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Viagra is the brand name for sildenafil citrate. Impotence is a medical problem and Viagra a medical solution. As a doctor I have had patients come in from all walks of life using Viagra that has not been approved by the FDA. Viagra is a phosphodiesterase inhibitor used to treat sexual function problems such as impotence or erectile dysfunction. Viagra dosing usually starts at 50 mg, with the option to increase to 100 mg if effects are less than hoped and with no adverse effects, or to drop the dose to 25 mg if effects are adequate and there are adverse effects. Viagra can help men with ED enduce and maintain an erection when they become sexually stimulated. If you think Viagra might be something for you, HealthExpress ask you to fill in an online consultation form which will be reviewed by one of our doctors. Viagra relaxes the tissue and increases blood flow to the penis, so that when a man is sexually aroused, he can enduce and sustain an erection. Like all medications, Viagra can cause some side effects. From my standpoint as a doctor, I have been able to diagnose dozens of men with diabetes and underlying heart problems as a result of them coming to the office asking for Viiagra. If you are taking protease inhibitors, such as for the treatment of HIV, your doctor may recommend a 25-mg dose and may limit you to a maximum single dose of 25 mg of Viagra in a 48 hour period. Viagra was thus the first drug in the treatment of the impotence and was an immense commercial success. Taking Viagra could reduce men's fertility, suggest the results of a new study. Furthermore, an audit of fertility clinics by the team revealed that 42 per cent use Viagra to help men produce sperm samples on demand. Glenn stresses the work is preliminary but adds that, if confirmed, would-be fathers and fertility clinics would need to re-examine their use of Viagra.