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    The most common medications used to treat erectile dysfunction (ED) are Viagra, Cialis, Sildenafil, and Levitra. They belong to a class of drugs called phosphodiesterase 5 inhibitors (PDE5 inhibitors), which will be explained below. An erection occurs when someone is stimulated by an erotic thought or sexual contact. That leads to a series of chemical reactions in the blood vessels of the penis that results in 6 times the blood flow getting trapped in the penis. An erection might last indefinitely if it weren’t for chemicals called phosphodiesterases. They work at reversing the process that keeps the penis erect. Usually there is a balance between the chemicals that cause an erection and those that would return the penis to being flaccid. They pull in opposite directions with one dominating over the other in a perfect sequence that lets a man have an erection as long as it is needed. « Prilosec / Prevacid / Nexium Federal Court Lawsuits For Kidney Injury Consolidated By MDL Established In August 2017 | Main | Breast Implant Associated Anaplastic Large-Cell Lymphoma (BIA-ALCL): New Medical Journal Article About Treatments » (Posted by Tom Lamb at Drug Injury Watch.com) As reported previously, the erectile dysfunction (ED) drugs Cialis (tadalafil), Levitra (vardenafil hydrochloride), and Viagra (sildenafil citrate) have been associated with a type of sudden vision loss called Nonarteritic Anterior Ischemic Optic Neuropathy (NAION). In July 2005 the FDA ordered warnings be put on the package insert labels of these ED drugs, or impotence drugs, to the effect that some users of Cialis, Levitra, and Viagra have developed NAION, a form of blindness. At the same time, however, the FDA stated that it is impossible at present to know if NAION is a side effect of these ED drugs, or an unrelated medical condition. In June 2006 Health Canada issued a Public Communication alerting Canadians that the drug companies Eli Lilly (Cialis), Bayer (Levitra), and Pfizer (Viagra) were in the process of sending a so-called "Dear Doctor" letter to inform healthcare providers in Canada about changes to the respective package insert, or label, for these drugs regarding this vision loss, or NAION, side effect. Now, 11 years later, in August 2017, there is some additional information about the increased risk of developing the eye or vision side effect NAION which is included in a recent label change for Viagra, Cialis, and Levitra. ______________________________________ Strictly Confidential, No Obligation. ______________________________________ From a comparison of the relevant parts of the two most recent drug labels for Levitra, below, you can see what was added by means of this August 2017 label change concerning NAION as a possible adverse drug event or adverse reaction (in the second and third paragraphs of the current drug label). FULL PRESCRIBING INFORMATION document for Levitra (Revision Date: 9/2015)5.4 Effects on the Eye Physicians should advise patients to stop use of all phosphodiesterase type 5 (PDE5) inhibitors, including LEVITRA, and seek medical attention in the event of sudden loss of vision in one or both eyes.

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    Some men with erectile dysfunction, or ED, find they can return to an active sex life by treating an underlying condition, such as high blood pressure, or with counseling and lifestyle changes. But others find they may need medication to get and keep an erection. The FDA has approved several prescription drugs you take orally to treat ED. These medications all work similarly to each other. However, there are subtle differences in how long they stay effective and how quickly they begin to work. Levitra takes about 30 minutes to start working and the effects last a little longer than Viagra, about 5 hours. It contains the same active ingredient as Levitra and can begin working in about 15 minutes. Viagra takes around 30 minutes to become effective and lasts about 4 hours. I am often asked which is the best of the three most common erectile dysfunction treatments: Viagra, Levitra or Cialis. Viagra is the most well-known of the three as it has been around for over 15 years. There is no simple answer to this question, as some men find one treatment works better for them than the others. This means that a lot is known about its effects and side effects. It works within an hour of taking a tablet, and is best taken on an empty stomach. The effects of Viagra will last for four to six hours. Viagra was developed and originally marketed by the pharmaceutical company Pfizer, and until 2013 Pfizer was the only company allowed to sell it. When Pfizer’s patent on Viagra expired, the market was open for other companies to produce the medicine, albeit under its generic name Sildenafil, rather than the brand name Viagra. Sildenafil contains exactly the same active ingredient as Viagra (sildenafil citrate), and works in the same way.

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    Polycystic ovary syndrome (PCOS) cannot be cured, but the symptoms can be managed. Treatment options can vary because someone with PCOS may experience a range of symptoms, or just 1. The main treatment options are discussed in more detail below. In overweight women, the symptoms and overall risk of developing long-term health problems from PCOS can be greatly improved by losing excess weight. Weight loss of just 5% can lead to a significant improvement in PCOS. You can find out whether you're a healthy weight by calculating your body mass index (BMI), which is a measurement of your weight in relation to your height. Use the BMI healthy weight calculator to work out whether your BMI is in the healthy range. You can lose weight by exercising regularly and eating a healthy, balanced diet. UpToDate Polycystic Ovarian Syndrome Fertility Treatment with. Metformin for PCOS and Getting Pregnant - Verywell Family
     
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