The medicine we use: Viagra.

uses of Viagra

Viagra is used to treat male sexual function problems ( impotence or erectile dysfunction ) by blocking a certain enzyme ( phosphodiesterase-PDE5 ) in body. In combination with sexual stimulation, Viagra works by helping blood flow into penis to achieve and maintain an erection.

Viagra isn't indicated for use in women.

Use of Viagra doesn't protect against sexually transmitted diseases ( e. g. , HIV, hepatitis B, gonorrhea, syphilis ) . Practice " safe sex " such as using latex condoms. Consult your doctor or pharmacist for more details.

how to use of Viagra

Viagra is taken by mouth as needed, at least 30 minutes, but no more than 4 hours, before sexual activity ( 1 hour before is the most effective ) . Do not take more often than once daily, and take as directed.

A high fat meal may delay the time of onset of this drug.

Avoid eating grapefruit or drinking grapefruit juice while you're being treated with Viagra unless your doctor instructs you otherwise.

The dosage is based on your medical condition, response to therapy, and other medications you may be taking ( see also Drug Interactions section ) . Consult your doctor or pharmacist for more details.

side effects of Viagra

Headache, flushing, stomach upset, heartburn, nasal stuffiness, diarrhea, dizziness, or lightheadedness may occur while use Viagra. Vision changes such as increased sensitivity to light, blurred vision, or impaired blue/green color discrimination may also occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

Remember that your doctor has prescribed Viagra because he or she has judged that the benefit to we is greater than the risk of side effects. Many people using Viagra don't have serious side effects.

Rarely, a sudden loss of eyesight in one or both eyes ( NAION ) may occur while use Viagra. This may or mayn't be due to Viagra. If this serious problem occurs, seek immediate medical attention. We have a slightly greater chance of developing this serious eye problem if we have heart disease, diabetes, high cholesterol, certain eye problems ( " crowded disk " ) , high blood pressure, are over 50 years of age, or if you smoke.

Sexual activity may put extra strain on your heart, especially if we have heart problems. If we have heart problems and experience any of these serious side effects while having sex, stop and tell your doctor immediately of:

For males, in very unlikely event we have a painful or prolonged erection lasting 4 or more hours, stop using Viagra and seek immediate medical attention, or permanent problems could occur.

Rarely, Viagra may cause sudden hearing problems, or ringing in ears. Seek immediate medical attention if these effects occur.

A serious allergic reaction to Viagra is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include:

This isn't a complete list of possible side effects. If we notice other effects not listed above, contact your doctor or pharmacist.

precautions of Viagra

Before taking Viagra, tell your doctor or pharmacist if we are allergic to it; or if we have any other allergies.

Before using Viagra, tell your doctor or pharmacist your medical history, especially of:

Viagra may make we dizzy or cause vision changes; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages.

To minimize dizziness and lightheadedness, get up slowly when rising from a seated or lying position.

Don't take Viagra with any other product that contains Viagra or other similar medications for erection problems ( e. g. , tadalafil, vardenafil ) .

Caution is advised when using Viagra in the elderly because they may be more sensitive to side effects of the drug.

Viagra is not indicated for use in women or children.

interactions of Viagra

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first.

See also How To Use section for drug-food interactions.

Viagra should not be used with following medications because very serious ( possibly fatal ) interactions may occur:

If you are currently using any of these medications, tell your doctor or pharmacist before starting Viagra.

Before using Viagra, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of:

If you are taking an HIV protease inhibitor ( e. g. , ritonavir, saquinavir ) , don't take more than a 25mg dose of Viagra in a 48 hour period.

If you're taking more than a 25mg dose of Viagra and are also taking an alpha-blocker medication ( e. g. , doxazosin, prazosin, terazosin ) for various conditions ( e. g. , enlarged prostate ) , separate time between taking these medications by more than 4 hours.

This document doesn't contain all possible interactions. Therefore, before using Viagra, tell your doctor or pharmacist of all the products we use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

overdose of Viagra

If overdose of Viagra is suspected, contact your local poison control center or emergency room immediately. US residents can call US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include severe dizziness, fainting, or prolonged erection.

notes of Viagra

Do not share Viagra with others, since they may have a problem that is not effectively treated by Viagra, or they may have a condition that's complicated by Viagra.

missed dose of Viagra

Not applicable.

storage of Viagra

Store Viagra at room temperature at 77 degrees F ( 25 degrees C ) away from light and moisture. Brief storage between 59 and 86 degrees F ( 15-30 degrees C ) is permitted. Do not store Viagra in bathroom. Keep all medicines away from children and pets.

Properly discard Viagra when it's expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

Where to buy cheap Viagra

German Survey Finds Every Fifth Adolescent Smokes

As many as 20% of adolescents from 11 to 17 years of age smoke. This was result of the nationwide German Health Interview and Examination Survey for Children and Adolescents ( KiGGS ) , performed by Robert Koch Institute and presented by sociologist Thomas Lampert in current edition of Deutsches Arzteblatt International ( Dtsch Arztebl Int 2008; 105[15]: 265-71 ) .

The analysis of tobacco consumption by children and adolescents covered almost 7, 000 girls and boys aged 11 to 17. Data on current smoking status and on exposure to passive smoking were collected for years 2003 to 2006. Possible factors influencing findings were examined, including social status of family, type of school attended by adolescents, and the smoking status of parents and friends.

Thomas Lampert's study shows that friends and type of school have greater influence on smoking behavior than the parents do. The probability that an adolescent starts smoking is markedly greater when his or her friends smoke. The risk is hardly increased if parents smoke. On other hand, students at general secondary schools ( Hauptschule ) , intermediate schools ( Realschule ) or comprehensive schools ( Gesamtschule ) smoke much more frequently than do pupils at high school ( Gymnasium ) .

The prejudice that boys smoke more often than girls could be disproved. The proportion of smoking girls is just as high, although they smoke fewer cigarettes. The average age of starting is between 13 and 14 years for both genders. Social status has hardly any effect on adolescents' smoking behavior. In contrast, smoking parents expose their children to additional stress from passive smoking.

Lampert concludes that there should be more emphasis on prevention of smoking by students at Hauptschule, Realschule, and Gesamtschule.

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View the full report.

Source: Dr. Stephan Mertens Deutsches Aerzteblatt International

Health tips and advises for everybody.