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1.  General Information 

Trade (unpatented) denomination of the preparation: VIAGRA.  International (unpatented) denomination:  Cildenaphil (in the form of Cildenaphil Citrate).   

Pharmacotherapeutic group

VIAGRA is the first representative of a new group of medications which are called inhibitors of phosphodiesterasa of the 5th type. The preparation broadens blood vessels of the penis in sexual excitation. It results in blood reflux in the penis, which promotes a normal erection. 

Active substance. 

Cildenaphil is the active substance of VIAGRA. One tablet of the preparation contains 25 mg., 50 mg or 100 mg of Cyldenaphil (in the form of Cildenaphil Citrate).   

Non-active components.

VIAGRA also contains the following non-active components:

microcrystal cellulose, hydrogenphosfate of calcium (anhydrous), natrium crosscarmellosa, magnesium stearate, hypromellosa, dioxide of titanium (Y 171), lactose, tryacetine, indigo carmine, aluminium varnish (Е132). 

2. Indications for application 

VIAGRA is intended for the treatment of men with erection disorders, which is also called impotency. In this state a man have no erection needed for a sex intercourse. VIAGRA acts only in response to sexual excitement. VIAGRA does not affect reproductive function. 

3. Counter indications 

DO NOT take VIAGRA if:

In the past you had allergic reaction on VIAGRA or any other component of the preparation. Allergic reaction may be manifested with rash, itching, oedema of the face and lips, short breath. If you have had such symptoms, inform your doctor.

If you take medications containing nitrates or donators of oxide of nitrogen for the treatment of stenocardia, VIAGRA may provoke an undesired intensification of the actions of such medications. If you take such medications, inform your doctor or pharmacist. 

4. Warnings 

If you suffer from any of the below mentioned diseases, inform you doctor before you take VIAGRA:

crescent cell anemia (change of red blood cells),

leukemia (cancer of blood cells),

multiple myeloma (cancer of marrow)

disease or deformation of the penis.

During the treatment by the medications which influence erection disorders, special precautions may be needed for men with such diseases:

rare eye disease called pigment retinitis,

ulcer of stomach and diseases, accompanied with bleedings (for instance hemophilia). With such diseases VIAGRA may give undesired effects. 

VIAGRA should not be applied in combination with other medications intended for erection disorders treatment 

Use in children.

VIAGRA should not be given to children.  

Use in elderly people and in people with kidney and liver diseases.

There are no special recommendations on the treatment of elderly people or patients with kidney or liver diseases. No need of precautions in driving or mechanisms operating 

Interaction with other medications.

You should inform your doctor about all the medications which you take. VIAGRA may interact with some other medicines. VIAGRA may provoke undesired intensification of the action of other medications which are called nitrogen oxide donators or nitrates (they are used in the treatment of stenocardia). If you take such medications it is PROHIBITED TO TAKE VIAGRA! 

Overdose.

Do not take a tablet of more dosage than you doctor have recommended. Do not take more than one tablet a day.  If you have taken more tablets than recommended, call your doctor immediately. 

5.  Directions for use and doses. 

It is up to your doctor to decide which dose is applicable for you to take VIAGRA. For most men the dose is 50 mg., but depending on efficiency and tolerance of the medication, the dose may be increased to 100 mg., or reduced to 25 mg.    

VIAGRA should be taken about 30 minutes – 1 hour before a sexual intercourse. Swallow a whole tablet and drink a small amount of water. VIAGRA should be taken not more than once a day. VIAGRA favors erection ONLY with sexual excitement. It does not provoke spontaneous erection without erotic stimulation. The action of VIAGRA starts in various time frames in various people, but usually it is from 30 minutes to 1 hour after intake and continues 4-6 hours. After abundant meals the action of VIAGRA may start later. Drinking alcohol may result in a temporary erection disturbance, that is why in order to get maximal effect alcohol is not recommended to drink in bigger quantities.  

If intake of VIAGRA does not favor erection or remains not long enough for finishing a sexual intercourse, talk to your doctor. 

6.  Side effects. 

As many other medicines VIAGRA may provoke some undesired reactions. Usually they are lightly or moderately shown and do not persist. The most frequent side effects are headache and flash. Less frequent are digestion disturbances, faintness, stuffiness in nose and change in vision (discoloration, high-light or blur in vision). 

MALE IMPOTENCE: DIETARY CONSIDERATIONS

Impotence is becoming "epidemic" in the United States, even among young men. Although most psychiatrists try to explain the "impotence boom" by psychological causes, inhibitions, fears of failure, feelings of inadequacy aggravated by increased demands of the liberated women, etc. — all valid factors, indeed! - it is becoming more and more evident that the causes of impotence are more dietary than psychic. Fears of failure become psychological and deep-seated only after the occurrence of several initial failures caused usually by physical inadequacy.
Programs outlined below are aimed at correcting dietary and physiological causes of impotence.
Emphasis on whole, raw seeds and nuts, especially sesame seeds, pumpkin seeds, sunflower seeds, almonds and peanuts. Buckwheat, millet and oats are excellent cereals. Plenty of raw milk, fresh and in sour form, plus homemade cottage cheese. Also, regular, unprocessed cheese and butter are beneficial. Twice a week, fertile eggs which can be eaten raw. Halva is a special virility food from the Orient. Two tablespoons of cold-pressed vegetable oils each day: olive oil, soy oil, sunflower oil, sesame seed oil. Abundance of sprouted seeds and grains, such as mung-beans, soybeans, wheat and alfalfa seeds. Avocado is an excellent virility food.
Brewer's yeast, kelp, lecithin and other supplements listed below.
Zinc-rich foods are vital for virility. Many studies indicate that a deficiency of zinc in diet is associated not only with diminished potency, but also with dwindling fertility and with prostate disorders. Zinc is lacking in processed foods. The best dietary sources of zinc are whole, unrefined grains and seeds, brewer's yeast, oysters, eggs and onions. Sunflower and pumpkin seeds are excellent sources.
Most meat and poultry today contain the growth hormone, diethylstilbestrol, which is definitely destroying virility in men.
The following "Pep-up Cocktail" is recommended:

Pep-up Cocktail (makes two glasses)
1 - 1/2 glasses whole, raw, unpasteurized milk
2 tbsp. non-instant skim milk powder 2 egg yolks, raw (also whole eggs can be used)
1 tbsp. wheat germ oil - only if available fresh, non-rancid Otherwise use cold-pressed sesame seed oil or olive oil
2 tbsp. wheat germ - if available fresh, not more than one week old
1 tbsp. sesame seeds
2 tbsp. pumpkin seeds 2 tsp. lecithin granules
1 tbsp. natural, raw honey 1 tbsp. crushed ice
Grind sesame seeds and pumpkin seeds in seed grinder first. Then blend all ingredients in the blender. Eat slowly with a spoon, or sip with a straw.
This is a perfect lunch for a busy, tired husband. A perfect revitalizing drink for tired wife, too.

*1/103/5*
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