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Clinical controlled trials began using a very diverse group of participants including those with diabetes, those with spinal cord injuries, and those with a history of prostate surgery. Etc. The results were found to be extremely effective, so much so that a mere six months later the FDA approved Viagra. Sildenafil, which is a chemical compound UK-92,480 was created by some pharmaceutical chemists that worked at Pfizer in England. Because it didn't work out so well for the treatment of angina, Pfizer decided to go forward with it to treat erectile dysfunction. It was approved by the FDA in 1998 as the very first oral treatment for erectile dysfunction in the United States. In the two year period 1999-2001 Viagra sales were over $1 billion.
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Why Do Diabetics Get Erectile Dysfunction? Most diabetic men who are considering Viagra for their problems with impotence have experienced nerve damage as a result of their diabetes. This nerve damage can prevent the body from sending the proper signals to the brain to let it know that sexual stimulation is occurring and sexual arousal should begin. Without Viagra, those with nerve damage may have a somewhat bleak future in the bedroom. Nerve damage is usually caused by extremely high levels of blood sugar. The need for Viagra generally tends to occur most often in those who have or have had poorly controlled diabetes, in which high sugar levels have damaged the nerves that send reaction signals between the brain and parts of the body, such as the penis.

Use of Viagra is an absolute no if you are using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, or recreational drugs such as amyl nitrate or nitrite ("poppers"). Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Avoid drinking alcohol, which can increase some of the side effects of Viagra. Do not use other medicines to treat impotence, without first talking to your doctor. Take Viagra exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor.

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