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At the time of its approval, Viagra had the fastest initial sales growth following its launch of any prescription product, reaching 2008 sales of close to 2 billion. Pfizer promoted Viagra and ED awareness via direct-to-consumer (DTC) advertising, which prompted men to seek medical advice and a prescription from their doctors. For many men, the stigma and embarrassment of talking to their can you last longer viagra dosage about ED has declined since the introduction of Viagra and other PDE5 inhibitors. The Impact of Erectile Dysfunction (ED) ED, or the inability to achieve and maintain an erect penis for sexual function, can lead to performance anxiety, a negative impact on self-esteem and personal relationships, and even clinical depression. In a survey published in BMJ62 percent of men reported a decline in self esteem, 29 percent reported a negative effect on a relationship, and 21 percent reported that their relationship had ceased due to ED.

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Fraunfelder, Visual side effects associated with erectile dysfunction agents, Am J Ophthalmol 140 (2005), pp. 7238211;724. SummaryPlus | Full Text Links | PDF (64 K) | View Record in Scopus | Cited By in Scopus (11) [12] D. Kamming and S. Clarke, Postoperative visual loss following prone spinal surgery, Br J Anaesth 95 (2005), pp. 2578211;260.

References. Goldstein I, Lue TF, Padma-Nathan H, Rosen RC, Steers WD, Wicker PA "Oral sildenafil in the treatment of erectile dysfunction. " N Engl J Med 338 (1998): 1397-404 Montorsi F, McDermott TED, Morgan R, Olsson A, Schultz A, Kirkeby HJ, Osterloh IH "Efficacy and safety of fixed-dose oral sildenafil in the treatment of erectile dysfunction of various etiologies.]