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Premature Ejaculation is the most common sexual dysfunction that you can have, affecting over 2 in 5 men. It is one of the most common sexual disorders and is thought to be caused by men not producing enough testosterone. It is not uncommon for men to have PE (premature ejaculation) in response to sexual stimulation, but there are a number of reasons why men might have it, and the main ones are:,Erectile dysfunctionanderectile dysfunction
You should not use Dapoxetine (Tocop) if you are already taking tadalafil (5mg), or vardenafil (4mg), which is similar to vardenafil. Vardenafil is not used to treat erectile dysfunction at the same time as Dapoxetine (Tocop) is used for the treatment of premature ejaculation. Dapoxetine (Tocop) should not be used if you have had a heart attack or stroke within the last 6 months. You must not use Dapoxetine (Tocop) if you have low blood pressure or a history of stroke within the last 6 months. If you are over the age of 65 and have diabetes or heart disease, you should not take Dapoxetine (Tocop) and vardenafil (4mg) together.
Dapoxetine (Tocop) is used for the treatment of the symptoms of benign prostatic hyperplasia (BPH), erectile dysfunction, and premature ejaculation. It is also used to treat BPH in men with a unsatisfactory penile tumour. It works by allowing the male body to treat the symptoms of an erection by making it easier for the penis to get and maintain an erection. It does not protect the penis from sexual contact. Dapoxetine (Tocop) is also used to treat premature ejaculation during ejaculation.
A few years ago, I was interviewed by a German TV channel which wanted to show that taking over the counter drugs was a dangerous practice, and had gone to great pains to do some secret filming in Thai suburban pharmacies (of which there are numerous).
The drug they wished to highlight was our old friend (or probably better described as the “friend of the old”), the blue diamonds. They had chosen Thailand because so many blue diamonds were being taken here, and they wanted to show the disastrous side effects from taking the fake pills.
During the course of the interview I pointed out that Germany has its own very well known red light areas, so they could save money on plane fares and get the blue diamond statistics much closer to home. I also pointed out that we were not inundated with octogenarians with heart failure and loaded condoms, and “over the counter” (OTC) drugs could be found all over the world, and not just here.
It might come as no surprise to those who have an inkling of television “news” that they cut my interview out of the feature. Do not forget the journalist’s creed – “Never let the truth stand in the way of a good story”!
So back to counterfeit blue diamonds, how do you find out that yours are real or otherwise? Every day I receive Spam, offering me the opportunity to keep a battalion of beauties satisfied. These are the internet email offers of cut-price drugs that will keep me in a state of perpetual priapism, a continuing (and painful) male erection and the term was coined after the Greek god Priapus who is shown in paintings to have a central member like a third leg.
Offers like these which are too good to be true, are usually just that – too good to be true! These cut-price drugs are not the real deal. The chances are very high that they are counterfeit.
One of the patients showed me a box purporting to be genuine brand name Cialis tablets, which were not having the desired effect. I was immediately suspicious as the box was not all that well printed. I was quite sure they were counterfeit when I read the Patient Information slip (the printed sheet that you don’t read). The English grammar was incorrect, and there were spelling mistakes. Eli Lilly, the ‘real’ manufacturer does not send out mis-spelled literature with their product. How real is the threat of counterfeit drugs? The World Health Organization estimates that one in three drugs on the worldwide market today is counterfeit. One in three!
Pfizer’s laboratories analyze fakes and stated, “We’ve seen boric acid, heavy metals, road paint, floor wax to coat the pills and give them a shine.”This is actually a serious situation. If specific drugs are only available through pharmacies, on the prescription of a doctor, is it safe to just buy over the internet (or counter), without any doctor’s advice?
According to WHO, drugs commonly counterfeited include antibiotics, antimalarials, hormones and steroids. Increasingly, anticancer and antiviral drugs are also faked. And you can add to that, the ‘blue diamonds’. Get your medications on a doctor’s prescription. There is a reason for it.
I do know that many of our patients complain that my hospital’s pharmacy is expensive, but that is the price of guaranteeing that your medications are not the WHO’s one in three fake medications in our pharmacy! We may be more expensive, but the medication is the real deal!
Previously published in the Pattaya Mail.
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retchedDomiA man who gives his Viagra to a doctor in Thailand has an explanation for the erection-thrustiness of fake pills.
Black diamondsCaius RexA middle-aged man who gives his Viagra to a doctor in Thailand has an explanation for the erection-thrustiness of fake pills.
Blue diamondsCordycepsViagra 100mg tablet contains an active component such as Sildenafil. This medication is used to treat erectile dysfunction (ED) in men. It contains the active ingredient sildenafil citrate, which belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. It increases blood flow to the penis during sexual stimulation, which helps men achieve and maintain an erection. Viagra may have side effects, including headache, flushing, dizziness, upset stomach, nasal congestion, and vision changes. It should not be taken with certain medications or conditions, so it's crucial to consult a healthcare professional before using it. Erectile dysfunction can have a profound impact on a man's self-esteem and quality of life. By addressing ED, this medication can help improve a person's sense of well-being and overall happiness.
Individuals with a history of, such as heart problems (angina, heart failure, irregular heartbeats) or recent heart attack, should exercise caution when using Viagra. The sexual activity itself can strain the heart and can further increase the strain by increasing blood flow. Consult with a healthcare professional to assess the risks and benefits in such cases. This medication can cause a mild decrease in blood pressure. Caution is advised for individuals with low blood pressure or those taking medications that lower blood pressure, as combining these can lead to potentially harmful interactions. People with severe liver or kidney disease may experience slower elimination of Viagra from the body, leading to a prolonged effect. Dosage adjustments may be necessary in such cases.
ReadermotillThe 100mg tablet contains an active ingredient such as Viagra. This medication is usually taken on an empty stomach or with a mealtime sexual encounter. It's crucial to take it as directed by a healthcare professional, as it's typically taken on an empty stomach, with a full glass of water. However, it's important to follow the individual's medical regimen's directions as advised by the patient and to do so strictly. The recommended dose is 50mg, taken at least 30 minutes before sexual activity, but can be lower if sexual activity is planned. Based on the effectiveness and toleration, individualised dosage adjustments may be necessary in rare cases, so consult your doctor for more information. This medication can be taken with or without food, but the timing is crucial in order to maintain its effects. Impaired erectile function can cause penile tissue stretchiness, which may be reversed when Viagra is taken with food. Inform your doctor if you have any other medical conditions or are taking other medications. Viagra 100mg can cause side effects, but it should be used as part of a comprehensive medical treatment plan that includes symptomatic treatment and preventive medications.
Is Viagra 100mg a medication?roximately 5% of men will experience occasional occasional erections, while most are not able to achieve or maintain an erection. It's important to note that Viagra 100mg requires sexual activity for its intended effect. Men should avoid alcohol, escitalopram (Lexapro), sildenafil (Vardenafil) or other PDE5 inhibitors, as they can lead to increased side effects and increased risk of priapism. Do not take Viagra 100mg if you are allergic to it or if you have had it for heart problems or heart failure. Inform your doctor before taking Viagra if you are taking medications such as nitrates ( glyceryl trinitrate and isosorbide mononitrate) or alpha-blockers (including doxazosin (Cardura)) for hypertension (a heart condition that requires bloodWAYS flow more readily with sexual activity). Inform your doctor about your sexual history and medical history if you're not sure about potential side effects, precautions to keep in mind, and potential interactions with other medications.Individuals taking nitrates or taken with other medications for chest pain for chest pain should exercise caution when using Viagra 100mg. Consult with a healthcare professional to ensure your safety and that you are using it as prescribed. If Viagra 100mg isn't a suitable medication for you, your doctor may change the dosage or recommend alternative treatments to maintain an erection. If you plan to have sex, discuss any potential interactions with other medications you're taking. A positive experience with Viagra 100mg is experienced only in men and women. Consult with a healthcare professional to determine if Viagra 100mg is right for you and ensure you receive appropriate advice before using it. Viagra 100mg can cause side effects, but they should be kept in mind when using it.
IUDs (intra-uterine system)despatchThe IUD (Intra-uterine Device) is an integral device that connects the penis to a caregivers computer to help men with erectile dysfunction (ED) achieve and maintain an erection.
The U. S. Food and Drug Administration yesterday approved a long-awaited drug that has been hailed as the new magic bullet to combat erectile dysfunction, the most common sexual problem in men. Viagra, marketed as “the little blue pill,” is the second-biggest selling drug in the world.
Pfizer, the world’s largest drugmaker, said the new drug, which is called Sildenafil Citrate, will be available only by prescription and should be taken under the guidance of a physician.
The FDA approved the drug for the treatment of impotence in men and has approved the drug for the treatment of ED, the first in the world. Pfizer has not yet issued a recommendation about the use of the drug.
The first of several million patients to have erections is in the United States, where the drug has been available since 1998. Many other countries have taken the drug, with the exception of Japan, but it has also been available to more than half the population in Europe and the US.
Viagra, the world’s second-biggest drug, is available without a prescription in three different doses, each with a different effect. In Europe, the generic drug has been available for as long as March 2001 and then again in August 2003, to give it the nickname “the little blue pill.”
According to the FDA, the drug is safe and effective for most patients, and some doctors will have questions about whether it will be able to treat erectile dysfunction. “It will be available in doses of 25 mg and 50 mg,” said Dr. Charles A. Engelhardt, the FDA’s medical director.
Viagra is also widely available and in pill form. “We have three different dosage forms of the drug,” said Dr. Philip V. Gifford, a Pfizer scientist who co-wrote the FDA’s final drug recommendations.
While Viagra is available in pill form, the FDA said the drug is unlikely to be marketed as a treatment for the sexual side of ED. “The FDA has advised patients to take the drug as directed, and there is currently no clinical trial that shows the drug is safe and effective for the treatment of ED,” said Dr. Robert E. Healy, the FDA’s medical director of drug safety and development.
The drug has been approved for use in more than 100 countries. In Europe, the generic drug is also available as a generic, or “generic Viagra,” according to Dr. Charles E. Hirsch.
While Pfizer and others have been working on the drug’s development, Dr. Philip Gifford, the FDA’s medical director, said the drug should be used only under the supervision of a doctor.
“We have no indication that it is safe for the patient to take it,” said Dr. Hirsch, the FDA’s medical director. “However, it is important that the physician be trained to evaluate the potential benefits and risks of the drug.”
Viagra, the world’s second-biggest drug, is available only by prescription and should be taken under the guidance of a physician.Originally Published: May 22, 2003 at 7:00 AM EDT
The FDA approved a long-awaited drug that has been hailed as the new magic bullet to combat erectile dysfunction, the most common sexual problem in men. Viagra, the world’s second-biggest drug, is the second-largest selling drug in the world.According to the FDA, the first of several million patients to have erections is in the United States, where the drug has been available since 1998. Many other countries have taken the drug, including Japan, where the generic version of Viagra, which was available for as little as two years ago, was approved.
“We have three different dosage forms of the drug, each with a different effect,” said Dr. Philip Gifford, a Pfizer scientist who co-wrote the FDA’s final drug recommendations.
Stade de France Pharmacy