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Teva v Pfizer, or the “Viagra saga”: if there is no quid — proper disclosure — there can be no quo — exclusive monopoly rights

Canada November 19 2012

Sildenafil is the active ingredient in Viagra, the blockbuster potency-enhancing drug marketed by Pfizer. The Canadian sildenafil patent saga came to an end on November 8, 2012, when the Supreme Court of Canada declared the patent void, a year and a half prior to its expiry. In doing so, the Supreme Court clarified the law on sufficient disclosure, as well as the relationship between a patent, the invention it protects, and the claims which define the patent monopoly. In its judgment, the Supreme Court also provided a few tantalizing hints about its views on disclosure and the doctrine of sound prediction, but declined to rule on that issue, as the case involved demonstrated, rather than predicted, utility.

The facts in the Pfizer decision are uncharacteristically straightforward. The patent claims were constructed using a cascading structure of claims, with the broadest independent claim, Claim 1 disclosing "formula I" – which included 260 quintillion possible compounds. This massive family of compounds was then progressively narrowed in dependant Claims 2 through 5, with Claim 5 consisting of only nine compounds. Of these nine compounds, Claims 6 and 7, described in the patent as "especially preferred embodiments" of the invention, each disclosed a single and distinct compound. Sildenafil was the compound disclosed in Claim 7.

Since sildenafil already existed at the time the patent was awarded, the inventive concept of the patent was not sildenafil itself, but rather the use of sildenafil for the treatment of erectile dysfunction. Teva argued that since the claims of the patent, as drafted, ended with two individually claimed compounds, only one of which was sildenafil, the true invention was obscured. As such, the disclosure failed to state the invention in clear terms.

Pfizer denied the ambiguity of the patent and added that in light of case law and section 58 of the Patent Act. courts are required to consider valid and invalid claims separately. Thus, even if the patent's Claims 1 to 5 were held invalid, the invalidity of those claims would not affect Claim 7 thereby ensuring that sildenafil would remain protected by the patent monopoly.

Pfizer's arguments regarding the severability of claims succeeded in the lower courts. Despite the Federal Court's characterization of Claims 1 to 5 as "red herrings" creating ambiguity in Pfizer's patent, the patent was upheld. Guided by existing case law, the Court examined the validity of each claim within the patent on an individual basis. Although the trial judge doubted the validity of Claims 1 to 5, when he arrived at Claim 7, he concluded that it was valid since it disclosed a single compound. As such, there could be no ambiguity and Teva's request for authorization to produce a generic version of Viagra was denied.

The Federal Court of Appeal also upheld the validity of the patent on the basis of its construction of section 58 of the Patent Act. The earlier claims were problematic because they disclosed a class of compounds without providing the reader with a mechanism to select the sole effective compound from the class. But Claim 7 disclosed a single compound thereby obviating the selection problem. The Federal Court of Appeal further held that the sufficiency of the patent's disclosure could be assessed in answering two questions: "What is the invention?" and "How does it work?" The Court of Appeal found that both requirements were met by Claim 7.

In a unanimous (7-0) decision, the Supreme Court of Canada overruled the lower courts on two grounds. First, the Supreme Court held that a patent must be examined as a whole, rejecting the claim-by-claim analysis used by the lower courts. The Supreme Court noted that while section 58 of the Patent Act provides that valid claims are not affected by invalid claims, this provision does not mandate that courts assess a patent's validity on a claim-by-claim basis. Instead, the Supreme Court explained that a patent discloses a single invention, and that it is this invention which must satisfy the validity requirements of the Patent Act. The patent's claims merely describe the scope of the economic monopoly. Thus, if the patent as a whole fails to sufficiently disclose the invention, the patent cannot be saved by inviting the judge to apply the sufficient disclosure test to a single claim, as had occurred in the lower courts.

Second, the Supreme Court held that the lower courts had misunderstood the test for sufficient disclosure. The Supreme Court clarified that the relevant test was not the simple two-question test used by the lower courts (i.e. "What is your invention? How does it work?"). Rather, the correct test was whether a skilled person could, using only the information contained in the specification, produce the invention described therein. Pfizer's patent required of users to perform experiments in order to discover whether it was Claim 6 or Claim 7 that disclosed the effective compound. Since the patent required further experimentation in order to put the invention into practice, there was insufficient disclosure. As such, the patent failed to enable the public to decipher that sildenafil, as opposed to the other compounds claimed within the class, was the active and useful compounds for the treatment of erectile dysfunction. Consequently, the patent was void

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Business casual is expected if not in scrubs. I even said to the peds hospitalist, "You can see the patient in the ED, and send him home if you would like", and her response was "I don't have time to do that&quot. Residents are very demanding of each other (especially during academics) which can be a little intense, but they apparently have very good Absite scores, so I guess it works! All from PSS shipped out to me in 1-2 days. We were in the middle of massive cost-cutting site-wide, and this was but a drop in the bucket. I "found" it during a time my eyes were not glazing over during this football banter between Zpak, WVU, Caverject, Spiriva, et al. My previous career would be considered a very non sildenafil citrate sildenafil citrate traditional one – I took my first science class nearly 20 years after high school. Hope that helps you but choose your field of practice on what you love, not how much money you make. I'm interested in selling two of my textbooks from Semester 1. Is it the location and what it offers. Would this surgical subspecialty happen to be ENT.

I'm still eligible to apply to residency for 3 years if things don't work out. Is this guy one of the best sildenafil citrate 20 DOs in the country, and have the connections to pull off a match. PS & BS – For the first 4 weeks, I intensely studied purely content, dedicating one week to each major science area of the exam. Keep yourself eating healthy, sleeping well, and exercising– you'll feel better, you'll study better, and you'll end up doing better. It's just no one I've ever even heard of gives a damn about the percentage. Oh wow–thanks for the update on the II.

We are all in the exact same courses so it works nicely. If you went to a big undergraduate school and loved your experience, you're going to hate this campus. So according to the admissions person they only need one physician letter. D. You have sildenafil a sildenafil citrate 100mg right to pursue accessing healthcare, but you have no right to force someone to provide it to you. I didn't have to move spouse job, move kids, so it ended up working out. Can someone who is a current student further elaborate upon the clinical rotation sites throughout the program.

I can't do both since there is like a 10 year commitment for pilots?

Anyway, this is a huge investment in you? No program totally excludes you from doing either, but there are programs that tailor to one or the other. How long after you submitted everything did you get an interview. I was complete 8/5 and I checked back today and it says my file has already "been reviewed. 15, and my sGPA is around a 3. sildenafil online I should probably blame myself and do whatever I can to help them. Forgive my ignorance but what does scope have to do with residency training. Instead, I wrote about my life experience and why I wanted to be a PT and talked about my mother going through PT and that I TRANSLATED for HER when she did her rehab. It's a known waste of time and back in the day you could miss a certain percentage of the lectures and get away with it. I will give opioids if the hemodynamics dictate, but I don't just blindly bolus narcotics. 4,500 words would be like a 10 page personal statement.

Anyways, the interview continued with the interviewers asking me about an ethical case along with an ethical situation I had been in.

I'll take 2 issues with how sildenafil generic you characterize things?

I know my info packet said for me to expect to need about -65k a year I think, which in the end wasn't much less than the estimates Penn was giving out for IS. And that person is going to make a great dermatologist and I was so happy for that person. We sildenafil citrate 100mg agree that my medicine residents are bad though! Discussion in 'Occupational Therapy [ O. Are Radiology Techs generally satisfied or are they too limited.

However, it is harder to get into because of the low number of positions. If not I would replace quebec schools with Ottawa and UWO, but keep Mcgill. She founded and was coordinator of the Agape Dermatology Clinic Student Volunteer Program which was a free health clinicHope you all get the phone call and not the email. Can this person swing by my apartment as well. He is highly involved in resident teaching and leads morning conferences (which we observed). MonkeyMD, Jan 31, 2011, in forum: MCAT Study Question Q&AGood luck today @TBRBiosadist hope you get the score you deserve. PhysiatristDoc, Mar 15, 2012, in forum: Internship, Residency and Fellowship PositionsIt is nothing sildenafil like real life at all. Boring, well that depends on what you're into. I would encourage senior/ longtime members to contribute constructive ideas towards this issue – maybe they could come up with even better suggestionsWhat exactly does the job entail on top of your clinical responsibilities. Pure clinical pharmacy in hospitals is probably going away. Additionally I was kidding, and said "it's your funeral" as a way to make light of the fact that at the end of the day there is no right answer to these things, and it's his decision ultimately. 70 sGPA/32Q MCAT so my stats are a bit below what they want? I have a full time job and am in the sildenafil citrate middle of finishing up some pre-req's? Also, in the experiences section, sildenafil generic I know this is always a vague questions but is there an unwritten limit/minimum for this and how far back have most of you gone in terms of listing prior volunteer/work experience. I would say don't bring it up voluntarily, but don't omit it in a sketchy way. So there's some hay to be made out there if you can find it.

Whatever the reason for the attrition, I felt it reflected poorly on Ross. All of the following were listed in the press release last year regarding new 2014 residencies, however none of them currently have EM residency webpages on their hospital's site. I was very forthcoming with my reasons for failing and was re-assured numerous times by my student Dean that the committee will be "sympathetic. You do not need a course to pass this exam unless you have some anxiety or knowledge issues. Unfortunately, I'm kind of small. Maybe the interview actually did make a big difference! A few B's there really dragged me down. Although I did really well in residency, probably the strongest in my residency class, there sildenafil were so many parts of OBGYN that I disliked. Results are expected to be around mid-october for the 10 seats. And the website says this " It is important to complete the sildenafil citrate 100mg supplemental as soon as you have received an email from us acknowledging your AACOMAS application and directing you to the supplemental. You could also address it in the "reason you left" box when you enter it as prior training — but I don't know how much room they give you there, and whether you can adequately address it there. The entire entry model into audiology needs to change. In 1962, Yale was awarded one of the original NIH Program Project Grants in Radiation Therapy and Radiobiology.

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  • When the number of members reach 10 we will start >> if not we will start in 3 days. I would think, this often goes hand in hand with younger faculty.
  • Also, with a pass/fail there is one less measure for residency directors to gauge your performance (even though grades are farther down on the list, it is still nice to be able to prove you did more than the bare minimum).
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I applied OOS from California without any strong ties to Florida and I'll be starting classes this fall. )Both maternal and paternal family history includes premature coronary artery disease, HTN, and hyperlipidemia. Yo se q se requere tener USCE peor es muy variable lo q cierto programas califican como Clinical experience. I know of at least one general surgeon who works as a surgical hospitalist. That money, unfortunately, is not matched by the state or the university. FREIDA lists link for Neuro non-interventional program, but seperate website looks like anethesia.

My recommendation letters should be very good from PT's i have worked with and know. I know if I was a philanthropist, this would be something worth my money.

Don't think it would fly in an audit though.

If you let things slip or if you want something competitive in a desirable area, very very hard. If so then everyone applying to a DPT has a four-year degree and you will. Since most of my family lives in Dallas UTSW is my top choice and I have some kind of ties (although moderate) with some members on admissions there.

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  5. Then applying to med school if my score is well enough.
  6. The AACOMAS instructions say it takes a few days before the "verified" application becomes available to view.
  7. Any newly admitted students who have had the opportunity to visit and speak with current students and staff.
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Professor wont post the slides and any attempts at taking pictures of slides are not allowed. PS – Not my strong point but I thought it seemed fair for the most part. If the cath lab was only used in appropriate patients, the vast majority of them would shut down due to unsustainable costs. Which is a long way of saying that I think setting up the tie was pretty sketchy. Eventually, the computer could use key patient information (symptoms, age, vitals, labs) to narrow the differential and help focus its search? A resident I know, interviewed at many of the same places as me. Abt the standardized test scores, check out sildenafil online the answer to Question 8 on FAQs on this linkIf I could get away with taking Gen Chem II without the lab, I could probably make at least that class work, but unfortunately I can't! The other part using you do go into bonds and aren't doing total bond funds (or buying muni's/zero stripes sildenafil citrate 100mg direct), an actively managed bond fund is useful. Excited to say I will be attending Thomas Jefferson. Considering how much I stared at that freaking thing I have no idea how 2(. But be cautious of sildenafil citrate 100mg agents saying they will do everything for you for x amount of sildenafil money.

  1. I couples matched with a very strong applicant and I think that the strength of their application helped me get interviews. I have not heard of match for new/open spots.
  2. The permutations of how you can make money as an Osteopathic Physician are quite numerous. I have repeatedly suggested holding out to apply to schools in the area, or retaking the MCAT to improve chances.
  3. There's literally nothing going on at work so I'm sitting here obsessing. I know schools vary in how they keep you posted on that sort of thing, but did anyone applying to Duluth get some sort of confirmation email.
  4. I have yet to be one of them, and I certainly don't plan on becoming one in the future.
  5. There are very few PGY2 spots that open up and you would have a better chance applying for a pgy1 spot.
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My search was specifically on social workers and burnout. Discussion in 'School Specific Discussions' started by jwan14, Aug 7, 2014. I've to just put N/A on that secondary question i guessI guess I was under the impression that they would have provided more space for us to elaborate instead of just list. And Ruth, well, you know she's on the Supreme Court, so personally I am thrilled you feel free to think about this. Plus, the handoff to the ICU or inpatient service is frought with danger. I did well on psych boards despite never coming close to acing any of the USMLEs, so there's hope for those of you who found the USMLEs discouraging like I sildenafil generic did. However when I click on Pre-Fall 2015 I believe an overview of the secondary submission should show up under "Web Application Summary" (lots of other schools use the same interface). To thrive and be happy in neurosurgery you have to know what you're getting yourself in to and be sildenafil citrate 100mg prepared to make sacrifices.

Here are the actual numbers from 2011-2012 AAMC faculty salary survey for Rad Onc:There are definitely gunners in my class, but they are quiet about it. Do you mind sharing stats and complete date. IIRC, from the match list thread, it seems several DOs matched at places they never had before. The deal with corporate tax Stonegoat descibed is that as an OD you can incorporate your practice. "I was accepted into several of the podiatry schools with scholarship offers well before taking the MCAT. My search was specifically on social workers and burnout. Guess we'll find out if anyone gets a second offer.

  • Does anyone know what the merit scholarship/financial aid situation at Dartmouth is like. A lot of times people spread themselves too thin and submit 4 abstracts of low quality which just makes you look unfocused.
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  • Does anyone that is participating in the summer program know of a time and place for Monday.
  • Anwyay, It's kind of adcom and school dependent.
  • Update for Canadians: They haven't met yet to discuss Canadian applications, but should hopefully do so by the end of the month. I feel like impressions are so deeply colored by priorities that it is prudent to give a little background: I prefer physics research, and value clinical training highly.
  • Later he moved to physics, looks like left in middle and laments his girl friend's deal, and the suicide issues, and finally shamelessly begging for money (I really doubt that this guy makes all of us fool, and plays all the nonsense with this board). Post by: lazyindy, Sunday sildenafil generic at sildenafil generic 4:58 sildenafil generic PM in forum: MCAT DiscussionsBackground: I am a rising Senior at a top 10 university.
  • Honors in neurology and pediatrics clerkships with a few more thrown in for good measure during third year puts you ahead. It's my understanding that those who didn't match will be alerted by Monday, 12/2 so that they can take advantage of SOAP.
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  • Maybe discussing things like obesity, diabetes, some forms of cancer, heart disease and recommending lifestyle/cultural changes that people could make to increase their overall health. When they talked about minimum MCAT score, is it just total score.
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I'm staying at the Sheraton in the Ontario airport, where are you guys staying.

Bumping a dead thread just because of this statement. Me too. Your ratty backpack is not going to get you rejected from medical school. I assumed the other poster thought my numbers included college books, books for work, study books, etc which they didn't. Wildzoo: President of the corporation had the important job of filling crucial positions when/if they became vacant. I also sildenafil over the counter know a few people doing that. But I'd sildenafil citrate kind of like to have 3 externships lined up as that will likely guarantee I get early entry. sildenafil It'll find a way to be "tough" in one area. Discussion in 'PCAT Discussions' started by SClENCE, Sep 14, 2014.

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iPhone and iPad Apps

"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.

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Det er muligt at bestille impotens medicin som Viagra lovligt i Tyskland online uden at skulle se en læge, kan du gå til en recept. Det er muligt Online-høring.

For mere information om, hvordan du bestiller Viagra uden recept du fГҐ her .

Mere om ViagraВ®

Viagra er nok den mest berømte receptpligtig medicin til behandling af erektil dysfunktion. Siden 1998 kan du købe Viagra, og det er siden blevet brugt af mænd i alle aldre. Det er produceret af den farmaceutiske selskab Pfizer i Usa.

Virkning

Viagra blev opdaget ved et uheld. Faktisk, det blev udviklet, med henblik på at behandle patienter, der lider af en svaghed i hjertemusklen. Som enhver anden medicin, der skal godkendes, også var nødt til at gå gennem dette, at en række undersøgelser med forsøgspersoner for at undersøge effekt og bivirkninger. Utroligt, at mange af disse test personer bemærket i sagen om den påståede behandling af din hjertesygdom, forekomsten af stærke erektioner – fødslen af Viagra.

Effekten af Styrken er gennem stoffet Sildenafil. Hos mænd med erektil dysfunktion, det kommer til distribution af et enzym, der forårsager tidlig sagging af Penis. Den tætsiddende vener, hvilket resulterede i en ophobning af blod og dermed excitation, at udvide. Blodet strømmer tilbage, erektion. Sildenafil er taget, og det er på dette punkt, og forhindrer, at udskillelsen af et enzym, der forårsager afslapning af Penis efter en orgasme.

Der er nogle lægemidler, som, når de kombineres tage med Viagra til en langsommere fjernelse; effekten er ofte stærkere og længere. Da udveksling virkning, men også komplikationer kan forekomme, at dette bør undgås. Blandt de lægemidler, for eksempel, forskellige antibiotika, lægemidler til behandling af HIV-infektion, depression, eller øget produktion af mavesyre. Også sammen med Anti-svampe agenter, eller antihypertensiv agenter, bør det ikke anvendes sammen. Der er også naturlige stoffer såsom perikon kan indvirke på effekten af Viagra skal Berøres, før du tager Spørg din læge til at holde, hvis for mere medicin for at være taget .

Bivirkninger

Selv om Viagra er en meget overbevisende effekt som en seksuel forstærker, men vi må ikke glemme, at det er et stof, bivirkninger kan forekomme. I nogle tilfælde, for eksempel, hovedpine eller fordøjelsesproblemer. Det er muligt sløret syn, influenza-lignende symptomer, også maven slimhinde betændelse i huden, halsbrand, feber, haemorrhoids eller andre lidelser. Disse er dog sjældent forekommende bivirkninger. I ekstreme tilfælde, og i tilfælde af fysisk disponerede personer, kan det i ekstraordinære tilfælde, for at komme til problemer med hjertet eller besvimelse efter at have taget. Er der andre bivirkninger, der kan opstå, bør brugere, før du tager læs omhyggeligt indlægssedlen .
Da blodtrykket sænkes, og reaktionen forsvinder, det er ikke tilrådeligt, hvis brugerne bruger under time-frame, betjene maskiner eller deltage aktivt i trafikken. Den forstyrrende effekt kan blive forstærket, når alkohol bliver indtaget.

Anvendelse

Da Viagra fås i doser på 25, 50 og 100 mg er til rådighed, vil lægen anbefale en dosis for at opnå den ønskede erektion. Generelt, 50 mg til at øge styrken. 100mg tabletter kan nemt opdeles, så en langt bedre pris-ydelses-forhold der er opnået end 50 mg tabletter.

Dermed effekten opstГҐr pГҐ det Гёnskede tidspunkt, skal jeg tage det en time fГёr. Effekten vil sГҐ vare i op til fem timer. En erektion opstГҐr, men kun hvis manden er seksuelt ophidset.

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Viagra-pille til kvinder endelig godkendt: Kommer pГҐ hylderne i ГҐr

Inden længe vil kvinder i USA kunne booste deres sexlyst med en pille.

De amerikanske sundhedsmyndigheder har nemlig givet grГёnt lys for en pille, der kan Гёge kvinders lyst til sex, skriver CBS.

Lægemidlet Flibanserin bliver ofte omtalt som »Viagra for kvinder« og er to gange tidligere blevet afvist af den amerikanske lægemiddelsstyrelse, FDA. Men nu vil midlet altså inden længe være tilgængeligt med en recept fra lægen.

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Kommentarer til dette indlæg er lukket.

  • Privat og fortrolig service Alle dine oplysninger er private og bliver kun brugt af vores lГ¦ge. Vi leverer i diskrete pakker uden information brand navn eller indhold.
  • Original og godkendt medicin Vores apotek ligger i England og vi udskriver kun original medicin. Vores lГ¦geteam sikrer at du fГҐr udskrevet og tilsendt korrekt behandling.
  • Dag-til-dag levering Vi sikrer, at alle behandlinger bestilt inden kl. 17.00, leveres til dig allerede nГ¦ste hverdag.

Velkommen til vores nye hjemmeside

  • Privat og fortrolig service Alle dine oplysninger er private og bliver kun brugt af vores lГ¦ger.Vi leverer i diskrete pakker, hvor hverken vores navn eller indhold stГҐr oplyst.
  • Original og godkendt medicin Vores apotek ligger i England og vi tilbyder kun originale behandlinger. Vores lГ¦geteam sikrer, at du modtager korrekte behandling.
  • Dag-til-dag levering Vi sikrer, at alle bestillinger foretaget inden kl. 17.00, bliver leveret nГ¦ste hverdag.

Sildenafil

Sildenafil fra Sandoz er en generisk udgave af Viagra med samme effektive virkningSildenafil er en PDE5-hæmmer og det samme indholdsstof som i Viagra. Potensmidlet virker på langt de fleste mænd og er et billigt og virksomt alternativ til de øvrige potenspiller på markedet.

  • Effektiv virkning efter 30 min, og i helt op til 5 timer
  • Markedets billigste alternativ
  • Samme aktive ingrediens som Viagra

Hos euroClinix tilbyder vi online konsultation, så du ikke skal til egen læge. Derved kan du få udskrevet recept og tilsendt potenspiller hurtigt, enkelt og diskret.

Hvad er Sildenafil?

Sildenafil er navnet på det aktive stof i det populære potensmiddel Viagra fra Pfizer. Siden Pfizers patent udløb, er det kommet flere forskellige generiske versioner af Sildenafil på markedet. Dette betyder, at man nu kan få billigere potenspiller med samme effektive virkning som Viagra. Hos euroClinix tilbyder vi Sildenafil fra Sandoz.

Sildenafil var oprindeligt udviklet til at behandle problemer med blodtrykket. Men gennem de kliniske tests fandt Pfizer ud af, at midlet havde en gavnlig effekt på potensen hos de mandlige testdeltagere. Derefter udvikledes midlet til en behandling af impotens. Siden 1998 har Sildenafil hjulpet millioner af mænd verden over, med at genvinde potensen.

Sildenafil virkning

Sildenafil er en behandling for mænd der lider af rejsningsproblemer, hvilket vil sige manglende evne til at opnå eller opretholde en erektion som varer længe nok til at gennemføre et samleje. Medicinen i indeholder det aktive virkningsstof Sildenafil. Stoffet er en PDE5-hæmmer, der virker ved at få blodårerne i penis til at slappe af og udvide sig. Dette øger blodtilførslen til svulmelegemerne i penis, således at man opnår en hård erektion. Desuden forhindrer Sildenafil blodet i at løbe fra penis inden udløsning er opnået, så erektionen opretholdes under hele samlejet.

Virkningen af Sildenafil giver ikke automatisk en erektion under hele virkningstiden. For at opnå rejsning, skal man være seksuelt opstemt og rejsningen vil falde igen efter udløsning. Sildenafil må kun bruges af personer der har fået udskrevet recept på behandlingen. Pillerne må derfor ikke bruges af andre.

Hvordan tager jeg behandlingen?

Sildenafil potenspiller kommer i doser på 25mg, 50mg og 100mg og skal tages ved behov. Potenspillen skal tages ca. 30 – 60 minutter inden samleje sammen med et glas vand. Fra du tager en pille, skal der gå minimum 24 timer, inden du må tage en ny.

Skulle du ikke opleve den ønskede effekt af den udskrevne dosis, kan dosis eventuelt øges. Skulle du derimod opleve bivirkninger ved behandlingen, kan en reducering af dosis være gavnligt.

Der kan være forskellige årsager til, at du får udskrevet recept på en bestemt dosis. Det kan være kropsvægt, helbredsmæssige tilstand eller andre typer medicin du måtte tage, der alle spiller en vigtig rolle for, hvilken dosis der egner sig bedst til en.

Hvilken dosis er den rette – 25 mg, 50 mg eller 100 mg?

De fleste mænd starter ud med en dosis på 50 mg, såfremt der ikke er nogle helbredsmæssige problemer. Oplever man bivirkninger eller ubehag, når man bruger en dosis på 50 mg, kan man prøve at gå ned på en dosis på 25 mg. Her vil man stadig have en effekt af potensmidlet, men uden at opleve så mange bivirkninger.
Har den anbefalede startdosis ikke den forventede effekt, og oplever man ingen bivirkninger, kan man gГҐ op pГҐ 100 mg.

Forbehold

Du kan indtage Sildenafil både med og uden mad, men undersøgelser har vist, at medicinen giver bedst effekt når den tages på tom mave. Man bør især undgå fede måltider, inden indtagelse. Alkohol kan reducere virkningen, så det anbefales, at man ikke drikker, når man bruger Sildenafil.

Potensmidlet bГёr ikke tages sammen med grapefrugt eller grapefrugtjuice, da det kan medfГёre hjerteanfald. Sildenafil mГҐ desuden ikke tages sammen med andre typer impotensbehandling.

Hvem bГёr ikke tage behandlingen?

Denne behandling kan bruges af mænd over 18 år, der lider af rejsningsproblemer i forskellige grader. Der kan være forskellige årsager til at man ikke egner sig til medicinen. Du bør ikke tage pillerne i følgende tilfælde:

  • Du er allergisk overfor Sildenafil eller af en af de andre ingredienser i pillerne.
  • Du har haft en hjerteanfald i lГёbet af de seneste 18 mГҐneder.
  • Du har lavt blodtryk.
  • Du har alvorlige hjerte- eller leverproblemer.
  • Du har en Гёjensygdom som eksempelvis retinitis pigmentosa.

Sildenafil og hГёjt blodtryk

Personer der bruger alfablokkere i forbindelse med forhГёjet blodtryk eller forstГёrret prostata, har ofte let ved at blive svimle, nГҐr de anvender potensmedicin som Sildenafil. Dette skyldes, at kombinationen af medikamenterne kan gГёre, at blodtrykket bliver lavere end normalt. Svimmelhed opleves normalt nГҐr man rejser sig op hurtigt inden for 4 timer efter, man har indtaget pillen. For at reducere risikoen for disse reaktioner anbefales det, at man er pГҐ en fast daglig dosis af alfablokkere, fГёr man eventuelt starter med at tage Sildenafil. Det er ogsГҐ anbefalet, at man begynder med den laveste dosis pГҐ 25mg.

Kombination med anden medicin

Det er vigtigt, at du ikke kombinerer Sildenafil med andre lægemidler uden at du har oplyst lægen om, hvilke typer medicin du tager. Dette er fordi potenspillen kan påvirke effekten af enkelte medikamenter, specielt dem der lindrer brystsmerter. Nedenstående er medicin du ikke bør kombinere med Sildenafil:

  • Nitrat
  • Nitrogenoksiddonorer, som eksempelvis Amylnitritt (sГҐkaldte poppers)
  • Pulmonal arteriel hypertension (PAH) der indeholder Sildenafil
  • Andre typer PDE5-hГ¦mmere

KГёb af Sildenafil hos euroClinix

Hos euroClinix garanterer vi altid originalt medicin, som vi sender fra vores tilknyttede apotek. For at bestille en behandling, skal du gennemgå en konsultation, så vores læger kan sikre sig, at midlet er sikkert for dig at bruge. Herefter udskrives en recept, der sendes til vores tilknyttede apotek, hvor bestillingen blive pakket og afsendt.

Ligesom din sikkerhed, er din anonymitet ogsГҐ yderst vigtig for os. Derfor afsender vi din behandling i en diskret pakke, uden tegn pГҐ hvad den indeholder. Bestiller du inden 17.00 mandag – torsdag kan du ligeledes fГҐ leveret allerede nГ¦ste hverdag, og du kan vente med at betale, indtil du har modtaget din pakke.

Information pГҐ denne side

Medicinske fakta Produktnavn: Sildenafil Aktiv ingrediens: Sildenafil Producent: Sandoz Beskrivelse: Sildenafil var tidligere kun kendt som den aktive ingrediens i Viagra, men er nu en selvstændig generisk potenspille i billigere udgave Medicinsk status: Fås på recept Tages: Oralt Form: Tabletter Dosis: 25 mg. 50 mg. 100 mg Målgruppe: Mænd over 18 år, som lider af impotensproblemer Skal tages: Efter behov Lægemiddelgruppe: PDE5-hæmmer Indtagelse af alkohol: Kan påvirke effekten Ved amning: Ikke relevant Ved graviditet: Ikke relevant

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    The Viagra Myth: The Surprising Impact On Love And Relationships

    by Abraham Morgentaler, Abraham Morgantaler

    In 1998, Viagra was first introduced to the world, and it is fair to say that the world has not been the same since. The impact of this medication has been enormous, not just in the narrow area of treating erectile dysfunction (ED) for which it was approved, but also in the way we think of sex and sexuality, and even in the realm of relationships between men and women. Millions of men in the United States have tried Pfizer’s wonder drug, sildenafil, better known as Viagra, and there are thus millions of women who have also seen its effects on their husbands, boyfriends, and lovers. Many other millions of men and women wonder about whether Viagra can offer a solution for their own sexual and emotional problems or for the problems of their partners. We human beings are sexual animals, after all. And unfortunately, our sex lives are not always the way we want them to be. So it’s no surprise that when sex goes sour, relationships suffer in other ways as well.

    As a practicing urologist in Boston on the faculty of Harvard Medical School, I have treated many men with sexual problems and many couples who have sexual issues in their relationships. I knew about the development of Viagra before it was introduced to the public and was involved in its clinical application as soon as the Food and Drug Administration approved the new drug. I had anticipated using Viagra primarily for older patients with well-established erectile dysfunction, but it didn’t take long before I realized that I had completely underestimated the huge extent of public interest in trying this new medication. For example, shortly after Viagra became available, an orthopedic surgeon came up to me in the surgeons’ lounge as I was having a cup of coffee between operations.

    "Tell me," he said, "what should I know about prescribing Viagra? I have a patient who I think should try it."

    Now I have great respect for my orthopedic colleagues, but I have yet to meet one who would take on the treatment of a problem outside his area of expertise in bones and cartilage. It was quite clear that this surgeon’s patient was none other than himself!

    Everyone wants to know about Viagra, and many are interested in trying it, whether or not they think they have an erection problem. When I lecture to students at Harvard Medical School about sexuality, there are always a good number of Viagra questions, such as, "What happens when a young, healthy man with normal sexual function takes Viagra?" Or "Can a woman tell during sex that her partner has taken Viagra?" Or "Is it true that Viagra increases a man’s sex drive?" No one ever falls asleep in those classes!

    Viagra quickly tapped into a set of wishful fantasies that mirrored our culture’s hunger for certainty and the quick fix. Supported by stories that described elderly men restored to such sexual vitality by Viagra that they abandoned their wives in favor of younger women, a conventional wisdom arose that Viagra was a fountain of youth, a sure cure, the real deal. Baby boomers could now look forward to fabulous sex well into their nineties. Men shared Viagra stories with each other at cocktail parties or around the office water cooler.

    "All I can say is ‘Wow!’" says one man, and other men listening in wonder how their lives might be different if they also took the magic blue pill.

    Women too have been targeted to confirm Viagra’s ability to create satisfaction and serenity within a relationship where frustration and friction had once been the rule. One of the most successful early Pfizer ads showed a series of couples happily dancing together after Viagra apparently cured the loss of rhythm in their relationship.

    Former senator and presidential candidate Bob Dole appeared in Pfizer ads soon after Viagra’s introduction and instantly turned into household words the terms Viagra and ED. Viagra jokes became a staple of comedy acts on late-night television (Have you heard the one about the man who swallowed Viagra, but it stuck in his throat? He wound up with a very stiff neck!), thus ensuring its place in our cultural lexicon. Viagra tapped into both our fantasies and our embarrassment about sexuality in a way that no other drug had ever done. When, for example, was the last time you heard a joke about a new cholesterol -lowering medication?

    Skillful marketing contributed to our perception of Viagra as the pill that put the "man" in "manly." Star professional athletes-vigorous men such as baseball’s Most Valuable Player Rafael Palmeiro of the Texas Rangers and NASCAR driver Mark Martin-endorse the medication in widely seen advertisements. Other kinds of athletes use Viagra as well. Hugh Hefner, the aging head of the Playboy empire who is known for his bevy of beautiful blondes, gives Viagra credit for maintaining his pleasure quotient. Rumor has it that he provides bowls of Viagra tablets at his famous parties.

    Magical Viagra. A wonder drug. Or so we have come to believe. But does the reality live up to the myth? Is it really that good? Can it truly solve erection problems? What about relationship issues? What does Viagra do for a man who has lost his sexual desire or for a man who is simply nervous about having sex with a new partner? What’s the real story?

    As someone who treats men with Viagra nearly every day, I can testify to the remarkable effects of this medication. For many men and their partners, Viagra has unquestionably brought about significant improvements in their lives, and to a degree that was not previously possible with other treatments. And yet there is clearly much more to the story of human sexuality and relationships than the Viagra Myth would have us believe. The Viagra Myth has less to do with the effectiveness of the medication than with our cultural propensity to look for the easy fix. This myth suggests that a pill that improves blood flow to the penis can solve personal relationship issues, no matter how complex.

    I started wondering about the disconnect between the Viagra Myth and reality soon after I had started prescribing the medication. John, a fifty-five-year-old man married for over twenty years, saw me three months after I had prescribed Viagra as treatment for his erectile dysfunction, with which he had suffered for over two years.

    "So, John, how’s the Viagra working out for you?" I asked.

    "Well, it works, Doc. But I don’t take it anymore."

    "To tell you the truth, my wife and I decided to separate. All this time, I’d thought that if I could have sex with her again, everything would work out fine. But it turns out that our problems are bigger than the sex thing. So we’re splitting up."

    Viagra had done wonders for John’s erection problem but nothing toward solving his relationship problem.

    Then there was Chester, who at seventy-one years old had initially complained that his erections were only semifirm. Sex with his wife had become awkward and unsatisfying, and he asked specifically for a prescription for Viagra. It seemed a reasonable request, and his physical exam revealed no health risks, so I prescribed the medication. When Chester returned to the office several months later, he reported on various other medical issues but never mentioned how he was doing sexually, even though that had been the main concern for him at his last visit.

    "Did you ever try the Viagra?" I asked.

    Chester gave me a big smile, and there was a gleam in his eye. "Oh, the Viagra! Well, it definitely makes me harder!" he chuckled. "But I don’t need it. The wife and I are okay with how things are going without it. I don’t want to spoil her, you know!"

    John and Chester are just two examples of the many men for whom Viagra works in a physical sense as it is supposed to, but the medication failed to meet their expectations in other ways. Even when Viagra works, men like John and Chester often do not want to take it, and their reasons vary. Although I saw these men in my practice every day and intently followed their stories, I was still surprised to learn that the refill rate for Viagra prescriptions is less than 50 percent. What happened to the old crude joke that all a man needs in order to be happy is a hard penis and a place to put it? Could our perception of Viagra and our sense of masculine sexuality be so out of kilter with reality?

    Surprisingly the answer is yes. The Viagra Myth, which promotes the notion of the hard penis as the salvation of sexual relationships, is so pervasive that even professionals in the field bought into it. After reflecting on cases like those of John and Chester and their partners, I began to see an enormous gulf between appearances and reality when sexual relationships are in question.

    Many of my male patients, together with many of their partners, came to realize that finally achieving a great erection did not solve their relationship problems. In fact, it frequently made them worse. As with John and his wife, sometimes when the erection issue is solved, couples are forced to deal with more profound troubles in the relationship.

    As I listened to my patients, I came to see that our culture had taken Viagra and created a legend out of it that went far beyond its actual pharmacological properties. People had come to expect that taking a little blue pill could solve their personal and relationship problems, no matter how complex those difficulties were. I heard variations on this theme almost daily. Men or their partners requested prescriptions for Viagra for all sorts of problems, sometimes with the barest of sexual symptoms: a lack of desire, struggles in existing relationships, fear of intimacy, or a desire to be a sexual superstud, for example. The range of issues for which men could envision successful treatment only with Viagra was astounding to me. This aura surrounding a medication that enhances blood flow to the penis is clearly a reflection of who we are and our desire for the easy, quick fix. I have called this exaggerated sense of Viagra as a wonder drug for various complex issues the Viagra Myth.

    Yes, the drug is enormously powerful, and it can be a lifesaver for many men, but it has also turned a bright spotlight on previously hidden areas of sexuality and relationships. In particular, it forces couples to decide what is real in their relationships and what is not. I have come to see Viagra as providing a window into the psyche of men, and perhaps indirectly into the psyche of women as well, since women are not immune from unduly high expectations regarding the benefits of Viagra and its potential to provide sexual healing.

    The lessons I have learned by listening to my patients and their partners form the basis of this book, and in the pages that follow I share the stories of those who have taught me so much about sex and sexuality and, by extension, about personal growth and humanity.

    The lessons to be learned are startling, profound, and often inspiring. What does it mean for a man to lose his sense of masculinity and self-esteem? How does this loss manifest itself in the relationship between him and his partner? How do couples survive when a man loses the ability to function sexually? What is it like when his sexual powers return? What is it like for a woman to have her partner restored to his "youthful vigor" after a prolonged period of inactivity?

    This is a book about real people. The men and women who pass through my office share intimate details of their lives that would otherwise never see the light of day were it not for this book. Naturally, names and details have been changed in order to preserve privacy, and in many stories I have combined features from two or more patients. Each story is unique, yet there are themes familiar to every reader because of the commonality of human experience. Men want to feel powerful and capable and accepted, to be able to relate to their partners in a way that affirms these qualities. Women want to feel attractive to their partners and emotionally connected. When sex goes awry, particularly because of erection problems, not only do relationships come crashing down, but men and women lose their grip on these most fundamental human needs: secure identity and intimate connection.

    To be sure, the power of Viagra lies in its ability to correct a man’s erection problems. Whether this fix rights the ship depends on the individuals involved and what they bring of themselves on board. So often, as the stories that follow show, men and women are at cross-purposes within their relationships and lack a shared language for understanding each other. As we are continually reminded by advertisements and testimonials in the media, Viagra can help correct the erection problem. But if a man is worried only about his lost machismo while his partner is concerned about a lack of emotional intimacy, then the reappearance of a firm penis is not likely to provide them with a happily-ever-after. Both will fall victim to the Viagra Myth.

    To dispel this myth and help readers distinguish between fact and fiction, this book seeks to answer some of the questions most frequently raised by my patients and their partners, such as the following:

    When is Viagra the "perfect" cure?

    When is Viagra not a cure but an obstacle to a relationship?

    How does a man determine whether his partner loves him or Viagra?

    What does a woman experience when she’s with a man who can function sexually only with Viagra?

    If a man can function only with Viagra, does he continue to think of himself as impotent or does he feel inauthentic?

    Does Viagra make a man more virile, more attractive, and a better lover?

    What happens when a man doesn’t tell his partner he’s taking Viagra? Will she know? Is it the same as lying?

    What’s the relationship between an erection and desire?

    Can Viagra work after prostate cancer surgery?

    If Viagra doesn’t work for a man, will he ever be able to have sex again?

    Can a couple have sex without an erection?

    Does Viagra make sex less spontaneous and more predictable?

    I have written this book in the hope of provoking a more thoughtful and frank discussion about sexuality than currently exists. On a practical level, I hope that men and women can use these stories as starting points to improve the dialogue they have with each other in their relationships and ultimately to create a more fully satisfying life for themselves. I also hope this book will lead to the more realistic application of Viagra and other sexual therapies for the benefit of all men, women, and their relationships.

    Originally Posted by MissLucky

    Not that I’m bothered, but I would like him to tell me and I know he won’t.

    I have never seen him pop a pill, but at 53, he has much more sexual energy than most guys I have ever dated. He’s the oldest man I have ever dated and is 23 years older than me. He wants to have sex almost daily/constantly, but the problem is he rarely ejaculates.

    Aren’t these the signs of someone who uses viagra?

    He might also be getting supplemental testosterone.
    What you need to be concerned about is how they are delivering it too him. If he gets it in a shot then YOU are safe but my Uncle gets it in a rub he puts on his belly, he can’t hug his wife once he has put it on because its absorbed through the skin.

    I dated an older man once, I wondered why he was SO driven to have sex with me, (which I did not do), he was also agressive at times. I found out later he got a shot of testorone every couple weeks I think it was.

    Originally Posted by MissLucky

    Not that I’m bothered, but I would like him to tell me and I know he won’t.

    I have never seen him pop a pill, but at 53, he has much more sexual energy than most guys I have ever dated. He’s the oldest man I have ever dated and is 23 years older than me. He wants to have sex almost daily/constantly, but the problem is he rarely ejaculates.

    Aren’t these the signs of someone who uses viagra?

    Yes and No. I’m just about the same age as your boyfriend and I can still have it everyday (though it takes a little more work to get the hydraulics working, if you know what I mean), but I can only basically ejaculate if I use my hand because I no longer have the kind of sensitivity I used to.

    The only thing I would be concerned about with Viagra is its effect on his heart. Has he had a check up recently? Otherwise, just flat out tell him that you don’t care if he uses that drug because you love him.

    Originally Posted by MissLucky

    Not that I’m bothered, but I would like him to tell me and I know he won’t.

    I have never seen him pop a pill, but at 53, he has much more sexual energy than most guys I have ever dated. He’s the oldest man I have ever dated and is 23 years older than me. He wants to have sex almost daily/constantly, but the problem is he rarely ejaculates.

    Aren’t these the signs of someone who uses viagra?

    I’m not sure if you understand this or not, but many don’t seem to get it: Viagra does not increase one’s libido; it simply helps the blood flow to certain areas when stimulation calls for it.

    Some men at age 53 still have very high sex drives. (I’d guess most men do.) But they’re not 19-year-olds. Erections and orgasms both take a little longer to achieve. Both may be good up to a point, but only to a point.

    Your guy sounds a little like me when I again became sexually active after several years of no sex. I was in my late 40s and eager for lovin several times a day, but I would rarely ejaculate more than once a day if that. Also, I could go for hours. (That was before Viagra was available, btw.) My wife had a little talk with me after a couple years and "we" decided to limit our romps to once each day. I wasn’t thrilled with the idea, but, as usual, she was right. Everything worked as designed as long as it wasn’t overworked.

    As for guys not wanting to admit to using Viagra, sure. It points to a weakness in our virility. The last thing an older guy wants to admit to his much younger lover is that he needs a pill to function normally. Don’t push it. He might be getting some help from a bottle, but if he is, so what? Lots of people take pills of one kind or another.

    Originally Posted by MissLucky

    Not that I’m bothered, but I would like him to tell me and I know he won’t.

    I have never seen him pop a pill, but at 53, he has much more sexual energy than most guys I have ever dated. He’s the oldest man I have ever dated and is 23 years older than me. He wants to have sex almost daily/constantly, but the problem is he rarely ejaculates.

    Aren’t these the signs of someone who uses viagra?

    if he’s 53, he most LIKELY needs something like viagra. most men over 40 do. no big deal. men can have an orgasm with some flaccidity. there’s variety to be experienced.

    if you can’t call him at home, he’s married.

    if he’s married, you should just enjoy whatever happens & keep it simple. i guess.

    hopefully you both had yourselves checked for std’s before consumating your attraction.

    if he told you that’s just for homosexuals, he’s a creep. use condoms & beware of oral with him, if he won’t get tested. no excuse is acceptable.

    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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    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 Buying Viagra In Portugal 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 Buying Viagra In Portugal 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 Buying Viagra In Portugal 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 Buying Viagra In Portugal, prepare a load of lumber for the newest construction project.

    The Buying Viagra In Portugal 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 Buying Viagra In Portugal 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 Buying Viagra In Portugal 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.

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    © Third Generation Partnership Project 2 (32 Years Old Viagra)

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

    TICKET PRICES

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    The Viagra 32 Years Old 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 32 Years Old 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 32 Years Old 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.

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