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    Viagra is the most popular and hugely successful sexual regeneration drug and is the preferred choice for all those men who are suffering from sexual impotency. It is reviewed with mixed results although there have been many who have touted its success. In Malta, the name is spoken about with a certain derision since any talk about sex is taboo in this close minded Mediterranean island but you will find that several pharmacies and other health shops stock it in copious numbers and in a variety of shapes and sizes. The most popular and widely used form of Viagra and which is readily available in Malta is the 100mg Sildenafil pill. This is usually prescribed by any doctor as a form of countering sexual impotence and is also quite light with few or actually no side effects. If one wants to go for a larger dosage or a different size of pill then there is the capsule which is of the same brand but which is swallowed whole with some water. This means that the dosage is practically identical and the effects are basically the same. Uk spoke exclusively to Mr Vivek Wadhwa, Consultant Urologist at Spire Parkway Hospital in Solihull, about viagra, exactly what it does, how to use and it where to get it. Phosphodiesterase-5 is the type of drug used in Viagra medication. The NHS says: “Phosphodiesterase-5 (PDE-5) inhibitors are one of the most widely used and effective types of medication for treating erectile dysfunction. “They work by temporarily increasing the blood flow to your penis. Sildenafil, vardenafil and avanafil work for about eight hours and they are designed to work 'on demand’.”While all these medications are often mistakenly referred to as Viagra as the term is also a brand name. Vardenafil is sold under the brand name Levitra, while avanafil is sold under the brand name Spedra.“It’s not a magic pill,” Mr Wadhwa explained. Only one of the drugs that might be prescribed by your doctor is actually Viagra. “You need to take it an hour before the anticipated act.”After taking the drug you do need to be sexually stimulated - so do not expect an erection to spontaneously appear. “You will need to be stimulated, meaning you and your partner will have to do some foreplay,” Mr Wadhwa explained.

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