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If you are not sure whether you should start taking CIALIS, talk to your doctor.1996 republican presidential candidate Bob Dole, 74, praised the erection inducer on "Larry King Live." A participant in Viagra's clinical trials, the former Senate Majority Leader pronounced it a "great" and "effective" drug. When pressed by reporters for her appraisal, Elizabeth Dole tittered in approval: "Let me just say - he was in the protocol, and it is a great drug." (It's safe to assume the American public could have lived without that image.) viagra 25 mg and alcohol Yet despite these contrasts, nearly half of approximately 300,000 men who seek renewed sexual vigor via Viagra each week are being fully or partially reimbursed by their health insurers. Additionally, insurers are reimbursing up to 73 percent of impotence patients using less sexy treatments such as Caverject, which requires an injection in the urethra. Medicaid programs in at least 10 states now "guarantee satisfying sex for the impotent poor." States such as Arkansas, Florida and Maryland subsidize 4 to 6 medicinal erections per month, while Utah covers 10 (to help men "approach normality," said Duane Park, Utah’s Medicaid drug utilization reviewer). Viagra seekers in Montana must merely cover a $2 copayment typically required for prescription medications.Since Viagra is used as needed, you are not likely to miss a dose.One randomized, double-blind, flexible-dose, placebo-controlled study included only patients with erectile dysfunction attributed to complications of diabetes mellitus (n=268). As in the other titration studies, patients were started on 50 mg and allowed to adjust the dose up to 100 mg or down to 25 mg of Viagra; all patients, however, were receiving 50 mg or 100 mg at the end of the study. There were highly statistically significant improvements on the two principal IIEF questions (frequency of successful penetration during sexual activity and maintenance of erections after penetration) on Viagra compared to placebo. On a global improvement question, 57% of Viagra patients reported improved erections versus 10% on placebo. Diary data indicated that on Viagra, 48% of intercourse attempts were successful versus 12% on placebo.

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