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Mas se você for ler a bula da sildenafila, vai ver lá que além de disfunção erétil, esse medicamento, por ser um vasodilatador, também está indicado para o tratamento da hipertensão pulmonar - mas esse é um tema para outro vídeo. A mais frequente forma de utilização do sildenafil é para disfunção erétil. E a primeira coisa que eu quero que você saiba é que tomar sildenafil sem ter disfunção erétil praticamente não serve para nada. Pode até manter uma ereção por um tempo maior, mas isso vai acabar provocando que, com essa vasodilatação, pode causar uma complicação muito importante que é o priapismo. Priapismo é quando o homem tem uma ereção mantida por mais de 4 horas. Isso acaba sendo uma urgência médica. O homem vai precisar ir para um atendimento de urgência para receber medicamentos e diminuir essa ereção. Se não for feito nada vai apresentar um quadro de dor forte, retenção de urina e até necrose do pênis. 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Outra coisa frequente que me perguntam sobre o viagra: o que acontece se beber? Qual a relação com o álcool? A resposta aqui é simples: o uso de bebidas alcoólicas diminui muito o efeito do sildenafil, mesmo com estímulos sexuais. E além disso é importante prestar atenção em todos os efeitos colaterais do medicamento. La na bula a gente vai encontrar como efeitos adversos dor de cabeça, principalmente por esse efeito vasodilatador da medicação; pode apresentar algum mal estar digestivo, náuseas. Então tudo isso também acaba sendo mais uma justificativo para evitar o consumo de álcool quando usa esse medicamento. O álcool diminui o efeito e ainda piora os sintomas indesejados. Pra finalizar: o sildenafil se toma mais ou menos uma hora antes da relação sexual, mas é importante saber que sem o estímulo sexual o medicamento não provoca nenhum efeito na ereção. 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