Generic Levitra® : VARDENAFIL (HCl)
Vardenafil is the chemical name of the active ingredient in Levitra® Levitra® is the registered trademark of Bayer Aktiengesellschaft and is used under license by GlaxoSmithKline and Schering Corporation.

Information on Generic Levitra Important information about usage, risks and possible side-effects..

Tablets  Chemical Name: VARDENAFIL (var-DEN-a-fil)

Possible Uses of Levitra:  This medicine is a phosphodiesterase inhibitor used to treat sexual function problems such as impotence or erectile dysfunction. In combination with sexual stimulation, this medicine works by helping the blood flow into the penis to achieve and maintain an erection. This medicine is not intended for use in women or children. This medicine will not protect against sexually transmitted diseases including HIV infection. Use "safe sex" practices such as latex condoms. Contact your doctor or pharmacist for more details.

Before using Levitra: Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT TAKE THIS MEDICINE if you are taking any form of nitroglycerin, other nitrates such as isosorbide, nitroprusside or any "nitric oxide donor" medicine, or recreational drugs called "poppers" containing amyl or butyl nitrate because very serious interactions may occur. If you are not sure whether a certain medicine is a nitrate, contact your doctor or pharmacist before taking this medicine. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking other medicine for impotence; certain antifungal medicines (such as itraconazole or ketoconazole); rifampin; cimetidine; erythromycin; medicine for irregular heartbeats such as quinidine, procainamide, amiodarone, or sotalol; medicine for high blood pressure or enlarged prostate (such as doxazosin, prazosin, or terazosin); HIV protease inhibitors (such as ritonavir or indinavir); or St. John's wort. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking other medicines which may change the way the heart beats such as phenothiazines, tricyclic antidepressants, quinolone antibiotics, and others. DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor or any other medical conditions including penis problems, history of painful or prolonged erection, sickle cell anemia, blood system cancers (such as leukemia or myeloma), vision problems (such as retinitis pigmentosa) or a history of vision loss, kidney or liver disease, bleeding disorders, active stomach ulcers, heart problems, irregular heartbeat, stroke, very high or low blood pressure, or allergies. DO NOT TAKE this medicine if you have been told by your healthcare provider to not have sexual activity because of certain health problems, especially heart problems. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

How to take Levitra: Follow the directions for using this medicine provided by your doctor. An additional patient information leaflet is available with this medicine. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have about this medicine. TAKE THIS MEDICINE by mouth as needed 1 hour before sexual activity or as directed by your doctor. DO NOT TAKE THIS MEDICINE more often than once daily as needed. If you are taking certain other medicines you may only be able to take this medicine one time every three days. Contact your doctor or pharmacist for more information. This medicine may be taken on an empty stomach or with food. However, taking this medicine with a high-fat meal may reduce the amount of medicine that your body absorbs. STORE THIS MEDICINE at room temperature 77 degrees F (25 degrees C) in a tightly-closed container, away from heat and light. Brief storage between 59 and 86 degrees F (15 and 30 degrees C) is permitted.

Precautions When Using Levitra: DO NOT TAKE THIS MEDICINE if you have had an allergic reaction to it in the past or to any other ingredient that is found in it. THIS MEDICINE MAY CAUSE VISION CHANGES. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. TO MINIMIZE DIZZINESS OR LIGHTHEADEDNESS, sit up or stand slowly when rising from a seated or lying position. Your dose is based on your medical condition, response to therapy, and the other medicines you are taking. DO NOT EXCEED THE RECOMMENDED DOSE without checking with your doctor. Rarely, this medicine may change heart rhythm, especially if taken with other medicines that can change the heart rhythm. This change in heart rhythm can result in serious, rarely fatal, irregular heartbeats. Ask your doctor for more information and if you should stop taking any of your other medicines to reduce the risk of this side effect. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. CAUTION IS ADVISED WHEN USING THIS MEDICINE IN THE ELDERLY because they may be more sensitive to the side effects of this medicine. THIS MEDICINE SHOULD NOT BE USED IN WOMEN OR CHILDREN.

Side Effects Of Levitra: SIDE EFFECTS that may occur while taking this medicine include headache, flushing, stomach upset or nausea, heartburn, stuffy or runny nose, diarrhea, dizziness, or lightheadedness. Rarely vision changes such as increased sensitivity to light, blurred vision, or impaired blue/green color discrimination may also occur. If these continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience vision loss in one or both eyes, or fast, slow, or irregular heartbeats. SEXUAL ACTIVITY may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any serious side effects while having sex, stop having sex and tell your doctor immediately. These side effects include severe dizziness, fainting, chest pain, or nausea. In the unlikely event that you have a painful or prolonged erection (lasting more than 4 hours), stop using this medicine and seek immediate medical attention or permanent problems could occur. AN ALLERGIC REACTION to this medicine is unlikely but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, unusual swelling, severe dizziness, or trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Drug Interactions Of Levitra: Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other. Check drug interactions

Overdose Of Levitra: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include back pain, muscle pain, and abnormal vision.

Other Information Of Levitra: If your symptoms do not improve or if they become worse, check with your doctor. DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed, since they may have a problem that is not effectively treated with this medicine, or they may have a condition that is complicated by this medicine. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children and pets. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.

Generic Selgin™®: Selegiline

Selegiline is the chemical name of the active ingredient in Selgin™®

Tablet Chemical Name: Selegiline.

Other name brands for this medication
Emsam, Eldepryl, Zelapar

Possible Uses of Selgin: This medication is used to treat movement disorders caused by Parkinson's disease. It does not cure Parkinson's disease, but it may improve shakiness (tremor), muscle stiffness, loss of normal movement as your dose of other Parkinson's medication wears off (end-of-dose failure), and sudden switching between normal movement and stiffness ("on-off" problems). It may improve your range of motion and ability to walk, dress, and exercise. Selegiline is usually used in combination with other medicines (e.g., levodopa, carbidopa).
Selegiline is an enzyme blocker (MAO inhibitor) that works by slowing the breakdown of certain natural substances in the brain (neurotransmitters such as dopamine, norepinephrine, and serotonin).
 
Before using Selgin: Before taking selegiline, 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.

How to take Selgin: Take this medication by mouth, usually twice daily with breakfast and lunch. Taking selegiline late in the day may cause trouble sleeping. Dosage is based on your medical condition and response to therapy. Do not increase your dose or take it more often than directed.
After you have been taking selegiline for 2 or 3 days, your doctor may direct you to lower your levodopa dose. Follow your doctor's instructions closely. Do not stop or change the dose of any of your medications without first talking with your doctor.
It may take a few weeks for the full benefits of the drug to be noticed. Do not stop taking this drug without first consulting your doctor. Talk with your doctor if the medication stops working well or if your condition worsens.
 
Precautions When Using Selgin: Before using this medication, tell your doctor or pharmacist your medical history, especially of: a certain kind of adrenal gland tumor (pheochromocytoma), cerebrovascular disease (e.g., stroke), heart problems (e.g., congestive heart failure, heart attack), bleeding problems, history of severe/frequent headaches, peptic ulcer, diabetes, personal/family history of mental/mood disorders (e.g., schizophrenia, bipolar disorder), personal/family history of high blood pressure, liver disease, overactive thyroid (hyperthyroidism).
This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit alcoholic beverages. See also Side Effects section. To minimize dizziness and the risk of fainting, get up slowly when rising from a sitting or lying position.
Before having surgery, tell your doctor or dentist you are taking this medication. You may need to stop taking this drug beforehand. Follow your doctor's instructions carefully. Selegiline should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known if this drug passes into breast milk. Consult your doctor before breast-feeding.
 
Side Effects of Selgin: Dizziness, abdominal pain, dry mouth, nausea, stomach upset, trouble sleeping, and headache may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. If you are also taking levodopa, you may experience more side effects from the levodopa when taking selegiline. Tell your doctor immediately if any of these side effects occur: nausea, shakiness, muscle stiffness, mental/mood changes such as hallucinations/abnormal dreams. Your doctor may need to change your medication or dose. Do not stop or change the dose of your levodopa without talking with your doctor first.
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.
Some people taking selegiline have fallen asleep suddenly during their usual daily activities (such as talking on the phone, driving). In some cases, sleep occurred without any feelings of drowsiness beforehand. This sleep effect may occur anytime during treatment with selegiline, including up to 1 year after starting the medication. If you experience increased sleepiness or fall asleep during the day, do not drive or take part in other possibly dangerous activities until you have discussed this effect with your doctor. Your risk of this sleep effect is increased by using alcohol or other medications that can make you drowsy. See also Precautions section.
Tell your doctor right away if you have any serious side effects, including: fainting, loss of balance, mental/mood changes (e.g., agitation, confusion, depression, hallucinations), unusual strong urges (such as increased gambling, increased sexual urges), worsening muscle stiffness/twitching, changes in sexual ability/interest, increased shaking (tremor), swollen ankles/legs, difficulty urinating, unusual weight gain, easy bleeding/bruising, black/tarry stools, vomit that looks like coffee grounds.
This drug may rarely cause an attack of extremely high blood pressure (hypertensive crisis), which may be fatal. Many drug and food interactions can increase this risk. (See also Drug Interactions section.) Get medical help right away if any of these serious side effects occur: frequent/severe headache, fast/slow/irregular/pounding heartbeat, chest pain, neck stiffness/soreness, severe nausea/vomiting, sweating/clammy skin (sometimes with fever), widened pupils, vision changes (e.g., double/blurred vision), sudden sensitivity to light (photophobia).
This medication may increase serotonin and rarely cause a very serious condition called serotonin syndrome. The risk increases if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all the drugs you take. Get medical help right away if you develop some of the following symptoms: hallucinations, unusual restlessness, loss of coordination, fast heartbeat, severe dizziness, unexplained fever, severe nausea/vomiting/diarrhea, twitching muscle.
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), 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.
 
Drug Interactions of Selgin: 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.
Some products that may interact with selegiline include: antidepressants (including bupropion, maprotiline, mirtazapine), other MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, tranylcypromine), appetite suppressants (such as diethylpropion), drugs for attention deficit disorder (such as atomoxetine, methylphenidate), apraclonidine, buspirone, carbamazepine/oxcarbazepine, cyclobenzaprine, certain herbal products (such as ephedra/ma huang), cold medications/nasal decongestants (such as phenylephrine, phenylpropanolamine, pseudoephedrine), fentanyl, street drugs (such as LSD, mescaline), stimulants (such as amphetamines, ephedrine), supplements (such as tryptophan, tyramine), tetrabenazine, certain "triptans" used to treat migraine headaches (such as rizatriptan, sumatriptan, zolmitriptan).
The risk of serotonin syndrome/toxicity increases if you are also taking other drugs that increase serotonin. Examples include street drugs such as MDMA/"ecstasy," St. John's wort, dextromethorphan, certain antidepressants (including SSRIs such as fluoxetine/paroxetine, SNRIs such as duloxetine/venlafaxine, TCAs such as amitriptyline/doxepin), certain narcotic medications (such as meperidine, methadone, pentazocine, propoxyphene, tramadol, tapentadol), among others. The risk of serotonin syndrome/toxicity may be more likely when you start or increase the dose of these drugs.
Tell your doctor or pharmacist if you are using any of these medications before, during, or within 2 weeks after treatment with selegiline. Tell your doctor or pharmacist if you have taken fluoxetine during at least 5 weeks before starting selegiline. Discuss with your doctor how much time to wait between starting or stopping any of these drugs and taking selegiline.
Check the labels on all your medicines (such as allergy, cough-and-cold products, diet pills) because they may contain dextromethorphan, decongestants, or stimulants. Ask your pharmacist about the safe use of those products.
To prevent a very serious high blood pressure reaction, it is very important that you follow a special diet recommended by your doctor or dietician in order to limit your intake of tyramine while you are taking this medicine. Avoid foods and beverages that are high in tyramine, including: aged cheeses (e.g., bleu, cheddar, parmesan), dried/aged/fermented meats and sausages (e.g., salami, liverwurst), preserved fish (e.g., pickled herring), products containing large amounts of yeast (e.g., concentrated yeast extract, bouillon cubes, powdered soup/gravy, homemade or sourdough bread), fermented foods (e.g., sauerkraut, kim chee), most soybean products (e.g., soy sauce, tofu), broad/fava beans, red wine, sherry, tap beers, vermouth. Limit or avoid foods that are moderate in tyramine, including: avocados, bananas, eggplant, green beans, raisins, raspberries, red plums, spinach, tomatoes, chocolate, cultured dairy products (e.g., buttermilk, yogurt, sour cream), fish eggs, pate, peanuts, coffee, cola, alcohol-free beer, bottled beer, distilled spirits, port, white wine. Consult your doctor or dietician for more details and a complete list of other tyramine-containing foods you should limit or avoid. Seek immediate medical attention if you notice symptoms of very high blood pressure such as unusually fast/slow heartbeat, vomiting, unexplained sweating, headache, chest pain, sudden vision changes, weakness on one side of the body, slurred speech.
This medication may interfere with certain medical/laboratory tests (including brain scan for Parkinson's disease), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.
 
Missed dose of Selgin: If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Overdose of Selgin: If overdose is suspected, contact a poison control center or emergency room immediately.

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

Other Information of Selgin: DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.

Extra Super P Force – Sildenafil (Generic Viagra®) & Dapoxetine (Generic Priligy®) is a new combination tablet containing two of the most potent and effective pharmaceuticals proven to combat the major causes of male sexual dysfunction, Premature Ejaculation and Erectile Dysfunction.

P Force tablets contain 100mg sildenafil citrate and 100mg dapoxetine. For best results take 1 tablet 1-3 hours before sexual activity. Take only when needed and do not take more than one tablet per day.

Dapoxetine - Prligy for Premature Ejaculation
 
Dapoxetine also known as Priligy® is a new drug that has gained most of the people’s interest and it is used as a treatment for premature ejaculation. The generic name for the drug is dapoxetine hydrochloride. It is useful for men as a treatment for their inability to sustain ejaculation and is suffering from premature ejaculation. It is one of a unique drug of its kind which regulates the ejaculation process in males. Premature ejaculation means the biological problem due to which a man ejaculates sooner than his actual carvings. It is a common male dysfunction for many men that need to be treated as soon as possible.Generic Name - Dapoxetine  Brand Name - Priligy®

It is demonstrated that men who are taking dapoxetine priligy for the treatment of premature ejaculation have experienced momentous improvements in their sexual functions like ejaculatory control, attaining satisfaction with sexual intercourse, and increases in their intra-vaginal ejaculatory latency time (IELT). Dapoxetine is might be not available all across the countries like US, UK, Canada, Australia.

One should always take the dosages as per the prescription of a physician. It is important to follow the instructions to acquire the best results in just short span of time. By following the instructions, one can get more benefits by the regular usage of the drug. Instead of this there are prescribed many exercises so as to maintain body functions better than earlier.

Sildenafil (Generic Viagra®) is used to treat erectile dysfunction

Viagra™ is approved for the treatment of men who have difficulty having and maintaining an erection, otherwise known as impotence. If the nerves or blood vessels associated with this process aren't working properly, a man may not be able to get an erection. Viagra™ increases blood flow to the penis, so that when a man is sexually aroused, he can get and keep an erection. When the sexual encounter is over, the erection goes away.

Sexual dysfunction
Sexual dysfunction can take any shape from low sex drive to penile erectile dysfunction (ED). Though erectile dysfunction or impotence is a much discussed male sexual dysfunction problem, premature ejaculation (PE) often remains neglected and un-treated.

PE can occur to any age group and under any situation. Young guys find it most difficult to establish a relationship with a woman because of this and they find themselves not confident enough to perform well.

Premature Ejaculation (PE) can greatly affect a man and his partner’s sexual satisfaction, ability to maintain relationship and of course a man's self confidence. Approximately 27-34 percent of men between all age groups get affected by PE. Most of the men ejaculate sooner then they expect.

Dapoxetine
Dapoxetine (Generic Priligy®) belongs to a group of medicines called "selective serotonin reuptake inhibitors" (SSRIs), used to treat premature ejaculation (PE) in men between 18 and 64 years old.

Dapoxetine is recently approved in Finland, Sweden, Austria, Portugal and Germany, Italy and Spain and is similarly expecting approval in several other EU countries.

Sildenafil Citrate
Sildenafil (Generic Viagra®) is used to treat erectile dysfunction (impotence; inability to get or keep an erection) in men. Sildenafil is in a class of medications called phosphodiesterase (PDE) inhibitors.

Sildenafil treats erectile dysfunction by increasing blood flow to the penis during sexual stimulation. This increased blood flow can cause an erection.

Take only under doctors directions.
Viagra® Priligy® is a registered brand name of Pfizer U.S. Pharmaceuticals

Generic Priligy® : Dapoxetine

Dapoxetine is the chemical name of the active ingredient in Priligy®
Priligy® is the registered trademark of Janssen-Cilag.

Dapoxetine - Prligy for Premature Ejaculation
 
Dapoxetine also known as Priligy® is a new drug that has gained most of the people’s interest and it is used as a treatment for premature ejaculation. The generic name for the drug is dapoxetine hydrochloride. It is useful for men as a treatment for their inability to sustain ejaculation and is suffering from premature ejaculation. It is one of a unique drug of its kind which regulates the ejaculation process in males. Premature ejaculation means the biological problem due to which a man ejaculates sooner than his actual carvings. It is a common male dysfunction for many men that need to be treated as soon as possible.

Generic Name - Dapoxetine  Brand Name - Priligy®

It is demonstrated that men who are taking dapoxetine priligy for the treatment of premature ejaculation have experienced momentous improvements in their sexual functions like ejaculatory control, attaining satisfaction with sexual intercourse, and increases in their intra-vaginal ejaculatory latency time (IELT). Dapoxetine is might be not available all across the countries like US, UK, Canada, Australia.

One should always take the dosages as per the prescription of a physician. It is important to follow the instructions to acquire the best results in just short span of time. By following the instructions, one can get more benefits by the regular usage of the drug. Instead of this there are prescribed many exercises so as to maintain body functions better than earlier.

Priligy Side Effects:

Priligy is well tolerated, with most side effects being mild-to-moderate in their severity. The most common Priligy side effects are diarrhea, dizzy, headache, and nausea, all of which passed within a few hours after taking premature ejaculation treatment.

Priligy Precautions:

Do NOT take Priligy oral if you are dehydrated, or have any heart problems. There are no known drug interactions known to be associated with Dapoxetine at this time. According to published studies, Dapoxetine can be safely taken with the phosphodiesterase (PDE5) inhibitors tadalafil (Cialis) and sildenafil (Viagra). A Priligy dosage should be taken 1 to 3 hours prior to sexual activity. Avoid drinking alcohol when you take Dapoxetine dosage. Do NOT take Priligy more than once every 24 hours. Priligy is NOT indicated for use by women. Priligy should NOT be used by either men under the age of 18 or men 65 years or older.

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Sildenafil Citrate is the chemical name of the active ingredient in Viagra®
Viagra® is the registered trademark of Pfizer Inc.

Generic Buy Viagra ™ 100 mg for erectile dysfunction

• Helps you achieve erections!
• Starts working in as little as 30 minutes!
• Prescribed to more than 16 million men worldwide!
• Improves erections in 4 out of 5 males!
  
  Viagra™ is approved for the treatment of men who have difficulty having and maintaining an erection, otherwise known as impotence. If the nerves or blood vessels associated with this process aren\'t working properly, a man may not be able to get an erection. Viagra™ increases blood flow to the penis, so that when a man is sexually aroused, he can get and keep an erection. When the sexual encounter is over, the erection goes away.

  Viagra™ DRUG INFO
  IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you.

  SILDENAFIL - ORAL (sill-DEN-uh-fil)

  COMMON BRAND NAME(S): Viagra™

  USES OF VIAGRA: This medication is used to treat male sexual function problems (erection problems).
  
  HOW TO USE VIAGRA: This drug 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.

  SIDE EFFECTS OF VIAGRA: Headache, flushing, stomach upset, nasal stuffiness, diarrhea and dizziness might occur. If these effects persist or worsen, notify your doctor promptly. Unlikely but report promptly: painful or other urination problems, vision problems, skin rash. Very unlikely but report promptly: chest pain, fainting, foot or ankle swelling. If you experience a painful or prolonged erection (lasting longer than 4 hours), stop using this drug and seek immediate medical attention. If you notice other effects not listed above, contact your doctor or pharmacist.

  PRECAUTIONS WHEN USING VIAGRA: Before using this drug, tell your doctor your medical history, including: allergies (especially drug allergies), penis conditions such as fibrosis/scarring (e.g., Peyronie's disease), history of painful/prolonged erection (priapism), sickle cell anemia, blood system cancers (such as leukemia or myeloma), eye problems (retina diseases), kidney or liver disease, bleeding disorders, active stomach ulcers, heart disease, stroke, very high or low blood pressure. Limit alcohol intake, as it may aggravate side effects of this drug. Since this drug may cause dizziness, caution is advised when performing tasks requiring alertness (e.g., driving). To avoid dizziness and lightheadedness when rising from a seated or lying position, get up slowly. This drug is not to be used in women or children. The elderly may be more sensitive to the side effects of this drug, therefore caution is advised in this group.

  DRUG INTERACTIONS OF VIAGRA: Tell your doctor of all nonprescription and prescription medication you may use, especially of: 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), high blood pressure medicines, certain HIV protease inhibitors (such as saquinavir, ritonavir, amprenavir), delavirdine. Do not start or stop any medicine without doctor or pharmacist approval.

  OVERDOSE OF VIAGRA: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include severe dizziness, fainting, or prolonged erection.

  NOTES On VIAGRA: Do not share this medication with others, since they may have a problem that is not effectively treated by this drug. Use of this drug does not protect against sexually transmitted diseases (e.g., HIV, Hepatitis B, gonorrhea, syphilis)

  MISSED DOSE OF VIAGRA: Not applicable.

  STORAGE OF VIAGRA: Store at room temperature between 59 and 86 degrees F (15-30 degrees C) away from light and moisture.

Generic Viagra® : SILDENAFIL CITRATE
Sildenafil Citrate is the chemical name of the active ingredient in Viagra®
Viagra® is the registered trademark of Pfizer Inc.

Generic Buy Viagra ™ 200 mg for erectile dysfunction

• Helps you achieve erections!
• Starts working in as little as 30 minutes!
• Prescribed to more than 16 million men worldwide!
• Improves erections in 4 out of 5 males!

http://www.nature.com/ijir/journal/v14/n6/full/3900936a.html

C G McMahon

Australian Centre for Sexual Health, St. Luke's Hospital Complex, Sydney, Australia

Correspondence to: CG McMahon, Australian Centre for Sexual Health, St. Luke's Hospital Complex, Hemsley House, 20 Roslyn Street, Potts Point, NSW, Australia 2011. E-mail: cmcmahon@mail.usyd.edu.au The objectives of this study were to evaluate the efficacy and tolerability of high dose sildenafil as a salvage therapy for patients refractory to the maximum recommended dose of sildenafil. Fifty four fully evaluated patients with chronic erectile failure (ED) who had previously failed to respond to a home trial of sildenafil (100 mg) with erections suitable for sexual intercourse were studied. Each man was treated at home with sildenafil at escalating doses of up to 200 mg until either maximal response or intolerable adverse effects occurred. Erectile function was quantified using the erectile function domain of the International Index of Erectile Function (IIEF) before treatment, with sildenafil 100 mg and with maximal dose of sildenafil and a global efficacy question after 4 weeks of treatment. The mean age of the study group was 59.6±11.2 y. 13/54 (24%) had arteriogenic ED, 16/54 (30%) had mixed vasculogenic ED, 9/54 (17%) had cavernosal veno-occlusive dysfunction, 11/54 (20%) had post radical retropubic prostatectomy ED and 5/54 (9%) had psychogenic ED. 13/54 (24.1%) responded to sildenafil at a median maximal dose of 200 mg, 4/13 required 150 mg and 9/13 required 200 mg. 41/54 (76%) failed to respond to sildenafil. Mean IIEF question 3 and 4 scores were 1.5 and 1.4 at baseline, 2.2 and 1.9 with sildenafil 100 mg, 2.8 and 2.5 with sildenafil 150 mg and 3.0 and 2.9 with sildenafil 200 mg, respectively. After 4 weeks, treatment was regarded as having improved their erections by 37%, 46.3% and 68% of patients with sildenafil 100 mg, 150 mg and 200 mg, respectively. 34/54 (63%) reported adverse effects with maximal dose sildenafil comprising headache (19), facial flushing (32), dyspepsia (14), nasal congestion (11), dizziness (5) and visual disturbances (5). 4/13 (31%) responders refused to continue treatment due to adverse effects. In conclusion, sildenafil at doses of up to 200 mg is an effective salvage therapy for 24.1% of previous sildenafil non-responders but is limited by a significantly higher incidence of adverse effects and a 31% treatment discontinuation rate.

Viagra™ DRUG INFO
IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you.

SILDENAFIL - ORAL (sill-DEN-uh-fil)

COMMON BRAND NAME(S): Viagra™

USES OF VIAGRA: This medication is used to treat male sexual function problems (erection problems).

HOW TO USE VIAGRA: This drug 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.

SIDE EFFECTS OF VIAGRA: Headache, flushing, stomach upset, nasal stuffiness, diarrhea and dizziness might occur. If these effects persist or worsen, notify your doctor promptly. Unlikely but report promptly: painful or other urination problems, vision problems, skin rash. Very unlikely but report promptly: chest pain, fainting, foot or ankle swelling. If you experience a painful or prolonged erection (lasting longer than 4 hours), stop using this drug and seek immediate medical attention. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS WHEN USING VIAGRA: Before using this drug, tell your doctor your medical history, including: allergies (especially drug allergies), penis conditions such as fibrosis/scarring (e.g., Peyronie's disease), history of painful/prolonged erection (priapism), sickle cell anemia, blood system cancers (such as leukemia or myeloma), eye problems (retina diseases), kidney or liver disease, bleeding disorders, active stomach ulcers, heart disease, stroke, very high or low blood pressure. Limit alcohol intake, as it may aggravate side effects of this drug. Since this drug may cause dizziness, caution is advised when performing tasks requiring alertness (e.g., driving). To avoid dizziness and lightheadedness when rising from a seated or lying position, get up slowly. This drug is not to be used in women or children. The elderly may be more sensitive to the side effects of this drug, therefore caution is advised in this group.

DRUG INTERACTIONS OF VIAGRA: Tell your doctor of all nonprescription and prescription medication you may use, especially of: 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), high blood pressure medicines, certain HIV protease inhibitors (such as saquinavir, ritonavir, amprenavir), delavirdine. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE OF VIAGRA: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include severe dizziness, fainting, or prolonged erection.

NOTES On VIAGRA: Do not share this medication with others, since they may have a problem that is not effectively treated by this drug. Use of this drug does not protect against sexually transmitted diseases (e.g., HIV, Hepatitis B, gonorrhea, syphilis)

MISSED DOSE OF VIAGRA: Not applicable.

STORAGE OF VIAGRA: Store at room temperature between 59 and 86 degrees F (15-30 degrees C) away from light and moisture.

Generic Levitra® : VARDENAFIL (HCl)
Vardenafil is the chemical name of the active ingredient in Levitra® Levitra® is the registered trademark of Bayer Aktiengesellschaft and is used under license by GlaxoSmithKline and Schering Corporation.

Information on Generic Levitra Important information about usage, risks and possible side-effects..

Tablets  Chemical Name: VARDENAFIL (var-DEN-a-fil)

Possible Uses of Levitra:  This medicine is a phosphodiesterase inhibitor used to treat sexual function problems such as impotence or erectile dysfunction. In combination with sexual stimulation, this medicine works by helping the blood flow into the penis to achieve and maintain an erection. This medicine is not intended for use in women or children. This medicine will not protect against sexually transmitted diseases including HIV infection. Use "safe sex" practices such as latex condoms. Contact your doctor or pharmacist for more details.

Before using Levitra: Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT TAKE THIS MEDICINE if you are taking any form of nitroglycerin, other nitrates such as isosorbide, nitroprusside or any "nitric oxide donor" medicine, or recreational drugs called "poppers" containing amyl or butyl nitrate because very serious interactions may occur. If you are not sure whether a certain medicine is a nitrate, contact your doctor or pharmacist before taking this medicine. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking other medicine for impotence; certain antifungal medicines (such as itraconazole or ketoconazole); rifampin; cimetidine; erythromycin; medicine for irregular heartbeats such as quinidine, procainamide, amiodarone, or sotalol; medicine for high blood pressure or enlarged prostate (such as doxazosin, prazosin, or terazosin); HIV protease inhibitors (such as ritonavir or indinavir); or St. John's wort. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking other medicines which may change the way the heart beats such as phenothiazines, tricyclic antidepressants, quinolone antibiotics, and others. DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor or any other medical conditions including penis problems, history of painful or prolonged erection, sickle cell anemia, blood system cancers (such as leukemia or myeloma), vision problems (such as retinitis pigmentosa) or a history of vision loss, kidney or liver disease, bleeding disorders, active stomach ulcers, heart problems, irregular heartbeat, stroke, very high or low blood pressure, or allergies. DO NOT TAKE this medicine if you have been told by your healthcare provider to not have sexual activity because of certain health problems, especially heart problems. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

How to take Levitra: Follow the directions for using this medicine provided by your doctor. An additional patient information leaflet is available with this medicine. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have about this medicine. TAKE THIS MEDICINE by mouth as needed 1 hour before sexual activity or as directed by your doctor. DO NOT TAKE THIS MEDICINE more often than once daily as needed. If you are taking certain other medicines you may only be able to take this medicine one time every three days. Contact your doctor or pharmacist for more information. This medicine may be taken on an empty stomach or with food. However, taking this medicine with a high-fat meal may reduce the amount of medicine that your body absorbs. STORE THIS MEDICINE at room temperature 77 degrees F (25 degrees C) in a tightly-closed container, away from heat and light. Brief storage between 59 and 86 degrees F (15 and 30 degrees C) is permitted.

Precautions When Using Levitra: DO NOT TAKE THIS MEDICINE if you have had an allergic reaction to it in the past or to any other ingredient that is found in it. THIS MEDICINE MAY CAUSE VISION CHANGES. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. TO MINIMIZE DIZZINESS OR LIGHTHEADEDNESS, sit up or stand slowly when rising from a seated or lying position. Your dose is based on your medical condition, response to therapy, and the other medicines you are taking. DO NOT EXCEED THE RECOMMENDED DOSE without checking with your doctor. Rarely, this medicine may change heart rhythm, especially if taken with other medicines that can change the heart rhythm. This change in heart rhythm can result in serious, rarely fatal, irregular heartbeats. Ask your doctor for more information and if you should stop taking any of your other medicines to reduce the risk of this side effect. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. CAUTION IS ADVISED WHEN USING THIS MEDICINE IN THE ELDERLY because they may be more sensitive to the side effects of this medicine. THIS MEDICINE SHOULD NOT BE USED IN WOMEN OR CHILDREN.

Side Effects Of Levitra: SIDE EFFECTS that may occur while taking this medicine include headache, flushing, stomach upset or nausea, heartburn, stuffy or runny nose, diarrhea, dizziness, or lightheadedness. Rarely vision changes such as increased sensitivity to light, blurred vision, or impaired blue/green color discrimination may also occur. If these continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience vision loss in one or both eyes, or fast, slow, or irregular heartbeats. SEXUAL ACTIVITY may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any serious side effects while having sex, stop having sex and tell your doctor immediately. These side effects include severe dizziness, fainting, chest pain, or nausea. In the unlikely event that you have a painful or prolonged erection (lasting more than 4 hours), stop using this medicine and seek immediate medical attention or permanent problems could occur. AN ALLERGIC REACTION to this medicine is unlikely but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, unusual swelling, severe dizziness, or trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Drug Interactions Of Levitra: Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other. Check drug interactions

Overdose Of Levitra: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include back pain, muscle pain, and abnormal vision.

Other Information Of Levitra: If your symptoms do not improve or if they become worse, check with your doctor. DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed, since they may have a problem that is not effectively treated with this medicine, or they may have a condition that is complicated by this medicine. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children and pets. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.

Generic Viagra® : SILDENAFIL CITRATE
Generic Buy Viagra ™ 150 mg for erectile dysfunction

• Helps you achieve erections!
• Starts working in as little as 30 minutes!
• Prescribed to more than 16 million men worldwide!
• Improves erections in 4 out of 5 males!
  
  Viagra™ is approved for the treatment of men who have difficulty having and maintaining an erection, otherwise known as impotence. If the nerves or blood vessels associated with this process aren\'t working properly, a man may not be able to get an erection. Viagra™ increases blood flow to the penis, so that when a man is sexually aroused, he can get and keep an erection. When the sexual encounter is over, the erection goes away.

  Viagra™ DRUG INFO
  IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you.

  SILDENAFIL - ORAL (sill-DEN-uh-fil)

  COMMON BRAND NAME(S): Viagra™

  USES OF VIAGRA: This medication is used to treat male sexual function problems (erection problems).
  
  HOW TO USE VIAGRA: This drug 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.

  SIDE EFFECTS OF VIAGRA: Headache, flushing, stomach upset, nasal stuffiness, diarrhea and dizziness might occur. If these effects persist or worsen, notify your doctor promptly. Unlikely but report promptly: painful or other urination problems, vision problems, skin rash. Very unlikely but report promptly: chest pain, fainting, foot or ankle swelling. If you experience a painful or prolonged erection (lasting longer than 4 hours), stop using this drug and seek immediate medical attention. If you notice other effects not listed above, contact your doctor or pharmacist.

  PRECAUTIONS WHEN USING VIAGRA: Before using this drug, tell your doctor your medical history, including: allergies (especially drug allergies), penis conditions such as fibrosis/scarring (e.g., Peyronie's disease), history of painful/prolonged erection (priapism), sickle cell anemia, blood system cancers (such as leukemia or myeloma), eye problems (retina diseases), kidney or liver disease, bleeding disorders, active stomach ulcers, heart disease, stroke, very high or low blood pressure. Limit alcohol intake, as it may aggravate side effects of this drug. Since this drug may cause dizziness, caution is advised when performing tasks requiring alertness (e.g., driving). To avoid dizziness and lightheadedness when rising from a seated or lying position, get up slowly. This drug is not to be used in women or children. The elderly may be more sensitive to the side effects of this drug, therefore caution is advised in this group.

  DRUG INTERACTIONS OF VIAGRA: Tell your doctor of all nonprescription and prescription medication you may use, especially of: 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), high blood pressure medicines, certain HIV protease inhibitors (such as saquinavir, ritonavir, amprenavir), delavirdine. Do not start or stop any medicine without doctor or pharmacist approval.

  OVERDOSE OF VIAGRA: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include severe dizziness, fainting, or prolonged erection.

  NOTES On VIAGRA: Do not share this medication with others, since they may have a problem that is not effectively treated by this drug. Use of this drug does not protect against sexually transmitted diseases (e.g., HIV, Hepatitis B, gonorrhea, syphilis)

  MISSED DOSE OF VIAGRA: Not applicable.

  STORAGE OF VIAGRA: Store at room temperature between 59 and 86 degrees F (15-30 degrees C) away from light and moisture.