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Voy a explicar los problemas visuales con Viagra y similares. En medicina cuando un hombre no puede conseguir o mantener la erección del pene en el momento de las relaciones sexuales decimos que tiene una disfunción eréctil. Los fármacos más empleados para tratar la disfunción eréctil son: el Sildenafilo (Viagra), Tadalafilo (Cialis), Avanafilo (Stendra) y el Vardenafilo (levitra). Son inhibidores selectivos de la fosfodiesterasa tipo 5 (PDE5) de todos los tejidos vasculares del organismo, incluidos los de la retina y coroides. Producen erección del pene y además vasodilatación con aumento del flujo sanguíneo en todo el organismo. Dichos fármacos inhiben también, aunque con menos selectividad y menos intensidad, la fosfodiesterasa tipo 6 presente exclusivamente en los fotorreceptores (conos y bastones) de la retina. Por tanto, los efectos visuales adversos dependen de ambas enzimas. Efectos oculares adversos Los problemas visuales suelen ser leves, transitorios y reversibles. No suelen durar más de cinco horas pero en algunos hombres duraron hasta 3 semanas, sin efectos a largo plazo. Los pacientes notan visión azul, fotofobia ligera (aumento del brillo de las luces, visión borrosa, hiperemia, irritaciones querato-conjuntivales y cambios en el electrorretinograma. En ocasiones se eleva la presión intraocular, retinopatía serosa central, neuropatía óptica isquémica y alteraciones del ERG. De los fármacos empleados, el sildenafilo es el que presenta más efectos secundarios visuales. Los efectos visuales adversos aparecen en 3-11% de los hombres que toman 25-100 mg de sildenafil y muchos más con dosis muy elevadas. Los efectos adversos dependen de la dosis tomada: Más no es mejor. Según la prestigiosa revista JAMA Ophthalmology hay tres enfermedades oculares más frecuentes en pacientes que toman fármacos para la disfunción eréctil: El desprendimiento seroso de la retina central (2,58 veces más probable), la neuropatía óptica isquémica (2,02 veces más probable) y la oclusión vascular arterial o venosa de la retina (1,44 veces más probable). Los problemas visuales citados son muy poco frecuentes, pero como son muchos millones los usuarios de estos fármacos en todo el mundo, hay muchas personas que pueden padecerlos Casos especiales Se deben tomar precauciones al tomar fármacos para tratar la disfunción eréctil en ciertos problemas de salud como la Neuropatía Óptica Isquémica anterior no arterítica (NOIANA), la retinosis pigmentaria y cuando se toman ciertos medicamentos. Neuropatía óptica isquémica anterior no arterítica (NOIANA) Produce pérdida visual repentina en uno de los ojos. Sucede cuando el flujo de sangre del nervio óptico queda bloqueado. Retinosis Pigmentaria. (Retinitis pigmentosa) Ya he dicho que los fármacos empleados en la disfunción eréctil inhiben la fosfodiesterasa 5 y la 6 presente exclusivamente en los fotorreceptores de los conos y bastones de la retina. Los pacientes con retinosis pigmentaria tienen menos PDE6 de lo normal y por eso, dichos fármacos pueden dañar les más su visión ya deteriorada por su enfermedad. Antes de tomar fármacos para la disfunción eréctil deben consultar al médico los pacientes con retinosis pigmentaria, los portadores del gen, aunque su visión sea normal y las personas con antecedentes familiares de dicha enfermedad. Empleo de fármacos Los fármacos para la disfunción eréctil como el sildenafilo, se metabolizan en el hígado principalmente por la enzima CIP3A4 del citocromo P450. Ciertos fármacos como los antibióticos macrólidos y los bloqueantes de los canales del calcio inhiben dicha enzima y aumentan la concentración de sildenafilo en plasma y sus efectos secundarios. ¿Vale la pena el riesgo de tomar Viagra? Desde su comercialización, se han prescrito muchos millones de fármacos para la disfunción eréctil y se han notificado muy pocos efectos visuales adversos. Los expertos no desaconsejan su empleo Los médicos de cabecera deben supervisar el tratamiento y comprar dichos fármacos en farmacias legalizadas o en lugares de confianza. Las compras “on line” no están reguladas y en ocasiones no cumplen los estándares de calidad y seguridad. Las compras por internet favorecen su uso irracional y sus riesgos. Conclusión Los fármacos para la disfunción eréctil no afectan la agudeza visual, los campos visuales ni la sensibilidad al contraste. Pueden ocasionar un deterioro leve y transitorio de la discriminación de colores, cuando el fármaco alcanza los niveles plasmáticos máximos. Los problemas suelen ser leves y transitorios y se aconseja suprimirlos si se observa coriorretinopatía serosa central, NOIANA u otras enfermedades oculares. Se deben usar con precaución en pacientes con problemas cardiovasculares y con distrofias retinianas como la retinosis pigmentaria

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Legendz XL is a popular male enhancement supplement that claims to boost sexual performance, increase stamina, and improve overall sexual health. With so many male enhancement products on the market, it can be overwhelming to choose the right one. In this comprehensive review, we will dive deep into the ingredients, effectiveness, and potential side effects of Legendz XL to help you make an informed decision.

Ingredients

Legendz XL contains a blend of natural ingredients that are known for their ability to improve sexual performance and libido. Some of the key ingredients include:





Tongkat Ali: A powerful herb that has been used for centuries to enhance libido and treat erectile dysfunction.

L-Arginine: An amino acid that helps increase blood flow to the genital area, leading to stronger and longer-lasting erections.

Effectiveness

Many users report positive results after taking Legendz XL, including increased libido, improved stamina, and better overall sexual performance. However, the effectiveness of this supplement may vary from person to person. It is important to consult with a healthcare professional before starting any new supplement regimen.

In addition to improving sexual performance, Legendz XL may also have other health benefits, such as boosting energy levels and promoting overall well-being. Some users have reported feeling more confident and satisfied in their relationships after taking this supplement.

Side Effects

While Legendz XL is generally safe for most users, there are some potential side effects to be aware of. Some users may experience mild digestive issues, such as nausea or upset stomach, when first starting the supplement. It is important to follow the recommended dosage guidelines and discontinue use if any adverse reactions occur.

It is also important to note that Legendz XL is not intended to diagnose, treat, cure, or prevent any disease. It is always best to consult with a healthcare professional before taking any new supplement, especially if you have any underlying health conditions or are taking medications.

Summary

Overall, Legendz XL is a male enhancement supplement that may help improve sexual performance, increase libido, and boost overall well-being. With a blend of natural ingredients and positive user reviews, this supplement has the potential to enhance your sex life and confidence in the bedroom. However, it is important to use this product as directed and consult with a healthcare professional before starting any new supplement regimen.

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