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Adcirca 20-Mg Tablets. A healthcare provider may prescribe Adcirca (tadalafil) to help improve exercise ability in people who have pulmonary arterial hypertension (PAH). There is only one strength of this medication available -- Adcirca 20-mg tablets. However, your dosage amount will depend on several factors, including any other medications you are taking and the function of your kidney and liver. For people with mild or moderate kidney or liver function, the recommended starting dosage is typically 20 mg once daily. For the medication to work properly, it must be taken as prescribed. Do not increase your dose without your healthcare provider's approval. Adcirca (Tadalafil). Generic for Adcirca 20 mg Tablets (Tadalafil) is indicated for the treatment of erectile dysfunction. Tadalafil is also prescribed for the treatment of pulmonary arterial hypertension, which improves your exercise ability. Recommended Dosage - Discount Prescription Drug Generic for Adcirca 20 mg Tablets. The dosage of Generic for Adcirca 20 mg Tablet prescribed to each patient will vary. Always follow your physicians instructions and/or the directions on the prescription drug label. Generic for Adcirca 20 mg Tablets can be taken with or without food. Take this medicine at the same time every day.
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Generic Drugs Are a Better Choice Than Brand Name
Designer drugs were once seen as a must have when you needed medicine. A generic Xanax just wouldn't do, individuals wanted the real thing. Generic Prozac? Forget about that too. Any medicine that had a generic form was seen as a something not as equally effective, therefore, less often purchased. The thing about this though, is that brand name designer drugs are incredibly costly. Many of them will cost $50 and up, and some even go into the hundreds of dollars per bottle, per month.
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There are several different treatments for Male Erectile Dysfunction better known as ED. ED, also known as impotence, is the recurring total inability to achieve and erection, or an inability to maintain a firm erection, or can be the ability to attain an erection firm enough to engage in sexual intercourse but inconsistently. To better understand the various treatments for ED, it is important to know how an erection occurs and the suspected different causes of ED.
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Sexual dysfunction is such an issue that has been given quite much importance in the recent times and that is mainly because of the ongoing researches on it. Scientists are busy in finding the best ways to treat the problem
Female sexual dysfunction is not something that can not be treated.
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Everybody knows that the subject of Erectile Dysfunction is an embarrassing one. Yet, it doesn't have to be, especially now that medical reports are confirming that ED is becoming quite the common problem in both males and females, young and older.
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Viagra, the wonderful erectile dysfunction treatment drug from the world renowned pharmaceutical giant, Pfizer, is arguably one of the most recognizable medications in the world today.
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Sexual dysfunction in men and women can be caused by a number of factors like smoking, age, hormonal problems and performance anxiety in men. Thousands have found effective herbal alternatives to boost their sexual enjoyment and performance. Many of these herbs have a long history of use, some up to 3,000 years, with little, if any, side effects. Traditional Chinese medicine has been used for centuries in the treatment of almost all ailments known to man. Most commonly used western herbal formulas basically include herbs like Yohimbe, Muira Puama, Maca, Tribulus Terestris, and Wild Oats, to name just a few.
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Three of 100 men suffer from Peyronie's disease, a bending of the penis during erection. The penis contains balloons that fill with blood to cause an erection. These balloons can develop a scar that prevents them from expanding normally during an erection, causing the penis to bend toward the scar.
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Erectile dysfunction is a spatial relation of males wherein they miss the ability to maintain erection that is wanted throughout sexual act. Thus, the men who have this kind of sexual trouble would like to discover the inviolable and most splendid erectile dysfunction medication. The worry related to the condition just drags people to seek for many references and listen to various people, to have the problem sorted, but did you know that any problem is best treated when you know of the hidden main reasons that are leading to this. There can be various causes for this type of sexual problem and it can be physical, mental, or emotional problems that led to erectile dysfunction.
Alternative and Complementary Medicine to Treat Erectile Dysfunction
1) Definition and Importance of Erectile Dysfunction:

"Erectile dysfunction" (ED), sometimes called "male/sexual impotence" (or "impotence" only), corresponds to the inability to achieve or sustain an erection sufficient for satisfactory sexual intercourse (coitus/copulation). Erectile dysfunction is distinguishable from other conditions that impair normal sexual intercourse, such as lack of sexual desire (libido) and ejaculation/orgasm disorders. Nevertheless, multiple associated sexual disorders may occur, causing a significant suffering (morbidity) to patients.

ED, closely attached to cultural notions of potency, success and masculinity, can have devastating psychological consequences including feelings of shame, loss or inadequacy. ED can be a serious damaging to interpersonal relationships and self-esteem. It affects millions of men worldwide with implications that go far beyond sexual activity alone. By age 45, most men have underwent ED at least once in life. Many men also are unwilling to talk about erectile dysfunction with their wives and doctors, and thus the condition is underestimated.

Although ED can occur at any age, usually the older the man is, the higher his risk is.

- Core idea: ED is a frequent and important harmful condition in men's life.

2) Anatomy and Physiology of Penile Erection:

The penis contains two chambers, called the "corpora cavernosa", which run the length of the upper side of the penis. The urethra, which is the channel for urine and ejaculate, runs along the underside of the corpora cavernosa. Filling the corpora cavernosa is a spongy tissue consisting of smooth muscles, fibrous tissues, spaces, veins, and arteries. A membrane, called the "tunica albuginea", surrounds the corpora cavernosa. Veins located in the tunica albuginea drain blood out of the penis.

Penile erection can be induced by two different mechanisms. The first one is the reflex erection, which is achieved by gently, directly and continuously touching and rubbing the penile shaft.

The second is the psychogenic erection, which is achieved by erotic fantasies, imagination or dreaming.

Thus, the sexual stimulation, which can be tactile (reflex) or psychogenic/psychologic, generates electrical impulses along the nerves going to the penis and causes the nerves to release nitric oxide (NO), which, in turn, increases the production of cyclic GMP (cGMP) in the smooth muscle cells of the corpora cavernosa. The cGMP causes the relaxation of smooth muscles of corpora cavernosa, allowing a rapid blood flowing into the penis (the blood fills the corpora cavernosa, making the penis bigger, harder and thicker). The consequential pressure compresses the veins in the tunica albuginea, helping to trap the blood in the corpora cavernosa, therefore maintaining erection. Erection is reversed when cGMP levels in the corpora cavernosa fall, allowing the smooth muscles of the corpora cavernosa to contract, ceasing the inflow of blood and opening veins that drain blood away from the penis. The levels of the cGMP in the corpora cavernosa fall because it is inactivated by an enzyme, named "phosphodiesterase type 5" (PDE5).

- Core ideas: Penis erection is triggered by sexual stimulation/arousal (physical and/or psychological), leading to swelling and enlargement of the penis due to local blood accumulation, conditioned by arterial dilatation. The so increased levels of nitric oxide (NO) will, in turn, increase cyclic GMP (cGMP) - this is the most important molecular vasodilator cascade promoting erection.

3) Causes (Etiopathogenesis) and Pathophsiology of ED:

There are many possible causes of ED, which typically can be grouped in 3 big classes: Organic/Somatic; Psychogenic/Psychological; Mixed/Miscellaneous. Each one of these classes may have subclasses, as an efficient way to organize, classify and study each case.

Organic/Somatic are those which origin is somewhere in the body, in an organ or tissue; not in mind nor thoughts/emotions. Hence, there is a lot of diseases able to cause ED - Endocrine (related to hormones and glands; for example: hypogonadism, hyperprolactinemia); Vascular (related to arteries and/or veins; such as: atherosclerosis, hypertension, dyslipidemia, diabetes, metabolic syndrome); Neurologic (related to Nervous System, the Central Nervous System (CNS) and/or the Peripheral Nervous System (PNS); for example: spinal cord injury, neuropathies, Parkinson's disease, Alzheimer's disease, multiple sclerosis, stroke); Drug-induced (many drugs can cause ED as side effect - some antihypertensives and antidepressants are very frequently associated with ED, but there are many more drugs with potential to cause ED).

Commonly, Organic/Somatic are associated with a worse prognosis; being atherosclerosis, now, recognized as a "sentinel event" in cardiovascular disease, metabolic syndrome and diabetes mellitus.

Psychogenic/Psychological causes of ED are, overall, the most frequent; and young men can be affected - the sexually inexperienced young man, without any disease, may have ED during the first sexual activities with his partner, because he may get "fear to fail/disappoint his partner". The conviction that an erection will not develop when required, therefore, becomes a self-fulfilling prophesy.

And, on the other hand, for any age, men who live under psychological stress (excessive work; lack of sleep; personal conflicts) can get depressed, anxious, impotent and feel lack of libido (sexual desire). Then, ED may emerge and aggravate the existent anxiety, and so a "vicious cycle" could be established and become very difficult to deal with.

Increased sympathetic vasoconstrictor tone, with raised blood circulating norepinephrine/epinephrine levels, seems to play a key role in psychogenic ED. The sympathetic branch of the autonomic nervous system is typically activated under stress situations, preparing the body for a "fight or flight" reaction, by releasing 2 main catecholamines (norepinephrine = noradrenalin is directly released by sympathetic nerves; and epinephrine = adrenalin is released from adrenal = supra-renal glands, after stimulation by sympathetic nerves). This catecholamines induce vasoconstriction (constriction of arteries), what makes erection more difficult to occur.

Although not frequently, ED can be associated with a more serious psychiatric disorder, such as major depression, schizophrenia, substance abuse, panic disorder, generalized anxiety disorder, personality disorders.

There are some other possible causes of ED (Mixed/Miscellaneous), but they are relatively infrequent - Penile disorders associated with ED (other primary diseases of penis, such as: Peyronie's disease; Epispadias; Post-priapism); Hematologic diseases (blood-related diseases; for example: Sickle cell anemia; Leukemias); Liver cirrhosis; Hemochromatosis; Scleroderma...

All causes of ED will converge to a common effect - the dilatation of penile arteries fails and consequently no local blood trapping occurs.

Diagnosis of ED usually begins by patient report, and next, the study of nocturnal penile tumescence (NPT) is the subsequent requested diagnostic test to confirm the suspected diagnosis. NPT corresponds to the spontaneous penile erections during sleep. All men without ED go through this phenomenon, typically many times while sleeping. Therefore, the NPT test is crucial to establish the ED diagnosis, since it can indicate a psychological cause (most common), or an organic cause - patients with psychogenic ED have nocturnal erections, what means that there is no organic/somatic basis for their ED.

- Core ideas: Although ED can be caused by a lot of serious diseases/disorders; many times it occurs in men who were otherwise healthy, and are temporarily under heavy psychological stress, resulting in a bad lifestyle, characterized by anxiety, bad quality of sleep and bad nutrition; which leads to ED and to a general bad feeling and weakness .

The causes of ED meet an overlapping consequence - there is no dilatation of penile arteries; therefore no local blood retention occur.

The diagnosis of ED is confirmed by the NPT test.

4) Natural Alternatives for Treatment of ED do Worthwhile!

Everybody is familiar with the names "Viagra", "Levitra", and "Cialis".

Viagra (Sildenafil), Levitra (Vardenafil), and Cialis (Tadalafil) are drugs acting as PDE5 inhibitors, and are widely prescribed for the treatment of ED. Few drugs have received as many attentions and approvals as Viagra/Levitra/Cialis, partly attributable to heavy and pricey marketing efforts by the pharmaceutical companies.

Everyone recognizes, yes, Viagra/Levitra/Cialis do work... But at what cost to the health?! Like with all chemical drugs, there are risks and side effects in Viagra/Levitra/Cialis. These drugs have potential side effects, and so, all men ought to be informed about them, while considering using these drugs. Viagra/Levitra/Cialis side effects, usually range from mild to moderate (although not very frequently, sometimes side effects can be severe or even life-threating). They generally last from a couple of minutes to a few hours after dosage. The most common side effects are: nasal congestion (stuffy nose); headaches; flushing (facial warmth or redness); dyspepsia (upset stomach). The most serious potential side effects are: sudden vision or hearing loss; angina pectoris (chest pain or heavy feeling); cardiac arrhythmia (irregular heartbeat); dyspnea (shortness of breath); edema (swelling); priapism (painful condition in which the erect penis does not return to its flaccid state, notwithstanding the absence of both physical and psychological stimulus; lasting at least four hours). On the other hand, there is the possibility that users may become psychologically dependent on it, incapable to reach erections without taking Viagra/Levitra/Cialis. Not surprisingly, many men seek alternatives; less hazardous natural products which work fine and have no side effects.
A Peep into the Trademark Name of Viagra
'Viagra' had become a hero much earlier than its launch. Thanks to the media and its makers. Viagra had been publicized as that one magic wand which could improve a man's sexual health caused because of his impotency or to say according to the medical term prevalent--erectile dysfunction.
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Viagra Pills is an oral medication prescribed for the treatment of erectile dysfunction in men. It is a sexual complication experienced by men where they are unable to get erections or maintain erections till the climax of the sexual activity. It is also known as Sildenafil Citrate or Viagra Generic medication. The problem of erectile dysfunction is usually experienced by men mainly due to aging as they get into their middle age phase. But, its being seen that there are also some physiological reasons like as high blood pressure, diabetes, vascular disease, nervous system disorder, heart disease many others. And some psychological reasons like mental stress, tension, depression and migraine problems that are seen responsible in bringing erectile failures in men. This happens due to lower supply of blood flow into the body and also in the male organ. So, mens of any age group can get victim of ED.
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This is a drug that comes in the form of a tablet and the form of a jelly. This drug is intended to help men who suffer from erectile dysfunction. This is a generic form of the pill Viagra.
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Having a better sexual life is very necessary for a healthy relationship between couples. But this happiness gets withdrawn when men start getting impotence or poor erectile process. This not only lowers the sexual intimacy among couples but also unstable their relationship with each other. Therefore, it leads to inventions of pills like Generic Viagra, which allowed men with ED to look beyond their sexual condition and have better love life. Generic Viagra is actually a generic version of dynamic branded pill Viagra which was among the first ED pill in the market. Generic Viagra is now the most recommended ED pill in the market as it delivers great pleasures and erections during sexual act.
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ED was considered for pretty long time a condition that affect men in their mature age, generally speaking the ones that are older. However, this is not exactly like this. Impotence problem are able to happen even when a man is in college.
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Erectile dysfunction is not a disease but a sexual complication or a sexual disorder in men that can be treated with the help of medications. Every man faces this sexual complication at least once in their life mostly in their middle age or in their elderly age due to ageing. Erectile dysfunction is a embarrassing situation in mans life as impotence in man is still considered as a taboo in the society, due to which a man suffering from impotence finds it shameful to talk about it with their partners and with close friends and thus they believe in adjusting with the situation. Erectile dysfunction is a sexual complication in a man that cannot be permanently cured.
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Viagra is an oral medication prescribed for men suffering from Erectile Dysfunction which is a sexual complication. Erectile Dysfunction (ED) is commonly known as impotence. Erectile Dysfunction can be defined as the inability in a man to get or maintain erection for a stimulated period of time. Generally a man suffers from this complication in their middle age or mostly in older age. Men suffering from Erectile Dysfunction are not treated normally in the society due to their inability to perform in bed and satisfy their partner. Suffering from Erectile Dysfunction is not less than a nightmare for a man. This complication is caused due to several reasons such as psychological, physical and unhealthy lifestyle. The major reason that causes this complication is the physical complication.
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You must have a healthy and satisfying sex life for a content existence...
It's a crucial part of the cement that holds a relationship together, in truth, it adds the spark that all relationships need. But, all too frequently men will not want to discuss their sexual issues.
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Viagra is an extremely effective medication to treat a sexual complication in men called Erectile Dysfunction. Besides Erectile Dysfunction this complication is also called as male impotence. Erectile Dysfunction in men is a sexual disorder in which he is unable to get or maintain hard and sturdy erections for a longer period of time that is until climax. With the somberness ED is moving in the world among men and has taken away many mens sleep. Erectile Dysfunction is experienced by every man in their middle age and mostly in their elderly age. This sexual complication is not a deadly disease but the effect of impotence on a mans life is pathetic. Generic Viagra with its instant and satisfying effect has helped million of men to get the best of sexual pleasure and feel potent again. Generic Viagra gives a temporary relief from this complication as Erectile Dysfunction is a permanent sexual disorder in a man which cannot be cured but treated with the help of various treatments and medications that are easily available in the market.
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About Cialis-a-day. There is a lot of excitement and enthusiasm regarding the introduction of the new drug Cialis-a-day, especially as it has been approved by the FDA to be sold in the US, as well as in some countries of the EU, for men with erectile dysfunction problems.
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A balanced sexual related lifestyle guarantees a balanced connection on its bearers for sure. It creates the connection balanced and provides the required durability and connection necessary for it. Therefore, any indication of impotence in husband or boyfriend can make the whole regards go for a throw. A balanced bed room lifestyle guarantees a powerful physical, emotional and emotional connection between the associates. Impotence has the capability to damage it and certain amount of emotional uncertainty continues between both the associates. Sometimes, it can lead to other healthcare problems also. Men impotence in men has been producing rifts in a stable connection or wedding for time mysterious. However, with the progression of technology and technology these days, medication such as Generic Viagra has been able to treat this lack of capability successfully in men.
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Why do erection problems arise?
Most men have experienced a difficulty in achieving an erection at some time in their lives. It's also not uncommon for a man to achieve an erection, but be able to maintain it long enough for sexual intercourse to take place.
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When you think of sex life enhancers, the first drug that usually comes to mind is Viagra. The male pill helps to enhance a man's sex life and it has improved so many relationships. However, whilst the needs of the man are met with a pill like Viagra, it highlighted the fact that many women also suffer from similar problems.
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Every time the indiscretion of some high-powered politician or celebrity is splashed across the papers, the age-old debate of why people cheat is renewed with more vigour. But, it's not just celebrities who cheat; ordinary people also cheat. In fact a recent news poll found more than two in 10 men admitted they had an affair. And it's no secret women stray too.
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Recent studies have indicated that the dietary supplement L-Arginine works in your body to produce a compound, Nitric Oxide which is used by the male reproductive system to stimulate an erection.
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There are many herbal sex pills, capsules, tablets, and tonics on the market that claim to cure erectile dysfunction, impotence, and premature ejaculation. Many herbal sexual enhancers are 100% safe and effective for the treatment for sexual dysfunction but it's important to check that the ingredients include Tongkat Ali.
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Erectile dysfunction or impotence means lack of libido. It's the inability to attain and keep up an erection to obtain a penetrative sexual act. Erection is the rigidness of the penis when it is aroused. The penis achieves hardening by filling up its spongy tissues with blood.
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Why are thousands of men choosing an impotence herbal remedy over the colorful synthetic pills to cure erectile dysfunctions? Because they know the sometimes fatal side effects associated with erectile dysfunction pills.
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No matter whether you agree or not sex is important. If physically, emotionally and psychologically there is a fall in performance, it is definitely a cause of worry. Impotence is a condition where men are not able to develop and sustain an erection to be able to engage in sexual intercourse.
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Premature ejaculation is probably the most embarrassing situation a man could possibly endure, closely followed by erectile dysfunction or impotence.
The inability for a man to get an erection or to get an erection and not be able to maintain it is not quite so embarrassing, because we can all laugh off the odd case of 'brewer's droop' but nevertheless any sexual dysfunction requires treatment.
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There are a lot of men out there who need help with a very personal problem, but they are afraid to do anything about it. This is because the topic of erectile dysfunction is about as terrifying to face as an appointment with a divorce lawyer, so they try to avoid it altogether.
Generic Drugs vs. Brand Name Drugs - Are They Both The Same?
Name brand medication or generic brand? This is a question that we may find ourselves asking from time to time. Which is cheaper? Which is more effective? Basically, which is better? Well, hopefully, this article will help clarify any bit of confusion and enlighten you as to which would best benefit you.