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Abstract

Objectives

The present study aimed to evaluate the efficacy and safety of the use of sildenafil citrate and dapoxetine (Viagra) in the treatment of premature ejaculation (PE) in men with PE. The study was performed on 940 PE patients, aged 18 to 87 years, suffering from PE. The efficacy and safety data were obtained after a 4-week course of sildenafil citrate and dapoxetine (Viagra) treatment and following dapoxetine administration.

Methods

The study was a prospective, randomized, double-blind, single-centre, parallel-group, single-dose, randomized, controlled clinical trial that enrolled 940 patients with PE from the outpatient and community medical units of Al-Nuwayi Hospital, Al-Azhar Medical Center, Cairo, Egypt. Patients were diagnosed with PE based on the International Index of Erectile Function (IIEF) score, the International Index of Sexual Function (IIEF-30) scores and the International Index ofitement to Prolongation (IIEF-4). All patients had a PE diagnosis (defined as a PE-related sexual dysfunction [≥3] and persistent penile deformity lasting for more than 4 years), and had been treated with the treatment with sildenafil citrate (100 mg/day), dapoxetine (150 mg/day) and their combination with a combination of sildenafil citrate and dapoxetine (25 mg/day) for 2 or 4 weeks. The treatment was started at the start of the study and continued for 5 consecutive days, and the patients were followed up for a total of 10 weeks.

Results

The study had a total of 940 patients. The mean age of the patients was 47 years (range: 26 to 85 years). The mean IIEF scores and the mean IIEF-30 scores were 36.5 (95% CI: 32.1 to 41.6), and 36.8 (95% CI: 29.8 to 42.8) respectively. The mean age of the patients was 47.8 years (range: 27 to 85 years). The most common comorbidities were diabetes mellitus (18.6%), hypertension (12.9%), hyperlipidemia (5.8%), cardiovascular disease (2.8%) and dyslipidemia (1.8%).

Conclusions

Sildenafil citrate and dapoxetine (Viagra) treatment improved the patient’s PE severity and the improvement in the IIEF-30 score compared with the placebo group. Dapoxetine treatment had a positive impact on the IIEF-4 scores, as well as the IIEF-2 scores, and improved the IIEF-3 scores. The efficacy and safety of sildenafil citrate and dapoxetine were confirmed in the study and confirmed in the literature. Therefore, sildenafil citrate and dapoxetine (Viagra) treatment may be a potential alternative for the treatment of PE in this population.

Citation:Lahab J, Mazzilli L, Khera N, Al-Azhar Medical Center, Al-Azhar Medical Center, Cairo, Egypt, 2023;Baktili M, Tamburlan S, Nizami N, et al. (2023) A multicenter, open-label, randomized, double-blind, parallel-group, single-dose, randomised controlled trial evaluating the efficacy and safety of sildenafil citrate and dapoxetine (Viagra) in the treatment of premature ejaculation. PLoS ONE 15(7): e0222635. https://doi.org/10.1371/journal.pone.0222635

Editor:Rafael A. Cunha, Faculty of Health Sciences, University of Côte d’Ivoire, Republic of Belgium,Revised2023

Received:April 23, 2024;Accepted:June 8, 2024;Published:July 7, 2024

Copyright:© 2023 Baktili et al.

IMPORTANT NOTICE: Please be aware, prior to sale, you are advised to have a short phone call consultation with our Pharmacist. Automatic purchase consents the Pharmacist to give you a quick call.

Viagra Connect is available without a Prescription but requires a brief consultation with the Pharmacist. It is available in a 4 pack or an 8 pack. Viagra Connect contains Sildenafil 50mg which works by relaxing the penis blood vessels, allowing blood to flow when you get aroused causing erections and potency. Viagra Connect will only help men become erect if you are aroused. Only for adult use, men 18 years plus.

How to be taken:

  • The recommended dose is one 50 mg tablet taken with water approximately one hour before bedtime activity
  • The maximum recommended dosing frequency is once per day
  • The onset of sexual activity may be delayed if Viagra Connect is taken with food, compared to without food
  • Please read Instructions provided with the product carefully before taking.

VIAGRA CONNECT is not to be taken if:

  • There is no problem with gaining erections.
  • Nitrate medicine is taken for chest pain or heart failure
  • Amyl nitrite, so-called “poppers”, is taken as recreational drugs
  • Riociguat (or other guanylate cyclase stimulators) is taken for high blood pressure in the lungs
  • Ritonavir is taken for the treatment of HIV
  • Your Doctor has advised you to avoid activity because of a problem with your heart or blood vessels
  • You have a heart problem such as a recent heart attack or stroke (within the last 6 months), Chest pain (Angina) or severe Heart failure (reduced pumping capacity of the heart)
  • You have a liver problem
  • You have low blood pressure (below 90/50 mmHg) which can cause symptoms such as tiredness, dizziness, light-headedness, feeling sick, clammy skin, depression, loss of consciousness, or blurry vision
  • Loss of vision has occurred before because of nerve damage in the eyes, such as non-arteritic anterior ischaemic optic neuropathy (NAION); or have a rare inherited eye disease, such as retinitis pigmentosa
  • You have a deformed penis
  • You are a woman
  • You are under 18 years of age
  • You are allergic to sildenafil or any of the other ingredients of this medicine

Please read instructions carefully provided.

Viagra Connect is a fast acting drug for erectile dysfunction which can last up to 4 hours and takes effect within 30 minutes after administration.

Sildenafil Citrate 50 mg Tablets: This tablet is specifically formulated to treat the symptoms of erectile disfunction and is highly effective in treating it, the most common sexual disorder affecting men over the age of 40 years. Provides a solution to erectile dysfunction in men who suffer from impotence due to conditions such as heart disease or diabetes, or who have problems with their physical or mental health.

Viagra Connect ensures fast and effective results that last as long as 36 hours and come without side effects. It works by relaxing the blood vessels in the penis, allowing blood to flow into the phallus when you get sexually excited and causing the desired stiffness.

Add this Medicine To Your Own Do I Take Note: The active ingredient listed on the label is sildenafil which is only intended to be taken as prescribed.

This is not a complete list of all the uses and interactions with other medicines. If you require any further information about this product, please do not send him or her by checkmark.

This product is being licensed only for men who suffer from erectile dysfunction (ED). You are advised not to have any furtherummy reasons to buy this product.

This is not a complete list of all the possible interactions with medicines.

This is not a complete list of all possible interactions with medicines.

What is Viagra Connect?

Viagra Connect is an effective treatment for erectile dysfunction (ED). Erectile dysfunction is a common problem that includes difficulty getting or keeping an erection. If you’re affected by erectile dysfunction, there is treatment and support available that can help, including medicines such as Viagra Connect.

If you have a low libido, understanding the cause of this and getting help to increase your libido, may change the way you think and feel about sex. There is support available that may help, including talking to a professional such as a psychologist or counsellor. Your doctor may be able to refer you for counselling, or you can.

How does Viagra Connect work?

Viagra Connect relaxes the blood vessels in the penis to increase blood flow. This means that you can get an erection when you’re sexually aroused. After sexual activity, your erection will go away as it normally would.

How should I take Viagra Connect?

If you’ve decided to take Viagra Connect to treat your erection problems you should swallow one whole tablet with some water, about an hour before you want to have sex. Don’t take more than one tablet a day.,

Remember to read the instructions that come with the medicine carefully, or talk to a pharmacist or your GP if you’re not sure how to take Viagra Connect. They’ll be able to give you more information and support.

Viagra Connect isn’t suitable for everyone, including people with some other health conditions such as heart problems. Talk to your GP or a pharmacist about whether Viagra Connect is the best treatment option for you.

How long does it take for Viagra Connect to work?

It usually takes about one hour for Viagra Connect to start working., Most people take one tablet about an hour before they want to have sex. But everyone is different and for some people, it may take more or less time to get an erection after taking Viagra Connect.

After sex, your erection should go away normally. If it doesn't, contact your GP, a pharmacist, or.

How long does Viagra Connect last?

Once you've taken Viagra Connect, it will stay active for up to four hours.

How long does Viagra Connect work? prolonged5 time with 2 hours’ active use50, 100 with 4 hours’ active use101

Ferdinand de Schopf ile gel 100 times 100 times, Viagra Connect allows all supply of erectile dysfunction medication.

Find out more information about the possible side effects.

What are the side effects of Viagra Connect?

Like all medicines, Viagra Connect can cause side effects. But not everyone experience side effects. There are several side effects that may happen with Viagra Connect including:

  • Headaches
  • Flushing
  • Upset stomach
  • Nasal congestion
  • Diarrhoea

Contact your doctor if you have any concerns.

There may be other uses of Viagra Connect you need to know. Let’s get started:

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Viagra Connect is a registered antidepressant in the European Union.becca.genezetti.colombina.it

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How do you tell?

The rate of blood flow to your penis is increased when you’re sexually aroused. There may be a certain time period when your body needs the blood flow to give you an erection. It may take a while for your body to get used to the fact that you’re getting an erection.

If you’re taking Viagra Connect and have ever had an erection that lasted more than 4 hours, you should check the time of the bleeding, and get medical help. There may be a blood clot in your penis, or you’re taking another medicine. You may need to take several blood tests before determining the time of the bleeding.

Treatment of Sexual Dysfunction

Men who have difficulty or problems with their sex life can be helped by having a doctor examine them. It is important to have sex on the correct day of the month to make sure the doctor is treating the man’s sex problems. You can get a prescription for Viagra (sildenafil) in the market from a doctor. The doctor will examine you prior to prescribing the medication. It is important to have sex on the correct day of the month to make sure the doctor is treating the man’s sexual problems. You can buy Viagra online from a doctor who will examine you before prescribing it to you. If you need Viagra for treating sexual problems, you can use a prescription from a doctor who will examine you. It is very important to have sex on the correct day of the month to make sure the doctor is treating the man’s sex problems. It is very important to have sex on the correct day of the month to make sure the doctor is treating the man’s sexual problems. You can get a prescription for Viagra in the market from a doctor who will examine you before prescribing it to you.

Viagra has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Viagra use include:

  • Headache
  • Heartburn
  • Congestion
  • Nasal bleeding (bloody nose)
  • Nausea
  • Diarrhea
  • Muscle aches or pains
  • Flushing
  • Facial pain or tenderness
  • Vision changes
  • Light sensitivity

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any nitrate medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

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This medication can cause a dangerous drop in blood pressure. If you have heart disease, may be experiencing symptoms of a heart attack, or are over training to become a nurse, seek medical attention immediately. As with all medication, inform your health care provider of any risks and should you experience any, including cardiovascular risks, seek medical attention immediately.