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Reason for using: difficulties sustaining an erection.Side Effects: The first time there was annoyance and farthest flushing of the face. Now just a gentle headache.WOW! It was amazing! It was like being 18 again. Bang some out before the evening was through. Almost sensed giddy and humilitated to notify my medical practitioner about my reaction. Definitely worth the price. BTW Ive furthermore endeavoured the 'generic' sidenafil and had alike results. Think i will stay with my prescription viagra for now. Very effective. Take without nourishment to help absorption rapidly and last longer. Effect does *not* run out in 4 hours. I have taken as little as 10-15 mg and sensed the advantages for well over 12 hours. This of course will be distinct for everyone. Would suggest beginning with a very, very reduced dose. My first dose of 25mg made my penis injure due to the long lasting and continual erections. Here are my recommendations and pieces to address founded on my individual experience: 1. Take without nourishment 1 hour before love-time. It takes a bit to boot in. I have habitually sensed a little "preview" effect of Viagra in about 15 minutes....but then it actually boots in after an hour. To get the Viagra raging torrent through your penis, manipulate yourself a little (may not take much...just an additional couple of giggles in the restroom). 2. Drink allotments of water. Dehydration is BAD for erections. 3. Pop a twosome of tums or rolaids. Viagra can make your stomach acidic. 4. Pop a wind mint as it can give you tart breath. 5. Take a very, very reduced dose the first time. Also, take it while you are solely so you can get utilised to how much you actually need and the benefits. DON'T take it for the first time with your partner. 6. Don't take it too often because it can make your prostate enlarge up. So don't take it every other day so you can masturbate for 3 hours. 7. Headaches are common...pop a twosome Advil with it. 8. Once you are having sex, it will hold your erection going even if what you are doing doesn't seem that good. This is BAD. You don't desire to get utilised to having sex in places that don't seem good to you, since your erection will extend, but you may not be adept to "get back into it" and have an orgasm. Certainly, there are times when this may be alright, but it gets inapt when you are in bed with a woman, have a rock hard erection, and you can't have an orgasm. Women inquire questions. And if she doesn't understand you are taking Viagra, she will likely number it out. Good luck!!! Reason for using: I have multiple sclerosis.Side Effects: I habitually awaken up with a annoyance after taking viagra at night. I have furthermore been experiencing a critical throbbing of the bones/joints which may or may not be related.In considers to assisting with erections, the merchandise works like a charm. I get outcomes in 20 minutes after taking the medication. My wife antics about it, but absolutely relishes the results. Reason for using: substandard erections.Side Effects: nasal congestionA large drug. Sex was OK, but I was evolving preoccupied about getting and sustaining erections. Also, erectile value was not anything like it utilised to be. Now, Sex is effortless. I'd recommned utilising an OTC nasal squirt to bypass jamming, however. Reason for using: To sustain erection.Side Effects: Worked large for that purpose. Felted flushed, After the last time I had bleeding in one eye with producing very dark floaters in the eye. In retrospect, I had a alike outcome in the other eye on a preceding meeting but didn't concern it at the time. The plus--the floaters have gradudally dissapated. Visual acuity didn't suffer.Not certain if I'll extend to use it. Must converse to my GP and opthamalogist. The ranking of 4 is for effectivenes, although 1 may be my last rating. Not a common user