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Herbal Viagra I Use: https://extenderz.com/products/herbalviagra Sildenafil, sold under the brand name Viagra among others, is a medication used to treat erectile dysfunction and pulmonary arterial hypertension.[8][4] It is unclear if it is effective for treating sexual dysfunction in women.[8] It is taken by mouth or injection into a vein.[8] Onset is typically within 20 minutes and lasts for about 2 hours.[8] Common side effects include headaches, heartburn, and flushed skin.[8] Caution is advised in those with cardiovascular disease.[8] Rare but serious side effects include a prolonged erection that can lead to damage to the penis, vision problems, and hearing loss.[8] Sildenafil should not be taken by people on nitrates such as nitroglycerin (glycerin trinitrate), as this may result in a serious drop in blood pressure.[8] Sildenafil acts by blocking phosphodiesterase 5 (PDE5), an enzyme that promotes breakdown of cGMP, which regulates blood flow in the penis.[8] It requires sexual arousal, however, to work.[8] It also results in dilation of the blood vessels in the lungs.[8] Pfizer originally discovered the medication in 1989 while looking for a treatment for heart-related chest pain.[9] It was approved for medical use in the United States and in the European Union in 1998.[5][8][9][10] In 2017, it was the 217th most commonly prescribed medication in the United States, with more than two million prescriptions.[11][12] In 2017, it became available as a generic medication after final patents by Pfizer expired.[13] In the United Kingdom, it is available over the counter.[14] Most of the Active Pharmaceutical Ingredient (API) in Sildenafil, Sildenafil citrate, is produced in Pfizer's Ringaskiddy complex, County Cork, which is Pfizer's largest production facility outside of the United States.[15] Sexual dysfunction The primary indication of sildenafil is treatment of erectile dysfunction (inability to sustain a satisfactory erection to complete sexual intercourse). Its use is now one of the standard treatments for erectile dysfunction, including for men with diabetes mellitus.[16] Antidepressant-associated sexual dysfunction Tentative evidence suggests that sildenafil may help men who experience antidepressant-induced erectile dysfunction.[17] Pulmonary hypertension While sildenafil improves some markers of disease in people with pulmonary arterial hypertension, it does not appear to affect the risk of death or serious side effects as of 2014.[18] Raynaud's phenomenon Sildenafil and other PDE5 inhibitors are used off-label to alleviate vasospasm and treat severe ischemia and ulcers in fingers and toes for people with secondary Raynaud's phenomenon;[19][20] these drugs have moderate efficacy for reducing the frequency and duration of vasospastic episodes.[19] As of 2016, their role more generally in Raynaud's was not clear.[20]

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CHIP DE TESTOSTERONA: É PROIBIDO OU PERMITIDO NO BRASIL? A VERDADE QUE NÃO TE CONTARAM! 👉 Agende sua Consulta: https://drasamiraposses.com.br Dra Samira Posses - Urologista (CRM-SP 147554 / RQE 74966) Rua Cubatão, 86, Sala 206 - Paraíso São Paulo - SP Consultas Online (Telemedicina) e Presencial Clique no link acima! 🔻⬇ Conecte-se comigo ⬇🔻 👉 Se inscreva no Canal: https://bit.ly/yt-drasamiraposses 📲 Instagram: @drasamiraposses -------------------------------------------------------- CHIP DE TESTOSTERONA: É PROIBIDO OU PERMITIDO NO BRASIL? O que é o chip de testosterona? O chamado chip de testosterona é um implante subcutâneo, geralmente feito na região do quadril ou glúteo, que libera testosterona lentamente durante alguns meses. Ele existe oficialmente nos Estados Unidos, com nome e registro, como é o caso do Testopel®, aprovado pelo FDA, e é usado no tratamento de homens com hipogonadismo. No Brasil, muita gente acha que é a mesma coisa, mas a história não é bem assim. No Brasil, o chip de testosterona é proibido. A Anvisa não aprova nenhum implante de testosterona para nenhuma finalidade. Nem para fins estéticos, nem para melhorar performance, nem mesmo para tratar hipogonadismo. Não existe no Brasil nenhum implante subcutâneo de testosterona registrado e autorizado. O que é permitido no Brasil? As formas de testosterona que são aprovadas são: injeções intramusculares, gel transdérmico e cápsula via oral de undecanoato. E aí vem a pergunta que todo mundo me faz: ‘Se é proibido, por que tem médico colocando?’ Por muitos anos existiu uma brecha. Farmácias de manipulação produziam esses implantes, alegando serem medicamentos individualizados. Só que, tecnicamente, a testosterona é uma substância controlada, de uso restrito, e não pode ser manipulada na forma de implante. Em 2023, a Anvisa foi categórica e proibiu de forma definitiva a fabricação, venda e uso desses implantes hormonais no país. Isso não é mais permitido em nenhuma hipótese. Por que é proibido? Porque não há estudos suficientes que comprovem a segurança, a eficácia, a farmacocinética e os riscos desses implantes manipulados. Quando você faz uma injeção, um gel, se houver qualquer efeito adverso, é possível suspender, interromper, ajustar a dose. No implante, não! Não tem como retirar, e os efeitos podem durar meses. Além disso, há riscos importantes, como: • Aumento de hematócrito (sangue mais grosso, risco cardiovascular) • Acne, queda de cabelo, ginecomastia • Supressão da fertilidade • Agravamento de apneia do sono • E, principalmente, a impossibilidade de controlar a dose. E LEMBRE-SE: você não está sozinho! Clique no like se este vídeo te ajudou de alguma forma! Ative as notificações para não perder nenhum conteúdo novo do canal. Inscreva-se no canal para receber mais dicas de saúde masculina e sexual. Juntos, vamos vencer qualquer desafio sobre sua saúde sexual! ⚠️ AVISO LEGAL 👉 Esse vídeo é meramente educativo e visa orientar a população sobre assuntos de medicina e saúde em geral. Todo o conteúdo tem caráter estritamente educativo. 👉 As informações aqui contidas de forma alguma substituem a consulta médica e também não servem como recomendação de plano de tratamento. Em caso de dúvidas, busque atendimento médico. 👉 A Medicina é uma ciência em constante evolução e algumas informações têm prazo de validade. Os vídeos são produzidos com base nos artigos científicos publicados até a data de postagem do vídeo.

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