Viagra- The Flight to Pleasure

The world of medicine is known more for it’s medications than the doctors. The natural resistance to take medicines is a universal phenomenon from mumbai to new york. One of the rare exceptions to this law, is Sildenafil Citrate or popularly known as Viagra. It’s one of the most sort out over-the-counter drugs in the world, with some estimating its annual sale to cross the billion dollar mark.

The best quality controlled preparation of this drug is available from the original manufacturer, Pfizer, under the its flagship brand name “Viagra”.

Today the aphrodisiac market is flooded with thousands of alternative herbal and allopathic preparations that secretly use it under the cover of various mixtures and nicknames.

1. How Does it Work?

It acts by inhibiting an enzyme ( a natural catalyst ) present in the penis. This causes muscle relaxation, which increases the inflow of blood into the spongy soft tissue of the penis causing an erection.

The catch lies in the fact, that this enzyme which is needed as base for it to act, is only produced when a healthy male is subjected to some form of sexual stimulation. Henceforth it cannot produce erection on its own. It requires a previous mental stimulation to be present.


2. What happens to it, once ingested?

After ingestion the drug is broken down into very simple particle. This happens at the level of the liver. When there is excess of it, in the blood circulation, its excreted out of the body through combined action of kidney and liver.


3. Commonly Used for?

a. Sexual dysfunction- it’s the gold standard drug for erectile dysfunction (inability to sustain a satisfactory erection during “sexual intercourse”.)

b. Aphrodisiac- its main popularity comes from the belief that it increases sexual desires, improves sexual performance and increases penis size
Thou many tests are still being performed onto the same, there is inconclusive scientific evidence to prove any of those.
It’s known to induce a feel-good effect that reduces sexual anxiety and improves sexual relationship among most of those using it.

c. Pulmonary hypertension- the drug is known to act at two places. One being the penis, other the respiratory system. When there is a lack of sexual excitement, the body diverts it towards usage in the respiratory system. It’s commonly used in a rare condition called pulmonary hypertension.

d. Altitude sickness- useful in treatment of respiratory problems at high-altitudes.

e. Sports-Since it increases blood flow and stimulates the respiratory system, its believed to help in increasing performance level in sportsmen. It’s widely prescribed for sports that require a lot of cardio-vascular activity.

f. Jet lag – new research shows its useful to overcome jet lag


4. How much viagra is sufficient?

Its available in strengths of 25, 50 and 100mg.
The dosing for erectile dysfunction is between 25mg to 100mg (to be decided after checkup of Blood pressure, liver profile and kidney profile)

Should be taken within the limit period of 30min to 4hrs prior of sexual intercourse.
The safety parameter suggest usage not more than once every 48hrs.


5. Who should avoid it?

a. Men with cardiac problems
b. Chronic alcholoics or addicts to psychotropic drugs
c. A person who has already had one heart attack
d. Patient with liver problems
e. Patient with kidney problems.
f. Patient of low blood pressure


6. Common Side-effects?

the most common adverse effects include:

a.headache,
b. nasal congestion
c. acidity
d. increased blood circulation
c. impaired vision - photophobia and blurred vision. These effects are transient.

serious adverse effects :

a.priapism – pain in the penis, and it surroundings lasting more than 24hrs
b. severe hypotension – decreased energy, fatigue, sleepiness the next day
c. Heart attack due to increased circulation load on the heart.
d. sudden hearing loss.


7. Common Mistakes that reduce the effect of the medication?

a. Taken without any urge to have sex or sexual stimulation. This leads to the body utilizing it in other ways than erectile function.

b. If taken after a high-fat meal, its absorption into the blood stream in reduced. This delays its action by nearly one hour and decreases its efficacy by nearly 70%.

c. Taken after a person is mentally and physically fatigued.

d. Taken by patients of premature ejaculation. – the drug will increase the erection time but decrease the ejaculatory time. Resulting in further agony for the patient.

regards,

Dr.Hemant Mittal (MBBS,PGDPM, MBPS, MD(mindmantra))

Motivational Speaker - Mind Trainer –
Emotional, Behavioral, Sleep, Memory and Sexual Health Consultant at Mind Mantra.
http://www.mindmantra.in/
email - eksoch@gmail.com
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