alice kirstine
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Dose Cenforce completely cure Erectile Dysfunction

Cenforce: when and how to take it?

The drug Cenforce 100 mg that revolutionized the treatment of erectile dysfunction and continues to be one of the best sellers. Although it is a very safe medication, it is always administered with a prescription because male impotence can be a sentinel symptom of cardiovascular pathologies.

Sildenafil (Viagra) the first accessible and effective treatment for male Physical impotence or erectile dysfunction. This drug, which is administered orally, inhibits the enzyme phosphodiesterase 5 and significantly increases the production of nitric oxide, which is the most potent natural vasodilator known.

It is one of the most prescribed drugs because it is very safe and effective and is generally taken in a formulation on demand that is when patients want to have sexual intercourse.

Initially, its effects against arterial hypertension, angina pectoris, and acute myocardial infarction were investigated, but it soon became clear that its most relevant clinical effect was the improvement that men experienced in their sexual activity. The reason is that the dilation of the blood vessels that it produces is especially intense in the p*nis, which enhances the erection.

In which patients is it indicated?

In Cenforce 200mg main indications is Sildenafil, in patients with erectile dysfunction and in those with pulmonary arterial hypertension, which is a rare disease. In this second case, what is sought is to dilate the artery of the lung so that enough blood reaches it.

In most cases, he continues, "erectile dysfunction equals vascular disease, which means that the cardiovascular risk factors that cause a heart attack or stroke are the same ones that cause erectile dysfunction."

For this reason, it is currently considered that this sexual problem "is a window into the cardiovascular health of the male and it is important to diagnose it because many times the biggest problem is not that a man cannot have sexual relations, but that he has a vascular disease." generalized that can end up triggering a heart attack, a stroke or ischemia in the lower limbs (obstruction of one of the main arteries responsible for the blood supply to the legs)”.

What is the most appropriate dose?

Sildenafil should be started -although most of the time it is not done- at the lowest dose, which is 50 mg per day, and if there is no response, it should be increased to 100 mg or Cenforce 150mg. It is also advisable to try going down to 25 mg when 50 mg achieves a good result.

The reason why they usually start with 100 mg daily to later go down to 50 mg if the response is adequate is that, as it is a "relatively expensive drug and not covered by the public health system, many patients who try the dose of 50 and it doesn't work for them, they don't want to go to 100. The dose used for the treatment of pulmonary hypertension is 20 mg three times a day.

How and when should it be taken?

Sildenafil should be taken orally with a margin of at least 45 minutes before sexual intercourse and taking into account that its effects last up to 6 hours. Other drugs from the same family can promote an erection up to 24 hours after intake.

Can it be taken with alcohol or food?

To achieve an optimal effect and prevent adverse effects, it is important to respect taking sildenafil once a day, as well as not consuming it with food or alcoholic beverages, since it interferes with both fats and alcohol.

What are the main risks and adverse effects?

The representative of the AEU stresses that sildenafil is a very safe drug. The main risk is derived from the consumption of doses higher than those recommended which produce a blood loss to the heart because vasodilation occurs almost exclusively in the penis and most of the blood accumulates in the skin. The most serious consequence can be myocardial infarction.

As for possible adverse effects, the specialist cites redness of the face and ears, headache, or back pain as examples.

The pharmacist refutes a common belief about the long-term effects of sildenafil: "There is no evidence that it causes dependence. Nor is it true that it is effective for the treatment of premature ejaculation.

Who should not take sildenafil?

The use of sildenafil is contraindicated in patients taking nitro-glycerine or other nitrates for the treatment of myocardial infarction. This interaction can be very serious. Those who take nitro-glycerine suffer from serious diseases.

A person with severe heart failure cannot breathe, they suffocate. Considering that these patients do not take sildenafil is common sense. The same can be applied to those who suffer from severe renal, hepatic, or respiratory insufficiency, and who are also unable to have an active sexual life.

There are other isolated contraindications, such as certain patients with retinitis pigmentosa or uncontrolled hypertension, but the expert affirms that they are very specific cases.

With or without a prescription?

Sildenafil is dispensed in Spain with a prescription, but a presentation that does not require a medical prescription is marketed in the United Kingdom, called Viagra Connect. In this way, men who do not suffer from erectile dysfunction but want to have more powerful and lasting erections can also consume the pill.

At the moment, this option is not foreseen in Spain or the rest of the European Union. Romero-Otero considers that this is an interesting debate and believes that over-the-counter sales could be considered as long as there is sufficient health education for the population to control the risks.