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  • Cialis Buy Online

  • Visual disturbances (color perception)
    The frequency of occurrence of side effects depends on dose and individual sensitivity. It also depends on food intake before using pills for erection. On a full stomach the frequency of side effects as the effectiveness of the medications below.

  • Absolute contraindication to receiving pills for erection is their intolerance (Allergy) and simultaneous reception of organic nitrates (Nitroglycerin, Sustac, Nitrong, Nitrosorbid, Arina, etc.). At the same time taking pills for erection and organic nitrates may occur fatal drop in blood pressure. Highly undesirable and potentially dangerous purpose of tablets for erection ФДЭס from the group of inhibitors patients with the following diagnoses:

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When I masturbate fine. Gets up quickly, cum quickly, comes back 10 minutes later, long cums. Everything seems in the normal range. But as it comes to practice.
And it seems not even a psychological problem, because attempts were already enough to stop worrying. And really do not feel the excitement. Order 40mg CIalis Los Angeles, California! For me trying to sleep with a woman has already become quite common. But, nevertheless finish, these attempts success fails.

 

These drugs act selectively in the vascular tissue of the penis and virtually harmless. They do not cause persistent negative effects with prolonged and regular use. Of any addiction to pills for erection does not develop. Except purely psychological dependence. Once you have tried the pill for erection and felt much better the quality, feeling again lost lust, a man sometimes not want to give up Viagra, Cialis or Levitra. This is similar to how once sat down behind the wheel of a quality foreign car driver, is committed no longer sits behind the wheel of a Lada.

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In such cases, under medical supervision it makes sense to try means second-line treatment or injections into the penis of vasodilator substances. If that does not work — must use one of the options of surgical treatment. It should be remembered that the highest efficiency among all treatments ED has a penile prosthesis.

Viagra, Cialis and Levitra have absolutely the same mechanism of action and are selective (selective) inhibitors of the activity of the enzyme phosphodiesterase 5-th type.

 

This enzyme in turn inhibits the production of smooth muscle cyclic guanosine — monophosphate (CGMP), which is formed from guanosine-monophosphate (GMP) under the action of nitric oxide (NO). The main function of CGMP is the relaxation of smooth muscles of the cavernous (cavernous) bodies of the penis. When inhibited action ФДЭס in the corpora cavernosa accumulate significantly greater amounts of CGMP, much better relaxing their smooth muscles and the penis is directed substantially greater amount of blood which causes erection.