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By, alex Shteynshlyuger MD, if you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call 1- (646). Alex Shteynshlyuger is a board certified urologist, who specializes in all does generic viagra work aspects of does generic viagra work care for sexual problems in men including ED, premature ejaculation and other sexual concerns. He helps men of all ages who experience impotence to regain confidence and erections. How to Save Money on Generic Viagra and Cheap Cialis. At New York Urology Specialists, our doctors understand that Viagra and Cialis can be expensive if not covered by health insurance or if you do not have health insurance. . We work with our patients to prescribe affordable treatment options including generic sildenafil as does generic viagra work well as other money-saving ways to buy less expensive Cialis and Viagra. . If you need help with affordable sildenafil (generic Viagra) and Cialis, schedule a consultation online or call 1- (646). We offer comprehensive evaluation and treatment for men with erection problems. What is the Difference between Viagra and Generic Sildenafil? Viagra is a brand name for medication that contains sildenafil for treatment of erection problems in men. Both brand-name viagra and generic sildenafil contain the same active ingredient, sildenafil. The components that glue the pill together, called carrier are different in the two medications. The generic compound contained in brand name Viagra is sildenafil. After Pfizers patent on Viagra ended in 2003, sildenafil is manufactured does generic viagra work by pharmaceutical companies around the world and offered at prices that are 75-90 lower than the brand name version. The active ingredient in both generic sildenafil and brand name Viagra is the same. It difficult for the FDA to monitor the quality of medications manufactured outside the United States. If a medication is unusually cheap and has been manufactured overseas, you should be concerned about its efficacy and safety. In the United States, Viagra is still patented; generic sildenafil is available for treatment of pulmonary hypertension but not for treatment of ED in men. Generic Viagra for treatment of ED will become available in the US in December of 2017. Does Viagra Work the Same as Generic Sildenafil? The active ingredient, sildenafil nitrate, the part that makes the medication work is the same in Viagra and generic Viagra preparations. As long as both are FDA approved, you can be assured that they have the same active ingredients. What is More Effective Viagra or Sildenafil? For most men, both Viagra and generic version of Viagra, sildenafil are equally effective. A small number of men find that generic version of medication may not be as effective as the brand name. Are Side Effects Different or the Same with Viagra and Generic Viagra, Sildenafil? Most men experience similar side effects to both Viagra and its generic version, sildenafil that is produced by other companies. Some men find generic medications cause side effects that were not present when they took Viagra. This is usually as a result of a different carrier component present in generic and brand name versions of the medication. What is Less Expensive?

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For other uses, see. Sildenafil, sold as the viagra for young men brand name. Viagra among others, is a medication used to treat erectile dysfunction and pulmonary arterial hypertension. 3, its effectiveness for treating sexual dysfunction in women has not been demonstrated. 3, common side effects include headaches and heartburn, as well as flushed skin. Caution is advised in those who have cardiovascular disease. Rare but serious side effects include prolonged viagra for young men erections, which can lead to damage to the penis, and sudden-onset hearing loss. Sildenafil should not be taken by people who take nitrates such as nitroglycerin (glycerin trinitrate as this may result in a severe and potentially fatal drop in blood viagra for young men pressure. 3, sildenafil acts by inhibiting cGMP-specific phosphodiesterase type 5 (phosphodiesterase 5, PDE5 an enzyme that promotes degradation of cGMP, which regulates blood flow in the penis. Pfizer scientists, andrew Bell, David Brown, and Nicholas Terrett originally discovered sildenafil as a treatment for various viagra for young men cardiovascular disorders. 4 5, since becoming available in 1998, sildenafil has been a common treatment for erectile dysfunction; its primary competitors are tadalafil (trade name Cialis) and vardenafil (Levitra). Contents Medical uses 50mg tablets of sildenafil Sexual dysfunction The primary indication of sildenafil is treatment of erectile dysfunction (inability to sustain a satisfactory erection to complete intercourse). Its use is now one of the standard treatments for erectile dysfunction, including for men with diabetes mellitus. 6 Antidepressant-associated sexual dysfunction Tentative evidence suggests that sildenafil may help men who experience antidepressant -induced erectile dysfunction. 7 Pulmonary hypertension While sildenafil improves some markers of disease in people with pulmonary arterial hypertension, it does not appear to affect the risk of death or serious side effects as of 2014. 8 Raynaud's phenomenon Sildenafil and other PDE5 inhibitors are used off-label to alleviate vasospasm and treat severe ischemia and ulcers in fingers and toes for people with secondary Raynaud's phenomenon ; 9 10 these drugs have moderate efficacy for reducing the frequency and duration. 9 As of 2016, their role more generally in Raynaud's was not clear. 10 Adverse effects In clinical trials, the most common adverse effects of sildenafil use included headache, flushing, indigestion, nasal congestion, and impaired vision, including photophobia and blurred vision. 2 Some sildenafil users have complained of seeing everything tinted blue ( cyanopsia ). 11 Some complained of blurriness and loss of peripheral vision. In July 2005, the FDA found that sildenafil could lead to vision impairment in rare cases 12 and a number of studies have linked sildenafil use with non-arteritic anterior ischemic optic neuropathy. 13 Rare but serious adverse effects found through postmarketing surveillance include prolonged erections, severe low blood pressure, myocardial infarction (heart attack ventricular arrhythmias, stroke, increased intraocular pressure, and sudden hearing loss. 2 In October 2007, the FDA announced that the labeling for all PDE5 inhibitors, including sildenafil, required a more prominent warning of the potential risk of sudden hearing loss. 14 Interactions Care should be exercised by people who are also taking protease inhibitors for the treatment of HIV infection. Protease inhibitors inhibit the metabolism of sildenafil, effectively multiplying the plasma levels of sildenafil, increasing the incidence and severity of side effects. Those using protease inhibitors are recommended to limit their use of sildenafil to no more than one 25 mg dose every 48 hours. 2 Other drugs that interfere with the metabolism of sildenafil include erythromycin and cimetidine, both of which can also lead to prolonged plasma half-life levels. The use of sildenafil and an 1 blocker (typically prescribed for hypertension or for urologic conditions, such as benign prostatic hypertrophy ) at the same time may lead to low blood pressure, but this effect does not occur if they are taken at least. 15 Contraindications Contraindications include: 2 :11 Concomitant use of nitric oxide donors, organic nitrites and nitrates, viagra for young men 16 such as: Concomitant use of soluble guanylyl cyclase stimulators, such as riociguat Known hypersensitivity to sildenafil Sildenafil should not be used if sexual activity is inadvisable due. Citation needed Nonmedical use Recreational use Sildenafil's popularity with young adults has increased over the years. 17 Sildenafil's trade name, Viagra, is widely recognized in popular culture, and the drug's association with treating erectile dysfunction has led to its recreational use.


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