Viagra Europe

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This medicine is authorised for use in the European Union.

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Viagra Europe It explains how the Committee for Medicinal Products for Human Use CHMP assessed the medicine to reach its opinion in favour of granting a marketing authorisation and its recommendations on the conditions of use for Viagra.

Expand section Collapse section Viagra Europe is Viagra? Viagra is a medicine that contains the active substance sildenafil. It is available as tablets 25, 50 or mg and as orodispersible tablets 50 mg. Orodispersible tablets are tablets that dissolve in the mouth. What is Viagra used for? Viagra is used to treat adult men with erectile dysfunction sometimes called impotenceViagra Europe they cannot get or keep a sufficiently hard penis erection for satisfactory sexual activity, Viagra Europe.

For Viagra to be effective, sexual stimulation is required. The medicine can only be obtained with a prescription.

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How is Viagra used? The recommended dose of Viagra is 50 mg taken as needed about one hour before sexual activity, Viagra Europe. If Viagra is taken with food, Viagra Europe, the onset of activity may be delayed compared with taking it without food.

The orodispersible tablets should be placed on the tongue and left to disintegrate before swallowing. The dose may be increased to a maximum of mg or decreased to 25 mg depending on the effectiveness Viagra Europe side effects.

Patients with liver problems or severe kidney problems should start treatment with the 25 mg dose. The maximum recommended dosing frequency is once a day.

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How does Viagra work? The active ingredient in Viagra, sildenafil, belongs to a group of medicines called phosphodiesterase-type-5 PDE5 inhibitors. It works by blocking the phosphodiesterase enzyme, Viagra Europe, which normally breaks Viagra europe a substance known as cyclic guanosine monophosphate cGMP. During normal sexual stimulation, cGMP is produced in the penis, where it causes the muscle in the spongy tissue of the penis the corpora cavernosa to relax, allowing the flow of blood into the corpora, Viagra Europe, producing the erection.

By blocking the breakdown of cGMP, Viagra restores erectile function. Sexual stimulation is still needed to produce an erection. How has Viagra been studied? Viagra has been studied in four main studies including 1, men aged 19 to 87 years, where it was compared with placebo a dummy treatment for between 12 and 26 weeks. Two of these studies used fixed doses patients allocated to 25, 50 or mg and Viagra Europe studies were flexible patients started on 25 mg and could be moved to 50 or mg depending on their response.

In addition, Viagra Europe, there were studies in patients with spinal cord injury and with diabetes.

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The main measure of effectiveness was based on the ability of the men to get and maintain an erection. This was recorded in a special questionnaire completed at home using a scoring system on a five-point scale, where a score of 5 represents the best result, Viagra Europe.

What benefit has Viagra Viagra Europe during the studies? Viagra was significantly more effective than placebo in all studies.

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In the questionnaire, scores for the question on how often the patient was able to achieve intercourse went from about 2 without treatment to 3 or 4 with Viagra 50 mg. What is the risk associated with Viagra? The most common side effects with Viagra are headache, Viagra Europe, flushing, dyspepsia indigestionvisual disorders, including visual colour distortion and blurred vision, nasal congestion blocked noseViagra Europe, dizziness, nausea and hot flushes.

For the full list of all side effects reported with Viagra, Viagra Europe, see the package Viagra Europe. Viagra must not be used where sexual activity is inadvisable e. It must also not be taken by patients who have ever had loss of vision because of a problem with blood flow to the nerve in the eye non-arteritic anterior ischemic optic neuropathy or NAION. Because Viagra has not been studied in patients with severe liver disease, hypotension low blood pressureViagra Europe, recent stroke or myocardial infarction heart attackor a hereditary eye disease, Viagra Europe, such as retinitis pigmentosa, these patients must not use it.

For the full list of restrictions, see the package leaflet. Why has Viagra been approved? What measures are being taken to ensure the safe and effective use of Viagra? A risk management plan has been developed to ensure that Viagra is used as safely as possible.

Based on this plan, safety information has been included in the summary of product characteristics and the package leaflet for Viagra, including the appropriate precautions to be followed by healthcare professionals and patients. Other information about Viagra The European Commission granted a marketing authorisation valid throughout the European Union for Viagra on 14 September For more information about treatment with Viagra, read the package leaflet also part of the EPAR or contact your doctor or pharmacist.

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