Nizagara is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, Nizagara works by increasing blood flow to the penis to help a man get and keep an erection. This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). Practice “safe sex” such as using latex condoms. Consult your doctor or pharmacist for more details.
Impotence is a common problem among men and is characterized by the consistent inability to sustain an erection sufficient for sexual intercourse or the inability to achieve ejaculation, or both. Erectile dysfunction can vary. It can involve a total inability to achieve an erection or ejaculation, an inconsistent ability to do so, or a tendency to sustain only very brief erections.
The risk of impotence increases with age. It is much more frequent in men in their 60s compared with those in their 40s. Men with less education are also more likely to experience impotence, perhaps because they tend to have less healthy lifestyles, eat a less healthy diet, drink more, and exercise less.
Causes of impotence are many and include heart disease, high cholesterol, high blood pressure, obesity, metabolic syndrome, Parkinson’s disease, Peyronie’s disease, substance abuse, sleep disorders, BPH treatments, relationship problems, blood vessel diseases (such as peripheral vascular disease and others), systemic disease, hormonal imbalance, and medications (such as blood pressure and heart medications).
How to use Nizagara Tablet
Read the Patient Information Leaflet provided by your pharmacist before you start taking Nizagara and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
To treat erectile dysfunction-ED, take this drug by mouth as directed by your doctor, usually as needed. Take Nizagara at least 30 minutes, but no more than 4 hours, before sexual activity (1 hour before is the most effective). Do not take more than once daily. A high-fat meal may delay how quickly the drug begins to work.
The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
How To Spot Fake Nizagara
An eye-opening study presented at the 2012 World Meeting on Sexual Medicine found that more than 75 percent of a major sex pill ordered from 22 online sites was counterfeit. Your chances of identifying counterfeit Nizagara on the basis of appearance alone are very slim indeed. So sophisticated are most drug counterfeiters that they are able to duplicate pill appearance and packaging so closely that even pharmaceutical experts usually must turn to chemical analysis to prove definitively that these drugs are fake.
What Can You Do?
Given the unlikelihood of detecting fake Nizagara on appearances alone, what other steps can you take to avoid falling victim to drug counterfeiters, particularly when ordering drugs online? Here are some suggestions from the National Association of Boards of Pharmacy that were contained in NABP’s Internet Drug Outlet Identification Program, released in July 2013.
- Beware of any website that offers to sell you Viagra or other impotence medications without a prescription. In the United States, all FDA-approved ED drugs can be purchased only with a doctor’s prescription. NABP found that nearly 90 percent of the online pharmacies on its “Not Recommended” list sell drugs without requiring a prescription.
- Don’t order from online pharmacies that don’t clearly state that the medications they offer are 100 percent FDA-approved.
- Be especially wary of online pharmacies that are based outside the United States or that supply their medications from foreign sources.
- Avoid purchases from online pharmacies that list no street address or other contact information.
- Don’t buy from websites that fail to protect sensitive personal information with SSL (Secure Socket Layer) encryption. While the absence of SSL encryption doesn’t necessarily say anything about the authenticity of the drugs sold by the website, it does mean that a customer’s financial and medical information is easily accessible to anyone who chooses to use it for his or her own personal gain.
Men’s natural reluctance to admit they are having difficulty achieving and maintaining an erection strong enough for sexual activity helps the counterfeiters of Nizagara and other ED drugs to continue prospering. Many men would prefer to keep their sex lives and problems as private as possible, which drives them to search out easy ways to buy these drugs online.
Vendors of Fakes Proliferate
As quickly as law enforcement agencies close down one online vendor of counterfeit Viagra, another one almost certainly will pop up elsewhere to take its place. The scope of the problem is so vast that it frustrates the enforcement capabilities of regulatory agencies around the globe.
However, the presence of these bad apples among the online pharmacies selling Nizagara should in no way discourage potential customers from ordering impotence medications online. The lesson here is to be extremely careful in your selection of an online pharmacy.
Exercises for Improving Erectile dysfunction
If you suffer from ED, proper diet (less sodium, alcohol, sugar and fat) and exercise are key to improving erectile dysfunction. To promote a healthy lifestyle, and fight the symptoms of ED, try these exercises below:
- Kegel Exercises
One of the most common and beneficial erectile dysfunction exercises are kegels. In order to combat the effects of ED, you need to strengthen the muscles in your pelvic floor. Kegels, when practiced correctly, are the perfect way to do just that!
In men, kegels target and strengthen the bulbocavernosus muscle. This muscle allows the penis to fill with blood during an erection, pump during ejaculation and empty the urethra after urination. By targeting this muscle, you should be able to see longer lasting and satisfying erections.
If you practice kegels every day, multiple times a day, you’re bound to notice improvements in ED. The best part is, kegels can be done anywhere! You can practice kegel exercises lying down, sitting and standing.
Kegels are also known to improve other issues such as urinary incontinence and other common urinary problems. They can also positively impact your sex life!
How To Perform Kegel Exercises On Your Own Time
Before jumping into kegel exercises, it’s best to locate the bulbocavernosus muscle. The best and easiest way to do this is by stopping your stream multiple times during urination. The muscle you use to do that is the one you need to target with kegels!
Be sure you aren’t clenching muscles in your buttocks, stomach or legs instead—you won’t see the same results if so.
To perform kegels, begin by either lying down, sitting down or standing. Clench the bulbocavernosus muscle and hold for three seconds. Release, and repeat three to five times. Repeat this process at least three times daily for the best results.
As your muscle gets stronger, increase from three seconds to five seconds, and so on. Challenge yourself to hold for longer periods of time. The goal is to hold the muscle for at least ten seconds, five separate times, at least three times a day. The more you are able to strengthen this muscle, the better the chances are for you to see results.
Results won’t happen immediately either. As with any muscle, it will need time to tone and strengthen. Give yourself at least four to six weeks before expecting results.
Exercise Tip: If you’re struggling with locating your pelvic floor muscles, think of squeezing the muscles in your anus. This may be an easier way to complete kegel exercises and see ED results.
- Pilates Exercises
Practicing regular pilates exercises is also a great way to fight ED. Here are some pilates exercises you should try:
Knee Fallouts
Knee fallouts are very easy, and are the perfect add-on to your kegel exercises. Start by lying on the floor with your knees bent and feet on the ground.
Engage your pelvic floor muscles and slowly lower one knee sideways towards the ground. Keep both feet on the floor and only lower your knee as far as it can go while engaging pelvic muscles.
Bring your knee back to center and repeat with the other knee. Complete at least five repetitions on each knee, with the goal of building it up to 10 repetitions on each side.
Supine Foot Raises
Just like with knee fallouts, begin by lying on the floor with both knees bent and feet on the ground.
Engage the pelvic floor muscles and lift one foot straight out into the air, creating a 45-degree angle. Hold this position for a few seconds.
Slowly place your foot back on the ground and repeat on the other side.
Pelvic Curl
Also known as “bridge”, this exercise is common in pilates. Begin by lying on the floor, hands by your sides, knees bent and feet on the ground.
Engage your pelvic floor muscles and lift your buttocks into the air. The weight of your body should be on your shoulders.
Tighten your buttocks and hold for a few seconds. Exhale and release while slowly lying back down on the ground.
Repeat this at least four to five times, and work up to 10 repetitions for the best results!
- Aerobic Exercises
According to a 2018 study on physical activity’s impact on ED, aerobic exercises are proven to fight the effects of ED if practiced at least four times a week. Exercises should last at least 40 minutes and you should maintain a steady routine of exercise for at least six months to see improvements with ED.
Some aerobic exercises you may want to try are:
- Boxing
- Rowing
- Cycling
- Running
These exercises will not only help potentially eliminate ED, but they will also improve the risk factors associated with erectile dysfunction. Aerobics can improve your cardiovascular health and fight against issues such as obesity while increasing your levels of activity—all of which increase your risk of living with ED.
