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They are attached to a hand- or battery-operated pump and work by drawing blood into the penis. Counselling can be effective for some men who are have ED , particularly younger men who have no underlying physical cause of their ED. Oral drugs, including Viagra, are frequently the first course of treatment for men with erectile dysfunction. Guaranteed Shipping. The active ingredient in Viagra is sildenafil , which is known medically as a PDE5 inhibitor. A trial of treatment should be repeated at least 4 times before deciding whether Viagra is working and before requesting a change of dosage or change to another ED medication. Please note that any personal data you post on or through the Service is at your sole discretion. Additional information. If Viagra is taken in this way, particularly in combination with non-prescribed drugs, there is an increased risk of significant side effects , some of which may be serious. Sign in. Viagra tablets are scored and can be broken in two. Click here to learn more about the relationship between pornography and erectile dysfunction. Some men find one works better for them than another, although most men find each one equally effective, but for different durations. There is no direct chemical interaction between Viagra and alcohol, however the risk of side effects such as a drop in blood pressure and even fainting will increase when Viagra is used after heavy drinking. This is not in itself a cause for concern, and usually does not interfere with normal activity. Men suffering from erectile dysfunction should inform their GP s who will undertake an assessment, possibly perform tests, and provide advice. Article last updated by Adam Felman on Mon 30 July

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