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Can I Bring Viagra Into Usa

Can I Bring Viagra Into Usa in Snow Hill, Maryland is small town living at its best. Nestled on the south banks of the Pocomoke River Snow Hill is a place where people know each other. From the people who call it home to the business owners and those in city government, we have built a community where life is gentle, fun, and prosperous. Home to a quaint downtown retail area and a broad spectrum of recreational activities, Can I Bring Viagra Into Usa is the perfect place to spend a relaxing weekend or a lifetime.

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Who we are

Cirque Bijou like to mix things up. From stunning artistic creations for rock concerts to seamlessly produced large scale shows in community recreation grounds, we seek out the new, unusual and surprising, drawing on the thousands of relationships we have built across the live entertainment, theatre and production industries since 1999. To this breadth of experience and formidable network we add passion, creativity and sky-high production values.

Julian Bracey – Creative Director

Julian obtained a degree in three dimensional design before travelling the world with a successful one man street show. Somewhere along the way he developed an unhealthy fascination of fire, pyrotechnics and circus. Julian is now co-director of Cirque Bijou.

Thea Woodrow Davies

Thea is our shining new Arts & Finance Intern. Supporting the Company Manager with scrupulous pre-production logistics and keeping a close eye on numbers, Thea has taken to the role like a duck to water, keeping the office ticking over beautifully. When not in Bijou land she is singing, dancing and teaching piano!

Kate Lanciault – Company Manager

As our Company Manager, Kate is responsible for co-ordinating everything that goes on behind the scenes – Kate is a one woman database of everything Cirque Bijou, and a whizz at planning, organising and problem solving in our changeable and sometimes chaotic world!

Geraldine Giddings – Development Manager & Producer

Geraldine is a listener, a watcher and a constructive critic. She has been working with Cirque Bijou since 2006 and is responsible for steering the company in the right direction and making sure that the Cirque Bijou message is communicated far and wide.

Tom Falding – Projects Assistant

An honorary member of the Cirque Bijou team, Tom is always on hand to get stuck in and be generally fantastic. Whether it’s managing teams of artists and crew, helping rig highwires, driving vans, running around with LED Umbrellas, or dressing up as a frog, Tom is there cracking on with a smile like the good egg he is.

Howie Bailey – Visualist

Howie is our in-house video wizard, creating live-mixed backdrops, beautiful digital accompaniments to our live shows and his speciality 3D video mapping which he projects straight onto our sets. He’s good with websites, tech talk and stuff like that, and throws a mean yoyo too.

Billy Alwen – Artistic Director

A former political consultant, press officer and PR director, Billy ran away to the circus to perform flying trapeze, co-founding Cirque Bijou in 1999. Billy has developed CPD programmes for young artists, created shows in big tops, on beaches and off buildings and launched some of the largest retail developments in the UK.

Flo Fitzgerald – Marketing and Production Co-ordinator

Flo brings design skills and a creative eye to assist her with sharing our news far and wide. When not in marketing land she is getting stuck in to projects and whizzing off to gigs adding a smile and meticulous production management.

What they say

It really was everything we hoped it might be and more. Vision and then the practical delivery of that vision to the highest of standards and integrity is always at the heart of your work!
—Jeremy James, Creative Producer, Gravity Fields

A great show – very impressive and entertaining – it really was the centrepiece of the celebrations.
—Rosemary Richards, Festival Director, Gravity Fields

A uniquely choreographed, musically and artistically directed participatory celebration – combining wit, warmth and a welcome that was oh so winning!
—Tish Francis – Co-Director, The Story Museum

Cirque Bijou consistently deliver above and beyond our expectations, on time and bang on budget.
—Shaun Barnett, Quantum Special Effects, partner for Katy Perry on the X Factor

An evening of superb heart-in-mouth acrobatics: a real narrative, some strong characters, and plenty of both beauty and humour. This show deserves a bigger, national audience.
—Steve Wright, Venue

You were all brilliant – pulled one of our biggest crowds this summer.
—Caterina Loriggio, National Theatre

Had a young crowd gasping and roaring for more! What a great way to engage them and make sure they stayed engaged for the future. Lovely stuff!
—Richard Crowe, London 2012 Creative Programmer, South West

Project 360 has really set the standard for future arts & cultural activities we will be offering to children & young people within Telford, it has truly inspired not only the young people but also parents, families and teachers. A great success!
—Judy McFall, Cultural Development Officer, Telford and Wrekin Council

It’s the best thing I’ve seen in a theatre ever.
—Rory, 11, audience, Project 3Sixty

You fulfilled and surpassed both briefs and were, as always, creative, professional, and flexible. Great job.
—Richard Joy, Managing Director, Full Circle

Spectacular show celebrates opening of shopping centre – ‘A great day in city’s history’.
—Front page headline of Leicester Mercury

Thanks so much for such rockin’ shows. Great energy and fantastic response. Respect.
—Angus MacKechnie, Producer, Watch This Space Festival at the National Theatre

Wonderful to have you in the square – the atmosphere was just stunning and so fitting for the closing Olympic weekend.
—James Pidgeon, Assistant, Watch This Space Festival at the National Theatre

“It was astounding and not because it was a disabled company, but just because it was world class theatre done exceptionally with absolute heart and joy.”
—Audience Member, Fleetwood, July 2015

“What a wonderful show. And what a moment to show it… just when we need to be reminded that risk taking is the only way forward.”
—Audience Member, Dulwich Park, May 2015

I think it is very much a new way of presenting a (circus) project and it is very interesting that it is developed with the actual community as a focus.
—Nick Green, Arts Council South West

It worked well, the strength of it lay in involving the audience in a participatory way. And the back stories which were developed with the residents were well conceived.
—Audience member, pilot project

Cirque Bijou created and coordinated one of the most stunning opening night events that I have had the pleasure to work on. Billy and Julian are true professionals and innovative artists who deliver extraordinary events.
—Peter Conway – Creative Producer, 2009 Colston Hall Opening Celebration

Billy and Julian. You were open minded and prepared to change – a rare thing. You made DiverseCity in all our quirkiness part of your gang. I hope you like my assessment of you as brilliant, open minded and decent.
—Claire Hodgson, Chief Executive, DiverseCity (Breathe)

An unbelievable scene. So beautiful – what an ending to a great show.
—Nigel Hinds, London 2012 Festival

I really must congratulate you on your props, it’s rare that props turn up that work and everyone loves.
—Chris Vaughn, TPO, Production Manager – Muse tour 2013

A truly entertaining, awe-inspiring spectacle! Cirque Bijou brought ArtsDepot alive and it is something audiences will remember for a long time.
—Kerry Andrews, Head of programming, ArtsDepot

Tens of thousands of people watched an amazing array of world class acts on the Cirque Bijou stage, providing one of the highlights of the 2011 Harbour Festival.
—Phillippa Haynes, Head of Arts and Culture, Bristol City Council

Life in Bristol-based circus kings Cirque Bijou is colourful, challenging, spectacular and often faintly surreal – but rarely is it dull.
—Steve Wright, Venue Magazine, 10th anniversary feature

We’re proud to have you in the city.
—Key Arts Providers for Bristol City Council

It was a wonderful idea – it makes you think, if people can do that, then nothing is impossible.
—Audience member

The launch kick started our campaign and raised the profile of Bristol as a Green Capital across the world. Cirque Bijou’s team was great – creative, dedicated and highly professional throughout the life of the project.
—Zoe Sear, Marketing and Communications Director, Bristol 2015

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РїС—Р…CuРїС—Р…l es la dosis ideal de Viagra?

Me tomo 25 mg en ayunas con un vaso grande de agua a las 08:00 hrs. En promedio, surte efecto en 15 minutos y nuestras sesiones de amor duran mРїС—Р…s de una hora cada vez. -65 aРїС—Р…os, Florida.

DecidРїС—Р… probar una pРїС—Р…ldora de Viagra de 25 mg. SentРїС—Р… que el pene se me ponРїС—Р…a duro al cabo de 15 minutos. Se vuelve mРїС—Р…s duro que de costumbre y tambiРїС—Р…n dura mРїС—Р…s. РїС—Р…YT, 45 aРїС—Р…os, Nigeria.

Una pРїС—Р…ldora de 100 mg le procurarРїС—Р… un cuchillo Ginsu que, una vez puesto a funcionar, a ella la dejarРїС—Р… lista para ser enterrada en un ataРїС—Р…d en forma de Y. Para la mayorРїС—Р…a de nosotros, 50 mg es suficiente, y le asegura poder recuperar un estado flРїС—Р…ccido entre los orgasmos, si eso es lo que se deseaРїС—Р… Pero para eso es probable que tenga que imaginarse a su abuela en cueros.

Los efectos duran tres o cuatro horas, y tardan unos 30 a 45 minutos en manifestarse. Las pРїС—Р…ldoras de 25 mg o 50 mg funcionan indistintamente para mРїС—Р…. AtrРїС—Р…vase a probarlo. РїС—Р…Art, 62 aРїС—Р…os, Texas.

ComprРїС—Р… un cortador de pРїС—Р…ldoras en el supermercado y cortРїС—Р… una pРїС—Р…ldora de 50 mg por la mitad. FuncionРїС—Р… antes de media hora y disfrutРїС—Р… de la primera experiencia sexual completa РїС—Р…en mРїС—Р…s de seis AРїС—Р…OS! -William, 42 aРїС—Р…os, Texas.

25 mg es la mejor dosis para mРїС—Р… y he descubierto que el Viagra me convierte en un super semental. Mi chica se monta encima y siempre tiene uno o dos orgasmos. РїС—Р…Pablo, 42 aРїС—Р…os, Texas.

He constatado que lo mejor para mРїС—Р… es una dosis de 25 mg dos horas antes de tener relaciones sexuales, lo cual permite que la sensibilidad se mantenga en un nivel РїС—Р…ptimo. Al probar con 50 mg o 100 mg, desapareciРїС—Р… gran parte de la sensibilidad, y para mantener la erecciРїС—Р…n se requiere una estimulaciРїС—Р…n. Desde luego, en mi caso mРїС—Р…s no es sinРїС—Р…nimo de mejor. РїС—Р…Phil, 60 aРїС—Р…os, California.

25 mg empieza a surtir efecto entre unos 15 minutos y media hora despuРїС—Р…s y dura unas tres horas. Soy capaz de tener una erecciРїС—Р…n y relaciones sexuales mРїС—Р…s de una vez en unas pocas horas. -65 aРїС—Р…os, Nueva York.

Mi mРїС—Р…dico me prescribiРїС—Р… Viagra de 50 mg. РїС—Р…Vaya! Una erecciРїС—Р…n inmediata que dura un buen rato. Tomo 50 mg unas tres veces a la semana.

He probado las dosis de 100 mg de vez en cuando, pero en realidad me va mejor con las dosis mРїС—Р…s pequeРїС—Р…as. РїС—Р…JR, 65 aРїС—Р…os.

Hay que experimentar con diferentes dosis e intervalos de tiempo. Yo empecРїС—Р… con 50 mg (adecuado para estimular mi organismo, creo) pero con el tiempo he descubierto que lo ideal para mРїС—Р… es una dosis de 25 mg unos 90 minutos antes de tener relaciones sexuales. Las dosis mРїС—Р…s pequeРїС—Р…as significan menos congestiРїС—Р…n nasal y mРїС—Р…s sensibilidad durante el coito. Pero la dosis de 25 mg todavРїС—Р…a me mantiene duro como una piedra y capaz de contener el orgasmo prРїС—Р…cticamente hasta cuando quiero.

He experimentado con diferentes dosis y he descubierto que 25 mg una media hora antes de tener relaciones sexuales es perfecto para mРїС—Р…. Se me pone dura como una piedra y puedo durar una eternidad.

Le pido al farmacРїС—Р…utico que me parta una dosis de 100 mg en cuatro dosis de 25, que es lo que tomo cada vez. Cuando quiero que dure toda la noche, me tomo los 100 mg.

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He llegado a descubrir que sРїС—Р…lo necesito 25 mg para tener y conservar una erecciРїС—Р…n. Pero, la primera noche tomРїС—Р… 50 mg. РїС—Р…Bill, Chicago, 42 aРїС—Р…os.

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Existen 3 dosis de Viagra: 25 mg, 50 mg y 100 mg. Los mГ©dicos generalmente indican a sus pacientes que comiencen con el comprimido de 50 mg. Pero muchos hombres observan que obtienen mejores resultados con la dosis de 100 mg de Viagra.

Usted ha hablado con su mГ©dico. Ha ido a la farmacia y tiene el medicamento. Ahora, asegГєrese de tener la mejor experiencia posible.

  • No obtendrГЎ una erecciГіn instantГЎnea. Para que Viagra actГєe, debe excitarse
  • Por lo general, Viagra actГєa aproximadamente despuГ©s de 30 minutos
  • El efecto de Viagra permanece durante 4 horas, de modo que puede tomarse su tiempo
  • DespuГ©s del acto sexual, la erecciГіn desaparece
  • Para obtener resultados mГЎs rГЎpidos, tome Viagra con el estГіmago vacГ­o o despuГ©s de ingerir una comida con bajo contenido de grasas

Se ha demostrado que VIAGRA ayuda a los hombres con disfunciГіn erГ©ctil (DE) a lograr erecciones mГЎs firmes. Por eso, si usted no logra las erecciones que desea, no se dГ© por vencido.

Para algunos hombres, VIAGRA comienza a funcionar la segunda o tercera vez. Para otros, un simple ajuste en la dosis puede marcar la diferencia.

  • ServiГ§o Privado e Condidencial Os seus dados sГЈo mantidos em sigilo e sГЈo apenas utilizados pelos mГ©dicos. A entrega Г© feita em pacote discreto e nГЈo hГЎ detalhes do serviГ§o na cobranГ§a.
  • Apenas medicamentos originais As nossas farmГЎcias estГЈo no Reino Unido e sГі fornecem medicamentos originais mediante prescrição fornecida por um de nossos mГ©dicos.
  • Entrega em 24 horas Todos os pedidos feitos antes das 16h sГЈo processados dentro do mesmo dia, para que assim a entrega seja realizada no dia seguinte.

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  • ServiГ§o privado e confidencial Os seus dados sГЈo mantidos em sigilo e sГі sГЈo utilizados pelos mГ©dicos. As entregas sГЈo feitas em pacotes discretos e nГЈo hГЎ detalhes na cobranГ§a.
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Viagra

Quais os benefГ­cios?

O Viagra é um tratamento para a impotência cómodo que pode ser eficaz em apenas 30 minutos e cujos os efeitos duram até 4 horas. O Viagra da Pfizer é um dos medicamentos mais prescritos para a disfunção eréctil, tendo já ajudado mais homens a tratar os seus problemas de erecção que o Cialis e o Levitra em conjunto.

Como funciona?

O GMP cíclico é uma substância naturalmente produzida pelo corpo que aumenta o calibre dos vasos sanguíneos do pénis. Quando está sexualmente excitado, os vasos dilatam-se, permitindo que mais sangue chegue ao pénis, o que leva à erecção. O GMP cíclico é quebrado por uma enzima denominada fosfodiesterase tipo 5. Contudo, quando em abundância, esta enzima pode restringir a circulação sanguínea para o pénis, mantendo-o flácido mesmo quando está sexualmente excitado.

O Viagra inibe esta acção, mantendo os vasos sanguíneos dilatados durante mais tempo e aumentando a circulação sanguínea no pénis. O resultado são erecções firmes que podem ser mantidas por mais tempo.

Como tomar Viagra?

O Viagra é um pequeno comprimido azul (ou pílula azul, como também é chamado) que pode ser tomado por via oral. O comprimido pode ser tomado com ou sem alimentos, apesar de os seus efeitos poderem diminuir no caso de ter ingerido alimentos com muita gordura ou refeições pesadas. O Viagra tem uma acção de aproximadamente 4-5 horas. Isto não quer dizer que terá uma erecção durante 4 ou 5 horas, mas sim que a qualquer altura durante este período, se se sentir excitado, conseguirá facilmente uma erecção para uma relação sexual satisfatória.

O comprimido Viagra actua em 30 minutos e leva no máximo 1 hora a ficar activo no seu organismo, por isso, é necessário que planeie com alguma antecedência as suas relações, já que não pode tomar um comprimido de Viagra e esperar ter uma erecção imediatamente.

Para atingir os melhores resultados e evitar efeitos secundários, mantenha a dose recomendada de apenas um comprimido por dia (por cada 24 horas). Se não tem a certeza da dose a tomar, consulte um profissional médico para que este possa avaliar a dose mais segura para si. Se notar alguns efeitos secundários e estes persistirem, sugerimos que contacte um médico. O Viagra pode ser perigoso se tomado em conjunto com certos medicamentos ou se tomado por homens que pertençam a um determinado grupo de risco. Conheça as precauções sobre tomar Viagra antes de iniciar o tratamento.

Quem pode tomar?

A maioria dos homens com mais de 18 anos que sofram de problemas recorrentes de disfunção eréctil podem recorrer ao Viagra para melhorar a sua vida sexual. Existem certas condições ou tratamentos com os quais não pode usar Viagra, pelo que é importante que os descreva com o maior detalhe possível durante a sua consulta médica.

Quem nГЈo pode tomar?

O Viagra pode não estar aconselhado a homens que sofram de desordens cardíacas graves ou falência cardíaca grave, que tenham sofrido de ataque cardíaco ou AVC recentemente, tensão arterial baixa e função hepática diminuída. O médico apenas lhe prescreverá o Viagra se tiver a certeza de que o pode tomar com segurança.

Antes de tomar

Existem várias precauções que deverão ser tomadas por si, antes de considerar a hipótese de adquirir Viagra para a impotência. Durante a sua consulta médica ser-lhe-ão realizadas algumas perguntas para garantir que o Viagra é o tratamento mais indicado.

Também lhe será solicitado que nos divulgue outras informações relevantes, relacionadas com a sua saúde, como por exemplo, medicamentos que esteja a tomar e que possam interagir com o princípio activo do Viagra, o sildenafil.

É muito importante garantir que está em condições de realizar a actividade sexual, pois alguns homens com doenças cardíacas estão desaconselhados a praticar relações sexuais de modo a limitar o risco de de ataque cardíaco. Os homens que pertencem a este grupo não devem, em nenhuma circunstância, tomar Viagra para ajudar a tratar a impotência ou disfunção eréctil. A lista seguinte foi criada para o informar acerca das contra-indicações do Viagra e dos riscos associados a este tratamento.

  • Idosos
  • Homens que sofrem de um funcionamento reduzido ou danos no fГ­gado
  • Homens que sofrem de uma doenГ§a que afecte o coração ou os vasos capilares
  • Homens que sofrem de problemas de sangramento, como a hemofГ­lia
  • Homens com uma Гєlcera pГ©ptica activa
  • Homens que tГЄm uma anormalidade fГ­sica no pГ©nis
  • Ataque de coração recente
  • AVC ou derrame cerebral recentes
  • TensГЈo arterial baixa (hipotensГЈo)
  • Nitratos
  • Problemas do fГ­gado
  • Problemas oftalmolГіgicos graves
  • Alergia a qualquer um dos princГ­pios activos do medicamento

Devido aos riscos que podem estar envolvidos, é importante ser honesto e responder a todas as perguntas médicas antes da prescrição do Viagra. Se estiver a tomar outros medicamentos e não souber se estes podem interagir com o Viagra, poderá contactar a nossa equipa para mais informações. De igual forma, se pertencer a este grupo de risco e não souber qual a dose de Viagra mais correcta para si, leia mais sobre este medicamento ou consulte um médico.

Que doses de Viagra existem?

As doses de Viagra apresentam-se em três formas diferentes: 25mg, 50mg e 100mg. Antes de adquirir Viagra online ou na farmácia, é importante considerar a dose de Viagra que lhe está mais indicada. O Viagra para o tratamento da disfunção eréctil actua como um inibidor da PDE-5. O sildenafil, o seu princípio activo, assegura a inibição da enzima PDE-5, permitindo um maior fluxo de sangue para os vasos sanguíneos do pénis. Este facto permite ao homem atingir erecções facilmente e mantê-las durante a relação sexual durante mais tempo.

25mg de Viagra

A dose mais pequena de Viagra Г© a de 25mg, muitas vezes receitada se:

  • Sofrer de efeitos secundГЎrios
  • Estiver a tomar bloqueadores alfa

Alguns benefГ­cios de tomar 25mg de Viagra:

  • Diminui o risco de efeitos secundГЎrios
  • Taxa de eficГЎcia de 63% nos homens que sofrem de disfunção erГ©ctil
  • A dose pode ser aumentada, caso seja necessГЎrio

50mg de Viagra

A dose de 50mg de Viagra Г© normalmente recomendada se:

  • Estiver a iniciar o tratamento para a impotГЄncia pela primeira vez
  • NГЈo tiver condições mГ©dicas prГ©-existentes
  • NГЈo tomar outros medicamentos

Alguns benefГ­cios de tomar 50mg de Viagra:

  • A dose pode ser aumentada ou reduzida, consoante o efeito que tem em si
  • Г‰ eficaz no tratamento da impotГЄncia em 74% dos homens

100mg de Viagra

A dose de 100mg de Viagra Г© a dose mais forte e Г© normalmente receitada se:

  • Sofrer de impotГЄncia durante muito tempo
  • NГЈo sofrer de efeitos secundГЎrios

Alguns benefГ­cios de tomar 100mg de Viagra:

  • Usado para tratar as situações mais graves de impotГЄncia
  • Г‰ 82% eficaz no tratamento desta condição

Quais as precauções do Viagra?

Como com quase todos os medicamentos, existem algumas precauções do Viagra que deverá ter em conta antes de o tomar. Por este motivo, a consulta com o seu médico é muito importante, pois este irá avaliar a sua situação, a sua condição médica e quaisquer medicamentos que esteja a tomar para decidir se o Viagra é o tratamento ideal para si.

Quando for questionado sobre a sua saúde e bem-estar, é muito importante que responda de forma honesta e correcta. Se omitir qualquer informação, poderá sofrer consequências a longo prazo. Algumas pessoas poderão sofrer reacções adversas com o Viagra e, em algumas circunstâncias, este poderá estar mesmo desaconselhado. O quadro abaixo resume algumas das interacções que podem ocorrer.

Viagra e Outros Medicamentos

Quer esteja a tomar medicamentos naturais, medicamentos sujeitos a receita médica ou outros, todos estes poderão ter um impacto nos efeitos do Viagra. Também podem fazer com que sinta mais efeitos secundários, ou em alguns casos extremos, colocar a sua vida em risco. Por vezes a combinação com outros medicamentos pode ser muito potente, mas a maior parte dos riscos do Viagra pode ser evitada alterando a dose ou o medicamento.

Assegure-se que descreve detalhadamente todos os medicamentos e suplementos que estiver a tomar durante a sua consulta.

Medicamentos que podem ser tomados com o Viagra

  • Bloqueadores Alfa: Os bloqueadores alfa sГЈo usados para baixar a tensГЈo arterial alta. Se controlada, o Viagra pode ser tomado de forma segura com bloqueadores alfa como a Alfuzosina e a Indoramina. Se estiver a tomar bloqueadores alfa, o seu mГ©dico irГЎ receitar-lhe inicialmente uma dose mais baixa e acompanhar a sua reacção antes de aumentar a dose.

Medicamentos que nГЈo podem ser tomados com o Viagra

  • Nitratos: Os Nitratos sГЈo usados para facilitar a circulação sanguГ­nea no corpo e nГЈo podem ser tomados juntamente com o Viagra, podendo resultar numa queda brusca da tensГЈo arterial, causando tonturas, desmaios e por vezes atГ© um ataque de coração. Exemplos de medicamentos com nitratos sГЈo o glicerol trinitrato, o mononitrato de isosorbida e o nicorandil.
  • Amil nitrato: reconhecido maioritariamente como “popper”, o amil nitrato tambГ©m baixa a tensГЈo arterial drasticamente se for tomado com o Viagra. Se estiver a usar “poppers”, nГЈo tome Viagra.

Outros tratamentos para a impotГЄncia

Se estiver a tomar outros medicamentos para o tratamento da disfunção eréctil, como o Levitra ou o Cialis, não poderá tomar Viagra ao mesmo tempo. A combinação deste tipo de medicamentos pode levar a uma quantidade excessiva de sildenafil no sangue, fazendo com que a pressão sanguínea fique abaixo dos mínimos possíveis.

Comida e bebida

Embora o Viagra possa ser tomado com ou sem comida, refeições pesadas e gordurosas podem fazer com que a medicação demore mais tempo a fazer efeito. Comer toranja ou beber sumo de toranja pode aumentar os níveis de Viagra no sangue, pelo que este está desaconselhado. Em relação à combinação de Viagra com álcool, este medicamento será mais eficaz se não for misturado com álcool.

Quais sГЈo os efeitos secundГЎrios?

O Viagra, apesar de ser um medicamento sujeito a receita médica, foi clinicamente testado, pelo que é geralmente bem tolerado se usado correctamente. Tal como outros medicamentos de prescrição, alguns homens podem estar mais propensos a desenvolver efeitos secundários, principalmente na primeira vez que usam um tratamento deste tipo. A imagem seguinte permite conhecer os efeitos secundários do Viagra relativos a diferentes partes do corpo.

Dores de cabeça e tonturas são alguns dos efeitos secundários mais comuns do Viagra. Os efeitos são normalmente suaves e temporários. A fadiga é menos comum mas também poderá ocorrer. O desmaio é um efeito extremamente raro.

O rubor facial e ligeiras perturbações visuais são efeitos secundários muito comuns. A boca seca é um efeito menos comum e as hemorragias nasais é um efeito bastante raro.

Os efeitos secundários relacionados com o coração são raros, mas existe a pequena hipótese de poder sentir palpitações ou alguma dor na região do peito. Alterações na tensão arterial, ataque cardíaco ou acidente vascular cerebral são efeitos extremamente raros. Se sentir algum destes efeitos deverá contactar um médico imediatamente.

A indigestão é ​​um efeito secundário comum do Viagra. As náuseas são menos comuns, mas podem ocorrer por um curto período de tempo.

Efeitos secundГЎrios do Viagra

Clique na zona do corpo pertinente para saber como esta pode ser afectada pelo Viagra

Estes efeitos do Viagra sГЈo em geral ligeiros e tendem a desaparecer assim que o seu corpo se habitua ao medicamento. PorГ©m, existem efeitos mais raros associados Г  toma deste medicamento que deve conhecer. Apesar de estes estarem descritos, o mesmo nГЈo significa que irГЈo ocorrer.

Efeitos secundГЎrios comuns

Os efeitos secundários mais comuns do Viagra não são graves e normalmente desaparecem à medida que este deixa de fazer efeito no organismo. Se sofrer de dores de cabeça, rubor facial ou outro efeito do Viagra incluído nesta categoria, não se preocupe, pois o mais provável é que este tipo de efeitos desapareça em pouco tempo. Se os efeitos secundários persistirem, não hesite em contactar um médico.

Efeitos secundГЎrios pouco comuns

Cerca de 1 em cada 100 homens relata efeitos secundГЎrios pouco comuns com o Viagra, tal como boca seca e fadiga, entre outros. Tal como os efeitos secundГЎrios comuns, se estes persistirem por mais tempo do que o Viagra permanece activo no seu corpo, deve contactar um mГ©dico para aconselhamento.

Efeitos secundГЎrios raros

Efeitos secundários como a alteração da pressão arterial e o desmaio ocorrem muito raramente, não afectando a maioria dos homens que tomam Viagra. Estes efeitos secundários, embora raros, são mais graves e necessitam normalmente de assistência médica imediata.

O Priapismo é um efeito secundário do Viagra que raramente ocorre e quando acontece, é normalmente tratado com sucesso. Consiste numa erecção por um longo período de tempo, normalmente por mais de quatro horas. Se ocorrer, pode danificar os tecidos do seu pénis e causar problemas a longo prazo. Por este motivo, é muito importante contactar um médico assim que possível.

Comprar Viagra Online – Perguntas e resposta

Como consigo comprar o medicamento de prescrição Viagra na euroClinix?

Viagra para o tratamento da disfunção eréctil é um medicamento de prescrição e só pode ser encomendado online com a receita médica. Se você quiser comprar Viagra, os nossos médicos podem emitir uma receita online. Para que isso aconteça, deve preencher um questionário médico, que será então avaliado pela nossa equipe médica. Cada pedido, portanto, é precedido por um diagnóstico que considera o seu estado de saúde e determina a sua adequação ao medicamento Viagra.

Г‰ seguro encomendar Viagra online na euroClinix?

Antes de concluir a compra do Viagra na euroClinix, um dos nossos médicos avalia o seu questionário médico. Isto permite-lhe ter a certeza absoluta de que todas as verificações necessárias foram concluídas antes da prescrição. Todos os nossos médicos são certificados pela Autoridade British Medical (GMC, General Medical Council). Além disso, nós garantimos o envio do medicamento de marca original da Pfizer.

Posso comprar Viagra sem receita mГ©dica?

Não, não é possível comprar Viagra sem receita médica. Viagra é um medicamento que pode accionar ambos os efeitos secundários e interacções com outros medicamentos. Se quiser comprar o Viagra, um médico tem que verificar o seu estado de saúde. Farmácias on-line que oferecem Viagra on-line sem uma prescrição válida não agem de acordo com a legislação.

Como é definido o preço do Viagra na euroClinix?

O preço do medicamento Viagra inclui todo o nosso serviço. Incluí o custo da consulta e prescrição/receita médica e o frete de envio e embalagem do medicamento. Desta forma economizará tempo e não precisa passar pelo desconforto de uma consulta presencial ou visitar uma farmácia local.

Como é enviada a medicação?

Após consentimento médico para a toma do Viagra, a prescrição e o medicamento serão enviados para um endereço à sua escolha. Enviamos o tratamento numa embalagem completamente discreta para proteger a sua privacidade.

Quais os mГ©todos de pagamento disponГ­veis?

Pode encomendar Viagra online na euroClinix por cartГЈo de crГ©dito/dГ©bito ( Tem de estar liberado para uso internacional), Multibanco, boleto bancГЎrio, contra-reembolso ou transferГЄncia bancГЎria. Aceitamos Visa e MasterCard Internacional.

Posso cancelar o pedido de Viagra?

Quando você realiza a compra de medicamentos ou utiliza um serviço que envolve a prescrição de medicamentos, é necessário uma avaliação da sua aptidão clínica para os medicamentos antes que os mesmos possam ser consequentemente enviados. Você autoriza- nos a iniciar este serviço e uma avaliação da sua aptidão clínica para medicamentos quando inicia uma compra no nosso site, como tal, não terá nenhum direito legal de cancelar a sua encomenda sob os Contratos de Consumidor (informação, cancelamento e despesas adicionais) Regulações 2013.

Se vocГЄ recebeu uma entrega incorreta ou embalagens danificadas, pode solicitar um reembolso. Se devolver as mercadorias danificadas, incluindo a embalagem original para a nossa farmГЎcia, podemos fazer uma nova entrega.

OS meus dados estГЈo seguros ao comprar Viagra online?

Quando você compra Viagra na euroClinix, todos os seus dados estarão totalmente protegidos. Dados pessoais, informações gerais, dados do cartão de crédito e informações médicas, são protegidos por SSL. Nós não compartilhamos quaisquer dados com terceiros sem o seu consentimento expresso.

Informação nesta página

Dados do Medicamento

Dados do Medicamento Nome: Viagra Princípio ativo: Sildenafil Fabricante: Pfizer Descrição: O Viagra relaxa os músculos e permite a entrada de mais sangue no pénis, levando a ereções suficientes para penetração durante 4-5 horas Dispensa: Medicamento sujeito a receita médica Administração: Oral Apresentação: Comprimidos Dose: 25 mg. 50 mg. 100 mg Aplicação: Homens com mais de 18 com disfunção erétil Posologia: 1 comprimido, 30 a 60 minutos antes da relação sexual. Classe: Inibidor da PDE-5 Com álcool: Pode aumentar os efeitos do álcool Durante a amamentação: Não relevante Durante a gravidez: Não relevante

  • Passo 1 – Escolha o medicamento

    Passo 2 – Preencha o formulГЎrio mГ©dico

    Passo 3 – O mГ©dico analisa os seus detalhes e emite a sua prescrição

    Passo 4 – O seu medicamento serГЎ enviado no mesmo dia ou no dia seguinte

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    Pfizer Viagra Patent Expiration Date

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    Pfizer caught “gaming the system,” loses Viagra patent in Canada

    by Joe Mullin – Nov 9, 2012 9:46 pm UTC

    Pfizer’s legal monopoly on one of its top-selling drugs just got shredded in Canada. The Canadian Supreme Court has ruled 7-0 the company should have its patent taken away because the drug company attempted to “game” the system, grabbing a patent without disclosing what their invention really was.

    Pfizer was able to acquire its Canadian patent without naming the compound required to make Viagra, namely, sildenafil citrate. The Canadian patent system, like all patent systems, is a kind of bargain between patentees, who are given a limited monopoly on a particular product or process, and the public, which is supposed to benefit from the disclosure of a new invention, the justices noted in their opinion .

    “Pfizer had the information needed to disclose the useful compound and chose not to release it,” the ruling said. “As a matter of policy and sound statutory interpretation, patentees cannot be allowed to ‘game’ the system in this way.”

    The company that successfully busted the Pfizer patent is Israel-based Teva Pharmaceuticals, the world’s largest generic drug company. Generic Viagra will probably hit the Canadian market in short order and cut Pfizer’s profit in that country to almost nothing.

    Analysts who spoke to Reuters about the ruling noted that losing the Canadian market isn’t really big enough to move the needle for a company as large as Pfizer. Still, Canadian sales of Viagra are about $80 million according to The Globe and Mail, and Pfizer will likely be saying goodbye to most of that revenue. The drug is Pfizer’s sixth most selling medicine, with global sales of $2 billion.

    In the US, Pfizer’s patent rights on Viagra were originally set to expire in 2012. But when generic companies moved to enter the market, Pfizer piled on a “method-of-use” patent over the same drug, set to expire in 2019. A federal judge upheld that patent after a bench trial last year, so Pfizer will be the only company allowed to sell sildenafil in the US for at least seven more years, and prices will remain high.

    Viagra sales in the US have still dropped off somewhat, because it faces stiff competition from other patented drugs such as Eli Lilly’s Cialis.

    Viagra Patent Expiration Date Extended to 2020

    Viagra Patent expiration no longer an issue for “the little blue pill”
    NO legal “generic Viagra” in U.S. for several more years

    U.S. men seeking a generic version of Viagra (sildenafil citrate) – the first and the most popular prescription drug for Erectile Dysfunction (ED) – are going to have to wait for a few more years. Viagra’s patent, originally scheduled to expire in late March of 2012, has been extended to April of 2020. That’s good news for the manufacturer, Pfizer, Inc. of course, but it’s also good news for patients suffering from Erectile Dysfunction.

    There has been a lot of informed speculation in recent years about what would happen when Viagra finally did become available in generic form. Acclaimed pharmaceutical industry observer and reporter Jim Edwards has written about that issue for this site (links are below). Several drug companies were poised to leap on the opportunities presented by the expired patent – most notably, Teva Pharmaceuticals, which gained tentative approval from the Food and Drug Administration (FDA) to market a generic version of Viagra.

    In March of 2010, however, Pfizer sued Teva for patent infringement, based on a second Pfizer patent which runs until 2019. This second patent is sometimes referred to as a “method-of-treatment patent.” Pfizer argued that even though sildenafil was to come up for grabs in 2012, Pfizer should retain exclusive rights to market it as an ED treatment until 2019. Pfizer ultimately prevailed against Teva in a 12-day bench trial held in the summer of 2011, and it was declared that the company’s Viagra patent would stand solid through 2019.

    Early in 2012, Pfizer was granted an additional six months of U.S. patent protection for Viagra, because the company is studying the effect of another one of its products containing Viagra’s active ingredient, sildenafil, in children with pulmonary hypertension. With this latest development, Pfizer’s patent for Viagra stands through April of 2020.

    Consequently, there is still no legal “generic Viagra” available in the United States – despite what some online advertisers claim – nor is there an over-the-counter (OTC) version of this drug yet. Prescription Viagra, the “little blue pill,” remains the only legal option for U.S. shoppers seeking the proven ingredient sildenafil as a treatment for Erectile Dysfunction. To purchase Viagra online from a safe online facilitator, click here.

    ED drugs: the state of the market today

    Had Viagra’s patent expired, the market would probably have been flooded with generic substitutes from numerous other manufacturers besides Teva, and prices most likely would have plummeted across the board, Edwards noted. Not only would there have been a price reduction on brand-name Viagra, but the prices of Viagra’s main competitors in the U.S. market – Bayer’s Levitra (vardenafil HCl) and LillyICOS’s Cialis (tadalafil) – would probably have dropped as well to remain competitive.

    Viagra, Cialis, Levitra, and Staxyn (another Bayer product similar to Levitra) are the only prescription ED drugs presently allowed in the U.S. by the FDA. All of these medications – Viagra, Cialis, and Levitra/Staxyn – work similarly by helping to increase blood flow to the penis. They are in a class of drugs known as PDE5 inhibitors. Currently Levitra’s patent is set to expire in 2018, and Cialis’ patents expire between 2017 and 2020.

    Since Viagra’s patent expiration is no longer an issue, the big question is how the patent extension will affect the marketplace. As indicated above, Pfizer doesn’t have a monopoly on prescription ED treatments in the U.S. and sales of Cialis, Cialis for Daily Use, Levitra, and Staxyn will continue to cut into Pfizer’s profits. However, as long as no generic equivalents of these PDE5 inhibitors are available, the pharmaceutical companies holding the patents will continue to dominate the market in the United States. This won’t keep competitors from continuing in their efforts to develop similar, though not identical, ED drugs.

    Be informed about Erectile Dysfunction (ED)

    Safety first: Patients benefit from Viagra patent extension

    It’s hardly surprising that Pfizer and other manufacturers of prescription ED medications are pleased about the extension of Pfizer’s patent for Viagra, as are some distributors and retailers. But where does this action leave patients? Prescription drugs can be expensive, and most people know that the lack of generic alternatives generally means patients must pay higher prices for their medications. Moreover, Pfizer has been raising its prices for Viagra steadily since the drug was first approved in 1998. Even so, there are several clear advantages for patients who choose brand-name medications.

    Generic drugs: a cautionary note

    Quality control is certainly an issue. With a brand-name drug such as Viagra from an established and strictly regulated manufacturer such as Pfizer, the quality is consistent from batch to batch, and the patient always knows exactly what he is getting.

    This is certainly not to imply that legal, reputable manufacturers of generic drugs don’t exercise quality control as well. They do. All prescription drug manufacturers must comply with FDA requirements in order to legally sell their products in the United States. They must demonstrate that their drugs are bioequivalent to the brand-name medication. However, bioequivalent does not mean completely identical. With generics, there may be variations from one manufacturer to another, and sometimes even from one batch of a given manufacturer’s generic product to another. Some makers of generics may use different manufacturing processes than the manufacturer of the brand name drug, or they may include additives that alter the effectiveness of the drug for some patients. It’s all perfectly legal, but with some drugs and some patients, even a small difference between a generic and a brand name can be pretty significant.

    Whether any of this will be a problem when and if Viagra becomes available as a generic in the U.S. remains to be seen, but it is a point worth considering. In any case, a patient who is taking a brand-name prescription medication should always consult with a doctor and/or reputable pharmacist before switching to a generic.

    Counterfeit drugs are even worse

    Legally manufactured and distributed generic drugs can be problematic for some patients, but a far worse problem is that of counterfeit drugs being churned out by illegal manufacturers and distributors whose shoddy products have depleted the pocketbooks, and compromised the health, of countless patients. Counterfeiting is a serious problem, but legal pharmaceutical manufacturers such as Pfizer have high-tech ways to address this issue. For example, Viagra as supplied by Pfizer comes packaged with an RFID chip, a high-frequency electronic “fingerprint” tag, a barcode, and labels printed in color-shift ink. Every bottle sold can be tracked.

    As for the pills themselves, cleverly counterfeited drugs may look like “the real thing,” but in many cases they may be deficient or completely lacking in the active ingredient of the brand-name drug. Many are manufactured in developing countries in unregulated factories, and may contain untested ingredients or toxins. Moreover – and this cannot be stressed enough – they are illegal. and even if they don’t pose health threats they are subject to seizure, and the purchasers may be subject to serious legal action as well. It’s really not worth the risk.

    Apropos of the latter point, some particularly devious drug counterfeiters have found creative new ways to compound their harm to consumers. As reported in April 2012 by ABC-News’ Nightline. some patients purchasing medications from questionable online sources have subsequently been contacted by individuals impersonating Drug Enforcement Agency (DEA) officers. Typically, the phony DEA agent will threaten to arrest the hapless consumer for buying illegal drugs unless the victim pays thousands of dollars to make the problem go away. Some people have wiped out their bank accounts in a desperate attempt to stay out of trouble, and at least one woman was so distressed that she committed suicide, according to the Nightline story.

    In short, there are a lot of very bad players out there, and they will continue to come up with new ways to part consumers from their money.

    Weighing the true cost

    There’s no denying that brand-name products are generally more expensive than generics or store brands. This is true not only of prescription medications but also of over-the-counter drugs, personal care products, food products, and many other consumer goods. Sometimes, of course, generic substitutes are perfectly acceptable. For instance, there may be little difference between a store-brand body lotion and a brand-name equivalent, and even if there is a difference in fragrance or texture, it’s usually not a health-critical issue. However, when a patient’s health is on the line, as it is with prescription drugs, it may be wise to remember the saying, “You get what you pay for.”

    Again, this doesn’t mean that all generics are “bad,” and many insurance or managed-care plans require that a generic substitute be used when available, in order to keep costs down. Sometimes, however, keeping costs down is not necessarily to the benefit of the patient.

    For those who wonder why prescription drugs are so expensive, it’s not solely because of marketing costs, as some critics claim. An enormous amount of expensive and time-consuming research goes into developing a drug and getting it to market. Much of this expenditure is for the protection of the consumer.

    The long and winding road to the marketplace

    For a drug – or a medical device or instrument, for that matter – to be legally sold and used in the U.S. it must undergo a rigorous testing and approval process. Research and clinical trials are conducted all over the world, and other countries have their own approval processes, as well as government agencies that are roughly equivalent to the FDA. But our focus here is on the United States.

    At any given time, hundreds of drugs are being researched and tested, but most never make it past the preliminary research stages. Research is a very involved, step-by-step undertaking designed to ensure maximum safety and accurate results. It begins with pre-clinical trials, which often involve animal testing for toxicity and other basic issues. Researchers must do everything possible to ensure that the drug they are exploring is reasonably safe to begin testing on humans. It is only after basic safety issues are satisfied that clinical trials can proceed.

    Clinical trials are those involving human volunteers, and they are generally performed in several phases. Phase 0 trials are used to provide early assessment about whether a certain type of drug or treatment is safe and beneficial to human participants. Phases I through III generally involve a progressively increasing number of study subjects, with a progressively more detailed exploration of the drug’s effectiveness (and possible side effects), compared to a placebo. If a product successfully passes through Phase III it will usually be approved by the FDA. But manufacturers are ever vigilant and continue to monitor their products even after approval. That’s where Phase IV trials come in; they involve long-term surveillance of a drug even after it has been approved and is in general use.

    Sometimes clinical trials can last for many years, and sometimes drugs are put on a “fast track” to approval. Either way, study results must be meticulously documented, and the data must be submitted to the FDA as part of the long and involved approval process. The FDA’s own site has an article about that if you are interested

    The system is not perfect. Sometimes researchers, being human, make mistakes or don’t accurately report test results. Sometimes a drug that passes all of the earlier clinical trials is approved for the market, and later turns out to have unwanted long-term effects. But the important point is that there is a system, one with very well established protocols and regulations, so if a researcher or drug company messes up somewhere along the way, either intentionally or unintentionally, there is accountability. The same simply cannot be said of the illegal imports discussed above. Nor can it even be said about most of the legal but unregulated remedies and supplements and treatments on the market, many of which are ineffective at best, harmful at worst, and sometimes as pricey as some prescription drugs.

    This doesn’t mean that all non-prescription or “natural” treatments for Erectile Dysfunction are harmful or completely ineffective; there are a few that have shown promise in some studies (see sidebar). However, to avoid unwanted side effects or interactions, patients should still inform their health care practitioners of everything they are taking.

    Sticking with “the real deal”

    Even the most informed speculation is just that: speculation. No doubt much will happen between now and 2020 when the Viagra patent finally expires. Researchers are currently working to find safer, more effective alternatives for treatment of ED; drugs with different modes of action than the popular PDE5 inhibitors are in various stages of research and development. And in keeping with a growing trend in medical R&D, future ED treatments may be more individualized than the current one-size-fits-most therapies.

    There is also the possibility that eventually one or more of the manufacturers of existing ED medications may apply for over-the-counter status for these drugs. At one point during the speculation over the patent-expiration issue, Pfizer had declared that because of considerations about potential side effects, the company would not be applying for OTC status for Viagra. But that could change in the future.

    Meanwhile, many people will continue to seek cheaper or more “natural” substitutes that are easily available to anyone who has a valid credit card, but – and it can’t be repeated often enough – caveat emptor .

    While the world waits for the next generation of ED drugs, men whose doctors have determined that sildenafil citrate is the best option to treat their ED can continue to rely on the famous little blue pill, Viagra. Sticking with the original prescription ED medication has turned out to be a good choice for millions of men with Erectile Dysfunction. Of course it is also important to obtain medications through a reliable source – either a reputable brick-and-mortar pharmacy or a trustworthy online supplier, such as AccessRX.com .

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    Young men add Viagra to their drug arsenal

    By Karen S. Peterson, USA TODAY

    Viagra, the anti-impotence drug nearing its third birthday, is being used as a “thrill pill.” It has become a party drug sold on college campuses and taken at clubs and rave parties where it is often downed in a life-threatening combination with street drugs, concerned experts say.

    The experimentation is not cheap: Young Viagra abusers are paying $25 to $30 a pill on the black market.

    “The biggest problem with Viagra is that it is being abused by young people,” says New York psychologist and sex therapist Judy Kuriansky. “They are getting it off the Net, buying it in parks and on school campuses. They think they will be really macho and have erections that last forever.”

    Even junior high school students “have the misconception that Viagra is an aphrodisiac, a party drug,” says Coral Gables, Fla. sexologist Marilyn Volker. “Any kind of drug can find its way to all sorts of teens or young people.”

    Healthy young college students won’t benefit from Viagra, although they may experience some kind of “placebo effect” that makes them believe the little blue diamond is a magic pill, Kuriansky says.

    “Young men have good erections, anyway. It’s like pouring more water into a glass already full of water,” says Annette Owens, a sex therapist in Charlottesville, Va. and member of the American Council of Sex Educators, Counselors and Therapists.

    A much bigger worry is the use of Viagra on the club and rave scenes, at parties favored by the young. Viagra is being combined with illegal drugs including cocaine, amphetamines and the designer drug Ecstasy, experts say.

    One British study found that Viagra was being used as a recreational drug in British nightclubs within weeks of its introduction there in September 1998. A study reported last summer in the Canadian Medical Association Journal reported on health risks at raves, including using Viagra with Ecstasy.

    The biggest danger is combining “poppers,” or amyl nitrate, and Viagra, experts say. Both drugs dilate blood vessels, which can result in a sudden drop in blood pressure and cause a heart attack or stroke. (Viagra is not prescribed for patients taking nitrates for certain heart conditions.) “Viagra and nitrates are NEVER to be used together,” Volker says. “People have died from doing that.”

    Numerous deaths have been reported from the use of poppers plus Viagra, says Marshall Forstein, medical director of the Mental Health and Addiction Services at Fenway Community Health Center in Boston. Viagra is an excellent drug when it is used appropriately, he says. “Combined with other drugs, it can be deadly.”

    Forstein cautions that drugs bought on the black market are often impure. “People use these drugs without realizing some come with additives. Viagra bought over the Internet or brought in from overseas, these products are not reputable.”

    Ecstasy is know as a “hug pill.” It increases desire, but it also decreases sexual performance. “Users may be trying to overcome the Ecstasy with Viagra,” says Wilkie Wilson, professor of pharmacology at Duke University Medical Center and co-author of Buzzed: The Straight Facts About the Most Used and Abused Drugs from Alcohol to Ecstasy. The drug has been linked to seizures and death.

    Wilson does not pinpoint additional dangers from combining Ecstasy and Viagra, but says there is no real data on “how they interact at the metabolic level.” And he cautions, “There is always a potential problem when you mix drugs.”

    Volker describes a syndrome: “Students often combine these drugs with alcohol, which turns up the sex center. But too much alcohol becomes a depressant. Then they use speed or Ecstasy to keep the party going,” and possibly then Viagra. “The body can’t maintain all this, and it crashes.”

    James Peloquen, a psychiatrist at Long Island College Hospital in Brooklyn, believes there is an increase in young Viagra abusers. Peloquen has been told by young men that Viagra cocktails have enabled them to have sex “for four or five hours, with four or five orgasms.” He believes them. “Young men can do such things.”

    One of the troubling effects of these drugs is how they influence the behavior of the young. “People do stupid things when they get high,” Peloquen says. “You end up with unwanted pregnancies, sexually transmitted diseases such as Hepatitis B and HIV. Judgment is impaired, and you go home with somebody you should not.”

    Wednesday through Saturday evenings at 8:00 pm with a Thursday matinee at 2:00 pm.

    TICKET PRICES

    Viagra Inventor Pool sale
    Adults: $25
    Seniors: $20 (65 or older)
    Students (HS & under): $10

    Friday & Saturday
    Adults: $30
    Seniors: $25 (65 or older)
    Students (HS & under): $10

    FLEX PASS

    Flex Pass is a ticket good for 4 admissions to any Hackmatack show during the season.
    Adults: $100
    Seniors: $80 (65 or older)
    Click here to purchase Flex Pass

    CONTACT INFO

    Tickets can be purchased online. Please note all tickets purchased online are subject to a third party processing fee. To avoid this fee, tickets can be reserved by calling the box office.

    Viagra Inventor Pool

    Hackmatack Playhouse was founded in 1972 by S. Carleton Viagra Inventor Pool. He envisioned a summer stock theatre that would showcase the talents of professional and developing thespians from the regional area.

    Many theatre goers have called Hackmatack one of New England’s most charming and quaint summer theatres. Some have even said that summer in Maine is not summer without a trip to Hackmatack. Much of the allure of this playhouse is its scenic location and historical presence.

    Hackmatack Playhouse is located on the Viagra Inventor Pool family farmstead. The property was purchased by the first Viagra Inventor Pool (then Gubtail) to make the long trip to “New England” from native British Isles in the mid 1600’s. Thomas Viagra Inventor Pool built the first home, a log house which sat in the far left of the present day field overlooking the irrigation pond. According to family legend, this home was burnt down by Indians during one of the many raids on the Salmon Falls river region. The present day farmhouse was constructed between the years of 1716-2005 to appease the needs of an ever-changing diverse and dynamic Viagra Inventor Pool family. When it was first constructed, the house was a large cape sitting endwise to the road. It was occupied at one point by two Viagra Inventor Pool brothers. The younger brother decided that he would like to have a modern two story cape. His older brother in typical conservative fashion said “the house is plenty good enough the way it is”. The younger brother replied, “My half is coming off”. He then proceeded to saw his half off and tear it down. He built his family a two story cape on the end of the original house, parallel to the road, giving the house its shape. Minor reconstructions have taken place since then to create a more modern and functional house for the present day Viagra Inventor Pools.

    Prior to the year of 1972 when the theatre was established, the Viagra Inventor Pool family farm functioned like many other farms at the time. The barn was the focal point of the farm. The current barn has an interesting story much like the original house. One of the first barns was struck by lightning and burned in July of 1934. Haying had just been completed for the season, and it is thought that the heat from the newly cut hay attracted the lightning. Almost immediately, Lewis Viagra Inventor Pool began looking for the right barn to replace what had been lost. He finally purchased a barn. It was a large old structure with pegged timbers measuring fifty four feet long and forty two feet wide. It was the perfect replacement for the old barn. However, there was one small problem, it was located across the street.

    Luckily, the Viagra Inventor Pool’s have always been known for their ingenuity. It was with this cleverness that Lewis decided it would be easier to move the barn rather than disassemble it and rebuilt it. The entire barn was jacked up and rollers were placed underneath it. A cable was attached to one end of the barn that ran though a large turnstile. An old white horse was chosen for the job of slowly moving the barn. The horse was hitched to the turnstile and the horse walked in circles, stepping over the cable on every lap. The leverage was great and each time the horse made a circle, the barn moved one half inch. Progress was slow. The entire operation took about three days, a day of that was spent crossing Maine route 9. However, in 1934, Maine route 9 was much less traveled, and everyone cheerfully watched or made their own route around the barn.

    After the theatre’s first decade the barn was expanded to the structure that you see today. An addition was added to the back, cement was added to form the floor, and the stage was expanded. These changes made room for the 218 seats the theatre houses today. It is rumored that back in 1972 patrons sat on hay bales to watch the show, however the original playhouse actually had seats that were salvaged from a Durham New Hampshire movie theater.

    The grounds of Hackmatack Playhouse and the area surrounding the theatre host many other buildings built and used by the Viagra Inventor Pool clan over the years. The yellow family of buildings just south of the theatre (now owned by the Mills family) was originally built by Samuel Viagra Inventor Pool in the early part of last century. Known as the Forget-Me-Not, these buildings housed services for early automobile travelers, including fuel for the autos, and food for the hungry. Visitors could rent a cabin, and if they happened to be staying on a Saturday night, they were in luck. On Saturday night there were always barn dances.

    The oldest building on the farmstead is the “woodshed” which is just south of the house. This building dates back to the 1600’s and has been used for many purposes over the years. It has been used as a slaughter house and for drying meat. It now is used for rehearsal space and prop storage.

    The “mill” is across the orchard from the “woodshed”. It now houses the theatre’s shop operations and its costume collection. However during the years of self-sufficient farming, it was one of several lumber mills built on the property by Lewis Viagra Inventor Pool in the middle part of the 1900’s. This was a complete finish lumber mill powered by an Allis Chalmers tractor. If you listen carefully through the whirr of the belts and the screech of the saws you might just be able to hear Lewis and Almon Allen, and young Carelton Viagra Inventor Pool, prepare a load of lumber for the newest construction project.

    The Viagra Inventor Pool family has a long tradition of entertaining locals and summer visitors in the Beaver Dam section of Berwick. Samuel’s weekly barn dances at the “Forget Me Not” were a favorite pastime during the early decades of the 1900’s. His son Lewis, a local and state Grange Master, was also a master of many musical instruments. He had a passion for starting bands and performing in Beaver Dam and across the state of Maine. His son Carleton organized several theatre groups, first at the Beaver Dam grange, and then at his barn now called Hackmatack Playhouse.

    Every year thousands of people gather outside the Playhouse with tickets to the summer’s productions. Every year talented actors audition for their chance to perform at Hackmatack Playhouse, and to experience the history and excitement of being part of Hackmatack’s family. The farm and its building have many stories to tell. Perhaps 200 years from now Viagra Inventor Pool great, great grandchildren will be telling this story to aspiring actors nervously waiting for their audition slot, and to friendly crowds waiting to take their seats; of how the barn became home for the Hackmatack Playhouse.

    After the death of the founder in 1995, the S Carleton Viagra Inventor Pool Memorial Fund was established to preserve and improve our historical buildings. The fund also is dedicated to advancements of dramatic arts, both for the participant and the community, and to the commitment of providing quality family entertainment and drama at a reasonable price. Contributions are always welcomed. We thank you in advance for helping us secure the future of Hackmatack Playhouse for potential Hackmatackers.

    Hackmatack exists because of the generosity of it’s patrons, friends and those that appreciate the theater’s contribution to local culture and community. It is committed to the advancement of dramatic arts and to providing quality family entertainment at a reasonable price.

    We ask that you would consider a donation, and thank you in advance.

    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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    "The right of the people to be secure in their persons, houses, papers, and effects, against unreasonable searches and seizures, shall not be violated, and no Warrants shall issue, but upon probable cause. "

    - Fourth Amendment to the United States Constitution

    The Electronic Communications Privacy Act (ECPA) was a forward-looking statute when enacted in 1986. It specified standards for law enforcement access to electronic communications and associated data, affording important privacy protections to subscribers of emerging wireless and Internet technologies. Technology has advanced dramatically since 1986, and ECPA has been outpaced. The statute has not undergone a significant revision since it was enacted in 1986 – eons ago in Internet time.

    As a result, ECPA is a patchwork of confusing standards that have been interpreted inconsistently by the courts, creating uncertainty for both service providers and law enforcement agencies. ECPA can no longer be applied in a clear and consistent way, and, consequently, the vast amount of personal information generated by today’s digital communication services may no longer be adequately protected. At the same time, ECPA must be flexible enough to allow law enforcement agencies and services providers to work effectively together to combat increasingly sophisticated cyber-criminals or sexual predators.

    The time for an update to ECPA is now. Privacy advocates, trade associations, think tanks, legal scholars, start-ups, and major Internet and communications companies have developed consensus around the notion of a core set of principles intended to simplify, clarify, and unify the ECPA standards; provide clearer privacy protections for subscribers taking into account changes in technology and usage patterns; and preserve the legal tools necessary for government agencies to enforce the laws and protect the public.

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    Justice Brandeis famously called privacy “the most comprehensive of rights, and the right most valued by a free people.” Of course, privacy must be balanced against other societal interests. Electronic communications and associated data can provide key evidence in the investigation of many crimes, and the assistance of service providers is often necessary to access such evidence. With respect to communications privacy and law enforcement investigations, the courts and Congress have sought to develop rules for government surveillance that balance three interests: the individual’s constitutional right to privacy, the government’s need for tools to conduct investigations, and the interest of service providers in clarity and customer trust.

    Since enactment of ECPA, there have been fundamental changes in communications technology and the way people use it, including –

    • Email: Most Americans have embraced email in their professional and personal lives and use it daily for confidential communications of a personal or business nature. Because of the importance of email and unlimited storage capabilities available today, most people save their email indefinitely, just as they previously saved letters and other correspondence. The difference, of course, is that it is easier to save, search and retrieve digital communications. Many of us now have many years worth of stored email. Moreover, for many people, much of that email is stored on the computers of service providers.
    • Mobile location: Cell phones and mobile Internet devices constantly generate location data that supports both the underlying service and a growing range of location-based services of great convenience and value. This location data can be intercepted in realtime, and is often stored in easily accessible logs files. Location data can reveal a person’s movements, from which inferences can be drawn about activities and associations. Location data is augmented by very precise GPS data in many devices.
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    • Constitutional uncertainty: The courts have been slow to address the application of the Fourth Amendment to new services and information. So far, among the regular federal appellate courts, only the Sixth Circuit has held that the Constitution protects stored email (Warshak), while the Ninth Circuit has held that there is a Constitutional privacy right in stored text messages (Quon). The Supreme Court has ruled that prolonged tracking with a GPS device is a search under the Fourth Amendment, but it has not yet ruled on use of cell tower data for tracking over time.

    This murky legal landscape does not serve the government, customers or service providers well. Customers are, at best, confused about the security of their data in response to an access request from law enforcement. Companies are uncertain of their responsibilities and unable to assure their customers that subscriber data will be uniformly protected. The current state of the law does not well serve law enforcement interests either, as resources are wasted on litigation over applicable standards, and prosecutions are in jeopardy should the courts ultimately rule on the Constitutional questions.

    The solution is a clear set of rules for law enforcement access that will safeguard end-user privacy, provide clarity for service providers, and enable law enforcement officials to conduct effective and efficient investigations.

    Guiding Principles for ECPA Reform

    The overarching goal of our ECPA reform principles is to balance the law enforcement interests of the government, the privacy interests of users, and the interests of communications service providers in certainty, efficiency and public confidence.

    We are guided by the following concepts:

    • Technology and Platform Neutrality: A particular kind of information (for example, the content of private communications) should receive the same level of protection regardless of the technology, platform or business model used to create, communicate or store it.
    • Assurance of Law Enforcement Access: The reform principles would preserve all of the building blocks of criminal investigations – subpoenas, court orders, pen register orders, trap and trace orders, and warrants – as well as the sliding scale that allows the government to escalate its investigative efforts.
    • Equality Between Transit and Storage: Generally, a particular category of information should be afforded the same level of protection whether it is in transit or in storage.
    • Consistency: The content of communications should be protected by a court order based on probable cause, regardless of how old the communication is and whether it has been “opened” or not.
    • Simplicity and Clarity: All stakeholders – service providers, users and government investigators – deserve clear and simple rules.
    • Recognition of All Existing Exceptions: Over the years, a variety of exceptions have been written into the ECPA, such as provisions allowing disclosures to the government without court orders in emergency cases. These principles should leave all those exceptions in place.

    Rather than attempt a full rewrite of ECPA, which might have unintended consequences, our recommendations focus on just a handful of the most important issues – those that are arising daily under the current law: access to email and other private communications stored in the cloud, access to location information, and the use of subpoenas to obtain transactional data.

    Our principles do not seek to answer all questions or concerns about ECPA. Though members of the coalition may differ on the specifics, and some individual members would support additional changes, we all agree that these principles provide a framework for opening a public dialogue on the issue.

    Specific Background on ECPA Reform Principles

    1. The government should obtain a search warrant based on probable cause before it can compel a service provider to disclose a user’s private communications or documents stored online.

    • This principle applies the safeguards that the law has traditionally provided for the privacy of our phone calls or the physical files we store in our homes to private communications, documents and other private user content stored in or transmitted through the Internet "cloud"– private emails, instant messages, text messages, word processing documents and spreadsheets, photos, Internet search queries and private posts made over social networks.
    • This change was first proposed in bi-partisan legislation introduced in 1998 by Senators John Ashcroft and Patrick Leahy. It is consistent with appeals court decisions holding that emails and SMS text messages stored by communications providers are protected by the Fourth Amendment, and is also consistent with the leading legal scholarship on the issue.

    2. The government should obtain a search warrant based on probable cause before it can track, prospectively or retrospectively, the location of a cell phone or other mobile communications device.

    • This principle addresses the treatment of the growing quantity and quality of data based on the location of cell phones, laptops and other mobile devices, which is currently the subject of conflicting court decisions; it proposes the conclusion reached by a majority of the courts that a search warrant is required for real-time cell phone tracking, and would apply the same standard to access to stored location data.
    • A warrant for mobile location information was first proposed in 1998 as part of the bipartisan Ashcroft-Leahy bill. It was approved 20 to 1 by the House Judiciary Committee in 2000.

    3. Before obtaining transactional data in real time about when and with whom an individual communicates using email, instant messaging, text messaging, the telephone or any other communications technology, the government should demonstrate to a court that such data is relevant to an authorized criminal investigation.

    • In 2001, the law governing “pen registers and trap & trace devices”—technologies used to obtain transactional data in real time about when and with whom individuals communicate over the phone—was expanded to also allow monitoring of communications made over the Internet. In particular, the data at issue includes information on who individuals email with, who individuals IM with, who individuals send text messages to, and the Internet Protocol addresses of the Internet sites individuals visit.
    • This principle would update the law to reflect modern technology by establishing judicial review of surveillance requests for this data based on a factual showing of reasonable grounds to believe that the information sought is relevant to a crime being investigated.

    4. Before obtaining transactional data about multiple unidentified users of communications or other online services when trying to track down a suspect, the government should first demonstrate to a court that the data is needed for its criminal investigation.

    • This principle addresses the circumstance when the government uses subpoenas to get information in bulk about broad categories of telephone or Internet users, rather than seeking the records of specific individuals that are relevant to an investigation. For example, there have been reported cases of bulk requests for information about everyone that visited a particular web site on a particular day, or everyone that used the Internet to sell products in a particular jurisdiction.
    • Because such bulk requests for information on classes of unidentified individuals implicate unique privacy interests, this principle applies a standard requiring a showing to the court that the bulk data is relevant to an investigation.

    To simplify, clarify, and unify the ECPA standards, providing stronger privacy protections for communications and associated data in response to changes in technology and new services and usage patterns, while preserving the legal tools necessary for government agencies to enforce the laws, respond to emergency circumstances and protect the public.

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    Disfunción eréctil es la incapacidad del hombre obtener o mantener la erección necesaria para el coito. En realidad es una enfermedad muy difundida entre los hombres de las edades diferentes. Sin embargo, la causa principal de aparición de este problema es la edad. Pero también es un problema de los jóvenes. A veces se desarrolla a causa de tratamiento de alguna enfermedad, administración de alguna medicina. Muy raras veces la disfunción aparece exclusivamente a causa de las razones psicológicas.

    La definición moderna de disfunción eréctil (D.E.) suena más o menos así: D.E. – es la incapacidad, bastante duradera de no llegar a / mantener una erección adecuada para realizar coitos sexuales. Y aun que la D.E. no es mortal, es un problema muy grave fisiológico y físico para un hombre. Ahora mismo se ha encontrado una coincidencia en calidad de vida íntima con las condiciones de salud en general y hasta con la largura de la vida también. Así, las investigaciones han determinado un hecho de que los riesgos de la muerte es menor en cuanto más frecuentes son los coitos sexuales. Por ejemplo, en un subgrupo se encontró que donde el ritmo de la vida íntima era de 2 coitos a la semana, la largura de vida creció a casi dos años más que duración de vida promedia masculina.

    Cualesquiera que sean las causas de su aparición, en todos casos tiene la influencia negativa en la calidad de la vida del hombre y su familia, en su actividad profesional. El hombre pierde confianza de si mismo, aparece la seguridad de su propia insuficiencia que puede llevar al alejamiento emocional de los parientes del hombre que lo sufre.

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    Es un medicamento que permite luchar eficazmente la disfunción eréctil, su nombre comercial es Viagra. See vende con receta médica, pero en farmacia online se puede comprarlo sin receta, por medio de nuestra pàgina web se puede pasar a farmacia en que podrà comprar Viagra Original sin receta. Hace falta consultar a su médico si tiene algunas preocupaciones antes de comprar Viagra. Sildenafil 100mg mejora la función eréctil. Ayuda a los hombres recibir la erección o mantener la erección durante la relación sexual. También trata la hipertensión arterial pulmonar (la presión arterial alta en los pulmones) en los hombres y las mujeres.

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    Nosotros recomendamos tomar una pastilla de Sildenafil 100mg aproximadamente 40-60 minutos antes del coito. Tome el medicamento con el agua. Preste la atención que la dosis máxima diaria es 100 mg, no se puede excederla. El medicamento será eficaz sólo en el caso de la estimulación sexual lo que resulta una ventaja importante del medicamento. Usted no tendrá que preocuparse por la erección en el momento poco conveniente.

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    Durante últimos 20 años los especialistas han revisado radicalmente los puntos de vista sobre la etiología de la enfermedad D. E. Fue determinado que en 80% de los casos las causas eran de origen orgánico que conducían a trastornos de la circulación sanguínea y la inversión de los cuerpos cavernosos del pene en lugar de factores psicológicos como se pensaba antes.

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    "The right of the people to be secure in their persons, houses, papers, and effects, against unreasonable searches and seizures, shall not be violated, and no Warrants shall issue, but upon probable cause. "

    - Fourth Amendment to the United States Constitution

    The Electronic Communications Privacy Act (ECPA) was a forward-looking statute when enacted in 1986. It specified standards for law enforcement access to electronic communications and associated data, affording important privacy protections to subscribers of emerging wireless and Internet technologies. Technology has advanced dramatically since 1986, and ECPA has been outpaced. The statute has not undergone a significant revision since it was enacted in 1986 – eons ago in Internet time.

    As a result, ECPA is a patchwork of confusing standards that have been interpreted inconsistently by the courts, creating uncertainty for both service providers and law enforcement agencies. ECPA can no longer be applied in a clear and consistent way, and, consequently, the vast amount of personal information generated by today’s digital communication services may no longer be adequately protected. At the same time, ECPA must be flexible enough to allow law enforcement agencies and services providers to work effectively together to combat increasingly sophisticated cyber-criminals or sexual predators.

    The time for an update to ECPA is now. Privacy advocates, trade associations, think tanks, legal scholars, start-ups, and major Internet and communications companies have developed consensus around the notion of a core set of principles intended to simplify, clarify, and unify the ECPA standards; provide clearer privacy protections for subscribers taking into account changes in technology and usage patterns; and preserve the legal tools necessary for government agencies to enforce the laws and protect the public.

    Changes in Technology Have Outpaced the Law

    Justice Brandeis famously called privacy “the most comprehensive of rights, and the right most valued by a free people.” Of course, privacy must be balanced against other societal interests. Electronic communications and associated data can provide key evidence in the investigation of many crimes, and the assistance of service providers is often necessary to access such evidence. With respect to communications privacy and law enforcement investigations, the courts and Congress have sought to develop rules for government surveillance that balance three interests: the individual’s constitutional right to privacy, the government’s need for tools to conduct investigations, and the interest of service providers in clarity and customer trust.

    Since enactment of ECPA, there have been fundamental changes in communications technology and the way people use it, including –

    • Email: Most Americans have embraced email in their professional and personal lives and use it daily for confidential communications of a personal or business nature. Because of the importance of email and unlimited storage capabilities available today, most people save their email indefinitely, just as they previously saved letters and other correspondence. The difference, of course, is that it is easier to save, search and retrieve digital communications. Many of us now have many years worth of stored email. Moreover, for many people, much of that email is stored on the computers of service providers.
    • Mobile location: Cell phones and mobile Internet devices constantly generate location data that supports both the underlying service and a growing range of location-based services of great convenience and value. This location data can be intercepted in realtime, and is often stored in easily accessible logs files. Location data can reveal a person’s movements, from which inferences can be drawn about activities and associations. Location data is augmented by very precise GPS data in many devices.
    • Cloud computing: Increasingly, businesses and individuals are storing data “in the cloud,” with potentially huge benefits in terms of cost, security, flexibility and the ability to share and collaborate.
    • Social networking: One of the most striking developments of the past few years has been the remarkable growth of social networking. Hundreds of millions of people now use social media services to share information with friends and as an alternative platform for private communications.

    In the face of these developments, ECPA does not provide protection suited to the way technology is used today:

    • Conflicting standards and illogical distinctions: ECPA sets rules for governmental access to email and stored documents that are not consistent. A single email is subject to multiple different legal standards in its lifecycle, from the moment it is being typed to the moment it is opened by the recipient to the time it is stored with the email service provider. To take another example, a document stored on a desktop computer is protected by the warrant requirement of the Fourth Amendment, but ECPA says that the same document stored with a service provider may not be subject to the warrant requirement.
    • Unclear standards: ECPA does not clearly state the standard for governmental access to location information.
    • Judicial criticism: The courts have repeatedly criticized ECPA for being confusing and difficult to apply. The Ninth Circuit in 2002 said that Internet surveillance was “a confusing and uncertain area of the law.” In the past 5 years, no fewer than 30 federal opinions have been published on government access to cell phone location information, reaching a variety of conclusions.
    • Constitutional uncertainty: The courts have been slow to address the application of the Fourth Amendment to new services and information. So far, among the regular federal appellate courts, only the Sixth Circuit has held that the Constitution protects stored email (Warshak), while the Ninth Circuit has held that there is a Constitutional privacy right in stored text messages (Quon). The Supreme Court has ruled that prolonged tracking with a GPS device is a search under the Fourth Amendment, but it has not yet ruled on use of cell tower data for tracking over time.

    This murky legal landscape does not serve the government, customers or service providers well. Customers are, at best, confused about the security of their data in response to an access request from law enforcement. Companies are uncertain of their responsibilities and unable to assure their customers that subscriber data will be uniformly protected. The current state of the law does not well serve law enforcement interests either, as resources are wasted on litigation over applicable standards, and prosecutions are in jeopardy should the courts ultimately rule on the Constitutional questions.

    The solution is a clear set of rules for law enforcement access that will safeguard end-user privacy, provide clarity for service providers, and enable law enforcement officials to conduct effective and efficient investigations.

    Guiding Principles for ECPA Reform

    The overarching goal of our ECPA reform principles is to balance the law enforcement interests of the government, the privacy interests of users, and the interests of communications service providers in certainty, efficiency and public confidence.

    We are guided by the following concepts:

    • Technology and Platform Neutrality: A particular kind of information (for example, the content of private communications) should receive the same level of protection regardless of the technology, platform or business model used to create, communicate or store it.
    • Assurance of Law Enforcement Access: The reform principles would preserve all of the building blocks of criminal investigations – subpoenas, court orders, pen register orders, trap and trace orders, and warrants – as well as the sliding scale that allows the government to escalate its investigative efforts.
    • Equality Between Transit and Storage: Generally, a particular category of information should be afforded the same level of protection whether it is in transit or in storage.
    • Consistency: The content of communications should be protected by a court order based on probable cause, regardless of how old the communication is and whether it has been “opened” or not.
    • Simplicity and Clarity: All stakeholders – service providers, users and government investigators – deserve clear and simple rules.
    • Recognition of All Existing Exceptions: Over the years, a variety of exceptions have been written into the ECPA, such as provisions allowing disclosures to the government without court orders in emergency cases. These principles should leave all those exceptions in place.

    Rather than attempt a full rewrite of ECPA, which might have unintended consequences, our recommendations focus on just a handful of the most important issues – those that are arising daily under the current law: access to email and other private communications stored in the cloud, access to location information, and the use of subpoenas to obtain transactional data.

    Our principles do not seek to answer all questions or concerns about ECPA. Though members of the coalition may differ on the specifics, and some individual members would support additional changes, we all agree that these principles provide a framework for opening a public dialogue on the issue.

    Specific Background on ECPA Reform Principles

    1. The government should obtain a search warrant based on probable cause before it can compel a service provider to disclose a user’s private communications or documents stored online.

    • This principle applies the safeguards that the law has traditionally provided for the privacy of our phone calls or the physical files we store in our homes to private communications, documents and other private user content stored in or transmitted through the Internet "cloud"– private emails, instant messages, text messages, word processing documents and spreadsheets, photos, Internet search queries and private posts made over social networks.
    • This change was first proposed in bi-partisan legislation introduced in 1998 by Senators John Ashcroft and Patrick Leahy. It is consistent with appeals court decisions holding that emails and SMS text messages stored by communications providers are protected by the Fourth Amendment, and is also consistent with the leading legal scholarship on the issue.

    2. The government should obtain a search warrant based on probable cause before it can track, prospectively or retrospectively, the location of a cell phone or other mobile communications device.

    • This principle addresses the treatment of the growing quantity and quality of data based on the location of cell phones, laptops and other mobile devices, which is currently the subject of conflicting court decisions; it proposes the conclusion reached by a majority of the courts that a search warrant is required for real-time cell phone tracking, and would apply the same standard to access to stored location data.
    • A warrant for mobile location information was first proposed in 1998 as part of the bipartisan Ashcroft-Leahy bill. It was approved 20 to 1 by the House Judiciary Committee in 2000.

    3. Before obtaining transactional data in real time about when and with whom an individual communicates using email, instant messaging, text messaging, the telephone or any other communications technology, the government should demonstrate to a court that such data is relevant to an authorized criminal investigation.

    • In 2001, the law governing “pen registers and trap & trace devices”—technologies used to obtain transactional data in real time about when and with whom individuals communicate over the phone—was expanded to also allow monitoring of communications made over the Internet. In particular, the data at issue includes information on who individuals email with, who individuals IM with, who individuals send text messages to, and the Internet Protocol addresses of the Internet sites individuals visit.
    • This principle would update the law to reflect modern technology by establishing judicial review of surveillance requests for this data based on a factual showing of reasonable grounds to believe that the information sought is relevant to a crime being investigated.

    4. Before obtaining transactional data about multiple unidentified users of communications or other online services when trying to track down a suspect, the government should first demonstrate to a court that the data is needed for its criminal investigation.

    • This principle addresses the circumstance when the government uses subpoenas to get information in bulk about broad categories of telephone or Internet users, rather than seeking the records of specific individuals that are relevant to an investigation. For example, there have been reported cases of bulk requests for information about everyone that visited a particular web site on a particular day, or everyone that used the Internet to sell products in a particular jurisdiction.
    • Because such bulk requests for information on classes of unidentified individuals implicate unique privacy interests, this principle applies a standard requiring a showing to the court that the bulk data is relevant to an investigation.

    To simplify, clarify, and unify the ECPA standards, providing stronger privacy protections for communications and associated data in response to changes in technology and new services and usage patterns, while preserving the legal tools necessary for government agencies to enforce the laws, respond to emergency circumstances and protect the public.

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    Viagra buna pentru. hipertensiunea pulmonara

    miercuri, 06 noiembrie 2002

    Adulata sau mult blamata Viagra ar putea РїС—Р…n viitor sa aiba si alte merite decРїС—Р…t cel actual – de combatere a impotentei sexuale. Rezultatele preliminare ale unui studiu german, publicate РїС—Р…n revista medicala britanica “The Lancet” arata ca Vigra ar putea juca РїС—Р…n viitor un rol foarte important РїС—Р…n tratamentul unei foarte grave maladii – hipertensiunea arteriala pulmonara.
    Adulata sau mult blamata Viagra ar putea РїС—Р…n viitor sa aiba si alte merite decРїС—Р…t cel actual – de combatere a impotentei sexuale. Rezultatele preliminare ale unui studiu german, publicate РїС—Р…n revista medicala britanica “The Lancet” arata ca Vigra ar putea juca РїС—Р…n viitor un rol foarte important РїС—Р…n tratamentul unei foarte grave maladii – hipertensiunea arteriala pulmonara. Cercetatorii de la Universitatea Justus-Liebig din Germania au comparat efectele imediate ale medicamentului cunoscut sub numele de Viagra cu cele ale unui tratament clasic – injectie intravenoasa cu Flolan, administrate pacientilor dupa inhalarea de monoxid de azot, РїС—Р…n scopul diminuarii presiunii arteriale pulmonare. Cercetarea s-a efectuat pe un lot de 16 suferinzi de hipertensiune arteriala pulmonara, consecinta a unei fibroze pulmonare. S-a constatat ca Viagra, spre deosebire de tratamentul clasic, a dilatat РїС—Р…n special arterele pulmonare, permitРїС—Р…nd astfel ameliorarea schimburilor gazoase (trecerea oxigenului РїС—Р…n sРїС—Р…nge si eliminarea bioxidului de carbon).
    Dr. Raed Dweik, renumit pneumolog american din Cleveland, a salutat acest experiment german, pe care РїС—Р…l considera un argument РїС—Р…n plus РїС—Р…n favoarea utilizarii РїС—Р…n viitor a produsului Viagra ca medicament util РїС—Р…n diferite boli, cum ar fi hipertensiunea pulmonara. Fibroza pulmonara consta РїС—Р…n degradarea patologica a tesutului pulmonar, consecinta fiind insuficienta respiratorie si hipertensiunea arteriala pulmonara. Fibroza pulmonara poate avea o cauza cunoscuta (de exemplu o cauza toxica – un medicament sau praful de mina, ceea ce duce la silicoza minerilor) sau o cauza nedecelabila, deci care nu poate fi depistata de medici. Este asa-numita “forma primitiva” de fibroza pulmonara, care ar avea sanse sa fie tratata РїС—Р…n viitor cu medicamentul Viagra. РїС—Р…n general, hipertensiunea arteriala pulmonara perturba circulatia sРїС—Р…ngelui la nivelul plamРїС—Р…nilor si se exprima РїС—Р…n special prin oboseala si senzatia de sufocare la efort.

    Concurent pentru Viagra?

    Hegemonia faimoasei Viagra pare sa fie grav amenintata caci de curРїС—Р…nd РїС—Р…n laboratoarele Bayer AG si Glaxo SmithKline s-a nascut un concurent, cu numele de Levitra, destinat deopotriva tulburarilor de erectie. Lansarea pe piata a noului produs este prevazuta pentru sfРїС—Р…rsitul acestui an, cРїС—Р…nd va fi declansata, dupa cum spun reprezentantii amintitelor companii, o campanie publicitara РїС—Р…n care s-au investit extrem de multi bani. Desi suma alocata impunerii noului produs pe piata este tinuta secret, “parintii” Levitrei tin sa asigure “concurenta” ca sunt dispusi sa cheltuiasca atРїС—Р…t cРїС—Р…t va fi nevoie ca noul produs sa intre РїС—Р…n memoria publicului. Anul trecut, firma Pfizer a cheltuit de exemplu 101 milioane de dolari pentru a sustine РїС—Р…n rРїС—Р…ndul consumatorilor imaginea Viagrei, campania publicitara РїС—Р…nscriindu-se printre cele mai scumpe din Statele Unite (s-a situat pe locul 4). РїС—Р…n schimb, vРїС—Р…nzarea produsului, pРїС—Р…na acum singurul medicament din lume destinat tulburarilor de erectie, a adus producatorilor numai РїС—Р…n 2001 peste un miliard si jumatate de dolari. Tot anul trecut, un medicament similar Viagrei a fost anuntat de laboratoarele Eli Lilly&Co, dar comercializarea produsului, denumit Cialis, a fost amРїС—Р…nata. Abia anul acesta, ca si Levitra, Cialis a primit unda verde din partea societatii Food and Drug Administration.
    Pentru Viagra, batalia se anunta dura. Cei doi giganti farmaceutici, Bayer si Glaxo, au tinut deja sa declare ca 74% dintre barbatii care iau 20 mg de Levitra si 77% dintre cei care iau 10 mg РїС—Р…nregistreaza de la prima РїС—Р…ncercare performante sexuale deosebite. Firma Pfizer care a facut acelasi tip de experiment cu Viagra declara ca 55% dintre barbatii tratati cu Viagra ajung la acelasi rezultat.

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    Viagra – doctoria cu efecte nebДѓnuite

    Brevetat în 1996, Viagra este unul dintre medicamentele cu cel mai mare succes comercial lansate vreodată: în 2008, numai în SUA s-au vândut asemenea pastile albastre în valoare de aproape 2 milioane de dolari. Puţini ştiu însă că la originea acestui succes se află o întâmplare de genul „unde dai şi unde crapă”: substanţa activă din medicament a fost, iniţial, menită să trateze cu totul altceva decât disfuncţia erectilă. Când testele clinice au arătat ce efecte avea, firma producătoare a schimbat urgent macazul şi a pus pe piaţă medicamentul drept un leac suveran împotriva eşecurilor masculine în dormitor. Încă şi mai interesant este însă faptul – iarăşi puţin cunoscut – că medicamentul are şi alte utilizări într-o serie de afecţiuni care nu au nicio legătură cu sexul. Mai mult, i se descoperă mereu întrebuinţări noi. Să fie oare Viagra pe cale de a deveni un soi de panaceu?

    Numele adevДѓrat al substanЕЈei despre care e vorba este citrat de sildenafil ; Viagra este numele sub care compania producДѓtoare (Pfizer) comercializeazДѓ un medicament a cДѓrui substanЕЈДѓ activДѓ este acest citrat de sildenafil, prezent Еџi Г®n alte medicamente, vГўndute sub alte nume.

    Citratul de sildenafil a fost sintetizat pentru prima oarДѓ Г®n Marea Britanie, la uzina de medicamente a firmei Pfizer din Sandwich, comitatul Kent.
    IniЕЈial, testele au avut Г®n vedere o viitoare utilizare a substanЕЈei ca tratament pentru boli cardiovasculare – hipertensiune arterialДѓ Еџi anginДѓ pectoralДѓ (dureri puternice Г®n piept, ce survin ca simptom al cardiopatiei ischemice).

    ГЋnsДѓ cercetДѓtorii una au cДѓutat Еџi alta au gДѓsit: substanЕЈa nu a produs efectele scontate Г®n cazul hipertensiunii, Г®n schimb s-a constatat cДѓ avea un alt efect, cГўt se poate de interesant, asupra subiecЕЈilor masculini participanЕЈi la teste. Compania producДѓtoare a sesizat imediat cДѓ era vorba despre o ocazie de aur: a decis sДѓ punДѓ pe piaЕЈДѓ produsul ca tratament Г®mpotriva disfuncЕЈiilor erectile. Cum impotenЕЈa sexualДѓ e o cauzДѓ majorДѓ de stres Еџi nefericire pentru oameni, o terapie simplДѓ Еџi eficientДѓ care sДѓ rezolve problema era exact ceea ce Г®Еџi dorea lumea, iar succesul medicamentului a fost unul dintre cele mai spectaculoase din istoria produselor farmaceutice.

    ГЋn anul 2000, Viagra – numele sub care a fost comercializat – reprezenta 92% din totalul vГўnzДѓrilor de medicamente pentru tratarea disfuncЕЈiei erectile, la nivel global. Chiar dacДѓ ulterior vГўnzДѓrile au mai scДѓzut, datoritДѓ intrДѓrii pe piaЕЈДѓ a unor competitori (alte medicamente care tratau aceeaЕџi problemДѓ), pastila albastrДѓ Г®n formДѓ de romb rДѓmГўne un succes incontestabil al comerЕЈului cu medicamente.

    Citratul de sildenafil (o sДѓ-i spunem, mai scurt, sildenafil) aparЕЈine unei clase de compuЕџi chimici cunoscuЕЈi sub denumirea de inhibitori ai fosfodiesterazei tip 5 Еџi are ca efect modificarea fluxului sangvin Г®n anumite ЕЈesuturi ale corpului. ГЋn cazul celui mai cunoscut efect al sДѓu (da, acela care care are legДѓturДѓ cu sexul), e vorba despre stimularea circulaЕЈiei sГўngelui Г®n corpii cavernoЕџi ai penisului.

    Dar acest organ nu este singurul care rДѓspunde la administrarea de sildenafil. De-a lungul celor cГўЕЈiva ani de la lansarea sa, s-a descoperit cДѓ Еџi alte organe Еџi ЕЈesuturi reacЕЈioneazДѓ la acest medicament, iar pe baza acestor descoperiri, cercetДѓtorii au formulat (Еџi continuДѓ sДѓ o facДѓ) alte Еџi alte recomandДѓri privind folosirea, pentru diverse probleme de sДѓnДѓtate, a sildenafilului, depДѓЕџind cu mult promisiunea iniЕЈialДѓ – rezolvarea unor dificultДѓЕЈi sexuale.

    Prin urmare, iatДѓ Еџi cГўteva noi indicaЕЈii ale medicamentului. cum se spune Г®n limbajul companiilor farma:

    Hipertensiunea arterialДѓ pulmonarДѓ este una dintre afecЕЈiunile Г®n care se foloseЕџte mult citratul de sildenafil. Compania Pfizer a pus pe piaЕЈДѓ un alt produs ce conЕЈine aceeaЕџi substanЕЈДѓ, dar cДѓruia i-a dat o denumire diferitДѓ (Revatio) Еџi o Г®nfДѓЕЈiЕџare diferitДѓ (pastile rotunde, albe), lДѓsГўnd ca numele de Viagra sДѓ fie utilizatДѓ doar pentru medicamentul destinat tratДѓrii disfuncЕЈiei erectile.

    Hipertensiunea arterialДѓ pulmonarДѓ este o boalДѓ care, netratatДѓ, poate duce la deces prin insuficienЕЈДѓ cardiacДѓ. Vasele sangvine ale plДѓmГўnilor se Г®ngusteazДѓ Еџi devin rigide, iar ventriculul drept al inimii face eforturi anormal de mari pentru a asigura circulaЕЈia sГўngelui prin aceste vase. Cu timpul, nu mai poate face faЕЈДѓ solicitДѓrii, apДѓrГўnd insuficienЕЈa cardiacДѓ dreaptДѓ. Sidenafilul acЕЈioneazДѓ relaxГўnd pereЕЈii vaselor pulmonare; se reduce astfel efortul depus de ventricul Еџi este stimulatДѓ circulaЕЈia sГўngelui prin reЕЈeaua vascularДѓ a plДѓmГўnilor.

    Pe baza unui studiu de micДѓ amploare, o echipДѓ de cercetДѓtori itelieni susЕЈine cДѓ sildenafilul ajutДѓ direct inima. contribuind la refacerea structurii normale a miocardului, Г®n cazul unor pacienЕЈi suferind de obezitate, diabet tip II Еџi hipertrofie cardiacДѓ.

    RДѓul de altitudine. care apare la alpiniЕџti Г®n cazul expunerii la aerul rarefiat de la Г®nДѓlЕЈimi mari, este o altДѓ problemДѓ Г®n care sildenafilul poate fi util, deoarece combate cea mai periculos efect acestei afecЕЈiuni: edemul pulmonar de altitudine (acumularea de lichid Г®n plДѓmГўni, care Г®mpiedicДѓ respiraЕЈia). Tratamentul presupune, Г®n primul rГўnd, coborГўrea rapidДѓ a alpiniЕџtilor afectaЕЈi la altitudini mai mici, dar uneori, acest lucru nu e posibil imediat. ГЋn ultimii ani, au fost dezvoltate diferite tratamente medicamentoase pentru combaterea edemului pulmonar de altitudine, iar recent, Г®n anul 2006, un grup de specialiЕџti americani Еџi britanici care lucrau Г®n cadrul organizaЕЈiei Himalayan Rescue Association au experimentat tratarea unor alpiniЕџti chiar la mare altitudine: Г®ntr-o clinicДѓ din Nepal, situatДѓ la 4.240 m, Г®n Himalaya, alpiniЕџtilor li s-au administrat medicamente (printre care sildenafil) pentru combaterea edemului pulmonar, cu rezultate bune.

    Iar Еџi mai recent, Г®n acest an, un studiu a ajuns la concluzia cДѓ sildenafilul ar putea fi utilizat chiar pentru tratamentul cancerului. Cercetarea, vizГўnd tratarea melanomului malign (cea mai agresivДѓ formДѓ de cancer al pielii) a fost realizatДѓ deocamdatДѓ pe animale (Еџoareci), oamenii de ЕџtiinЕЈДѓ de la Institutul din Mannheim, Germania, constatГўnd cДѓ, dintre animalele atinse de melanom, cele tratate cu sildenafil au trДѓit de douДѓ ori mai mult decГўt semenii lor.

    Una peste alta, sildenafilul pare sДѓ fie util Г®n multe situaЕЈii – cine Еџtie ce alte noi Г®ntrebuinЕЈДѓri i se vor mai gДѓsi Timpul ne va spune dacДѓ aceastДѓ substanЕЈДѓ, care Еџi-a Г®nceput cariera ca tratament Г®mpotriva hipertensiunii arteriale, a cunoscut succesul ca leac Г®mpotriva impotenЕЈei Еџi a ajuns sДѓ trateze de la rДѓu de altitudine pГўnДѓ la insuficienЕЈДѓ cardiacДѓ, Г®Еџi va ЕЈine toate promisiunile pe care le face Г®n acest momernt. Oricum, nu e rДѓu pentru o doctorie a cДѓrei principalДѓ utilizare a fost descoperitДѓ din Г®ntГўmplare.

    Ghid de supravieЕЈuire: Ce este de fДѓcut Г®n cazul unui cutremur?

    Spaima de un cutremur capital este Еџi Г®n prezent una dintre cele mai mari frici ale omului contemporan, indiferent dacДѓ trДѓieЕџte Г®n RomГўnia, Africa, Statele Unite, Japonia sau orice alt loc din lume. PlДѓcile tectonice ale Terrei sunt extrem de fragmentate Еџi activitatea seismicДѓ parcДѓ s-a intensificat Г®n ultimii ani. Din nefericire, pentru foarte mulЕЈi oameni, panica Еџi groaza par sДѓ fie singurele rДѓspunsuri Г®n cazul unui cutremur major. Chiar dacДѓ ideea de a scДѓpa cu bine dintr-un…

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    Doi prezentatori americani au aflat acest lucru dupДѓ ce au realizat o filmare cu Г®ncetinitorul.

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    Tot mai mulЕЈi pДѓrinЕЈi realizeazДѓ ЕџedinЕЈe foto ale copiilor lor fie Г®n ipostaze jenante sau Г®n decursul mai multor ani, surprinzГўnd transformarea de la copil la adult. Un fotograf din Melbourne a creat o impresionantДѓ galerie foto a fetiЕЈei sale.

    ГЋn anul 79 d.Hr o erupЕЈie catastrofalДѓ a vulcanului Vezuviu a distrus oraЕџele Pompeii Еџi Herculaneum. Pompeii a fost astupat de cinci metri de rДѓmДѓЕџiЕЈe vulcanice, Г®n timp ce Herculaneum a fost Г®ngropat de 20 de metri de cenuЕџДѓ vulcanicДѓ care s-a transformat Г®n rocДѓ tufa.

    citeЕџte mai mult

    Doi copii internaЕЈi Г®n stare gravДѓ la Spitalul “SfГўnta Maria” din IaЕџi sunt trataЕЈi cu Viagra. Medicii au explicat cДѓ acest tratament a fost ales ca “ultimДѓ soluЕЈie” Еџi cДѓ medicamentul a fost conceput pentru afecЕЈiuni pulmonare Еџi cardiace, fiind folosit apoi Еџi pentru disfuncЕЈii sexuale. Cazul a stГўrnit controverse Г®n rГўndul specialiЕџtilor.

    ACTUALIZARE 22.00: Acest medicament se utilizeazДѓ Г®n toatДѓ lumea, Г®n America Еџi Uniunea EuropeanДѓ, Г®n afecЕЈiunile de hipertensiune pulmonarДѓ, a declarat prin telefon preЕџedintele Colegiului Medicilor din RomГўnia, Vasile AstДѓrДѓstoae, la emisiunea Prim Plan de miercuri seara.

    “Ећi zeci de copii au fost salvaЕЈi de la moarte”, a explicat el.

    ГЋn emisiunea Prim Plan a fost invitatДѓ o mamДѓ al cДѓrei copil a fost salvat prin administrarea medicamentului Viagra.

    UrmДѓriЕЈi Г®ntreaga dezbatere Г®n secЕЈiunea VIDEO.

    ACTUALIZARE 21.30: În cazul Viagra, vorbim de o utilizare „of label” în afara indicaţiilor terapeutice de punere pe piaţă. Este un aspect extrem de controversat, a declarat Anca Crupariu, Agenţia Naţională a Medicamentului (ANM) miercuri seara, la emisiunea Prim Plan, moderată de Mihai Rădulescu.

    “ANM a rДѓspuns la un chestionar al Comisiei Europene – rДѓspunsul nostru la utilizarea „of label” a fost cДѓ nu avem o abordare ЕџtiinЕЈificДѓ”, a adДѓugat Anca Crupariu.

    Administrarea medicamentului Viagra este contraindicatДѓ pentru copii, iar pentru tratarea hipertensiunii pulmonare Г®n RomГўnia existДѓ un medicament special care poate fi folosit Г®n pediatrie, a declarat miercuri, potrivit Mediafax, conducerea AgenЕЈiei NaЕЈionale a Medicamentului (ANM).

    “Viagra are ca singurДѓ indicaЕЈie disfuncЕЈia erectilДѓ Еџi produsul este contraindicat la copiii sub 18 ani. ГЋn farmaciile din RomГўnia existДѓ un produs pentru hipertensiune pulmonarДѓ – RevaЕЈio – care se foloseЕџte Еџi pentru tratarea acestei suferinЕЈe la copii”, a precizat conducerea ANM.

    TotodatДѓ, conducerea ANM spune cДѓ nu Г®nЕЈelege de ce Spitalul “SfГўnta Maria” din IaЕџi a achiziЕЈionat un astfel de medicament, care are o recomandare expresДѓ, respectiv disfuncЕЈia erectilДѓ, Еџi de ce a recurs la administrarea acestuia unor copii, Г®n condiЕЈiile Г®n care existДѓ un alt tratament pentru hipertensiunea pulmonarДѓ.

    La rГўndul sДѓu, secretarul de stat Raed Arafat a declarat cДѓ administrarea medicamentului Viagra unor copii internaЕЈi la IaЕџi este responsabilitatea exclusivДѓ a medicului, Ministerul SДѓnДѓtДѓЕЈii urmГўnd sДѓ cearДѓ un punct de vedere AgenЕЈiei NaЕЈionale a Medicamentului Еџi Colegiului Medicilor.

    “Ministerul SДѓnДѓtДѓЕЈii considerДѓ cДѓ administrarea medicamentului Viagra la doi copii din IaЕџi este responsabilitatea medicului care a dat tratamentul. Vom cere un punct de vedere de la ANM Еџi de Colegiul Medicilor”, a spus Arafat.

    Subsecretarul de stat a adДѓugat cДѓ dacДѓ medicii care au administrat tratamentului se bazeazДѓ pe studii ЕџtiinЕЈifice pe care spun cДѓ le au, atunci ministerul nu are ce sДѓ comenteze.

    Vasile AstДѓrДѓstoae: Medicamentul a fost conceput pentru afecЕЈiuni cardiace

    Doi copii internaЕЈi Г®n stare gravДѓ la Spitalul “SfГўnta Maria” din IaЕџi au fost trataЕЈi cu Viagra, iar medicii de acolo au declarat cДѓ acest tratament a fost ales ca “ultimДѓ soluЕЈie”.

    Un bДѓiat de 10 ani Еџi o fatДѓ de 16 ani sunt tratati cu Viagra la spitalul Sfanta Maria din Iasi. Amandoi sufera de hipertensiune pulmonara, o boala rara extrem de grava. Medicii spun ca nu mai raspundeau la alte tratamente si au decis sa le administreze pilula albastra pentru a le salva viata. Si starea lor s-a ameliorat. Substanta activa din Viagra, Sildenafil, a fost conceputa pentru afectiuni cardiologice si pulmonare, de aceea au folosit-o – spun medicii.

    Medicii de la Iasi spun ca au folosit pilula albastra si pentru alti copii cu afectiuni pulmonare si cardiace grave.

    Viagra are autorizatie doar pentru disfunctia erectila. Pe prospect scrie ca nu este indicata sub varsta de 18 ani. Pentru hipertensiunea pulmonara, producatorul a scos un alt medicament cu aceeasi substanta activa, Sildenafil. Dar cu o concentratie mai mica. Acesta se foloseste insa in programul national de hipertensiune pulmonara, in care nu este inclus spitalul din Iasi.

    La rГўndul sДѓu, preЕџedintele Colegiului Medicilor din RomГўnia, Vasile AstДѓrДѓstoae, a afirmat cДѓ medicamentul a fost conceput iniЕЈial pentru afecЕЈiuni cardiace Еџi cДѓ medicii care au recurs la acest tratament “Еџtiu ce fac”.

    DacДѓ medicii de la spitalul de copii Г®l utilizeazДѓ pentru tratamentul respectiv, Г®nseamnДѓ cДѓ Еџtiu ce fac “, a apreciat Vasile AstДѓrДѓstoae.

    AstДѓrДѓstoae a precizat cДѓ nu se impune o anchetДѓ a Colegiului Medicilor Г®n acest caz.

    Pe de altДѓ parte, purtДѓtorul de cuvГўnt al Spitalului “SfГўnta Maria” din IaЕџi, medicul CДѓtДѓlina Ionescu, a declarat cДѓ Г®n prezent doi copii internaЕЈi Г®n unitatea medicalДѓ, unul avГўnd hipertensiune pulmonarДѓ, iar celДѓlalt malformaЕЈii cardiace grave, sunt trataЕЈi cu Viagra.

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