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Sildenafil
Clinical data
Pronunciation/ s ɪ l ˈ d ɛ n ə f ɪ l / sil- DEN -ə-fil
Trade namesViagra, Revatio, others
AHFS/Drugs.comMonograph
MedlinePlusa699015
License dataEU  EMA:  by INN, US   FDA: Sildenafil
Pregnancy categoryAU: B1 US: B (No risk in non-human studies)
Routes of administrationBy mouth (tablets), IV
ATC codeG04BE03 ( WHO )
Legal status
Legal statusAU: S4 (Prescription only) CA : ℞-only UK: POM (Prescription only) US: ℞-only In general: ℞ (Prescription only)
Pharmacokinetic data
Bioavailability41% (mean) [1]
Protein binding~96%
MetabolismLiver: CYP3A4 (major route), CYP2C9 (minor route)
MetabolitesN -desmethylsildenafil (~50% potency for PDE 5 )
Elimination half-life3–4 hours
ExcretionFeces (~80%), urine (~13%) [2]

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Were statins effective at preventing heart disease, it would be difficult to reject them. Thus, they successfully help overcome and prevent the lack of testosterone. Akhavein excess body weight puts additional pressure on the cardiovascular system.

Acupuncture Acupuncture is an ancient healing practice used for a variety of conditions. But why are so many men going sildenafil natural alternatives in the sack? Talk to your doctor before increasing the dose, and report any troubling side effects.

Sex should be fun, right? Horny goat weed When looking to treat ED some people turn to another herbal alternative called epimedium, more commonly known as horny goat weed.

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They help sildenafil herbal alternative man to achieve an erection that he can maintain using a tension ring. This herbal Viagra acts like a real Viagra. Finally, the plant boosts sexual energy and increases stress resistance. Basil There are a countless number of recipes which use this fresh herb.

  • This stimulates an erection within 10 minutes that can last for up to 60 minutes
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Akhavein excess body weight puts additional pressure on the cardiovascular system. You should also mention any other symptoms you may be experiencing. This natural substance is thought by some to increase nitric oxide activity, thus increasing blood flow to the penis and potentially resulting in better erections.

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The authors did note the small sample size and poor quality of the studies involved. You should also mention any other symptoms you may be experiencing.

If you plan on trying ginseng, you should speak to your doctor about dosing. As a result, these "herbal viagra" supplements can cause dangerously low blood pressure in some men — particularly men who take nitrate medications for heart problems.

This stimulates an erection within 10 minutes that can last for up to 60 minutes.

All the more reason why natural alternatives are in great need today. Avoid or limit alcohol use. Living life with a negative attitude, especially when afflicted with a health condition, doesn't reflect well as far as sexuality is concerned.

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Horny goat weed When looking to treat ED some people turn to another herbal alternative called epimedium, more commonly known as horny goat weed.

What makes is 'conditionally essential' is that while the body can normally produce adequate quantities, during times of stress including burn traumathe body is unable to produce sufficient quantities, at which time supplementation is of key importance.

Talk to your doctor before increasing the dose, and report any troubling side effects.

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Herbs and supplements Several dietary supplements, herbal preparations, and food products are sold as remedies for erectile dysfunction. A qualified healthcare professional must deliver these treatments. The effects can last up to 6 hours.

A systemic review of seven studies found that red ginseng may be effective in treating ED. We have indexed no less than all natural viagra alternative clinical studies on l-arginineeither alone or in combination with another nutraceutical, indicating it can contribute to a reversal of erectile dysfunction.

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These options include drugs, medical treatments, lifestyle changes, and alternative remedies. It is advisable to use it only under the guidance of a physician or medical herbalist to avoid possible side effects, especially if already using prescription drugs. If you plan on trying ginseng, you should speak to your doctor about dosing.

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One piece of research suggests that ginkgo improved erections in men who take certain medications such as SSRIs; however studies into the effectiveness of ginkgo have generally been inconclusive. A systemic review of seven studies found that red ginseng may be effective in treating ED.


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