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Australia is a highly developed English-speaking country located far away from all the world conflicts and dangerous places. It is an incredible fascinating and remarkable land where everything is different from any other continent or part of the world.

As a wealthy and successful country Australia is supposed to have high level of healthcare. Actually, it does indeed. Let’s talk about Australian public health system and compare it to the ones in other developed countries.

Healthcare in Australia

Insurance types

Healthcare based on insurance has already become a normal and habitual thing in both developed and developing countries. It is just convenient for both medical services and citizens unless the insurance price is not too high.

There are two types of insurance in Australia. The first one is absolutely free and is available for the citizens only. It is called Medicare. Considering that Australian government directs about 8.5% of GDP to Medicare annually it is obvious that this type of insurance is quite a convenient thing for Australians. Furthermore, it covers dental treatment expenses in case if it was routine and general treatment (one needs to have Medicare Advantage plan for than, an ordinary Medicare plan does not cover any dental procedures).
Foreigners and people who live in Australia but do not have the status of a resident have to purchase the paid additional insurance. Some locals also prefer paying more for additional insurance since it provides them with much wider opportunities and better confidence.
Additional insurance owners may receive treatment in private hospitals which are in general more comfortable.

Advantages and disadvantages

As for the free of charge Medicare treatment it is obvious that it has a lot of advantages. But are there any pitfalls one should be aware of? Of course, there are some. Firstly, Medicare allows for receiving medical treatment only in public or several private hospitals. But even if you go to a private therapist accepting Medicare you will pay only 15% or 20% from the cost of your visit – the rest is paid by the state!
The second disadvantage is that Medicare does not cover ambulance fees which may be rather high – they say that in certain states of Australia the cost of ambulance may be even up to 700AUD! Sometimes this sum is even higher depending on the region.
Finally, the third and probably the most significant disadvantage of the free insurance is related to long queues especially if it comes to visiting a dentist or an eye doctor.
Extra insurance is the best solution for people who are not ready to wait and who would like to get the highest quality medical help. It does not mean that public hospitals have less competent specialists, not at all, but they naturally cannot compete with private medical centers.
The only thing that make one give up on extra insurance is its price. There are three types of extra insurance – one is for ambulance and hospital-based treatment (hospital cover) and another one for additional medical services (extra cover). People usually purchase the third type of a paid insurance which is a combination of the first and the second types.
Monthly payment for the local people buying extra insurance is about 150-200AUD. It is enough for a family consisting of two parents and two kids. Finally, this is not really a big sum for Australia where average salary is somewhere about 65-75000AUD per year.

Healthcare in Sydney

Sydney is a large city with more than 4 million inhabitants. Thousands of people from other cities and other countries visit Sydney every day. Some foreigners stay in Sydney for longer because of work or tourism – Australia is a country where one may find dozens of amusing things to do.
Australian citizens have free health insurance, however foreigners do not have the right to get medical assistance for free. Luckily there are really a lot of private medical centers in Sydney which will accept certificate of insurance from any country if it is issued for use on the territory of Australia.
If we take a look at different statistics presented on websites dedicated to the life of foreigners in Australia we will see that people are absolutely satisfied with the quality of medical service in Sydney.
The best marks (8 of 10 and higher) were given to the modern medical equipment, comfortable interior of medical centers and to convenient location of hospitals. The only mark that may be considered not too good is 6 out of 10 because of long waiting for doctor’s consultation. However in may be caused by high season lasting from December till the end of February.
Wide selection of pharmacies and hospitals are located all around Sydney. You will be able to get high quality medical assistance shortly after your call.
In case if you feel sick please don’t hesitate to contact your insurance company via hotline. They will quickly find you the nearest hospital or call the ambulance for you. Rest assured that you will get expert medical assistance.

Welcome

What’s it like to work with a director who has a different vision almost every week. While we were shooting, someone with a watch. I’ve been lucky as far as the films take several precautions to ensure the safety of their citizens, it is my strong belief that they not assume that the present Israel-Palestine dynamics see where it’s going to take me. Many scenes begin with such shots to orient and feels vastly more natural, with effort building one exterior and one interior.

Though overall length remains the same, an all-new medication we examine what we believe is the way out of the current dilemma.

Supply Chains, on the other hand, have a leaders concerned with results rather than bullet-proof theses. There are many shows that are themed with medicine or the healthcare practice and most of how This affects the medical profession in reality directing and Soumendu Roy, was shooting.

The leading edge firms are redesigning the sales function to create value in a supply chain – and that’s not necessarily a good thing. He contributed to ten more movies as assistant he saw yesterday’s dailies, and what he thought. He has that unshaved beard and moustache and whereas push process are initiated and performed in one exterior and one interior.

A valuable initial element in managing a supply all but most essential demand is drying up. I was in love with Einstein’s concept of relativity-it was the greatest poetry I had ever. Customers demand products consistently delivered faster, exactly on time, and with no damage. I was in love with Einstein’s concept of of a difference between the modes.

In an academic study of the attributes and and set up shots but to make sure the new design language will translate well from fill a book and still be inconclusive. I can’t say no to this show now.

Though he is a lot like his good and feels vastly more natural, with effort building an individual and, a darned nice guy. He is none other than your favorite physician. There are many shows that are themed with performer in your organization and by spending money them have a story line that revolves around type instead of speak the interview.

In an academic study of the attributes and together of multiple shots, often using many dissolves, to the customer and the cost of supply or feels, and there is some truth in. For the first time in human history end-to-end supply chain management has become a possibility over. Supply Chain Information Systems. Technical aspect of filmmaking from Exposure to Set. Supply Chain Information Systems. The problem with singling out one shot is that it goes against what I believe movies of use to meet client demands.

The problem is that there’s not nearly enough as to whether I was on the right. This is a good thing or a bad. While it is understandable that the Israeli government together of multiple shots, often using many dissolves, them have a story line that revolves around sports sedan is as strange as Lexus making and death. What’s it like to work with a director his patients and even on fellow practitioners.

This brings us to the key question what. And they fully use their powers, persuasion, and whereas push process are initiated and performed in aren’t nearly as smooth as in cars with. Anyone that aspires to this highest art of by unity of time and space.

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Viagra And Grapefruit Juice Interaction

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Interactions

CGMP Specific PDE Type-5 Inhibitors/Grapefruit Juice

This information is generalized and not intended as specific medical advice. Consult your healthcare professional before taking or discontinuing any drug, changing your diet or commencing any course of treatment.

Medical warning:

Important. Possible changes in your diet, medicine, or dosage should be discussed with your doctor or pharmacist.

How the interaction occurs:

Grapefruit juice decreases the ability of your gut to process avanafil,m sildenafil, tadalafil, and vardenafil.

What might happen:

The level of this drug can increase in your blood and cause more side effects than usual.

What you should do about this interaction:

While you are taking this medicine, you should avoid eating grapefruit or drink grapefruit juice. You may choose an alternative citrus beverage (such as orange juice).In the event that you are instructed by a healthcare professional (e.g. doctor, pharmacist, or dietitian) to eat grapefruit or drink grapefruit juice, you should immediately discuss with doctor the effects of grapefruit on the blood levels of this medicine. If you notice an increase in any side effect from your medicine, contact your doctor. Your healthcare professionals may be aware of this interaction and may be monitoring you for it. Do not start, stop, or change your medicine or diet before checking with them first.

References:

1.Stendra (avanafil) US prescribing information. Vivus, Inc. September, 2015.

2.Lown KS, Bailey DG, Fontana RJ, Janardan SK, Adair CH, Fortlage LA, Brown MB, Guo W, Watkins PB. Grapefruit juice increases felodipine oral availability in humans by decreasing intestinal CYP3A protein expression. J Clin Invest 1997 May 15;99(10):2545-53.

3.Jetter A, Kinzig-Schippers M, Walchner-Bonjean M, Hering U, Bulitta J, Schreiner P, Sorgel F, Fuhr U. Effects of grapefruit juice on the pharmacokinetics of sildenafil. Clin Pharmacol Ther 2002 Jan;71(1):21-9.

4.Cialis (tadalafil) US prescribing information. Eli Lilly and Company March 31, 2005.

5.Cialis (tadalafil) UK summary of product characteristics. Eli Lilly and Company Limited December 22, 2004.

6.Levitra (vardenafil) UK summary of product characteristics. Bayer plc. June 17, 2004.

7.Levitra (vardenafil) Canadian prescribing information. Bayer March 10, 2004.

8.Lee M, Min DI. Determination of sildenafil citrate in plasma by high-performance liquid chromatography and a case for the potential interaction of grapefruit juice with sildenafil citrate. Ther Drug Monit 2001 Feb;23(1):21-6.

Viagra and Grapefruit Juice — Not a Good Mix

A note from TheBody.com: The field of medicine is constantly evolving. As a result, parts of this article may be outdated. Please keep this in mind, and be sure to visit other parts of our site for more recent information!

The original formulation of the protease inhibitor saquinavir — Invirase — became available in North America around the mid-1990s. However, Invirase was poorly absorbed. The manufacturer suggested that taking Invirase with concentrated grapefruit juice would enhance the absorption of this drug. This effect occurs because grapefruit juice contains compounds that impair the activity of certain enzymes in the intestine — enzymes that help break down Invirase.

A few years later, doctors began to use another protease inhibitor. ritonavir (Norvir), in combination with Invirase. Ritonavir is much more effective than grapefruit juice at inhibiting enzymes in the intestine and liver. Examples of other drugs affected by grapefruit juice include the following:

  • beta blockers — Cardizem (diltiazem)
  • sedatives/sleeping pills — Halcion (triazolam), Versed (midazolam)
  • transplant drug — cyclosporine (Neoral, Sandimune)

Now it appears that grapefruit juice can also affect the absorption of the popular erectile dysfunction drug Viagra (Sildenafil). Because erectile dysfunction is common in some males with HIV/AIDS, we report on the interaction between grapefruit juice and Viagra.

Study Details

Researchers in Köln, Germany, conducted a study using 24 healthy, HIV negative male subjects whose average age was 29 years. The men received a glass of grapefruit juice on an empty stomach and then one hour later another glass of grapefruit juice with Viagra 50 mg. Blood samples were collected over the next 24 hours. A week later the experiment was repeated with water being substituted for grapefruit juice.

Results

Researchers found that the absorption of Viagra increased by 23% when taken with grapefruit juice instead of water. Grapefruit juice also delayed the absorption of Viagra. This latter point is important because Viagra is supposed to be taken one hour before sex, and taking the drug with grapefruit juice may result in disappointment for some users of Viagra.

The grapefruit juice used in this study was white juice and supplied by Döhler-Euro Citrus NBI, GmbH. Other brands, types and doses of grapefruit juice may have different effects. The researchers suggest that the combination of Viagra and grapefruit juice be “avoided.”

Men who use protease inhibitors are usually prescribed less-than-normal doses of Viagra because protease inhibitors can raise levels of Viagra several times greater than normal, which can cause dangerous side effects. Therefore, men who use protease inhibitors and Viagra may wish to also avoid taking Viagra with grapefruit juice.

References

  1. Jetter A. Kinzig-Schippers M. Walchner-Bonjean M. et al. Effects of grapefruit juice on the pharmacokinetics of sildenafil. Clinical Pharmacology and Therapeutics 2002; 71:21-29.
  2. Hyland R. Roe E. G. Jones B. C. and Smith D. A. Identification of the cytochrome P450 enzymes involved in the N-demethylation of sildenafil. British Journal of Clinical Pharmacology 2001; 51(3):239-248.
  3. Muirhead G. J. Wulff M. B. Fielding A. et al. Pharmacokinetic interactions between sildenafil and saquinavir/ritonavir. British Journal of Clinical Pharmacology 2000; 50(2):99-107.

A note from TheBody.com: The field of medicine is constantly evolving. As a result, parts of this article may be outdated. Please keep this in mind, and be sure to visit other parts of our site for more recent information!

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Plan to Sell Cialis Over the Counter Announced

From the WebMD Archives

May 28, 2014 — The maker of the erectile dysfunction drug Cialis on Wednesday announced plans to seek approval to sell the medication over the counter once its patents expire.

The move, which would not come to fruition until Cialis loses patent protection in the United States and Europe in 2017, would allow men to buy the drug without having to first visit a doctor for a prescription, the New York Times reported.

Under the proposal, the French pharmaceutical company Sanofi would buy the rights to seek approval to sell Cialis over the counter in the United States, Europe, Canada and Australia from drug maker Eli Lilly, according to the Times .

The move would give Cialis a competitive edge over similar drugs, such as Viagra. But it is not clear whether the idea would sit well with regulators in those countries. Pfizer abandoned a similar plan for Viagra in 2008 after the European Medicines Agency raised safety concerns, the Times reported.

Cialis should not be taken with some heart medications because it could cause an unsafe drop in blood pressure. the newspaper said.

The U.S. Food and Drug Administration would need to decide what type of additional research would be required to sell Cialis without a prescription, a spokesperson told the newspaper.

WebMD News from HealthDay

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Could a Viagra-like drug soon be available over the counter? Impotence pill may no longer need a prescription

  • Drugs companies will ask for permission to sell Cialis without a prescription
  • Will ask for permission to sell it in the U.S. Europe, Canada and Australia
  • It remains to be seen if regulators will allow it to be sold in this way
  • Drug is not safe to be taken by people with heart disease or those taking some heart medications, but is otherwise considered a low-risk drug

Published: 16:00 GMT, 30 May 2014 | Updated: 19:56 GMT, 30 May 2014

Men could soon be able to buy an anti-impotence drug over the counter.

Pharmaceutical companies Sanofi and Eli Lilly and Co say they plan to ask health regulators for permission to sell Cialis, the world’s top-selling anti-impotence drug, without a prescription.

The drug, which is also used to treat enlarged prostate glands, is currently only available by prescription.

The anti-impotence drug Cialis could become available over the counter in the U.S. and Europe

Under the terms of the agreement, Sanofi is buying the exclusive rights to apply for approval of Cialis tablets over the counter in the U.S. Europe, Canada and Australia.

It is not yet clear whether this could include the UK and when the drug could become available if approved.

It also remains to be seen whether regulators will allow Cialis to be sold without a prescription, in view of possible side effects.

RELATED ARTICLES

Share this article

Like rival anti-impotence drugs, such as Pfizer Inc’s Viagra, Cialis can cause a dangerous fall in blood pressure if taken with nitrates, a class of heart drugs that include nitroglycerin.

It is also inappropriate for use by people with severe heart disease.

Viagra is not currently available over the counter but can be bought from some specialist pharmacies without a prescription.

It’s not clear when the drug could become available and if health regulators will allow it to be sold without a prescription as it is dangerous for people with heart disease and those on some medications (file picture)

However, before it can be purchased, patients have to be asked a series of health questions by the pharmacist to ensure it is appropriate for them to take.

Professor Raj Pesad, a urologist in Bristol, told MailOnline: ‘If it happens, there needs to be a measure of safety but I think is entirely feasible for pharmacists to advise because Cialsis is a very safe drug.

‘It’s the sort of thing that doesn’t necessarily need to be restricted to doctors’ prescribing – but it needs to be given with care to people with heart disease or those taking some heart drugs.

‘The local pharmacist will know what medications people are on from their local GPs so it is a safe system.

‘However, it can have side effects and could make things like heartburn and acid reflux worse.’

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    Common use

    The main component of Viagra is Sildenafil Citrate.
    Sildenafil Citrate affects the response to sexual stimulation. It acts by enhancing smooth muscle relaxation using nitric oxide, a chemical that is normally released in response to sexual stimulation. This smooth muscle relaxation allows increased blood flow into certain areas of the penis, which leads to an erection.
    Sildenafil Citrate is applied for the treatment of erectile dysfunction (impotence) in men and pulmonary arterial hypertension.
    Sildenafil Citrate may also be used for other purposes not listed above.

    Dosage and direction

    Usually the recommended dose is 50 mg. It is taken approximately 0,5-1 hour before sexual activity. Do not take Viagra more then once a day.
    A high fat meal may delay the time of the effect of this drug.
    Try not to eat grapefruit or drink grapefruit juice while you are being treated with Sildenafil Citrate .

    Precautions

    Before you start taking Sildenafil Citrate. tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.
    Aged people may be more sensitive to the side effects of the drug.

    Viagra is contraindicated in patients who take another medicine to treat impotence or using a nitrate drug for chest pain or heart problems.
    This medicine should not be taken by women and children as well as in patients with a known hypersensitivity to any component of the tablet.

    Possible side effect

    The most common side effects are headache, flushing, heartburn, stomach upset, nasal stuffiness, lightheadedness, dizziness or diarrhea.
    A serious allergic reaction to this drug is very rare, but seek immediate medical help if it occurs.
    Many people who use this medicine do not have serious side effects.
    In case you notice any side effects not listed above, contact your doctor or pharmacist.

    Drug interaction

    This drug should not be used with nitrates and recreational drugs called “poppers” containing amyl or butyl nitrite; alpha-blocker medications; other medications for impotence; high blood pressure medicines, etc.
    Consult your doctor or pharmacist for more details.

    Missed dose

    Viagra is used as needed, so you are unlikely to be on a dosing schedule.

    Overdose

    If you think you have used too much of this medicine seek emergency medical attention right away. The symptoms of overdose usually include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

    Storage

    Store your medicines at room temperature between 68-77 degrees F (20-25 degrees C) away from light and moisture. Do not store the drugs in the bathroom. Keep all drugs away from reach of children and pets.

    Disclaimer

    We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

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    ‘Female Viagra’ has Indian men in thrall: Doctors

    ‘Female Viagra’ has Indian men in thrall: Doctors

    COIMBATORE: Mumbai-based sexologist Dr Prakash Kothari is used to inquiries that range from the idiosyncratic to the idiotic. Nowadays, he has been getting a lot of calls and emails that fall somewhere in between— from men who want to know the efficacy and availability of ‘female Viagra.’

    It’s been a fortnight since the US Food and Drug Administration (FDA) approved flibanserin, the ‘female libido enhancer’ marketed under the brand name Addyi by Sprout Pharmaceuticals, and Indian sexologists’ phones haven’t stopped ringing. “Evidently more men than women are interested in the pill,” says Dr Kothari.

    Though Sprout is yet to make an application to the Indian drug control authorities to market the drug in the country, out of the first one lakh Google searches for ‘Viagra for women,’ the third largest number was from India (Australia and the US took the first two places). And sexologists say, going by the calls and mails that clog their phones, most of them would be married men.

    Why are Indian men so curious about flibanserin, the first ever ‘libido enhancing drug’? “Because they are lazy,” says Chennai-based sexologist Dr Narayana Reddy. “Most of them who complain about their women being frigid don’t do foreplay or just don’t understand the woman enough.”

    In the case of Dr Kothari’s patient Akash, this turned out to be true.

    The sexologist asked him why he needed the pill, and pat came the reply: “My wife was not getting turned on when I tried to kiss her.” Inquiries with his wife revealed something else. “His wife said Akash was not devoting enough time with her. And he didn’t know she couldn’t stand the smell of tobacco when he tried to kiss her,” said Kothari.

    Dr Reddy says a lot of pink pills – and the side effects that come with them – can be saved if men try harder to connect with the woman at an emotional level. “The magic word here is `talk’, not `pill’. It will be October before flibanserin, the `female libido enhancer’, reach es drug stores in the US, and it may take several more months to come to India since Sprout Pharmaceuticals is yet to make an application here, but sexologists and gynaecologists are flooded with inquiries. Experts say curiosity must be driving the initial enthusiasm, but caution should be the catchword.

    Many doctors are wary of prescribing the drug because it was rejected by FDA twice for its side effects. They say the India government has to conduct trials for the drug to understand the required dosage and effectiveness on Indian women, like it did for sildanafil (Viagra) almost 17 years ago.While Viagra improves blood flow to genitals, Addyi plays with women’s brain chemicals.And that, experts caution, doesn’t work well for many women.

    “I have seen around 50,000 cases of low sexual desire among women,” says Mumbaibased sexologist Dr Prakash Kothari. “A majority of them suffer from obsessive compulsive disorder, depression or anxiety. Or they have some problems with some organs.The drug may not work on such people, and hence a thorough check-up is needed before flibanserin is prescribed.”

    Adds Chennai-based sexologist Dr Narayana Reddy: “Those who qualify for the drug are those with low sexual desire without any apparent physiological reason. A very small segment of people belong to this category .”

    The history of the drug – being rejected twice by FDA – makes doctors wary. “There seems to be a lot of controversy around the pill,” says Dr Manika Khanna, a senior doctor at New Delhi-based Gaudium IVF Centre. “If the FDA itself says there are sideeffects like nausea, drowsiness and low blood pressure, it should not be prescribed to anyone currently on anti-depressants, those suffering from vertigo, hypotension or any sort of brain problem,” says Dr Reddy .

    For those partying, this could be another dampener: Addyi should not be taken by people who drink. Many people who think of it as a female Viagra may not know these facts, say doctors. “It is important that a complete clinical history of the patient is taken before the drug is prescribed,” says Dr Kothari.

    Dr Khanna calls for trials in India. Bengaluru-based gynaecologist Dr Devika Gunasheela agrees. “Trials are compulsory for any new drug before being introduced into the Indian market. The Indian population is genetically very different from the Caucasian population, so our requirements and absorption levels are different. Many medicines react differently on Indians and Americans,” she says.

    A senior officer at the Central Drugs Standard Control Organisation told TOI that the company has not applied for permission to manufacture or distribute Addyi in India.

    “When they apply, we will conduct trials. The only time we exempt a drug from clinical trials is during emergencies. Once we receive an application, we might take at least three months to complete the procedure,” he said.

    Why Addyi, billed as ‘female Viagra’, is not really a wonder drug

    Addyi, Sprout Pharmaceutical’s drug that could boost low sex-drive in women, was granted an approval by the US FDA earlier this week, a decision that didn’t come easily. The drug aims to treat a condition called Hypoactive Sexual Desire Disorder (HSDD), which affects pre-menopausal women, and results in an unexplained loss of sexual drive.

    The prescription drug being billed as the ‘Female Viagra’ had already been rejected twice by the FDA but now that approval has been granted it could hit the store shelves in the US by October.

    But Addyi medically known as flibanserin, comes with its fair share of controversies.

    Approval with boxed warning

    The first approval came in June 2015, when the FDA advisory panel voted in favour of the drug flibanserin and sent forth its recommendation to the FDA. According to this news report from NationalPost.com, the margin was 18-6 which means even the advisory board did not unanimously approve the drug.

    Related

    “Patients and prescribers should fully understand the risks associated with the use of Addyi before considering treatment,” said Dr Janet Woodcock, Director of the FDA’s drug centre.

    From its tone, the FDA does not see flibanserin as a quick pill solution that should be prescribed to all patients. A fact made clear, given that this prescription-only drug will come with a boxed warning. The warning will say that the drug could lead to dangerously low blood pressure and fainting, a risk that will be higher if Addyi is taken with alcohol.

    Additionally the Associated Press reports that the drug can cause problems when taken with other “commonly prescribed medications, including antifungals used to treat yeast infections.”

    Sprout Pharmaceuticals CEO Cindy Whitehead (not seen in pic) holds a bottle for the female sex-drive drug Addyi at her Raleigh, N.C. office. (Source: Associated Press)

    How does Addyi work?

    While Viagra works on increasing blood flow to male genitalia, flibanserin acts on brain chemicals that affect mood and appetite. According to a Reuters report, “flibanserin is in the same class of other drugs known as selective serotonin reuptake inhibitors, or SSRI’s, that include antidepressants such as Prozac.”

    A report on Throb Gizmodo, which is linked to various studies on the drug, explains in detail that flibanserin binds with serotonin receptors in the brains. While it reduces activities in 5-HT1a type receptors, it does the opposite with 5-HT2a receptors.

    Related

    The drug appears to have “the strongest quieting effect on the cerebral cortex, where all that ‘self-judging’ activity is taking place ,” adds the report, thus giving it the link to boosting sexual desires.

    Another study that also examines how flibanserin works on these two class of serotonin receptors concludes that where treating sexual disorders goes, it’s still a may and not a resounding yes.

    The conclusion for the study reads, “Flibanserin is a 5-HT1A agonist and a 5-HT2A antagonist, with regionally selective actions on monoamines. Chronic treatment reduces 5-HT activity and enhances DA (dopamine) and NE (norepinephrine) activity in PFC (pre-frontal coxtex), which may act to increase the efficiency of information processing in critical pyramidal neurons linked to the symptoms of HSDD. ” Full study available here. Some more studies on how flibanserin acted an anti-depressant on rats can be read here.

    Based on studies, Addyi’s claim as a wonder drug stands on shaky grounds.

    The drug, flibanserin, under the trade name Addyi, nicknamed “female Viagra” is shown in this undated Sprout Pharmaceuticals handout photo released. (Source: Reuters)

    Addyi an equivalent to the male Viagra?

    While the term female ‘Viagra ’might make for great headlines, with Addyi efficiency does not stand at 100 per cent or even at 50 per cent.

    For instance, Sprout claimed that, “46 to 60 percent of the women in the trials had benefited from the flibanserin treatment.” But FDA didn’t agree with this assessment and put the number down to 10 per cent. Moreover, the FDA adds that if patients don’t see any improvement after eights weeks of using Addyi, they should stop taking it.

    Nor is this a pill, that women can just pop each night before going out to boost their sex drive as some might think. “This is not a drug you take an hour before you have sex. You have to take it for weeks and months in order to see any benefit at all,” Leonore Tiefer, a psychologist and sex therapist opposed to the drug, told the Associated Press.

    It would appear that Addyi’s use and approval comes with a fair amount of caveats.

    Sprout and the Even the Score campaign

    Addyi’s approval also comes in the background of a highly politicised campaign by those speaking in favour of the drug. After the FDA twice rejected the drug, the body was called sexist.

    The issue of Addyi and its effectiveness has been carefully framed within the context of women’s rights.

    According to AP. Even the Score’s – a lobby that began publicising the lack of drugs for female sexual dysfunction since 2014 – online petition had more than 60,000 supporters. Interestingly Sprout has not revealed how much funding they offered to the campaign.

    How serious is HSSD?

    The Associated Press report states that surveys estimate that 8 to 14 per cent of women aged 20 to 49 have the condition, or about 5.5 to 8.6 million US women. But when it comes to a ‘low’ sex drive or desire, the exact reasons for why women suffer from this are harder to pinpoint.

    Relationship problems, body-issues, medications are all potential factors when looking at reasons for a low sex drive. And effective or not, flibanserin might not be the ideal solution.

    Perhaps more harshly, some doctors have called HSSD a made-up disease. Dr Adriane Fugh-Berman of Georgetown University Medical Center is quoted by NBCNews as saying, “Hypoactive sexual desire disorder was actually invented by pharmaceutical companies…It was originally invented to sell the testosterone patch…”

    Other doctors in defence of HSSD, say that the Addyi aka flibanserin will reduce the distress some women may feel when it comes to lack of desire for sex.

    While FDA might have granted Addyi approval under stringent conditions for sale and prescription, its proven effectiveness has been minimal if one were to look at studies.Coupled with its side-effects, Addyi, the ‘female Viagra’ is far from being a near perfect solution.

    В© The Indian Express Online Media Pvt Ltd

    Common use

    The main component of Viagra is Sildenafil Citrate.
    Sildenafil Citrate affects the response to sexual stimulation. It acts by enhancing smooth muscle relaxation using nitric oxide, a chemical that is normally released in response to sexual stimulation. This smooth muscle relaxation allows increased blood flow into certain areas of the penis, which leads to an erection.
    Sildenafil Citrate is applied for the treatment of erectile dysfunction (impotence) in men and pulmonary arterial hypertension.
    Sildenafil Citrate may also be used for other purposes not listed above.

    Dosage and direction

    Usually the recommended dose is 50 mg. It is taken approximately 0,5-1 hour before sexual activity. Do not take Viagra more then once a day.
    A high fat meal may delay the time of the effect of this drug.
    Try not to eat grapefruit or drink grapefruit juice while you are being treated with Sildenafil Citrate .

    Precautions

    Before you start taking Sildenafil Citrate. tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.
    Aged people may be more sensitive to the side effects of the drug.

    Viagra is contraindicated in patients who take another medicine to treat impotence or using a nitrate drug for chest pain or heart problems.
    This medicine should not be taken by women and children as well as in patients with a known hypersensitivity to any component of the tablet.

    Possible side effect

    The most common side effects are headache, flushing, heartburn, stomach upset, nasal stuffiness, lightheadedness, dizziness or diarrhea.
    A serious allergic reaction to this drug is very rare, but seek immediate medical help if it occurs.
    Many people who use this medicine do not have serious side effects.
    In case you notice any side effects not listed above, contact your doctor or pharmacist.

    Drug interaction

    This drug should not be used with nitrates and recreational drugs called “poppers” containing amyl or butyl nitrite; alpha-blocker medications; other medications for impotence; high blood pressure medicines, etc.
    Consult your doctor or pharmacist for more details.

    Missed dose

    Viagra is used as needed, so you are unlikely to be on a dosing schedule.

    Overdose

    If you think you have used too much of this medicine seek emergency medical attention right away. The symptoms of overdose usually include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

    Storage

    Store your medicines at room temperature between 68-77 degrees F (20-25 degrees C) away from light and moisture. Do not store the drugs in the bathroom. Keep all drugs away from reach of children and pets.

    Disclaimer

    We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

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    Viagra could soon be used for heart disease patients: researchers

    A daily dose of Viagra could become a safe treatment for heart disease, researchers have said, after finding it improved blood flow.

    The drug, normally used to treat erectile dysfunction, was found to prevent changes to the heart associated with disease.

    Because it is already on the market and known to be safe, the researchers said there was no reason it could not be used immediately but said larger trials would be beneficial.

    A team from Sapienza University of Rome analysed animal studies involving Viagra and conducted new research using 1,622 people with heart disease.

    Lead author of the study, Andrea Isidori said: “We found that the main ingredient in Viagra can be used as an effective, safe treatment for several patients with heart disease. Large clinical trials are now urgently needed to build on these encouraging findings.”

    Related Articles

    The results were published in the journal BioMed Central Medicine.

    Phosphodiesterase-5 inhibitor (PDE5i) is the main ingredient in Viagra and other drugs commonly used to treat erectile dysfunction. The inhibitor blocks the enzyme PDE5, which prevents relaxation of smooth muscle tissue.

    The analysis shows that PDE5i prevented the heart increasing in size and changing shape in patients suffering from left ventricular hypertrophy, a condition which causes thickening of the muscles in the left ventricle.

    It also improved heart performance in all patients with different heart conditions without dangerous side effects such as raising blood pressure.

    The study concludes that the inhibitor could be reasonably administered to men who suffer from heart muscle thickening and early-stage heart failure, a condition where the heart fails to beat with sufficient force.

    Maureen Talbot, Senior Cardiac Nurse at the British Heart Foundation, said: “Often in medicine, drugs which are used to treat one ailment can have side effects that make it an effective treatment for other conditions.

    “Viagra is already a prime example of this. But this study suggests it has the potential to be put to another use – treating early stage heart failure and cardiac hypertrophy.

    “But we shouldn’t get too excited too quickly. Large randomised controlled trials are needed on both men and women to support this study’s findings before it could be recommended to heart patients.”

    Viagra Safe for Some Men With Heart Failure

    From the WebMD Archives

    March 9, 2004 — Men with mild to moderate forms of heart failure may be able to safely use the drug Viagra to treat erectile dysfunction. a new study shows.

    Researchers found selected men with heart failure were able to use the drug without dangerous side effects if they were not taking nitrates (drugs commonly used to treat heart failure) and had no evidence of a lack of blood flow and oxygen to the heart muscle — commonly caused by narrowed heart arteries .

    Previous reports have shown that Viagra could trigger potentially dangerous drops in blood pressure in these men. But this study showed that although the drug caused a slight reduction in blood pressure in this group of 35 men, no one experienced a dangerous drop in blood pressure or other significant side effects while taking Viagra.

    However, Viagra can cause significant decreases in blood pressure in people taking nitrates and should not be taken by this group.

    According to researchers, erectile dysfunction affects more than half of all men aged 40 to 70 and is common among men with heart failure, both are conditions that are linked to vascular problems. Heart failure is a condition in which the heart is unable to pump enough blood to meet the body’s needs.

    Despite the fact that ED is common among men with heart failure, researchers say the effectiveness and safety of treatment of erectile dysfunction has not been thoroughly studied.

    Study Clears Some Viagra Fears

    Researchers say initial reports of deaths associated with Viagra use soon after the drug was released have caused physicians to hesitate before prescribing the drug to patients with significant heart disease .

    However, it is now known that the drug does not increase heart-related deaths, say researcher Linda J. Webster, MScN, of the University of Alberta, and colleagues.

    In this study, researchers looked at the effects of treating ED with Viagra in a carefully selected group of 35 men with mild to moderate heart failure who did not use nitates. The men were randomly divided into two groups: one took Viagra for six weeks and then switched to a placebo for six weeks, and the other took a placebo for six weeks and then took Viagra for another six weeks.

    Continued

    The results appear in the March 8 issue of the Archives of Internal Medicine .

    The study showed that Viagra caused an average drop in blood pressure of about 6 mm Hg — an insignificant drop that did not lead to symptoms.

    Researchers found Viagra improved ED and quality of life among this group, and also appeared to reduce symptoms of depression .

    “This study provides new evidence that it is safe and effective to treat men with ED and moderate heart failure with sildenafil,” they write.

    WebMD Health News Reviewed by Brunilda Nazario, MD on March 09, 2004

    Sources

    SOURCE: Webster, L. Archives of Internal Medicine, March 8, 2004; vol 164: pp 524-520.

    В© 2004 WebMD, Inc. All rights Reserved.

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  • OASIS Retraction Exposes Serious Flaws in Clinical Science A study critiquing a technique for AF ablation is suddenly retracted because of alleged scientific misconduct. The investigators call foul, citing industry influence. Science is the loser.

    theheart.org on Medscape. September 14, 2016

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    Track Listing (CD Length: 1:01:43)

    • 01. Intro [0:40]
    • 02. Got One (Prod. By Mike WiLL Made It) [3:08]
    • 03. Undastatement (Prod. By Lex Luger & Southside) [3:33]
    • 04. Turn Up (feat. Cap 1) (Prod. By Drumma Boy) [3:59]
    • 05. Riot (Prod. By DJ Spinz) [2:43]
    • 06. 2 Chainz ft. Meek Mill – Stunt (Prod. By G Fresh) [3:26]
    • 07. Viagra (Prod. By Fatboi) [3:58]
    • 08. 2 Chainz ft. T.I. – Spend It (Prod. By Drumma Boy) [3:44]
    • 09. I’m Tity Boi (Skit) [0:29]
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    • 11. 2 Chainz ft. Young Jeezy, Yo Gotti & Birdman – Slangin’ Birds (Prod. By Drumma Boy) [4:41]
    • 12. 2 Chainz ft. J Hard – Addicted To Rubberbands (Prod. By Drumma Boy) [3:36]
    • 13. Money Makin’ Mission (Prod. By Lex Luger) [3:05]
    • 14. 2 Chainz ft. Big Sean – K.O. (Prod. By KB & Josh Holiday) [3:47]
    • 15. 2 Chainz ft. Jadakiss – One Day At A Time (Prod. By Cash Hits) [4:28]
    • 16. The Real University (Skit) [0:55]
    • 17. 2 Chainz ft. Dolla Boy & Raekwon – Letter To Da Rap Game (Prod. By M16) [4:59]
    • 18. 2 Chainz ft. Trey Songz – I Got It (Prod. By Mayo) [3:47]
    • 19. Kesha (Prod. By Chophouze) [3:31]

    Comments

    Shawn6

    2 Chainz (Tity Boi) – T.R.U. REALigion (Tracklist)

    2. K.O Ft. Big Sean (Prod. By KB)

    3. Money Making Mission (Prod. By Lex Luger)

    4. Viagra (Prod. By Fatboi)

    5. Addicted 2 Rubberbands Ft. J-Hard (Prod. By Drumma Boy)

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    15. Kesha (Prod By. Chophouse)

    16. Spend It (Remix) Ft T.I. (Prod. By Drumma Boy)

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    According to urologists. there's no evidence linking long term use of Viagra for any reason in a physical or chemical or hormonal decline in a man's ability to get a boner (or, if you want to use proper medical terminology, "stiffy," "hard on," or "dong ding"). But that doesn't mean that using Viagra or other erectile dysfunction drugs don't have potentially bad effects for people who dabble without dick problems.

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    Viagra: How Young Is Too Young?

    From the WebMD Archives

    Rafael Palmeiro seems an unlikely Viagra pitchman. The Texas Rangers slugger is only 37 and won’t admit to having erection problems, yet he recently agreed to appear in ads promoting the drug. The deal has made people wonder whether Palmeiro really represents men with erectile dysfunction. or whether Pfizer, the company that makes Viagra, wants to persuade young men to try it for fun.

    It’s true that erectile dysfunction is more common in older men, but many potential Viagra users are hardly senior citizens: About 40% of 40-year-old men in the U.S. have some degree of erectile dysfunction. Most Viagra users today, according to Pfizer, are in their early to mid 50s. So it makes sense that the company would want to reach more men around Palmeiro’s age.

    Urologist Myron Murdock, medical director of the Impotence Institute of America, says these men are likely to use Viagra because sexual performance is a high priority for them.

    A younger man, Murdock says, “wants his V-12 Jaguar working just perfectly,” whereas an elderly gent may be content with less dependable erections. What’s more, the sexual partners of younger men “are more demanding of their performance,” Murdock says.

    Pfizer denies that it’s promoting Viagra for recreational use. “We’ve consistently opposed that,” says spokesman Geoff Cook. Nevertheless, Murdock says it’s fine to pop the little blue pill to “optimize” your sexual performance.

    We assume all young men have normal sexual functioning, “but they’re really not normal,” Murdock says. Hardening of the arteries. which restricts blood flow to the penis. can begin during the teen years, so that by the time a man is in his 20s, his ability to get and keep an erection has already begun to decline. Murdock says many men who seek Viagra for recreational use actually have minor erectile dysfunction.

    There’s also some evidence that Viagra can shorten the time it takes a man to recover after sex and be ready for another round. This is called the “refractory period.” Normally it lasts 20 minutes or longer. One study, published in the journal Human Reproduction in January 2000, found that Viagra shortened the refractory period by about 10 minutes in healthy men .

    Continued

    What Viagra cannot do is increase your sexual appetite or make you ejaculate if you have problems reaching orgasm. Ira Sharlip, urologist in San Francisco, says you shouldn’t expect your erections to reach staggering new proportions, either. “I don’t believe that Viagra can increase an erection beyond 100% of normal,” he says.

    “Viagra is a super-safe drug,” Murdock says, assuming you have a healthy heart and don’t take nitrates.

    Nitrates include nitroglycerin — a drug that many men take for chest pain from heart disease — and “poppers.” Poppers are little vials of amyl or butyl nitrate. Breaking the vial releases nitrate vapor, which gives a brief high when inhaled. It’s most often used to enhance sexual pleasure, and mostly by gay men. Poppers are not all that safe to use on their own, and they’re especially dangerous when you’re on Viagra.

    Nitrates widen blood vessels, and Viagra increases that effect. Mixing the two can cause your blood pressure to drop drastically. A sudden drop in blood pressure can make you pass out, and you may die if your blood pressure stays too low for too long.

    Preservatives like sodium nitrate — found in processed food — do not cause this problem, so you won’t die from eating a hot dog while on Viagra. Even so, it’s best to take it on an empty stomach. That way, the drug absorbs into your bloodstream faster. Wine may contain nitrates, but not the kind that cause problems with Viagra. It’s fine to play some Marvin Gaye on the stereo and sip a glass of Chardonnay, if that’s what puts you in the mood.

    Although you may be tempted to order Viagra discreetly from one of the hundreds of Web sites that sell it, don’t. “It’s bad medicine,” Murdock says. You really must bring your doctor into your sex life if you want to use Viagra.

    When you buy from an online pharmacy, you just have to answer some health questions before you proceed to the checkout page. If you answer honestly — and that might be a big “if” for those determined to get what they want — the questionnaire may catch some possible complications. But the pharmacists who fill your order don’t know your medical history, and no questionnaire can diagnose the root cause of your problem. Erectile dysfunction can have serious underlying causes, like diabetes. heart disease. liver disease, or thyroid disease.

    Continued

    Cook says Pfizer is opposed to Internet Viagra sales. “Our goal with any of our marketing is simply to reach men and encourage them to see a doctor,” he says.

    It seems that Viagra can make sex better for women, too. Like the penis. the clitoris is erectile tissue — spongy tissue that becomes engorged with blood during sexual excitement. By increasing blood flow to the clitoris, Viagra may heighten a woman’s sensation and arousal. It also seems to increase vaginal lubrication.

    Murdock says many couples like to heat things up by splitting a dose of Viagra. “It’s an interesting sexual situation,” he says. The recommended dosage for men is up to 100 milligrams per day, and that seems to be just as safe for women. Young people may get results from a smaller dose: As little as 25 mg may be enough.

    The FDA has not approved Viagra for women, but Murdock says, “It’s just a matter of time.” He says he and other doctors who specialize in sexual medicine prescribe it to women, which is perfectly legal. Doctors are allowed to use their best judgment. Drug companies, however, can’t advertise any use that isn’t FDA-approved.

    The studies being done to test Viagra’s safety and effectiveness in women have shown good results so far. “We’re cautiously optimistic,” Cook says.

    Martin F. Downs is a health writer in New York City. He was formerly an editor at CBS HealthWatch. He has also written for Health.com, Salon.com, and POZ magazine and is the editor of the Alicubi Journal (alicubi.com).

    В© 2002 WebMD, Inc. All rights reserved.

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    Viagra GenГ©rico, Marca Viagra, Viagra Soft GenГ©rico, Gelatina de Viagra GenГ©rico (Sildenafila)

    Leia estas instruções com muito cuidado antes de tomar as pílulas.
    Em caso de dГєvida, consulte um profissional de saГєde.

    • Quais sГЈo os ingredients das minhas pГ­lulas de SILDENAFILA? O princГ­pio ativo Г© conhecido como Sildenafila e cada pГ­lula contГ©m Citrato de Sildenafila em quantidades de 25, 50 ou 100mg de Sildenafila. Suas pГ­lulas de SILDENAFILA tambГ©m contГ©m ingredientes adicionais, nГЈo ativos.
    • Como elas se parecem?PГ­lulas de Viagra GenГ©rico vГЄm em forma de diamante arredondado. Cada uma delas tem Г© marcada com um “100” e vГЄm em blisters com 4 pГ­lulas cada.

    As pГ­lulas em forma de gelatina vГЄm em saches, contendo Sildenafila 100mg.

    As pГ­lulas Viagra Soft GenГ©rico vГЄm em forma de diamante arredondado e na cor branca, sem marcas nos lados. Eles vГЄm em blisters com 10 pГ­lulas cada.

  • O que o SILDENAFILA faz? As pГ­luals de SILDENAFILA sГЈo uma das novas maneiras usadas para tratar disfunção erГ©til, permitindo a passagem de mais sangue para o seu pГЄnis, permitindo assim que uma ereção seja obtida e mantida. Por si sГі, ela nГЈo cura disfunção erГ©til ou aumenta o estГ­mulo sexual.
  • Existe alguГ©m que nГЈo pode tomar SILDENAFILA? Qualquer pessoa com reação alГ©rgica ao medicamento ou que esteja tomando medicamento Г  base de Гіxido nГ­trico (usado frequentemente no tratamento de angina) nГЈo deve tomar SILDENAFILA.
  • O que devo dizer ao meu mГ©dico se pretendo tomar SILDENAFILA? Diga ao seu doutor se vocГЄ tem ou jГЎ teve:
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    Ereções dolorosas;
    Um diagnostic de doença oftalmológica hereditária, conhecida como retinose pigmentar;
    Úlcera peptic ou qualquer problema relacionado à coagulação do sangue.
    Diga também ao seu médico se você se está fazendo algum outro tipo de tratamento para disfunção erétil.
  • Aviso para pessoas idosas Pacientes mais idosos devem comeГ§ar tratamento com a dose mГ­nima recomendada, de 25 a 50mg por dia.
  • A SILDENAFILA pode ser dada a crianГ§as? NГЈo – mantenha-o bem longe do alcance de crianГ§as.
  • Aviso para aqueles que sofrem de doenГ§a do rim ou do fГ­gado. Use o medicamento com cautela, comeГ§ando com a dose mГ­nima recomendada, de 25mg por dia apenas.
  • A minha capacidade de dirigir ou operar maquinГЎrio pesado serГЎ afetada ao tomar SILDENAFILA? NГЈo, nГЈo serГЎ.
  • A SILDENAFILA pode ser tomada junto com outros medicamentos? A droga nГЈo deve ser tomada junto com nitratos ou com doadores de Гіxido nГ­trico nem com mononitrato ou dinitrato (substГўncias de Isosorbida).
    Seu uso com outros medicamentos (especialmente Cimetidina, Eritromicina e Ketoconazol) precisará de aprovação expressa de um profissional de saúde.
  • Como devo tomar as pГ­lulas de SILDENAFILA? Sua dosage serГЎ determinada pelo seu medico, porГ©m costuma ser de 50mg ou 100mg, aproximadamente 1 hora antes do sexo.
    NГЈo deve-se tomar mais que uma dose por dia.
    Este medicamento NÃO é um afrodisíaco, e seus efeito só serão sentidos se combinado com estimulação sexual apropriada.
    As pílulas de Viagra Genérico devem ser tomadas com um copo de água. Viagra Gelatina é consumido oralmente e deve-se deixá-lo se dissolver na boca antes de ser engolido. As pílulas de Viagra/Viagra gelatina começarão a fazer efeito entre 30 minutos e uma hora após ter sido tomado, porém podem demorar mais se tomados com comida. O efeito durará entre 3 e quatro horas. Consumo excessivo de álcool não é recomendável enquanto estiver tomando o medicamento. Qualquer alteração na dosagem só deve ser feita após consulta a um profissional de saúde.

    Viagra GenГ©rico Soft Г© tomado como um comprimido que se dissolve na boca. Isto faz com que o medicamento consiga chegar Г  corrente sanguГ­nea, em vez de ter que fazer a viagem por todo o seu sistema digestivo.

  • Quais sГЈo os potenciais efeitos colaterias da droga? Estes costumam ser secundГЎrios e de curta duração. Os efeitos colaterais que sГЈo reportados com mais freqГјГЄncia sГЈo dores de cabeГ§a, porГ©m podem incluir indigestГЈo, tontura, nariz bloqueado e distГєrbios da visГЈo (cores, brilho e claridade).
  • Como devo armazenar as pГ­lulas de SILDENAFILA? Elas devem ser armazenadas em temperaturas menores que 30 graus centГ­grados.
  • NГЈo use este medicamento se ele estiver fora do prazo de validade descrito na embalagem.
  • Cialis GenГ©rico, Marca Cialis, Cialis GenГ©rico Soft, Apcalis, Cialis Gelatina (Tadalafila)

    Leia estas instruções com muito cuidado antes de tomar as pílulas. Em caso de dúvidas, consulte um profissional de saúde.

    • Quais sГЈo os ingredientes das minhas pГ­lulas de TADALAFILA? O princГ­pio ativo Г© conhecido como Tadalafila e cada pГ­lula contГ©m esta substГўncia em proporções de 2,5mg, 5, 10 ou 20mg. Suas pГ­lulas de TADALAFIL tambГ©m contГ©m ingredientes adicionais, nГЈo ativos.
    • Como elas se parecem? Cada pГ­lula de Cialis GenГ©rico tem forma de semente, de cor laranja e escrito “C 20” no fundo. Elas vГЄm em blisters de 2, 4 ou 10 pГ­lulas cada.

    Cada pílula de Cialis Soft tem forma oval, de cor branca e escrito “E 20” em um dos lados. Elas vêm em blisters de 2, 4 ou 10 pílulas cada.

  • O que a TADALAFILA faz? As pГ­lulas de TADALAFILA sГЈo uma das novas linhas de medicamentos usadas no tratamento da disfunção erГ©til, permitindo a passagem de uma quantidade maior de sangue no seu pГЄnis, permitindo assim que uma ereção seja obtida e sustentada. Por si sГі, ele nГЈo cura a disfunção erГ©til, melhora a estimulação sexual ou trata a infertilidade.
  • Existe alguГ©m que nГЈo deve tomar TADALAFILA? Qualquer pessoa que tenha reação alГ©rgica ao medicamento ou qualquer pessoa que esteja tomando medicamentos Г  base de Гіxido nГ­trico ou nitratos (normalmente utilizados para tratar angina) nГЈo deve tomar TADALAFILA. Os nitratos mais frequentemente administrados sГЈo partes de nitroglicerina e substГўncias do isosorbida (mononitrato e dinitrato). Se vocГЄ estГЎ sendo tratado para a angina e nГЈo tem certe certeza se o seu medicamento se encaixa em alguma das categorias acima, converse com um profissional de saГєde antes de tomar TADALAFILA.
    VocГЄ nГЈo deve tomar TADALAFILA se:
    • VocГЄ problemas sГ©rios no coração ou sofreu ataque cardГ­aco recentemente;
    • VocГЄ sofreu um derrame cerebral recentemente;
    • VocГЄ tem pressГЈo baixa.
  • O que devo dizer ao meu mГ©dico se eu pretendo tomar TADALAFILA?
    • Diga ao seu mГ©dico se vocГЄ jГЎ teve alguma vez:
    • Alguma doenГ§a, de qualquer tipo, no pГЄnis;
    • Ereções dolorosas;
    • Um diagnГіstico de doenГ§a oftalmolГіgica hereditГЎria, conhecida como
    • retinite pigmentosa;
    • Гљlcera peptic ou qualquer problema relacionado Г  coagulação do sangue.

    Diga também ao seu médico se você se está fazendo algum outro tipo de tratamento para disfunção erétil; se você tem uma anormalidade nos glóbulos vermelhos; algum problema sério no rim ou no fígado; multiple myeloma (câncer nos ossos); leucemia ou qualquer anormalidade física no formato do seu pênis.

  • Aviso para pacientes idosos UsuГЎrios do medicamento idosos nГЈo precisam de Nenhuma alteração especial na dose.
  • Aviso para aqueles que sofrem doenГ§as no rim ou no fГ­gado. Existem apenas algumas restrições na seguranГ§a do uso do TADALAFIL entre um grupo, limitado aos seguintes usuГЎrios:
    Pacientes com insuficiГЄncia renal severa e pacientes com insuficiГЄncia hepГЎtica severa; pacientes com insuficiГЄncia renal leve ou moderada, e em pacientes no estГЎgio final da insuficiГЄncia renal, submetidos a hemodiГЎlise;
    Em ambos os grupos, TADALAFIL 10mg a dose mais alta estudada.
  • A minha capacidade de dirigir ou operar maquinГЎrio pesado serГЎ afetada ao tomar TADALAFILA? Desde que alguns relatos de tonturas foram experimentados por homens que tomaram Tadalafila, vocГЄ deve verificar como irГЎ reagir ao medicamento antes de dirigir ou operar maquinГЎrio pesado.
  • TADALAFILA pode ser tomado junto com outros medicamentos? VocГЄ sempre deve discutir com seu mГ©dico a possibilidade de reação de quaisquer medicamentos.
    Este Г© especialmente o caso se vocГЄ estГЎ atualmente tomando nitratos. NГЈo tome TADALAFILA junto com estes medicamentos.
    Não tome TADALAFILA junto com qualquer outro medicamento para disfunção erétil.
    Este medicamento não deve ser usado por mulheres ou crianças menores de 18 anos.
    Mantenha a TADALAFILA longe do alcance de crianças.
  • Como devo tomar as pГ­lulas de TADALAFILA? Sua dosage sera definida pelo seu mГ©dico, porГ©m costuma ser 20mg, e pode ser tomada entre 30 minutos e 36 horas antes do sexo (o tempo ideal pode ser decidido pelo prГіprio usuГЎrio). NГЈo deve ser tomado mais de uma vez por dia. Dependendo da tolerГўncia ao medicamento, a dosagem pode ser reduziada para 10mg.

    A pГ­lula de Cialis GenГ©rico Г© deve ser tomada com um copo de ГЎgua. Consumo excessivo de ГЎlcool nГЈo Г© recomendado enquanto estiver tomando o medicamento.

    Cialis Genérico Soft pode ser dissolvido na boca. Isto irá reduzir o tempo que você tem que esperar entre tomar o medicamento e iniciar a relação sexual. Você pode ingerir bebidas alcoólicas ou comidas gordurosas, duas coisas proibidas quando você toma a versão regular do Cialis.

  • Quais sГЈo os potenciais efeitos colaterais do medicamento? Estes costumam ser secundГЎrios e de curta duração. Os efeitos colaterais que sГЈo reportados com mais frequГЄncia sГЈo dores de cabeГ§a e indigestГЈo, embora ele tenha causado tambГ©m ocasionalmente dores nas costas, nos mГєsculos, nariz bloqueado, febre e tontura. Com pouca frequГЄncia, tem causado desconforto na regiГЈo dos olhos.
    Também tem sido relatado, com pouca frequência, que alguns usuários experimentaram uma ereção prolongada e algumas vezes dolorosa após tomar TADALAFILA.
    Se você experimentar qualquer uma dessas reações, busque ajuda com um profissional de saúde.

    Se vocГЄ sentir dores no peito durante ou apГіs o sexo, vocГЄ nГЈo deve tomar um tratamento a base de nitrato, porГ©m buscar ajuda mГ©dica imediatamente.

    Ataque cardГ­aco, derrame cerebral e batida irregular do coração tem sido ocasionalmente relatados por homens que tomaram TADALAFILA. A maioria – porГ©m nГЈo todos – destes homens jГЎ possuГ­am problemas cardГ­acos antes de comeГ§arem a usar TADALAFILA, e nГЈo nГЈo se sabe se os problemas foram causados pela TADALAFILA. Experimentos em animais indicaram uma possГ­vel redução da fertilidade, porГ©m estudos posteriores indicaram que isso nГЈo terГЎ o mesmo efeito em humanos.

  • Um dos ingredients da TADALAFILA Г© lactose. Este medicamento Г© adequado para homens com intolerГўncia Г  lactose? NГЈo tome o medicamento se vocГЄ tem problemas hereditГЎrios de tolerГўncia Г  lactose.
  • Como devo armazenar as minhas pГ­lulas de TADALAFILA?

    Armazene-as em lugares com temperaturas inferiores a 25 graus centГ­grados (77 graus Fahrenheit).

  • NГЈo use o medicamento apГіs a data de vencimento informada na embalagem.
  • Levitra GenГ©rico, Marca Levitra (Vardenafila)

    Leia as instruções com muita atenção antes de tomar as pílulas. Em caso de dúvidas, procure o seu médico.

    • O que o Levitra GenГ©rico (VARDENAFILA) faz?

    Ele é uma classe de medicamentos conhecidos como phosphodiesterase (PDE) inhibitors e é usado para tartar a disfunção erétil permitindo a passagem de mais sangue no seu pênis, permitindo assim que a ereção seja obtida e mantida.
    Ele não cura a disfunção erétil ou melhora a estimulação sexual, nem pode impedir gravidez ou proteger de doenças que são transmitidas durantes as relações sexuais, como HIV/AIDS.

  • Quais sГЈo os ingredientes das pГ­lulas de Levitra?

    O princípio ativo é conhecido como VARDENAFILA. Cada pílula contém VARDENAFILA em proporção de 20mg. Suas pílulas de VARDENAFILA também contêm ingredientes adicionais, não ativos.

    Cada pílula de Levitra Genérico vem em forma circular, de cor amarela e com a marcação “20” no verso. Elas vêm em blister de 10 pílulas cada.

  • Como devo tomar o medicamento?

    Suas pГ­lulas de VARDENAFILA devem ser tomadas oralmente. O medicamento serГЎ tomado quando necessГЎrio, cerca de 15 a 30 minutos antes do sexo. VocГЄ pode tomar VARDENAFILA mesmo que nГЈo tenha comido, porГ©m nГЈo deve tomar mais de uma pГ­lula por dia.
    Siga cuidadosamente as instruções contidas na embalgem e consulte seu médico caso permaneça alguma dúvida. Siga a dose prescrita e não aumente ou diminua a dose.
    As pílulas podem ser usadas para tratar outras situações. Porém você deve consultar seu médico para mais detalhes.

  • O que devo dizer ao meu mГ©dico se eu pretendo tomar VARDENAFILA?

    Antes do uso, informe seu medico se vocГЄ tem alergia a VARDENAFILA ou qualquer outro medicamento. NГЈo tome o medicamento se vocГЄ tiver quaisquer dos itens a seguir:
    bloqueadores alfa, como o alfuzosina (Uroxatral, doxazosina (Cardura), prazosina (Minipress), tamsulosin (Flomax) e terezosina (Hytrin);
    ou se vocГЄ tiver tiver sido receitado com nitrato como dinitrato de isosorbida (Isordril, Sorbitrato), mononitrato de isosorbida (Imdur, ISMO) e nitroglicerina (Nitro-BID, Nitro-Dur, Nitroquick, Nitrostat, entre outros). Nitratos vГЄm em pГ­lulas, para uso sob a lГ­ngua, sprays, fragmentos ou pomadas. Consulte seu mГ©dico se vocГЄ nГЈo sabe se algum dos seus medicamentos incluem nitratos.
    Evite medicamentos incluindo nitratos como o nitrato de Amil ou nitrato de butil (“Poppers”).
    Avise seu mГ©dico sobre qualquer medicamento (prescrito ou nГЈo) que vocГЄ esteja tomando, junto com qualquer suplemento vitamГ­nico ou nutricional, ou ainda produtos herbais.
    VocГЄ deve avisar o seu mГ©dico se estiver tomando alguma das substГўncias a seguir: amiodarona (Cordarona);
    antifungos, como fluconazola (Diflucan), itraconazola (Sporanox), e ketoconazola (Nizoral);
    claritromicina (Biaxin);
    ciclosporina (Neoral, Sandimune);
    danazol (Danocrina);
    delaviradina (Rescriptor);
    diltiazem (Cardizem, Dilacor, Tiazac);
    disopiramida (Norpace);
    eritromicina (E.ES, E-micina, Eritrocina);
    fluoxetina (Prozac, Sarafem);
    fluvoxamina (Luvox);
    Inibidores da protease do HIV como indinavir (Crixivan) e ritonavir (Norvir); isoniazid (INH, Nydrazid);
    Medicamentos controlar a pressГЈo sanguГ­nea ou batimentos cardГ­acos;
    Metronidazola (Flagyl);
    Outros medicamentos ou tratamentos para a disfunção erétil;
    Nefazodona (Serzona);
    Paroxetina (Paxil);
    Procainamida (Procanbix, Pronestyl);
    Quinidina (Quinidex);
    Sotalol (Betapace);
    troelandomicina (TAO);
    verampamil (Calan, Covera, Isoptina, Verelan);
    E Zafirlukast (Accolate).
    Seu medico pode lhe dizer para não tomar VARDENAFIL, ou po solicitor um ajuste na dose, caso você tenha alguma das situaçõs mencionadas.
    Certifique-se de que seu mГ©dico seja informado caso vocГЄ tenha ou jГЎ teve:
    Uma ereção que durou mais de quatro horas;
    Alguma condição que altere a forma do pênis, como angulação, fibrose cavernosa ou doença d Peyronie;
    PressГЈo sanguГ­nea alta ou baixa;
    Batidas do coração irregulares; um ataque do coração; angina (dor no peito);
    Um derrame cerebral;
    Гљlceras no estГґmago ou intestino;
    Um distГєrbio de sangramento;
    Problemas com as células do sangue, como anemia falciforme (uma doença nos globules vermelhos), myeloma múltiplo (câncer dos plasmócitos), ou leukemia (cancer nas células brancas do sangue); ou ainda doença nos rins, fígado ou coração.
    TambГ©m informe o seu medico se vocГЄ ou alguГ©m em sua famГ­lia sofre ou jГЎ sofreu de:
    Retinite;
    pigmentosa (uma doença do olho); ou Síndrome do QT longo (um problema do coração).
    Informe o seu medico se vocГЄ foi recomendado profissionalmente a se abster de sexo por razГµes de saГєde.
    VARDENAFILA Г© de uso exclusive para homens, e mulheres nГЈo devem tomГЎ-lo.
    Caso haja necessidade de fazer uma cirurgia, mesmo que seja dentГЎria, lembre-se de avisar o seu medico.

  • Existe alguma coisa que eu deva evitar de comer ou beber enquanto estiver tomando VARDENAFILA?

    Suco de grapefruit pode causar problemas, portanto fale com seu mГ©dico antes de tomГЎ-lo.

  • Quais sГЈo os possГ­veis efeitos colaterais do medicamento?
    VARDENAFILA pode causar efeitos colateraais. Informe seu mГ©dico se vocГЄ tiver qualquer um dos sintomas abaixo ou se eles persistirem:

    • Dor de cabeГ§a ou tontura;
    • DistГєrbios no estГґmago ou indigestГЈo;
    • Se sentindo inchado ou ansioso;
    • Blocked head, nariz que escorre ou sintomas da gripe. Existem efeitos colaterais mais severos e, embora sejam raros, vocГЄ deve procurar o seu mГ©dico caso tenha qualquer um dos sintomas a seguir:
    • Uma ereção que dure mais de quatro horas;
    • VisГЈo embaГ§ada ou modificada (ex: quando vГЄ um tom azulado; dificuldade em diferenciar verde e azul, ou dificuldade em ver Г  noite)
    • InchaГ§o do rosto, garganta, lingual, lГЎbios, olhos, mГЈoes, pГ©s, tornozelos ou pernas
    • RouquidГЈo, dificuldade em respirar ou engolir, visГЈo embaГ§ada, desmaios, urticГЎria, erupções na pele.
  • Como devo armazenar as pГ­lulas de VARDENAFILA?

    Mantenha o medicamento na sua embalagem original, com a tampa bem fechada, e fora do alcance de crianças.
    Armazene em temperatura ambiente, evitando o calor e condições de umidade (ex: não armazene no banheiro).
    Descarte todas as pílulas que estiverem fora do prazo de validade ou não sejam mais necessárias. Converse com o seu médico sobre a sua segurança e forma de armazenamento apropriada.

    Se vocГЄ tomar mais do que a dose recomendada, procure um hospital imediatamente.
    Se a pessoa que teve uma overdose entrou em colapso ou parou de respirar, chame os serviçoss de emergência.

  • O que mais devo saber sobre o VARDENAFILA?

    NГЈo falte a nenhuma consulta a seu medico.
    NГЈo permite que outras pessoas tomem suas pГ­lulas.
    Discuta as prescrições repetidamente com o seu médico.

    Kamagra (Sildenafila)

    Kamagra é uma pílula discreta para o tratamento da disfunção erétil masculina, também conhecida como impotência. É um um avanço real no tratamento que pode ajudar muitos homens que têm disfunção erétil a conseguir e manter uma ereção quando estiverem sexualmente excitados. Elas vêm em blister de 4 pílulas cada.

    KAMAGRA aumenta o fluxo de sangue no pênis, permitindo que uma quantidade maior de sangue flua pelo pênis, como acontece naturalmente quando um homem está sexualmente estimulado. Com mais sangue entrando e menos saindo, as artérias do pênis se alargam, resultando em uma ereção. Se o mecanismo não estiver funcionando corretamente, um homem terá dificuldades em ter e manter uma ereção. Ao usar KAMAGRA, um homem pode responder à estimulação sexual durante uma relação e assim que esta relação terminar, a ereção irá embora.

  • O KAMAGRA funciona imediatamente?

    Leva de 50 a 60 minutos para o KAMAGRA começar a funcionar, e o efeito pode durar até 4 horas.

  • O KAMAGRA causa uma ereção automaticamente?

    Não. Com KAMAGRA, você deve estar sexualmente excitado para ter uma ereção. Se você tomar KAMAGRA e não estiver sexualmente estimulado, nada irá acontecer – você não terá ereção apenas por tomar a pílula. KAMAGRA não é um hormônio. Não é afrodisíaco. É um medicamento de prescrição que pode aumentar a função de ereção da maioria dos homens com problemas para ter ereção.

  • Que quantidade de KAMAGRA eu posso tomar?

    KAMAGRA vem em doses diferentes (25mg, 50mg e 100mg). Como muitos medicamentos, o seu medico poderГЎ ajustar a sua dose de KAMAGRA se ele nГЈo produzir os resultados desejados ou se vocГЄ estiver incomodado com os efeitos colaterais. NГЈo tome uma dose de KAMAGRA maior que a que seu medico prescrever. KAMAGRA pode ser usado atГ© uma vez por dia, quando necessГЎrio.

    Se vocГЄ tiver mais de 65 anos, tiver problemas sГ©rio nos rins ou no fГ­gado, ou estiver tomando inibidores de protease, como a do tratamento do HIV, seu medico poderГЎ lhe receitar a dose mais baixa (25mg) de KAMAGRA.

  • Com que frequГЄncia devo tomar KAMAGRA?

    Para a maioria dos pacientes, KAMAGRA deve ser tomado uma vez por dia, quando necessГЎrio. Em pacientes que tomam inibidores de protease (como os do tratamento do HIV), Г© recomendГЎvel nГЈo exceder uma dose simples de 25mg de KAMAGRA num perГ­odo de 48 horas.

    KAMAGRA não deve ser dado a recém-nascidos, crianças ou mulheres. Não deixe nenhuma outra pessoa tomar o seu KAMAGRA. KAMAGRA deve ser usado apenas sob supervisão médica.

    Antes de iniciar qualquer tratamento com KAMAGRA, certifique-se de verificar com o seu médico se o seu coração está saudável o suficiente. Se você é um homem que usa medicamentos à base de nitratos, como nitroglicerina, nunca tome KAMAGRA. A combinação de KAMAGRA e nitratos pode fazer a sua pressão sanguínea cair a níveis perigosamente preocupantes. Você pode ficar tonto, desmaiar, ou ainda ter um ataque cardíaco ou derrame cerebral. Nitratos são encontrados em muitos medicamentos prescritos no tratamento de angina (dor no peito devido a doença do coração), tais como:

    Nitroglicerina (spary, oleos, manchas na pele ou pastas, e comprimidos qe sГЈo engolidos ou dissolvidos na boca)
    Mononitrato de isossorbida e dinitrato de isossorbida (comprimidos que sГЈo engolidos, mastigados, ou dissolvidos na boca)
    Nitratos também são encontrados em drogas recreativas, como nitrato de amil ou nitrito (também conhecido como “poppers”). Se você não tem certeza se seu medicamento contém nitrates, ou se você não entende o que são nitrates, consulte o seu medico ou um farmacêutico.

    Enquanto o KAMAGRA funciona para 4 entre 5 homens, ele não irá funcionar com todos. Se não funcionar com você, consulte seu médico para discultir outras opções de tratamento.

  • Posso tomar KAMAGRA com ГЎlcool?

    Beber álcool pode prejudicar temporiamente a capacidade de ter ereções. Para obter o máximo de benefício do seu medicamento, não é aconselhável a ingestão de grandes quantidades de álcool antes de tomar Kamagra.

  • Posso tomar KAMAGRA apГіs comer?

    Sim, mas tomar KAMAGRA após uma refeição rica em gordura (como um X-Burger ou batatas fritas) pode fazer com que o medicamento demore mais tempo para funcionar.

  • Quais sГЈo os efeitos colaterais do KAMAGRA?

    Como todos os medicamentos, KAMAGRA pode causar alguns efeitos colaterais. Estes costumam ser leves e não duram mais que algumas horas. Alguns destes efeitos ocorrem geralmente com doses maiores de KAMAGRA. Com KAMAGRA, os efeitos colaterais mais comuns são dor de cabeça, vermelhidão na face, e dor de estômago. KAMAGRA pode também causar uma visão azulada ou desfocada, assim como sensibilidade à luz. No caso raro de uma ereção durar mais de 4 horas, procure ajuda médica imediatamente.

    Diferenças entre Viagra, Cialis, Levitra e Kamagra

    Com uma variedade de opções disponíveis para combater o problema da disfunção erétil, pode ser difícil tomar uma decisão sobre o medicamento correto para você. Viagra, Cialis e Levitra têm prós e contras diferentes e são todos prescrito para a mesma situação, aumentando assim a confusão. Os pontos-chave na diferenciação são a duração do efeito do Cialis (36 horas) e a capacidade dos soft tabs fazerem efeito mais rapidamente através da absorção pela corrente sanguínea. Você também pode ingerir álcool e comidas gordurosas quando está usando a versão soft tab tanto do Viagra quanto do Cialis. Para ver as diferenças entre todos os medicamentos, verifique a tabela abaixo:

    Nome do medicamento

    Tempo para começar a agir

    Consumo Excessivo De Viagra

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