Nizagara® 100 mg reviews customer | Sildenafil effect
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Brief description of Nizagara® 100 mg
Nizagara® 100 mg is a drug for the treatment of erectile dysfunction, belonging to the group of phosphodiesterase type 5 inhibitors (PDE-5). Provides a stable and full-fledged erection, sufficient for sexual intercourse. Sildenafil is the active ingredient of the legendary Viagra. Sildenafil was synthesized in 1998 and became the first truly effective and safe tablet drug for the treatment of such a common disease as erectile dysfunction. To understand the mechanism of action of sildenafil, it is necessary to go a little deeper into the biochemical “wilds”. First of all, it should be noted what an important role in the functioning of the cardiovascular system is played by the endothelial relaxing factor, aka nitric oxide (NO). Formed in the vascular endothelium, NO penetrates into the smooth muscle tissue, where the enzyme guanylate cyclase “wakes up”. As a result, the cellular concentration of cyclic guanosine monophosphate (abbreviated cGMP) increases sharply, which, in turn, prevents the penetration of calcium ions into the cells, which leads to a decrease in vascular tone. But there is also a negative character – the enzyme phosphodiesterase (PDE). It destroys cGMP, which limits the vasodilating effect of NO. To date, it has been established that the most active in this regard is PDE-5. Thus, suppressing its activity enhances the effects of NO. Now you need to understand what lies at the heart of the development of an erection. The condition for its occurrence is the relaxation of the smooth muscle “corset” of the arteries that carry blood to the cavernous bodies of the penis. This relaxation “organizes” the NO released by the endothelial cells. Nizagara® 100 mg Sildenafil potentiates the effects of the latter by removing the natural barriers to blood flow to the glans penis. The clinical efficacy of Nizagara® 100 mg has been demonstrated in a number of large randomized trials:
- In one study, after 12 weeks, a clear improvement in erection was observed in 76% of patients who took sildenafil, compared to 22% who were satisfied with a placebo.
- The high effectiveness of the drug was observed in representatives of different age groups: even in people over 65 years of age, the drug worked in 69% of cases.
- One of the risk factors for erectile dysfunction is hypertension. Sildenafil has a weak antihypertensive effect, but its use by hypertensive patients who are “sitting” on antihypertensive drugs does not potentiate the effect of the latter, so such persons can fight erectile dysfunction on a general basis.
- Another key risk factor for erectile dysfunction is smoking, which has been found in clinical trials to have no effect on the effectiveness of sildenafil.
- The drug Nizagara® 100 mg has another truly miraculous property: in patients suffering from psychogenic erectile dysfunction, it not only improves erection, but also helps to eliminate depression.
- A separate conversation is about people who have erectile dysfunction developed against the background of diabetes. In this category of patients, it is most difficult to get a therapeutic response to pharmacotherapy. The effectiveness of Nizagara® 100 mg in such cases depends on the severity of diabetes mellitus and the presence of complications. However, even in such difficult conditions, the drug showed its best side: so, in one of the clinical studies, an improvement in erection was noted in 69% of patients taking sildenafil (in fairness, it should be noted that these were patients without complications).
- Thus, Nizagara® 100 mg is definitely a “working” drug: its effectiveness does not decrease over time, which makes possible long-term pharmacotherapy.
- Side effects of the drug Nizagara® 100 mg, as a rule, are mild and manifest only at the beginning of treatment.
Nizagara® 100 mg: customer and pharmacist reviews
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