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GENERIC NAME(S): SILDENAFIL CITRATE

Uses

Sildenafil is used to treat male sexual function problems (impotence or erectile dysfunction -ED). In combination with sexual stimulation, sildenafil works by increasing blood flow to the penis to help a man get and keep an erection.

OTHER USES: This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional.

Sildenafil is also available in other brands and strengths for treating high blood pressure in the lungs (pulmonary hypertension ). Do not take this medication with any other product that contains sildenafil or other similar medications for erectile dysfunction -ED or pulmonary hypertension (such as tadalafil, vardenafil).

How to use Viagra

Read the Patient Information Leaflet provided by your pharmacist before you start taking sildenafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

To treat erectile dysfunction -ED, take this drug by mouth as directed by your doctor, usually as needed. Take sildenafil at least 30 minutes, but no more than 4 hours, before sexual activity (1 hour before is the most effective). Do not take more than once daily.

A high-fat meal may delay how quickly the drug begins to work.

The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Tell your doctor if your condition does not improve.

Side Effects

Dizziness. headache. flushing, or stomach upset may occur. Vision changes such as increased sensitivity to light, blurred vision. or trouble telling blue and green colors apart may also occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Sexual activity may put extra strain on your heart. especially if you have heart problems. If you have heart problems and experience any of these serious side effects while having sex. stop and get medical help right away: severe dizziness, fainting. chest/jaw/left arm pain, nausea .

Rarely, sudden decreased vision. including permanent blindness, in one or both eyes (NAION) may occur. If this serious problem occurs, stop taking sildenafil and get medical help right away. You have a slightly greater chance of developing NAION if you have heart disease. diabetes. high cholesterol. certain other eye problems (“crowded disk”), high blood pressure. if you are over 50, or if you smoke.

Rarely, a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness, may occur. Stop taking sildenafil and get medical help right away if these effects occur.

In the rare event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and get medical help right away, or permanent problems could occur.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction. including: rash. itching /swelling (especially of the face/tongue /throat), severe dizziness, trouble breathing .

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before taking sildenafil, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months, chest pain/angina, heart failure), stroke in the past 6 months, kidney disease, liver disease, high or low blood pressure. a severe loss of body water (dehydration), penis conditions (such as angulation, fibrosis/scarring, Peyronie’s disease ), history of painful/prolonged erection (priapism), conditions that may increase the risk of priapism (such as sickle cell anemia. leukemia, multiple myeloma ), eye problems (such as retinitis pigmentosa. sudden decreased vision, NAION).

This drug may make you dizzy or cause vision problems. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Limit alcoholic beverages.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

This brand of the drug is usually not used in women. During pregnancy, sildenafil should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.

Interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

A product that may interact with this drug is: riociguat.

Sildenafil can cause a serious drop in your blood pressure when used with nitrates. A serious drop in blood pressure can lead to dizziness, fainting, and rarely heart attack or stroke. Do not use sildenafil with any of the following: certain drugs used to treat chest pain/angina (nitrates such as nitroglycerin, isosorbide), recreational drugs called “poppers” containing amyl nitrate, amyl nitrite, or butyl nitrite.

If you are also taking an alpha blocker medication (such as doxazosin, tamsulosin) to treat an enlarged prostate/BPH or high blood pressure, your blood pressure may get too low which can lead to dizziness or fainting. Your doctor may start treatment with a lower dose of sildenafil to minimize your risk of low blood pressure.

Other medications can affect the removal of sildenafil from your body, which may affect how sildenafil works. Examples include azole antifungals (such as itraconazole, ketoconazole), macrolide antibiotics (such as clarithromycin, erythromycin), HIV protease inhibitors (such as ritonavir, saquinavir), hepatitis C virus protease inhibitors (such as boceprevir, telaprevir), mifepristone, rifampin, among others.

Do not take this medication with any other product that contains sildenafil or other similar medications for erectile dysfunction-ED or pulmonary hypertension (such as tadalafil, vardenafil).

Overdose

If overdose is suspected, contact a poison control center or emergency room right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include severe dizziness, fainting, painful/prolonged erection.

Notes

Do not share this medication with others.

Missed Dose

Storage

Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

Information last revised October 2015. Copyright(c) 2015 First Databank, Inc.

Images

7 Common Side Effects of Erectile Dysfunction Medication

Erectile Dysfunction Medications

Erectile Dysfunction (ED), can make your sex life become non-existent. Also called impotence, ED occurs when nerves in the penis can no longer stimulate blood flow to develop an erection. This is a common occurrence that increases with age, but erectile dysfunction medications may be able to help the condition. The most well-known ED medications include:

  • Cialis (tadalafil)
  • Viagra (sildenafil)
  • Levitra (vardenafil)

These prescription drugs increase nitric oxide to stimulate blood flow upon sexual arousal. While ED meds can be lifesavers in the bedroom, there are some common side effects to learn about before asking for a prescription.

Headaches

Headaches

Headaches are the most common side effect associated with erectile dysfunction medications. Nitric oxide helps increase blood flow to the penis to create an erection, but this sudden change in blood flow can cause a headache. It is important to know that headaches are common with all forms of ED medications, so switching brands won’t necessarily alleviate such symptoms. If your headaches are severe, talk to your doctor about methods you can use to prevent them.

Body Aches and Pains

Taking medicine can be a pain, and this may be especially the case when treating erectile dysfunction. Some patients experience muscle aches and general body aches, while others report lower back pain. According to the Mayo Clinic. Cialis is the primary culprit of such side effects out of all ED medications. Over-the-counter pain medication can help alleviate aches and pains, but make sure you ask a doctor before use.

Gastrointestinal Ailments

Gastrointestinal Ailments

Your ED medications can also cause uncomfortable gastrointestinal ailments. The most common are indigestion and diarrhea. Over-the-counter medicines can help alleviate minor problems, but you may also consider making dietary changes to reduce upset stomach and gastrointestinal issues. Drinking water instead of caffeine, alcohol, and juice may help.

Dizziness

An increase in nitric oxide can cause dizziness in some men. This side effect is more prominent with the medication Levitra, according to the Patient Education Institute. While generally mild, dizziness can still cause discomfort during everyday activities. In rare cases, dizziness can lead to fainting, which may become a serious health issue. Remember that while dizziness is a common side effect, fainting is not.

Vision Changes

Vision Changes

ED medications can change the way you see things – literally. Certain brands can temporarily alter your eyesight, and even cause blue vision. The Mayo Clinic reports that blue vision symptoms are related to individuals who take Levitra or Viagra.

A complete loss of vision, or changes that don’t go away, can signify a more serious issue with your ED medication. Seek emergency medical care. ED drugs aren’t recommended if you have a retinal disorder.

Flushing

Flushing causes redness of the skin. Flushing can develop on the face, but may spread to virtually any part of your body. Unlike blushing, flushing looks more like a rash. The symptoms can be as mild as blotchy skin, or even as severe as rashes. According to the Mayo Clinic. flushing is most common with Levitra and Viagra. You may find flushing an occasional symptom of impotence drugs, and it may worsen when you:

  • eat hot or spicy foods
  • drink alcohol
  • are outside in warm temperatures

Congestion and Runny Nose

Congestion and Runny Nose

One of the last things you would expect of an ED medication is congestion and a runny, stuffy nose. Still, this is a common symptom you should watch out for when taking these prescription drugs. The Patient Education Institute reports that such side effects are linked to Levitra and Viagra. In most cases, symptoms of congestion will subside without a need for treatment.

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Erectile Dysfunction Health Center

13 Common Sex-Drive Killers

What Are the Differences Between These Drugs?

Cialis, Levitra, Staxyn, Stendra, and Viagra work similarly. There are subtle differences in how long the drug works and how quickly it works.

Levitra works a little longer than Viagra. They both take effect in about 30 minutes. With Levitra, the effects last for about 5 hours. With Viagra, they last about 4 hours.

Cialis works much longer — up to 36 hours in some cases. Stendra can start doing its thing in as little as 15 minutes, and its effects last up to 6 hours.

Staxyn dissolves in your mouth. It contains the same active ingredient as Levitra, but it should not replace Levitra. It also can begin working in about 15 minutes.

If One of These Doesn’t Help Me, Can I Try Another?

Yes. But because these drugs work the same way, you’re likely to have similar results.

What Precautions Should I Take Before Trying One of These Drugs?

There are situations where these drugs may not be safe. Before you take them, tell your doctor:

  • If you are allergic to any drugs, including other ED medications.
  • About any prescription or nonprescription medications you take and any herbal and dietary supplements .
  • If you are scheduled for surgery, even dental surgery.
  • If you take nitroglycerin or a similar medicine for chest pain. The combination of ED medication and these drugs can cause dangerously low blood pressure .
  • If you take alpha-blockers for blood pressure or prostate problems. These can lower your blood pressure when taken with ED pills. You should not start on Staxyn unless your doctor has prescribed you Levitra before.

Always follow the directions on your prescription label carefully. Also make sure to ask your doctor or pharmacist to explain anything you don’t understand. Take these drugs exactly as directed.

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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: 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.

Erectile Dysfunction Health Center

WebMD Health News

This content has not been reviewed within the past year and may not represent WebMD’s most up-to-date information.

To find the most current information, please enter your topic of interest into our search box.

“>WebMD News Archive

May 13, 2004 — When men with erectile dysfunction take Viagra every night, rather than just when the mood strikes them, they may experience a return to normal erections, say researchers at a meeting of men’s health specialists.

“Nightly treatment may help promote erectile function as the result of this drugs’ beneficial effect on endothelial cells,” Frank Sommer, MD, said in a news conference. Endothelial cells line the walls of the blood vessels. Erections occur when the blood vessels in the penis dilate and fill with blood. Sommer, chief of andrology in the department of urology at the University of Cologne in Cologne, Germany, presented his findings at a meeting of the American Urological Association.

Normal Erections Without Erectile Dysfunction Treatment

He and his co-investigators studied 76 men who had erectile dysfunction for at least six months. Group 1 took 50 mg of Viagra nightly at bedtime. Group 2 took 50-100 mg of Viagra when they wanted, presumably before sexual intercourse. The investigators also followed a third group of men with erectile dysfunction who received no treatment. The men were an average of 47 years old.

After 12 months of nightly Viagra followed by one month of no erectile dysfunction treatment. nearly 60% of men in group 1 had a return of normal erections. Less than 10% of men that took Viagra as needed had a similar return of normal erections.

At the end of a six-month period without any erectile dysfunction treatment. all but one of the men in group 1 still had normal erections. Normal erections were determined by an erectile function questionnaire completed by the men.

Researchers also measured blood flow to the penis. After one month of no erectile dysfunction treatment, group 1 had a significant improvement in blood flow. However, group 2 had no significant change and blood flow, and group 3 worsened.

“This is the only study we know of that has investigated the long-term effects of taking erection-promoting therapy on a daily basis,” Sommer says. “After only one year, [Viagra] taken regularly at bedtime may be. a useful tool for curing erectile dysfunction.”

Men aged 18 to 30 on Viagra to keep up with Sex And The City generation

It used to be that men had the upper hand when it came to confidence in the bedroom.

But health experts say ever-younger men are increasingly turning to Viagra in a bid to keep up with modern women inspired by the strong female characters in films such as Sex And The City, starring Sarah Jessica Parker.

Relationship therapists are also seeing a rise in the number of men in their 30s asking about the impotence drug, traditionally prescribed to those more than two decades older.

Health experts believe young men are turning to Viagra to keep up with modern women inspired by Sex And The City, starring Sarah Jessica Parker (pictured)

Experts believe the men feel increasingly emasculated by today’s women.

They claim that women, following the example of television and film characters, are more vocal about their desires and demand a higher level of stamina and imagination in the bedroom.

The pressure is causing an increasing number of men to experience ‘performance anxiety’ and, in extreme cases, is leading to diagnoses of erectile dysfunction, requiring specialist treatment. Dr John Tomlinson, a former GP and trustee of the Sexual Dysfunction Association, said he was hearing from an ‘ enormous’ number of 18- to 40-year-olds worried about sexual problems.

He suggested advertising – such as David Beckham’s Armani underwear campaign – glamorises the well-toned male body, which men find daunting because they assume it is what women expect.

He said: ‘Men may feel emasculated by modern women and feminism has taken its toll. But most of the problems are psychological. I’m sure many of these men are fuelling the counterfeit drugs industry by buying their Viagra online, so the real picture is likely to be bigger than GPs are reporting.’

There are no official figures for the number of young men taking Viagra because it is not routinely recorded by doctors. Many also opt to seek treatment privately. BUPA said it could not provide data on consultations. However, health experts agreed the average age for men seeking the drug is falling.

Dr John Dean, a specialist in sexual medicine, said when Viagra was introduced ten years ago, it would have been unusual to treat men in their 30s. Now, however, it is common, he said.

Peter Baker, of the Men’s Health Forum website, said it is ‘well-known’ among health professionals that younger men are turning to Viagra.

Relationship experts said the prevalence of pornography in society also left men with unrealistic expectations.

Sex therapist Denise Knowles, of counselling service Relate, said: ‘Pornography affects how men see themselves and how they think women will see them. Further pressure comes from the myth that men should know what to do in the bedroom and that women are difficult to satisfy.’

Nearly 6.5 million tablets of Viagra – launched by drugs firm Pfizer in 1998 – were issued in England in 2007, costing the NHS ВЈ35million. Research in 2004 found that taking the drug recreationally could affect fertility.

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    Media pastilla comГєn, en compro sildenafil caso se pueden tomar dos pastillas de 50mg para completar una. Que tan peligroso es o es peligroso tomar la pastilla media. La cialis funciona bГЎsicamente de la misma manera que lo hace la viagra, o cialis. Puedo tomar media pastilla levitra va el trabajo genГ©rico como cialis. Lo que pasa es que con esa pastilla puedo tener sexo casi toda la. Hoy puedo decir que todo va bien y me funciona.

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    Viagra

    GENERIC NAME(S): SILDENAFIL CITRATE

    Uses

    Sildenafil is used to treat male sexual function problems (impotence or erectile dysfunction -ED). In combination with sexual stimulation, sildenafil works by increasing blood flow to the penis to help a man get and keep an erection.

    OTHER USES: This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional.

    Sildenafil is also available in other brands and strengths for treating high blood pressure in the lungs (pulmonary hypertension ). Do not take this medication with any other product that contains sildenafil or other similar medications for erectile dysfunction -ED or pulmonary hypertension (such as tadalafil, vardenafil).

    How to use Viagra

    Read the Patient Information Leaflet provided by your pharmacist before you start taking sildenafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

    To treat erectile dysfunction -ED, take this drug by mouth as directed by your doctor, usually as needed. Take sildenafil at least 30 minutes, but no more than 4 hours, before sexual activity (1 hour before is the most effective). Do not take more than once daily.

    A high-fat meal may delay how quickly the drug begins to work.

    The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

    Tell your doctor if your condition does not improve.

    Side Effects

    Dizziness. headache. flushing, or stomach upset may occur. Vision changes such as increased sensitivity to light, blurred vision. or trouble telling blue and green colors apart may also occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

    To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

    Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

    Sexual activity may put extra strain on your heart. especially if you have heart problems. If you have heart problems and experience any of these serious side effects while having sex. stop and get medical help right away: severe dizziness, fainting. chest/jaw/left arm pain, nausea .

    Rarely, sudden decreased vision. including permanent blindness, in one or both eyes (NAION) may occur. If this serious problem occurs, stop taking sildenafil and get medical help right away. You have a slightly greater chance of developing NAION if you have heart disease. diabetes. high cholesterol. certain other eye problems (“crowded disk”), high blood pressure. if you are over 50, or if you smoke.

    Rarely, a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness, may occur. Stop taking sildenafil and get medical help right away if these effects occur.

    In the rare event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and get medical help right away, or permanent problems could occur.

    A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction. including: rash. itching /swelling (especially of the face/tongue /throat), severe dizziness, trouble breathing .

    This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

    Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

    In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

    Precautions

    Before taking sildenafil, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

    Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months, chest pain/angina, heart failure), stroke in the past 6 months, kidney disease, liver disease, high or low blood pressure. a severe loss of body water (dehydration), penis conditions (such as angulation, fibrosis/scarring, Peyronie’s disease ), history of painful/prolonged erection (priapism), conditions that may increase the risk of priapism (such as sickle cell anemia. leukemia, multiple myeloma ), eye problems (such as retinitis pigmentosa. sudden decreased vision, NAION).

    This drug may make you dizzy or cause vision problems. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Limit alcoholic beverages.

    Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

    This brand of the drug is usually not used in women. During pregnancy, sildenafil should be used only when clearly needed. Discuss the risks and benefits with your doctor.

    It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.

    Interactions

    Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

    A product that may interact with this drug is: riociguat.

    Sildenafil can cause a serious drop in your blood pressure when used with nitrates. A serious drop in blood pressure can lead to dizziness, fainting, and rarely heart attack or stroke. Do not use sildenafil with any of the following: certain drugs used to treat chest pain/angina (nitrates such as nitroglycerin, isosorbide), recreational drugs called “poppers” containing amyl nitrate, amyl nitrite, or butyl nitrite.

    If you are also taking an alpha blocker medication (such as doxazosin, tamsulosin) to treat an enlarged prostate/BPH or high blood pressure, your blood pressure may get too low which can lead to dizziness or fainting. Your doctor may start treatment with a lower dose of sildenafil to minimize your risk of low blood pressure.

    Other medications can affect the removal of sildenafil from your body, which may affect how sildenafil works. Examples include azole antifungals (such as itraconazole, ketoconazole), macrolide antibiotics (such as clarithromycin, erythromycin), HIV protease inhibitors (such as ritonavir, saquinavir), hepatitis C virus protease inhibitors (such as boceprevir, telaprevir), mifepristone, rifampin, among others.

    Do not take this medication with any other product that contains sildenafil or other similar medications for erectile dysfunction-ED or pulmonary hypertension (such as tadalafil, vardenafil).

    Overdose

    If overdose is suspected, contact a poison control center or emergency room right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include severe dizziness, fainting, painful/prolonged erection.

    Notes

    Do not share this medication with others.

    Missed Dose

    Storage

    Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

    Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

    Information last revised October 2015. Copyright(c) 2015 First Databank, Inc.

    Images

    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.

    What if he didn’t tell you he was taking Viagra?

    Published: Tuesday, Oct. 26, 2010, 02:34 PM

    THIS IS A story about a little pill called Viagra and an uncomfortable situation.

    I’m not going to divulge a timeline for fear someone will assume I’m writing about them or friends reading this will think they know who I’m talking about. I learned a very valuable lesson from this man — don’t ever ask about Viagra.

    Rather, do not ask the man you are seeing if he is using Viagra, especially when you know he may be. Let me explain.

    Sometime in the past — it could be yesterday, or 10 years ago — I decided to do a favour for the man I was dating. I picked up a prescription for him from a pharmacy that was near where I was headed. It was an antibiotic for an ear infection.

    I paid and took the drugs to my place, planning to give them to him later when we hooked up. Stapled to the bag, I noticed, was a small piece of paper with all his past drug pickups.

    I couldn’t NOT look.

    I wasn’t snooping. It really was stapled on the outside of the bag. My eyes skimmed over the list of antibiotics, and then I saw the word “Viagra.”

    I wasn’t sure whether to laugh (Come on, it’s Viagra! I thought people just spammed me about that) or cry (He’s around 40. Did he have a serious issue that I didn’t know about?).

    Let me just say, for the record, that one of the places (and more often than not the ONLY place) we got along was in bed. In bed,we were so compatible, so exciting, it was like a fireworks on New Year’s Eve kinda thing.

    But now I knew he had gotten a prescription for Viagra, and I was plagued with self-doubt and so many questions. Did he use it regularly? When did he take it? While brushing his teeth? On the way over? And why didn’t he tell me? And why didn’t he offer any to me? (Not that I would have taken it, but don’t leave me out of the fun, mister!)

    I left him a voice mail message saying, “Viagra? Really? You use Viagra?” (I probably shouldn’t have been laughing when leaving that message.)

    Later, face to face, I asked him about it again. “I don’t want to talk about it,” he stormed.

    “Just tell me why. Do you need it?” I pressed.

    “No!” he snapped. “I just wanted to try it out. I asked my doctor for one pill, just to see what it was all about.”

    It was like telling a man that his hair is thinning. Another no-no, even if it’s true. I couldn’t help but giggle, which didn’t help out matters.

    I left it at that, except I did ask every girlfriend I have if their partners use Viagra.

    “No, my boyfriend doesn’t use it, but I have a friend who uses it with his wife. They both say it’s the best sex they ever had. It just enhances their experience.”

    “No, my husband doesn’t use it. Not that I’m aware of,” said another.

    Not one of the 10 women I talked to knew if their partners took the little blue pill. I asked practically every guy I knew if they use Viagra or have tried it.

    “Hey,” I’d say. “I know you’re busy but I have a quick question. Have you ever tried Viagra?” It’s a great start to a conversation, trust me.

    Every man I talked to wouldn’t admit they used the drug, and yet, oddly, every single one of them “had a friend” who did. Also strange how every single male I talked to said,“No, I can always get it up.”

    Why the resistance?

    The little blue pill is actually sildenafil citrate and is used to treat erectile dysfunction, just so we’re all clear. It is sold as Viagra by pharmaceutical giant Pfizer.

    When it was introduced in the late ’90s, there was a welldocumented cult of recreational use among younger adults.

    Apparently, even professional athletes have tried it to give them an edge over the competition. We’re all adults here, right? I mean, it could be fun if both parties are in on the act.

    I asked my female friends how they would respond if they found out their men used Viagra and didn’t tell them.

    “I wouldn’t care,” said one of my married friends.

    “I just wouldn’t want him putting a drug into his body that really wasn’t necessary.”

    Another friend says she wouldn’t care if she found out her boyfriend used it.

    “Although, I guess it depends where he kept it. I mean, if he kept it in his car, I’d wonder why and that would be shady. But if he kept it where I could see it, then I’d be OK with it.”

    Men are strange creatures. Women don’t care if you use Viagra. You can tell us.

    I’m not sure if my guy took it regularly or really just was trying it out. I was sure, though, that he wouldn’t be asking me to pick him up any more prescriptions.

    Join the conversation and have your say by commenting below. Our comment system uses a Facebook plugin. Please note that you’ll have to turn off some ad-blockers in order to see the comments.

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    High Point University’s Investment Club

    Welcome to the Floyd T. Craven Investment Club of High Point University.

    The Floyd T. Craven Investment Club is an entirely student-run long-short equity fund.  We incorporate a growth strategy in an effort to satisfy our long-term rate of return objectives.  We accomplish this through capital appreciation and interest and dividend yields.  The investment club aggressively applies a diversified asset allocation strategy that parallels its investment vision. 

    The Floyd T. Craven Investment Club at High Point University was created in 1998. It was funded with a generous gift from HPU alumnus James E. Foscue in honor of his accountant, Floyd T. Craven.  The Investment Club exists to educate undergraduate students in areas of finance, investment analysis, and portfolio management. It provides students at High Point University with the opportunity to invest university dollars in the stock market under the guidance of professors of finance in the university’s Phillips School of Business.

    We meet in the stock trading room of the Plato S. Wilson School of Commerce Sundays at 4:00pm.  

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    What Is A False Positive Drug Test?

    You Can Easily Fail Your Drug Test And Not Be Guilty.

    The False Positive Drug Test Is The Dirty Little Secret Of Drug Testing.

    • About 5% Of People Fail Their Drug Test.
    • These People Are Are Not Guilty.
    • And They Must Prove Their Innocence.
    • This Could Happen To You.

    This is often caused by hundreds of products that are wrongly identified as illegal drugs or other drugs of concern. Common prescriptions, over the counter medications and even foods can cause you to falsely test positive.

    The False Drug Test Is The Testers Dirty Little Secret.

    This is the testers dirty little secret and there has been many a person who failed a drug test with no clue as to why and with little or no recourse to prove their innocence. If you fail due to a false positive result you must prove yourself innocent. The testers do not need to do anything. Some testers are very helpful and some are not.

    How Common Is A False Drug Test?

    Research has shown that urine drug tests generally produce a false positive test more than the other drug tests. There are over 1,000 labs in the United States currently testing for drugs. Studies have shown that less than a 100 of these meet federal standards and most states do not regulate these labs. Some of these labs are suspected of false drug tests as high as 25% of the drug test failures they see. There are also a greater number of urine and saliva drug tests that are given outside the testing labs by people not trained nor qualified. There is no information on the level of false drug tests in these conditions. One can only guess on this one, but it could be even higher.

    Real World Example Of A False Positive Drug Test. Eating a poppy-seed cake or bagel can produce a false positive results for opiates according to a TV episode of “MythBusters “. Most of the drug testing labs say it can not happen, but the MythBusters proved without a doubt it can. The poppy seeds can lead to false positive drug test for opium for several days.

    A Real Scary Issue. A recent study showed only about 50% of the testers were aware that this issue with poppy-seed bagels could occur. Can you imagine explaining to the testers you did not use heroin, you just ate a bagel. Many testers will tell you a false positive drug test is very rare.

    Why Are The Testers In Such Denial About The False Positive Drug Test? Because that would cause all drug test results to be called into question and drug testing is big business. Admitting the level of this problem would cost a bunch of people a bunch of money.

    What Can Cause A False Positive Drug Test?

    • Prescription Medications such as antibiotics like ampicillin and amoxicillin are prime examples. Quite a few prescription pain medications should be of concern.
    • Over The Counter Medications such as night-time cold medications can cause a false positive test. This is particularly true of the liquid cold relievers as some contain members of the ephedrine family. Some common weight loss products are risky, as well as some nasal sprays and some over the counter asthma products.
    • Foods can sometimes cause a false positive test as proven by the poppy-seed bagel and poppy-seed cake.
    • Common Vitamins Supplements can cause a false positive test. Riboflavin (B2) can return a false positive test for THC. Many herbs that contain B vitamins should be of concern.
    • Diseases such as diabetes, liver disease, and kidney infections may register as opiates.
    • Ethnic Susceptibility – People with dark skin are particularly susceptible to a false positive drug test.
    • Second Hand Use – Although this is less proven, second-hand use has to be considered for a false positive drug test. The testers again say it can not happen. We know what their word is worth.

    Advice And Facts.

    What You Need To Pass Any Drug Test.

    What Can Cause A False Positive Drug Test?

    Hundreds of Medications And Prescription Drugs Can A False Positive Drug Test.

    Failed False Positive Drug Test.

    This does not mean these medications, prescriptions or foods will always cause a false drug test. The actual false drug screening can not be anticipated nor should you rely on it as a strategy to pass while still using. The outcome is very specific to the individual and/or the situation.

    • Here are some of the more common sources of a false drug test:
    • Pain relievers such as Advil, Uprin, Motrin.
    • Menstrual cramp medications like Midol and Trendar.
    • Ibuprofen is known to cause positive for Marijuana.
    • Anti inflammatories such as Naproxyn.
    • Dristan Nasal Spray, Neosynephren, Vicks Nasal Spray, Sudafed.
    • Over the counter appetite suppressants which contain Propanolamine.
    • Common nasal decongestants can cause a positive reading for Amphetamines.
    • Vicks Formula 44M containing Dextromethorphan and Primatene-M containing Perylamine.
    • Demerol, and prescription anti-depressant Elavil test positive for Opiates up to three days.
    • Quinine water can also cause a positive reading for Opiates.
    • Poppy Seeds represent a potentially serious source of falsely positive results in testing Opiate abuse.
    • Nyquil Nighttime Cold Medicine will test positive for Methadone up to two days.
    • Amoxicillin has caused positives for Cocaine.
    • Diazepam tests positive for PCP.

    Medications, Prescriptions Or Foods That Can Cause False Positive Drug Tests.

    Search False Positive Drug Test Causes By Drug Test.

    Do If I Get A False Positive Drug Screening?

    Advice For A False Positive Drug Screening.

    Most companies are sympathetic and will allow you to retest, particularly if you have a reasonable story and are sincere. Present to the testers and prescriptions or medications you might be taking and do your research s to what might have caused the false positive drug screening.

    Always emphasize your innocence and the fact you do not know why you have failed. Be honest, concerned and DO NOT mention the possibility of a false positive drug screening at this point.

    You must then start your research on why you have failed and make the commitment to see your innocence to the end. Your confidence can make the difference.

    If you are given a second chance to take the drug screening you might want to consider the following factors and actions. This is the time for action if you are to get through this. If you understand these factors and actions you will be ahead of most of the people giving the drug screenings. This is the edge you could really use.

    • Let the testers know you are not guilty and request to be tested again.
    • Do not let them retest you right then and expect a different result. You need to make sure the retest is at a future date.
    • You need time to identify why you failed. Do your research and know why you failed.
    • Write down all medications and prescriptions you have been taking over the past few months. Keep the packages and makes sure to provide this information to the testers when you take your retest.
    • Make plans for a new test and start a detoxification process as soon as possible whether you need to or not. t is better to be prepared for the retest and not get it then to get the retest and not be prepared. Being prepared is always a good strategy.
    • Identify and obtain the detoxification product appropriate for the test you will face.
    • Watch the food you eat. Avoid High fat foods, greasy foods (particularly butters, cream sauces, and fried foods) and junk foods slow the detoxification process.
    • Stay away from anything that remotely could cause a problem.
    • Avoid alcoholic beverages, smoking or any unnecessary medications or vitamins.
    • Stay out of toxic environments.
    • Consume (4) 16 oz. glasses of water each day. Drink and sip on them all day long and not all at once.Exercise up to the day of your retest, but not the day of your test.

    How To Pass Your Drug Test

    Choose The Drug Test You Are Facing And Start Your Freedom.

    This content has not been reviewed within the past year and may not represent WebMD’s most up-to-date information.

    To find the most current information, please enter your topic of interest into our search box.

    “>WebMD News Archive

    May 28, 2010 (New Orleans) — If your child insists his positive drug test results are a mistake, there’s a chance he could be telling the truth.

    Drug tests generally produce false-positive results in 5% to 10% of cases and false negatives in 10% to 15% of cases, new research shows.

    Eating as little as a teaspoon of poppy seeds — less than the amount on a poppy seed bagel — can produce false-positive results on tests for opioid abuse, says Dwight Smith, MD, of the VA Medical Center in Black Hills, S.D.

    The poppy seeds can lead to false-positive results for two or three days, he says, yet one recent study showed only about 50% of doctors were aware of the problem.

    Knowing the tests’ limitations is crucial given that about 150 million drug tests were conducted in the United States last year, he says.

    “We drug test everyone, our students, our athletes,” Smith says.

    Also, many private and federal employers require regular testing, he says.

    False-Positive Results in 5% to 10% of Cases

    To get a better picture of the tests’ flaws, Smith and colleagues at Boston Medical Center reviewed scientific articles on drug screening published between January 1980 and September 2009.

    The results were presented at the American Psychiatric Association’s annual meeting.

    Cold medications. the antidepressant Wellbutrin. and tricyclic antidepressants can trigger false-positive results on tests for amphetamines. according to the review, and the antidepressant Zoloft and the painkiller Daypro can show up as a benzodiazepine problem.

    The quinolone antibiotic drugs can trigger false positives for opioids, and the HIV medication Sustiva can show up as marijuana use, Smith says.

    On the other hand, just being in the room with someone who is smoking marijuana is not going to trigger false positive results, no matter what your child claims, he says.

    “Unless [they] were in the van with Cheech and Chong, that’s not what happened,” Smith says.

    And “cocaine is cocaine — you don’t get many false positives or false negatives,” says Petros Levounis, MD, director of the Addiction Institute of New York at St. Luke’s and Roosevelt Hospital in New York City.

    Random drug testing is increasingly popular in the work place, and routine urine tests screen for the “big five” illegal drugs: marijuana, cocaine, amphetamines, opiates and PCP. But some legal substances could cause you to fail a routine drug screening and put your job in jeopardy.

    Psychopharmacologist Dr. Eileen DiFrancesco joins The Doctors to explain how these three substances could trigger a false-positive result:

    • Dextromethorphan, one of three ingredients often found in prescription and over-the-counter cough suppressants, can lead to a positive test for PCP, often called Angel Dust. Taken in higher doses, some cough suppressants can show up as an opiate.
    • Pseudoephedrine and ephedra, two other ingredients often found in cough suppressants, can test positive for amphetamines.
    • Phenylpropanolamine, one of the main ingredients in most diet pills, can cause a positive drug test.
    • Older diet pills that contain ephedra also can lead to a positive drug test.
    • People with chronic pain who use the common over-the-counter painkiller regularly can test positive for THC, the active ingredient in marijuana.

    The three substances should be out of your system within 72 hours of taking them. If you get a false-positive result in a drug test, Dr. DiFrancesco says you can request a more comprehensive test.

    Please enable JavaScript to view comments.

    Please help keep the community civil. The Doctors moderates this forum and all comments must follow TheDoctorsTV.com Community Guidelines and New Terms of Use. The Doctors reserves the right to use the comments you submit in whole or in part, and to use the commenter’s name and location, in any medium. Note that DISQUS operates this forum and you must log-in or register with DISQUS to participate.

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