Viagra 7 products.

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• 

  Viagra Sildenafil

  What is Sildenafil viagra?

  Viagra or sildenafil will be used to treat adults to men with erectile dysfunction applied. That's the inability, one for a satisfying sexual intercourse to achieve sufficient erection or uphold. sildefanil can only work if a sexual stimulation is present How to use viagra? The recommended dose is 50mg, it is about 1 hour before sexual intercourse to take it. According to the
  sity and compatibility The dose can be reduced increased to 100 mg or reduced to 25 mg
  become. The recommended maximum dose is carries 100 mg. The intake must not be frequent.
  than once a day. If VIAGRA taken with food is, the impact can be compared be delayed for fasting. Effects of sildenafil? Sildenafil provides an oral treatment of the erectile dysfunction. In a natural way, through sexual stimulation, the impaired erectile function due to an increase in the blood stream into the penis restored. The man responsible for the erection of the penis
  The physiological mechanism closes the release of nitric oxide (NO)
  in the corpus cavernosum during the se-
  xual stimulation. The nitrogen mono-
  oxide activates the enzyme guanylate cyclase,
  waszuerhöhtenSpiegelnanzyklischem
  Guanosine monophosphate (cGMP) leads. Here-
  through it comes to a relaxation of
  smooth muscles in the corpus cavernosum,
  which allows the blood to flow.
  Sildenafil is an effective and selective
  Inhibitor of the cGMP-specific phosphorus
  phodiesterase type 5 (PDE5) in the corpus
  vernosum, where they work for the removal of cGMP
  responsible for. silde
  nafil has a peripheral effect
  Erections. Sildenafil does not practice direct
  relaxing effect on isolated human
  Corpus cavernosum tissue, it
  but enhances the relaxing effect
  NO on this tissue. If under
  sexual stimulation the activation of the
  NO / cGMP metabolic pathway takes place,
  causes PDE5 inhibition by sildenafil
  increased cGMP levels in the corpus cavernos
  sum. Therefore, a sexual stimulation
  necessary for sildenafil to do the intended
  can develop favorable pharmacological effect. Viagra causes a small and temporary
  going reduction in blood pressure, which in
  in most cases no clinically relevant
  Apparitions result. On average,
  contributed the maximum blood pressure decreases
  lying down after taking 100 mg of Silica
  denafil systolic 8.4 mmHg, diastolic
  5.5 mmHg. This blood pressure reduction reflects
  the vasodilator

   
  Effect of sildenafil

  
  reflected, possibly due to increased
  cGMP level in the smooth muscle vascular
  musculature. Single oral doses of up to 100 mg
  Sildenafil showed in healthy volunteers
  no clinically relevant ECG changes
  gene.
  In a study on the hemodynamic
  Effects of a single oral dose of
  Sildenafil 100 mg in 14 patients with
  Severe (> 70% stenosis at least
  coronary artery) coronary heart disease
  (KHK) took the middle systolic
  and the mean diastolic blood pressure in
  Rest to the baseline around
  7% and 6% respectively. The middle pulmonary
  systolic blood pressure decreased by 9%.
  Sildenafil did not affect the cardiac
  it still affected the
  Blood flow into the stenosed coronary
  arteries.
  In a double-blind placebo-controlled
  The load study included 144 patients
  with erectile dysfunction and stable chro
  angina pectoris, the
  antianginal medication (except
  Nitrates). Under sildenafil occurred in the
  Compared to placebo, no clinically relevant
  differences in the time to
  Occur an abortion-compelling angina.

  Side effects of viagra?

  Summary of the security profile
  The safety profile of VIAGRA is based on
  9,570 patients from 74 double-blind place-
  bokontrollierten clinical trials. The most commonly described side effects
  in patients treated with sildenafil
  in clinical trials were headaches,
  Flush, dyspepsia, stuffy nose, dizziness
  del, nausea, hot flash, blurred vision,
  Cyanopsia and blurred vision.      

• 

  Spedra Avanafil

  What is avanafil or spedra?

  Avanafil is used to treat erectile dysfunction in adult men. Efficacy requires sexual arousal.
  
  For the following application areas of Avanafil, in-depth information is available:
  
  - erectile Dysfunction
  
  Please also read the information on the drug classes Potency, Phosphodiesterase, to which the active ingredient avanafil belongs.
  Areas of application according to the manufacturer's instructions
  
  - Erectile dysfunction in adult men

  
  dosage of spedra

  The recommended dose is one 100 mg tablet taken by the man when needed approximately 30 minutes before sexual activity. Depending on individual efficacy and tolerability, the dose may be increased to a maximum of one 200 mg tablet or reduced to a 50 mg tablet.
  
  The recommended maximum frequency of use is once a day. For a sufficient effect sexual arousal is required.

  side effects with spedra avanafil

  
  Frequent side effects of avanafil
  Headache, feeling hot, nasal congestion.
  
  Occasional side effects:
  Dizziness, drowsiness, sinus pain, sinus congestion, blurred vision, palpitations, flushing, difficulty breathing, indigestion, nausea and vomiting, upset stomach, backache, muscle tension, fatigue, elevation of liver enzymes, abnormal ECG, accelerated heartbeat.
  
  Rare side effects of spedra
  Influenza, nasopharyngeal inflammation, seasons-related allergy, gout, insomnia, premature ejaculation, mood disorder, mental agitation, angina, palpitations, hypertension, nasal passages, upper respiratory obstruction, dry mouth, gastritis, abdominal pain, diarrhea, rash, flank pain, muscle aches , Muscle spasms, frequent urination, penile disorders, spontaneous erection, itching in the pubic area, weakness, chest pain, flu-like symptoms, water retention in the arms and legs, blood in the urine, heart murmurs, increased PSA, weight gain, increase in bilirubin levels in the blood , increased creatinine in the blood, increased body temperature.
  
  Particularities:
  Patients whose erection lasts four hours or more (priapism) should consult a doctor immediately. Left untreated, priapism damages the penis tissue, which can lead to permanent loss of potency.

  Interactions of avanafil

  Avanafil enhances the antihypertensive effects of nitro-based vasodilators. Therefore, the joint application is prohibited. If a patient who has taken avanafil within the last 12 hours or more has been given nitrates because of a life-threatening situation (such as a heart attack), the blood pressure may be lowered.
  
  Avanafil has a vasodilating effect on the penis, but this effect can affect the whole body. Therefore, the drug increases the blood pressure reduction by appropriate drugs (alpha sympatholytic, calcium channel blocker). It can cause dizziness, drowsiness or fainting.
  
  Avanafil is degraded by an easily influenced enzyme system. Therefore, the application is prohibited with strong inhibitors of these enzymes. These include: the fungicides itraconazole and ketoconazole, the antiviral agents atazanavir, indinavir, nelfinavir, ritonavir and saquinavir, the antibiotics clarithromycin and telithromycin and the antidepressant nefazodone.
  
  Patients receiving at the same time weaker inhibitors of this enzyme (the antibiotic erythromycin, the antifungal agent fluconazole, the antiviral agents amprenavir and fosamprenavir, aprepitant (for nausea and vomiting), and the antidiabetic diltiazem or verapamil but also grapefruit juice) should not exceed the maximum dose of avanafil (100 Milligrams). Between the individual revenues should be a time interval of at least 48 hours.
  
  Consuming alcohol while using spedra may increase the likelihood of a sudden drop in blood pressure. Therefore, you should abstain from drinking while taking.
  
  Drugs that accelerate the degradation of avanafil may affect its performance. These include the antiepileptic drugs carbamazepine and phenobarbital, the tuberculosis drug rifampicin, the antiviral agent efavirenz and bosentan (for pulmonary hypertension). Although there are no studies, but should be avoided as a precaution, the joint application.

   

• 

  Cialis Tadalafil

  1. What is CIALIS Tadalafil and what is it used for?

  
  CIALIS is used to treat adult men with erectile dysfunction
  applied. This is the case when a man does not have sexual activity
  can get or maintain a hard, erect penis. CIALIS showed one
  significant improvement, a hard, erect penis for sexual activity too
  to get.
  CIALIS contains tadalafil as an active ingredient and belongs to a group of medicines
  called the "phosphodiesterase 5 inhibitors". After a sexual
  Stimulating Tadalafil helps to relax the blood vessels in your penis
  Blood flow into your penis is possible. The result is an improved erection.
  CIALIS will not help you if you are not suffering from erectile dysfunction
  Suffer.
  It is important to note that CIALIS does not work without sexual stimulation. On
  Partnership foreplay may be necessary, as if you were not a medicine
  against erectile dysfunction.

  
  2. What should you watch out for before taking CIALIS?

  
  CIALIS must not be taken if you:
  - allergic to tadalafil or any of the other
  Components of this medicine are.
  - in any form organic nitrates or nitrogen oxide donors such as amyl nitrite
  taking. This is a group of medicines ("nitrates") that are used for treatment
  of angina pectoris (certain type of "heartache") are used. It
  CIALIS has been shown to enhance the effects of these drugs. If you
  take some form of nitrates, or are unsure, speak
  with your doctor.
  - suffer from a serious heart condition or one in the last 90 days
  Had heart attack.
  - had a stroke in the last 6 months.
  - suffer from low or uncontrolled high blood pressure.
  - ever a vision loss due to a non-arteritic anterior
  Ischemic optic neuropathy (NAION), this disease is known as
  "Stroke of the eye" described.
  - Take riociguat. This medicine is used for treatment
  of pulmonary arterial hypertension (i.e., high blood pressure in the lung) and
  Chronic thromboembolic pulmonary hypertension (i.e., high blood pressure
  in the lungs in addition to blood clots). PDE5 inhibitors, such as Cialis
  have been shown to increase the antihypertensive effect of this drug.
  If you are taking riociguat or are unsure, talk to your doctor

  3. How to take Tadalafil?

  
  Always take this medicine exactly as your doctor has told you.
  Ask your doctor or pharmacist if you are not sure.
  CIALIS tablets are to be taken by men only. Swallow
  the whole tablet with a little water. You can use CIALIS independently of the
  Take meals.
  The recommended starting dose
   is a 10 mg tablet before sexual activity.
  If the effect of this dosage is too low, your doctor may decide the dosage
  increase to 20 mg.
  You should take CIALIS at least 30 minutes before sexual activity.
  CIALIS can work for up to 36 hours after taking the tablet.
  Do not take CIALIS more than once a day. Tadalafil are 10 mg and 20 mg
  Intended to be taken before expected sexual activity and daily
  Intake for a long time is not recommended.
  It is important to note that Tadalafil only works with sexual stimulation. On
  Partnership foreplay may be necessary, as if you were not a medicine
  against erectile dysfunction.
  Alcohol consumption can affect your ability to get an erection and
  can also temporarily lower your blood pressure. If you taken CIALIS
  or if you plan to take CIALIS, avoid overeating
  Drink (blood alcohol level of 0.8 ‰ and more), because this reduces the risk of
  Dizziness when getting up can be increased.
  If you take more Tadalafil than you
  should
  Tell your doctor. It could be that side effects occur, like in the
  Section 4. described.
  If you have any further questions on the use of this medicine, please contact
  to your doctor or pharmacist.

  
  4. What side effects are possible with Tadalafil?

  
  Like all medicines, this medicine may also have side effects
  but do not have to occur at everyone. These are usually mild to moderate.
  Stop the treatment and notify a doctor immediately if
  You notice any of the following side effects:
  - allergic reactions, including rashes (uncommon).
  - Chest pain - Do not use nitrates, take them immediately
  medical assistance (frequency uncommon).
  - Priapism, a prolonged and possibly painful erection can
  occur after ingestion of CIALIS (frequency rare). Should you have an erection
  If you have more than 4 hours, contact your doctor immediately
  Doctor in contact.
  - sudden loss of vision (frequency rare).
  Other side effects have been reported:
  Frequently
   (may affect up to 1 in 10 people)
  - Headache, backache, muscle aches, pain in the
  Arms and legs, facial flushing, stuffy nose and indigestion.
  Occasionally
   (may affect up to 1 in 100 people)
  - Dizziness, abdominal pain, nausea, vomiting, acid regurgitation (reflux
  stomach acid), blurred vision, eye pain, difficulty
  breathing, blood in urine, prolonged erection, palpitations, tachycardia (faster
  Heartbeat), high blood pressure, low blood pressure, nosebleeds, ear noises
  (Tinnitus), swelling of hands, feet or joints and fatigue.
  Rare
   (may affect up to 1 in 1000 people)
  - Fainting, seizures and temporary memory loss,
  Swelling of the eyelids, red eyes, sudden deafness or
  Numbness, hives (itchy, red ridges of the skin), penile bleeding, blood
  in the sperm and increased sweating.
  Heart attacks and strokes have been rare in patients taking CIALIS
  reported. Most of these men already had this before taking this
  Arzeimittel known heart disease.
  Partial, temporary or permanent deterioration or loss of
  Eyesight of one or both eyes has been rarely reported.
  Some more rare side effects
  not seen in clinical trials
  were reported in men who had taken CIALIS. These include:
  - Migraines, facial swelling, severe allergic reactions,
  which cause swelling in the face or neck, serious
  Redness, some diseases that affect the blood flow to the eye,
  irregular heartbeat, angina (heart attack) and sudden cardiac death.

  
  5. How to store CIALIS?

  
  Keep Tadalafil out of the sight and reach of children.
  You must take this medicine after the carton and the blister pack
  after 'verw. until 'or' EXP 'specified expiry date

• 

  Dapoxetine

  1. WHAT IS DAPOXETINE AND WHAT IT IS USED FOR?

  • Dapoxetine is a drug in tablet form containing the active ingredient
  Contains dapoxetine. It is used to treat premature
  Ejaculation (Ejaculatio praecox) applied. Dapoxetine is
  approved for men between 18 and 64 years.
  • Dapoxetine (dapoxetine) is a serotonin reuptake inhibitor
  (SSRI). Previous research has shown that serotonin
  plays a central role for the ejaculation time.
  • Dapoxetine blocks transport
  substances that serotonin after
  signal transmission back into the memory locations
  return the parcel. Serotonin stays longer at the site of action, and
  its effectiveness increases. SSRIs are mainly so far
  for the treatment of depressive
  Used diseases. in the
  Unlike dapoxetine, one to three hours before sex
  however, these antidepressants must be taken
  be used regularly and over a longer period of time.
  
  

  2. WHAT DO YOU NEED BEFORE TAKING DAPOXETINE
  NOTE?
  

  Important information
  • Beware of orthostasis! Before the first input should
  a doctor's inclination to one
   orthostatic hypotension
  exclude. Orthostatic Hypotension (OH) is a
  morbid blood pressure drop at
  m getting up from sitting or
  lying position. The most
  Healthy people can
  happen that they briefly when raising quickly
  Weakness, diffuse Sc
  jib or one
  Getting black before the eyes. One only speaks
  from an OH if it constantly occurs and discomfort
  caused.
  • Avoid situations in which there is injury
  can come, including driving a car or that
  Operating dangerous machinery, syncopation or its should be
  prodromal symptoms such as dizziness or drowsiness
  occur. (*)
  • It may be too after taking dapoxetine
  Circulatory problems up to a circulatory collapse
  come. * A sufficient Flü
  fluid intake and the
  Avoiding alcohol are wi
  well, to prevent that!
  Caution also at the same time
  ger treatment with medication,
  the one blood vessel
  own effect, effect
  and PDE5 inhibitors (potency agent, sildenafil), alpha
  Adrenoceptor antagonists, nitrates.
  • Do not take alcohol
  within 24 hours before or after
  taking Dapoxetine! The risk of side effects
  Nervous system, heart and circulation can be increased.
  • Dapoxetine must not be taken with drugs
  become! Especially in combination with ketamine, LSD, MDMA,
  Amphetamine, narcotics
   and benzodiazepines
  serious side effects occur.
  • This medicine k
  ann also under normal conditions
  Use the ability to active
  n participation in road traffic
  or interfere with the operation of machinery. This is true in
  increased degree in interaction with alcohol.
  • Antidepressants increased the risk in short-term studies
  suicidal thoughts in children
  n and teenagers with strong
  Depression. For Dapoxetine there was no reference to one
  such increased risk.
  • Dapoxetine was only given to men with premature ejaculation
  tested. About effect and side effects in men without
  Ejaculatio praecox no data available.
  • Dapoxetine may cause blood clotting
  influences. Be careful
  simultaneous treatment with
  Platelet aggregation inhibitors
  (atypical antipsychotics, Phenot
  hiazines, acetylsalicylic acid,
  NSAIDs) or anticoagulants (Warfa
  rin). People with bleeding
  or coagulation disorders are particularly at risk.
  • A sudden discontinuation v
  on SSRI, which is longer
  Period of administration may cause withdrawal symptoms
  lead, for example, irritable bark
  it, bad mood, dizziness,
  Nervousness, insomnia and
  A headache. When weaning
  of Dapoxetine showed no or only slight in studies
  Withdrawal symptoms.
  

  3. HOW TO TAKE DAPOXETINE?
  

  • The initial dose is 1 tablet to 30 mg 1 to 3 hours before
  sexual activity.
  • Do not take DAPOXETINE more than once a day!
  • Take with a glass of water with or without food.
  • An increase to 60 mg is possible if the effect is not
  sufficient and the side effects are tolerable. at
  orthostatic reaction to di
  Do not increase the 30 mg dose!
  • The medicine is not for daily long-term therapy
  suitable.

  4. WHAT POSSIBLE SIDE EFFECTS ARE POSSIBLE from dapoxetine?

  Listed are the most important known side effects. you
  can occur, but not necessarily, because every human being
  different responds to medication.
  Sometimes people are allergic to medications. Should
  You signs of an allergic
  Feel reaction, inform
  See your doctor or pharmacist immediately.
  • Dizziness (very common)
  • Headache (very common)
  • Nausea (very common)
  • Diarrhea, vomiting (common)
  • Insomnia (common)
  • Tiredness (common)
  • Elevated blood pressure (often)
  • Irritability, anxiety (common)
  • Tinnitus (common)
  • Blurred vision (often)
  • Sweating (often)
  • Erectile dysfunction (common)

  5. HOW TO STORE DAPOXETINE?
  

  Store drug out of reach of children.
  You are allowed to use DAPOXETINE after the carton and the
  Do not use the expiry date given on the blister pack.
  Keep in original packaging to preview the contents
  Moisture protection .. Do not store above 25 ° C.
  The drug must not be in wastewater or household waste
  be disposed of. Ask your pharmacist how the medicine works
  is to be disposed of when you no longer need it.