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Commonly Nerves or Blood Vessels in Men with Male straight up the distinction. Do Not Work correctly. which keep from happening or continuing them. It Works To make new Blood Flow. The male sexual organ Making It not difficult to reach a goal And Maintain Longer Erections. It Increases the Blood Flow To The male sexual organ By Helping The pathway In the Penis be or fell at ease and extend.

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The pathway In The male sexual organ Extends And make or become solid, Veins. That Usually Carry Away Blood Flow To The male sexual organ Are Condense develop In An Erection. The Erection departs after the sexual act. Men who are now Using Medicines That hold or include Nitrates.

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An opening Dose of 25 Mg. Should Be thought-out singular person Of the Age 65+ and Singular person With Hepatic breakage or uncompromising renal breakage.
Given the range of the interplay with a person treated for medical Problem. Receiving Contributing Therapy with Ritonavir.
It Is Not suggested to be superior to a Maximum separate portion of dose.
Or other consumable of 25 Mg of Black Cobra 125 in Any 48Hour Period.
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And Management of an organization or effort in Patients.
Medical Care for sterility, Should Not Be Used in Many Cases of Men.
Sexual Activity is not Recommended Fundamental Cardiovascular rank.
Patients Who Have in a Pain of Heart Attack, Accomplishment Or Very Dangerous.
Patients With Hypotension taking rest Or Hypertension.
The Patients With Cardiac lack Of success Or Heart Failure Disease.
And Patients With Retinitis colour Should Use Cobra/Viagra With very Large Carefulness.
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Precautions

A starting dose of 25 mg. should be considered individuals of the age 65+ and in individuals with hepatic impairment or severe rena limpairment. Given the extent of the interaction with patients receiving concomitant therapy with ritonavir, it is recommended not to exceed a maximum single dose of 25 mg. of Viagra in any 48 hour period. Sildenafil citrate potentiates the hypotensive effects of nitrates and its administration in patients who use nitric oxide donors or nitrates in any form is therefore contraindicated. Treatments for erectile dysfunction, including Kobra/Viagra, should not be generally used in men for whom sexual activity is inadvisable because of their underlying cardiovascular status.

Patients who have suffered a myocardial infarction, stroke, or life-threatening arrhythmia within the last 6 months, patients with resting hypotension or hypertension, patients with cardiac failure or coronary artery disease and patients with retinitis pigmentosa should use Kobra/Viagra with great caution. The safety of Viagra is unknown in patients with bleeding disorders and patients with active peptic ulceration.Cobra/Viagra should be used with caution by individuals with anatomical deformation of the penis and by individuals who have conditions which may predispose them to priapism. The safety and efficacy of combinations of Viagra with other treatments for erectile dysfunction have not been studied. Therefore, the use of such combinations is not recommended.

Possible side effects

The most frequently observed side effects of Cobra/Viagra includes headache, flushing, dyspepsia and nasal congestion. Less frequent side effects include erections that will not go away and vision changes. In the event that an erection persists longer than 4 hours, seek immediate medical assistance. Other less frequent side effects include urinary tract infection, abnormal vision, diarrhea, dizziness and rash. If you notice other effects not listed above, contact yourdoctor.

Overdose

If overdose of Cobra/Viagra is suspected, contact your local poison control center or emergency room immediately.

Additional information

Keep Viagra/Cobra in a tightly closed container and out of reach of children. Store at room temperature and away from excess heat and moisture (not in the bathroom).

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It has been estimated that impotence (erectile dysfunction, ED) affects 140 million men worldwide. Over half of all men with impotence are thought to have some physical (medical) cause. The remainder are believed to have psychogenic causes of impotence. Medical causes of impotence include diabetes and circulatory, neurological, or urological conditions.

Penile erection is caused by the engorgement of the penis with blood. This engorgement occurs when the blood vessels delivering blood to the penis increase the delivery of blood and the blood vessels carrying blood away from the penis decrease the removal of blood. Under normal conditions, sexual stimulation leads to the production and release of nitric oxide in the penis. Nitric oxide then activates the enzyme, guanylate cyclase, which causes the production of cyclic guanosine monophosphate (cGMP). It is the cGMP that is primarily responsible for the erection by affecting the amount of blood that the blood vessels deliver and remove from the penis.

Sildenafil also reduces the pressure in the pulmonary artery in a serious condition called pulmonary arterial hypertension. Sildenafil inhibits an enzyme called phosphodiesterase-5 (PDE5) which destroys the cGMP. Thus, sildenafil prevents the destruction of cGMP and allows cGMP to accumulate and persist longer. The longer cGMP persists, the more prolonged the engorgement of the penis.