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HOW TO USE VIAGRA This medication is taken by mouth as needed between four hours and one-half hour before sexual activity (about one hour before is most effective). Take only as directed, usually once daily as needed. Sildenafil works along with sexual stimulation to help achieve an erection. VIAGRA PRECAUTIONS Before using this medication, tell your doctor your medical history, including any allergies (especially drug allergies), any penis conditions such as fibrosis/scarring, history of painful/prolonged erection (priapism), sickle cell anemia, blood system cancers (such as leukemia or myeloma), or Peyronie's disease, eye problems (retina diseases). kidney or liver disease, bleeding disorders or active stomach ulcers, heart diseases, stroke or severe high or low blood pressure. Limit alcohol intake, as it may aggravate side effects of this drug. To avoid dizziness and lightheadedness when rising from a seated or lying position, get up slowly. The elderly may be more sensitive to the side effects of this medication, therefore caution is advised in this group. DRUG INTERACTIONS Tell your doctor of all nonprescription and prescription medication you may use, especially any nitrate medications (e.g., nitroglycerin, isosorbide dinitrate), nitroprusside (any "nitric oxide donor" medicines), cimetidine, erythromycin, azole antifungals (e.g., itraconazole, ketoconazole), mibefradil, rifamycins (e.g., rifampin) or high blood pressure medicines. VIAGRA SIDE EFFECTS Headache, flushing, stomach upset, nasal stuffiness, diarrhea and dizziness might occur. If these effects persist or worsen, notify your doctor promptly. NOTES Do not share Viagra with others, since they may have a problem that is not effectively treated by this medicine. Use of this drug does not protect against sexually transmitted diseases (e.g., HIV, Hepatitis B, gonorrhea). Store at room temperature between 59 and 86 degrees F (15-30 degrees C) away from light and moisture. Keep this medication and all medications out of the reach of children. Erectile Dysfunction (ED) ERECTILE DYSFUNCTION is the impairment of the erectile reflex. The man is unable to have or maintain an erection. Like other dysfunctions, erectile dysfunction can be either life long or acquired, situational or generalized. Life long erectile dysfunction is when a man has never had an erection. Acquired is when a man has in the past had an erection but no longer is able to have or maintain an erection either in certain situations or at all. As a situational dysfunction, erectile dysfunction is very common, almost universal. At some time in a man's life he will be unable to have an erection even though he is being sufficiently stimulated. In its situational form, there is a variety of ways it occurs. 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Exactly what constitutes premature ejaculation is unclear, usually a man is considered to ejaculate prematurely if his partner wasn't orgasmic in at least 50 percent of their coital episodes or ejaculation occurred if the male did not have voluntary control over when he ejaculated. ABOUT CIALIS The Food and Drug Administration (FDA) has approved Cialis® (tadalafil), an oral medication to treat erectile dysfunction (ED, or impotence) in men. This is the third oral product approved for this condition. This drug is different than currently approved products for ED in that it stays in the body longer. Erectile dysfunction (ED) affects millions of men in the United States. Cialis acts by relaxing muscles in the penis and blood vessels, allowing increased blood flow into the penis, which produces an erection. Cialis was evaluated in randomized, placebo-controlled trials involving more than 4,000 men with erectile dysfunction. In two of these trials, men had ED associated with diabetes mellitus or following radical prostatectomy for prostate cancer. The drug's effectiveness was assessed using a sexual function questionnaire. In addition, patients were asked to report if they were able to achieve an erection adequate for intercourse and whether that erection was maintained to allow completion of intercourse. In all of these trials, Cialis improved patients' ability to achieve and maintain a penile erection. In other studies, sexual activity was improved in some patients at 30 minutes after taking a dose; additional studies demonstrated improvements for up to 36 hours after taking Cialis when compared to placebo. The recommended starting dose for most patients is 10 mg taken prior to anticipated sexual activity. A higher dose of 20mg is available for patients whose response to the 10mg dose is not adequate. A lower dose (5 mg) is also available and may be necessary for patients taking other medicines or having medical conditions that may decrease the body's ability to metabolize tadalafil. Cialis should not be used more than once per day. Cialis should not be used with nitrates (such as nitroglycerin tablets or patches) or with an alpha blocker other than FLOMAX 0.4mg daily (alpha blockers are medicines used to treat benign prostatic hyperplasia and high blood pressure) because the combination may significantly lower blood pressure and lead to fainting or even death in some men. Because some drugs affect the metabolism of Cialis, patients should inform their doctors that they are taking Cialis. For example, patients taking ketoconazole or ritonoavir should not take more than a 10mg dose of Cialis once every 72 hours. Also, in patients with moderately or severely decreased kidney function, the starting dose is 5mg taken once daily. In this group, the dose may be increased to 10mg taken once every 48 hours. In patients with mild or moderate liver impairment, the maximum dose of Cialis is 10mg. In most patients, after taking a single dose of Cialis, some of the drug will remain in the body for more than 2 days. In those with decreased kidney function, impairment of the liver, or those taking certain medications (e.g. ketoconazole or ritonavir) tadalafil can remain in the body longer. Cialis should not be taken by men in whom sexual activity is inadvisable because of their underlying cardiovascular status (heart condition). 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VIAGRA PRECAUTIONS Before using this medication, tell your doctor your medical history, including any allergies (especially drug allergies), any penis conditions such as fibrosis/scarring, history of painful/prolonged erection (priapism), sickle cell anemia, blood system cancers (such as leukemia or myeloma), or Peyronie's disease, eye problems (retina diseases). kidney or liver disease, bleeding disorders or active stomach ulcers, heart diseases, stroke or severe high or low blood pressure. Limit alcohol intake, as it may aggravate side effects of this drug. To avoid dizziness and lightheadedness when rising from a seated or lying position, get up slowly. The elderly may be more sensitive to the side effects of this medication, therefore caution is advised in this group. DRUG INTERACTIONS Tell your doctor of all nonprescription and prescription medication you may use, especially any nitrate medications (e.g., nitroglycerin, isosorbide dinitrate), nitroprusside (any "nitric oxide donor" medicines), cimetidine, erythromycin, azole antifungals (e.g., itraconazole, ketoconazole), mibefradil, rifamycins (e.g., rifampin) or high blood pressure medicines. VIAGRA SIDE EFFECTS Headache, flushing, stomach upset, nasal stuffiness, diarrhea and dizziness might occur. If these effects persist or worsen, notify your doctor promptly. NOTES Do not share Viagra with others, since they may have a problem that is not effectively treated by this medicine. Use of this drug does not protect against sexually transmitted diseases (e.g., HIV, Hepatitis B, gonorrhea). Store at room temperature between 59 and 86 degrees F (15-30 degrees C) away from light and moisture. Keep this medication and all medications out of the reach of children. Erectile Dysfunction (ED) ERECTILE DYSFUNCTION is the impairment of the erectile reflex. The man is unable to have or maintain an erection. Like other dysfunctions, erectile dysfunction can be either life long or acquired, situational or generalized. Life long erectile dysfunction is when a man has never had an erection. Acquired is when a man has in the past had an erection but no longer is able to have or maintain an erection either in certain situations or at all. As a situational dysfunction, erectile dysfunction is very common, almost universal. At some time in a man's life he will be unable to have an erection even though he is being sufficiently stimulated. In its situational form, there is a variety of ways it occurs. For some men they are unable to have an erection during foreplay, while others have difficulty only attempting intercourse. Still other men only have difficulty with specific partners but no dysfunction with other partners. Viagra is the leading medication for this type of sexual dysfunction. Male Orgasmic Disorder MALE ORGASMIC DISORDER is an involuntary inhibition of the male orgasmic reflex. As with the other dysfunctions, the man can experience either life long or acquired, situational or generalized Male Orgasmic Disorder. What constitutes a life long dysfunction is controversial. It usually constitutes never having been able to ejaculate in the vagina or a life long ejaculatory inhibition refers to men who have never been able to experience intravaginal ejaculation. Premature Ejaculation PREMATURE EJACULATION is the third type of male sexual dysfunction. Exactly what constitutes premature ejaculation is unclear, usually a man is considered to ejaculate prematurely if his partner wasn't orgasmic in at least 50 percent of their coital episodes or ejaculation occurred if the male did not have voluntary control over when he ejaculated. ABOUT CIALIS The Food and Drug Administration (FDA) has approved Cialis® (tadalafil), an oral medication to treat erectile dysfunction (ED, or impotence) in men. This is the third oral product approved for this condition. This drug is different than currently approved products for ED in that it stays in the body longer. Erectile dysfunction (ED) affects millions of men in the United States. Cialis acts by relaxing muscles in the penis and blood vessels, allowing increased blood flow into the penis, which produces an erection. Cialis was evaluated in randomized, placebo-controlled trials involving more than 4,000 men with erectile dysfunction. In two of these trials, men had ED associated with diabetes mellitus or following radical prostatectomy for prostate cancer. The drug's effectiveness was assessed using a sexual function questionnaire. In addition, patients were asked to report if they were able to achieve an erection adequate for intercourse and whether that erection was maintained to allow completion of intercourse. In all of these trials, Cialis improved patients' ability to achieve and maintain a penile erection. In other studies, sexual activity was improved in some patients at 30 minutes after taking a dose; additional studies demonstrated improvements for up to 36 hours after taking Cialis when compared to placebo. The recommended starting dose for most patients is 10 mg taken prior to anticipated sexual activity. A higher dose of 20mg is available for patients whose response to the 10mg dose is not adequate. A lower dose (5 mg) is also available and may be necessary for patients taking other medicines or having medical conditions that may decrease the body's ability to metabolize tadalafil. Cialis should not be used more than once per day. Cialis should not be used with nitrates (such as nitroglycerin tablets or patches) or with an alpha blocker other than FLOMAX 0.4mg daily (alpha blockers are medicines used to treat benign prostatic hyperplasia and high blood pressure) because the combination may significantly lower blood pressure and lead to fainting or even death in some men. Because some drugs affect the metabolism of Cialis, patients should inform their doctors that they are taking Cialis. For example, patients taking ketoconazole or ritonoavir should not take more than a 10mg dose of Cialis once every 72 hours. Also, in patients with moderately or severely decreased kidney function, the starting dose is 5mg taken once daily. In this group, the dose may be increased to 10mg taken once every 48 hours. In patients with mild or moderate liver impairment, the maximum dose of Cialis is 10mg. In most patients, after taking a single dose of Cialis, some of the drug will remain in the body for more than 2 days. In those with decreased kidney function, impairment of the liver, or those taking certain medications (e.g. ketoconazole or ritonavir) tadalafil can remain in the body longer. Cialis should not be taken by men in whom sexual activity is inadvisable because of their underlying cardiovascular status (heart condition). Patients should inform their doctor about any heart problems that they have experienced before taking Cialis. buy email list Cialis is not recommended in patients who have suffered a heart attack or stroke within the last six mon |
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