.

If the sexual intercourse was more successful than the previous ones, then the medicine is working. Also, a man may note side effects, they also indicate that the medicine is not a placebo and is in the process of influencing the body. The most common side effects include headache and flushing of the face. Often this is accompanied by redness of the face or neck. There may also be visual disturbances, especially in the green and blue spectrum, tinnitus, tachycardia, palpitations, nasal congestion, and occasionally nausea, dyspepsia, diarrhea.

Where to Get Viagra

You can get Viagra by making a purchase at a regular retail pharmacy, online pharmacies based in the United States, as well as numerous international and foreign online pharmacies. There are versions of Viagra generics on the pharmaceutical market from such countries as India, Canada, Great Britain, Germany, Hungary, Austria, Serbia, Slovakia and even Australia and New Zealand. Almost every major pharmaceutical company offers its own version of this drug. Of course, Pfizer branded Viagra remains the gold standard. However, the cost of this pleasure can reach $70 or more per pill.

How Old Do You Have to Be to Buy Viagra

Any man over the age of 18 can buy Viagra. Of course, a woman can also buy this medicine for her partner, husband or even for herself. When buying Viagra in an offline pharmacy, you need to provide a prescription. This automatically confirms that the buyer is over 18 years old, since the drug is not intended for use in younger people, and no one will prescribe it to a guy under 18 years old. There is no upper age limit. If an elderly person wants to use Viagra, he should consult a doctor and find out if he has any contraindications to the use of this drug, because often with age we carry a valuable baggage of various chronic diseases that prevent the free use of drugs such as PDE-5 inhibitors. However, in the absence of pronounced contraindications, a man can take Viagra at any age. According to statistics, the demand for Viagra is declining in the age group of men over 68 years old, and the peak of popularity of the drug is observed among men aged from 45 to 60 years. This is exactly the age when testosterone production begins to decline, and the man is faced with the fact that his sex life is no longer as bright as it used to be. However, he is still quite young, often entering into a second or third marriage and is not going to retire sexually. Viagra effectively prolongs the active sex life of advanced age men.

Viagra Before And After

The duration of action of Viagra after taking the pill is on average 4 to 7 hours. It all depends on the individual patient and the dosage he takes. The higher the dosage, the longer the drug stays in the body. Of course, during this time you can experience more than one erection. However, the fact that Viagra can stay in your body for up to 8 hours doesn't mean that you are aroused all this time. Otherwise, it would be harmful to the body and unnatural. Before taking Viagra, it is advisable to avoid fatty foods and alcohol. Fatty foods slow down the absorption of the drug and reduce its effectiveness, and alcohol can increase side effects and negate all the positive effects of Viagra. After taking Viagra, you can take the next pill no earlier than 24 hours later.

Does Viagra Raise Blood Pressure

Many men with hypertension are afraid to take Viagra because it affects the cardiovascular system. However, hypertension, especially when compensated and controlled with medication, is not a contraindication to taking this medication. This is due to the fact that a much more common side effect of Viagra is a decrease in blood pressure, which is caused by increased production of nitric oxide. This contributes to the relaxation of the walls of blood vessels, their expansion, and, as a result, a decrease in blood pressure.

Can You Take Viagra with Antidepressants

Antidepressants are pretty tricky drugs. On the one hand, they return psychological health, but on the other hand, both in men and women, they often lead to a decrease in libido. In men, taking antidepressants results in difficulty in achieving an erection. Often, taking antidepressants is accompanied by a decrease in sensations during orgasm or difficulties in achieving it. These side effects are quite difficult for many men to tolerate and in themselves can worsen the psychological condition that antidepressants are intended to treat. However, Viagra can be used in combination with these drugs, and in some cases helps to cope with erectile dysfunction caused by taking them (https://www.webmd.com/erectile-dysfunction/news/20030102/viagra-eases-depression-related-ed). Some studies show that Viagra may even reduce the side effects of antidepressants.

No antidepressant is a contraindication to taking Viagra. However, one of the side effects of Viagra is lowering blood pressure, and the same side effect is common with some tricyclic antidepressants. Therefore, the combination of Viagra with similar drugs can cause an increased decrease in blood pressure. In order to avoid an excessive decrease in blood pressure, you should follow a few simple rules: don't take the drugs at the same time and don't make sudden movements associated with raising up. After taking Viagra, for example, a man should not jump out of bed immediately, but it is preferable to sit at least a few seconds on the edge of the bed. There is nothing pleasant about experiencing a sharp noise in the ears, blackouts in the eyes, and perhaps even fainting associated with a sharp decrease in pressure.