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    Some men with erectile dysfunction, or ED, find they can return to an active sex life by treating an underlying condition, such as high blood pressure, or with counseling and lifestyle changes. But others find they may need medication to get and keep an erection. The FDA has approved several prescription drugs you take orally to treat ED. These medications all work similarly to each other. However, there are subtle differences in how long they stay effective and how quickly they begin to work. Levitra takes about 30 minutes to start working and the effects last a little longer than Viagra, about 5 hours. It contains the same active ingredient as Levitra and can begin working in about 15 minutes. Viagra takes around 30 minutes to become effective and lasts about 4 hours. tadalafil vs viagra ” se terminaba de imprimir a mediados de 2015, sabíamos ya bien que una proporción de sus contenidos debería revisarse en tan sólo un par de años. Además, en el transcurso de nuestras presentaciones, charlas en congresos científicos y en persona con nuestros colegas, nos dimos cuenta de los intereses de nuestros lectores y confirmamos que aún podíamos incluir un segmento importante compuesto de nuevos y apasionantes temas de la ciencia encargada de buscar, asimilar, evaluar y transmitir la mejor evidencia disponible para ser aplicada a la toma decisiones en salud. Ha pasado más de un cuarto de siglo desde que se describió por primera vez el vocablo medicina basada en la evidencia (MBE) y es curioso cómo, hasta la fecha, sigue despertando sentimientos variados. Algunos siguen viéndola como una nueva era de la medicina. La realidad es que, si analizamos los tres componentes básicos de la definición original de la MBE, el juicio clínico, la evidencia generada por la investigación y va- lores y preferencias de los pacientes, nos damos cuenta que son tres aspectos que usamos en la práctica clínica desde hace mucho tiempo y que no dejaremos de hacerlo en el futuro. El juicio clínico siempre será usado por los profesionales de la salud al momento de tomar una decisión y emitir una recomendación. Siempre deberemos considerar nuestros tratamientos según la individualidad, valores y preferencias de cada paciente. Y siempre deberemos considerar la información generada por los estudios de investigación.

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