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Wednesday, 17 August 2011

Viagra Price Comparison table.

Viagra 100mg
Pill Qty
Price US$
Medical Fees & Shipping
Total Price US$
Price per Pill US$
AtlanticDrugs USA (Brand)
3
99.00
19.00
118.00
39.33
Best-Rx USA (Brand)
3
129.00
23.95
152.95
50.98
Pharmacies Best Rx USA (Brand)
3
119.50
Free
119.50
39.83
SelfServeRx USA (Brand)
3
109.00
29.00
138.00
46.00
AtlanticDrugs USA (Brand)
5
162.00
19.00
181.00
36.20
Best-Rx USA (Brand)
5
161.00
23.95
184.95
36.99
Pharmacies Best Rx USA (Brand)
5
157.67
Free
157.67
31.53
Discount Drugstore INT (Brand)
8
119.00
Free
119.00
14.88
Pharmacy Notes & Special Offers
Viagra 100mg
Pill Qty
Price US$
Medical Fees & Shipping
Total Price US$
Price per Pill US$
Pharma4All INT (Brand)
8
174.00
16.00
190.00
23.75
RxPlanet INT (Brand)
8
129.00
Free
129.00
16.13
AtlanticDrugs USA (Brand)
10
295.00
19.00
314.00
31.40
Best-Rx USA (Brand)
10
247.00
23.95
270.95
27.10
Pharmacies Best Rx USA (Brand)
10
217.08
Free
217.08
21.71
SelfServeRx USA (Brand)
10
288.00
29.00
317.00
31.70
Topills.com INT (Brand)
10
125.00
Free
125.00
12.50
USOnlineRx INT (Brand)
10
125.00
Free
125.00
12.50
Pharmacy Notes & Special Offers
Viagra 100mg
Pill Qty
Price US$
Medical Fees & Shipping
Total Price US$
Price per Pill US$
Pharma4All INT (Brand)
12
246.00
16.00
262.00
21.83
AtlanticDrugs USA (Brand)
15
429.00
19.00
448.00
29.87
Best-Rx USA (Brand)
15
334.00
23.95
357.95
23.86
Pharmacies Best Rx USA (Brand)
15
310.93
Free
310.93
20.73
SelfServeRx USA (Brand)
15
416.00
29.00
445.00
29.67
Discount Drugstore INT (Brand)
16
189.00
Free
189.00
11.81
Pharma4All INT (Brand)
16
312.00
16.00
328.00
20.50
RxPlanet INT (Brand)
16
199.00
Free
199.00
12.44
Pharmacy Notes & Special Offers
Viagra 100mg
Pill Qty
Price US$
Medical Fees & Shipping
Total Price US$
Price per Pill US$
AtlanticDrugs USA (Brand)
20
549.00
19.00
568.00
28.40
Best-Rx USA (Brand)
20
407.00
23.95
430.95
21.55
Pharma4All INT (Brand)
20
375.00
16.00
391.00
19.55
Pharmacies Best Rx USA (Brand)
20
396.07
Free
396.07
19.80
SelfServeRx USA (Brand)
20
534.00
29.00
563.00
28.15
Topills.com INT (Brand)
20
229.00
Free
229.00
11.45
USOnlineRx INT (Brand)
20
229.00
Free
229.00
11.45
Discount Drugstore INT (Brand)
24
249.00
Free
249.00
10.38
Pharmacy Notes & Special Offers
Viagra 100mg
Pill Qty
Price US$
Medical Fees & Shipping
Total Price US$
Price per Pill US$
Pharma4All INT (Brand)
24
430.00
16.00
446.00
18.58
RxPlanet INT (Brand)
24
259.00
Free
259.00
10.79
AtlanticDrugs USA (Brand)
30
799.00
19.00
818.00
27.27
SelfServeRx USA (Brand)
30
762.00
29.00
791.00
26.37
USOnlineRx INT (Brand)
30
335.00
Free
335.00
11.17
121doc.com INT (Brand)
32
702.00
Free
702.00
21.94
Discount Drugstore INT (Brand)
32
309.00
Free
309.00
9.66
RxPlanet INT (Brand)
32
319.00
Free
319.00
9.97
Pharmacy Notes & Special Offers
Viagra 100mg
Pill Qty
Price US$
Medical Fees & Shipping
Total Price US$
Price per Pill US$
Topills.com INT (Brand)
39
335.00
Free
335.00
8.59
Topills.com INT (Brand)
40
399.00
Free
399.00
9.98
USOnlineRx INT (Brand)
40
399.00
Free
399.00
9.98
Discount Drugstore INT (Brand)
44
374.90
Free
374.90
8.52
RxPlanet INT (Brand)
44
399.00
Free
399.00
9.07
USOnlineRx INT (Brand)
50
469.00
Free
469.00
9.38
AtlanticDrugs USA (Brand)
60
1,599.00
19.00
1,618.00
26.97
SelfServeRx USA (Brand)
60
1,479.00
29.00
1,508.00
25.13
Pharmacy Notes & Special Offers
Viagra 100mg
Pill Qty
Price US$
Medical Fees & Shipping
Total Price US$
Price per Pill US$
Discount Drugstore INT (Brand)
64
543.90
Free
543.90
8.50
RxPlanet INT (Brand)
64
569.00
Free
569.00
8.89
SelfServeRx USA (Brand)
90
2,192.00
29.00
2,221.00
24.68

Monday, 15 August 2011

Tramdol side effect


GENERIC NAME: tramadol

BRAND NAME: Ultram, Ultram ER

DRUG CLASS AND MECHANISM: Tramadol is a man-made (synthetic) analgesic (pain reliever). Its exact mechanism of action is unknown but similar morphine. Like morphine, tramadol binds to receptors in the brain (opioid receptors) that are important for transmitting the sensation of pain from throughout the body to. Tramadol, like other narcotics used for the treatment of pain, may be abused. Tramadol is not a nonsteroidal antiinflammatory drug (NSAID) and does not have the increased risk of stomach ulceration and internal bleeding that can occur with NSAIDs.
PRESCRIPTION: Yes
GENERIC AVAILABLE: Yes
PREPARATIONS: Tablets (immediate release): 50 mg. Tablets (extended release): 100, 200, and 300 mg.
STORAGE: Store at room temperature, 15-30 C (59-86 F). Store in a sealed container.
PRESCRIBED FOR: Tramadol is used in the management of moderate to moderately severe pain. Extended release tablets are used for moderate to moderately severe chronic pain in adults who require continuous treatment for an extended period.
DOSING: The recommended dose of tramadol is 50-100 mg (immediate release tablets) every 4-6 hours as needed for pain. The maximum dose is 400 mg/day. To improve tolerance patients should be started at 25 mg/day, and doses may be increased by 25 mg every 3 days to reach 100 mg/day (25 mg 4 times daily). Thereafter, doses can be increased by 50 mg every 3 days to reach 200 mg day (50 mg 4 times daily). Tramadol may be taken with or without food.
Recommended dose for extended release tablets is 100 mg daily which may be increased by 100 mg every 5 days but not to exceed 300 mg /day. Extended release tablets should be swallowed whole and not crushed or chewed.
DRUG INTERACTIONS: Carbamazepine (Tegretol, Tegretol XR , Equetro, Carbatrol) reduces the effect of tramadol by increasing its inactivation in the body. Quinidine (Quinaglute, Quinidex) reduces the inactivation of tramadol, thereby increasing the concentration of tramadol by 50%-60%. Combining tramadol with monoamine oxidase inhibitors (for example, Parnate) or selective serotonin inhibitors ((SSRIs, for example, fluoxetine Prozac]) may result in severe side effects such as seizures or a condition called serotonin syndrome.
Tramadol may increase central nervous system and respiratory depression when combined with alcohol, anesthetics, narcotics, tranquilizers or sedative hypnotics.
PREGNANCY: The safety of tramadol during pregnancy has not been established.
NURSING MOTHERS: The safety of tramadol in nursing mothers has not been established.
SIDE EFFECTS: Tramadol is generally well tolerated, and side effects are usually transient. Commonly reported side effects include nausea, constipation, dizziness, headache, drowsiness, and vomiting. Less commonly reported side effects include itching, sweating, dry mouth, diarrhea, rash, visual disturbances, and vertigo. Some patients who received tramadol have reported seizures. Abrupt withdrawal of tramadol may result in anxiety, sweating, insomnia, rigors, pain, nausea, diarrhea, tremors, and hallucinations.
Reference: FDA Prescribing Information

Saturday, 13 August 2011

Viagra Goes Wrong!

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Viagra Funniest AD

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Cialis Informations

Which CIALIS Is Right for Me?

If your doctor determines that CIALIS is right for you, you and your partner will want to consider which dosing option to try. Take a look at the chart below so you'll have a better idea of how CIALIS for daily use and 36-hour CIALIS can work, and what each treatment option may mean to you.

I want an ED treatment that:


Is a low-dose option I take once a day so I can be ready anytime the moment is right*


Lets me avoid planning sex around a pill


I take only as needed
This option:
  • Works (in as little as 30 minutes in some men)*
  • Lasts long — one dose can work for up to 36 hours*


Allows me to be more confident in my ability to be ready


Can work effectively:
  • For mild, moderate, or severe ED
  • In men with ED who also have other medical conditions, such as diabetes and controlled high blood pressure
  • Regardless of my age


Does not need to be planned around meals


Lets me choose the moment that’s right for me and my partner


*Individual results may vary. Not studied for multiple attempts per dose.
In clinical trials, 36-hour CIALIS started to work in 30 minutes for some men who took 20 mg of 36-hour CIALIS. When taken as needed, 36-hour CIALIS was shown to improve, up to 36 hours after dosing, the ability of men with ED to have a single successful intercourse attempt.
CIALIS is not indicated for use by men under the age of 18.
This chart should not take the place of having a complete evaluation, including a physical examination and medical history, before starting any type of ED treatment.

CIALIS is indicated for the treatment of erectile dysfunction.

Important Safety Information for CIALIS® (tadalafil) tablets

What Is the Most Important Information I Should Know About CIALIS?

Do not take CIALIS if you:
  • take medicines called “nitrates” which are often prescribed for chest pain, as the combination may cause an unsafe drop in blood pressure
  • use recreational drugs called “poppers” like amyl nitrite and butyl nitrite
  • are allergic to CIALIS or ADCIRCA™ (tadalafil), or any of its ingredients
After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications.
Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease.

What Should I Tell My Healthcare Provider Before Taking CIALIS?

CIALIS is not right for everyone. Only your healthcare provider and you can decide if CIALIS is right for you. Ask your healthcare provider if it is safe for you to have sexual activity. You should not take CIALIS if your healthcare provider has told you not to have sexual activity because of your health problems. Before taking CIALIS, tell your doctor about all your medical problems, particularly if you have or ever had:
  • an allergy to CIALIS or ADCIRCA or any of its ingredients
  • heart problems such as chest pain, heart failure, irregular heartbeats, or have had a heart attack
  • high or low blood pressure
  • stroke
  • liver or kidney problems
  • severe vision loss, including a condition called NAION
  • retinitis pigmentosa, a rare genetic (runs in families) eye disease
  • a deformed penis shape or Peyronie’s disease
  • an erection that lasted more than 4 hours
  • blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia

Can Other Medicines Affect CIALIS?

Tell your healthcare provider about all the medicines you take especially if you take:
  • medicines called "nitrates" which are often prescribed for chest pain
  • alpha blockers often prescribed for prostate problems
  • blood pressure medications
  • medicines for HIV or antifungal medications
  • erythromycin
  • other medicines or treatments for ED
  • CIALIS is also marketed as ADCIRCA for the treatment of pulmonary arterial hypertension. Do not take both CIALIS and ADCIRCA. Do not take sildenafil citrate (Revatio™) with CIALIS

What Should I Avoid While Taking CIALIS?

  • Do not use other ED medicines or ED treatments while taking CIALIS.
  • Do not drink too much alcohol when taking CIALIS (for example, 5 glasses of wine or 5 shots of whiskey). Drinking too much alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure.

What Are the Possible Side Effects of CIALIS?

The most common side effects with CIALIS are: headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Men who get back pain and muscle aches usually get it 12 to 24 hours after taking CIALIS. Back pain and muscle aches usually go away within 2 days. Call your healthcare provider if you get any side effect that bothers you or one that does not go away.
Uncommon but serious side effects include: An erection that won't go away: If you get an erection lasting more than 4 hours, seek immediate medical help to avoid long-term injury.
In rare instances, men taking prescription ED tablets, including CIALIS, reported a sudden decrease or loss of vision or hearing (sometimes with ringing in the ears and dizziness). It’s not possible to determine if these events are related directly to the ED tablets or to other factors. If you have a sudden decrease or loss of vision or hearing, stop taking any ED tablet, including CIALIS and call your doctor right away.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

CIALIS does not:

  • cure ED
  • increase a man’s sexual desire
  • protect a man or his partner from sexually transmitted diseases, including HIV
  • serve as a male form of birth control

Tramadol

What is tramadol?

Tramadol is a narcotic-like pain reliever.
Tramadol is used to treat moderate to severe pain. Tramadol extended-release is used to treat moderate to severe chronic pain when treatment is needed around the clock.
Tramadol may also be used for other purposes not listed in this medication guide.

Important information about tramadol

You should not take this medication if you are allergic to tramadol, if you have ever been addicted to drugs or alcohol, or if you have ever attempted suicide. Do not take tramadol while you are intoxicated (drunk) or taking any of the following: alcohol or street drugs, narcotic pain medicine, sedatives or tranquilizers, or medicine for depression, anxiety, or mental illness.
Seizures (convulsions) have occurred in some people taking this medicine. Tramadol may be more likely to cause a seizure if you have a history of seizures or head injury, a metabolic disorder, or if you are taking certain medicines such as antidepressants, muscle relaxers, narcotic, or medicine for nausea and vomiting.
Seek emergency medical attention if you think you have used too much of this medicine. A tramadol overdose can be fatal.
Tramadol may be habit-forming. Tell your doctor if you feel the medicine is not working as well in relieving your pain. Never share tramadol with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it.
Do not crush the tramadol tablet. This medicine is for oral (by mouth) use only. Powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using this medicine by inhalation or injection can cause life-threatening side effects, overdose, or death.

Before taking tramadol

You should not take this medication if you are allergic to tramadol, if you have ever been addicted to drugs or alcohol, or if you have ever attempted suicide.
Do not take tramadol while you are intoxicated (drunk) or taking any of the following:
  • alcohol or street drugs;
  • narcotic pain medicine;
  • sedatives or tranquilizers (such as Valium);
  • medicine for depression or anxiety; or
  • medicine for mental illness (such as bipolar disorder, schizophrenia).
Seizures have occurred in some people taking tramadol. Talk with your doctor about your seizure risk, which may be higher if you have:
  • a history of drug or alcohol addiction;
  • a history of epilepsy or other seizure disorder;
  • a history of head injury;
  • a metabolic disorder; or
  • if you are also taking an antidepressant, muscle relaxer, narcotic, antipsychotic, or medicine for nausea and vomiting.
To make sure you can safely take tramadol, tell your doctor if you have any of these other conditions:
  • kidney disease (or if you are on dialysis);
  • cirrhosis or other liver disease;
  • a stomach disorder; or
  • a history of depression, mental illness, or thoughts of suicide.
FDA pregnancy category C. It is not known whether tramadol will harm an unborn baby. Tramadol may cause serious or fatal side effects in a newborn if the mother uses this medication during pregnancy or labor. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Tramadol can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are taking tramadol. Do not give this medication to anyone younger than 16 years old without the advice of a doctor.

What is Viagra

About Viagra.

Viagra is a medicine used to treat erection difficulties, known as erectile dysfunction (ED). Since it first became available in 1998, Viagra has helped more than 35 million men around the world improve their sex lives.8 Amazingly, approximately 6 tablets are dispensed every second worldwide. No other oral therapy for ED has been studied as much or has the same amount of real-world experience as Viagra since its launch.8
Viagra comes in three tablet strengths, 25mg, 50mg, and 100mg. The most commonly used strength in New Zealand is the 100mg.9 Viagra can be used once a day.10


How does Viagra work?

Viagra is a medicine that treats the physical ED problem by increasing blood flow where you need it. With Viagra, you must be sexually excited to get an erection.10
Here’s what usually happens when a man is sexually aroused:
  • The arteries in the penis relax and widen (this allows more blood to flow into the penis).
  • The increased blood flow causes the penis to become hard and erect.
  • The veins that normally carry blood away from the penis get compressed (this restricts the blood flow out of the penis).
  • More blood begins flowing in and less flows out, making the penis larger; this causes an erection.
For men with erection problems the nerves or blood vessels that play a part in this process may not work properly – Viagra helps to re-establish this process of improved blood flow to the penis.
Most men on Viagra achieve Grade 4 erections (penis is completely hard and fully rigid) regardless of their erection grade prior to treatment.11 ♂
Another aspect of treatment with Viagra is the predictable and rapid response men get from the medication. Studies have shown that for some men it begins working as early as 14 minutes and for most men within 30 minutes. Viagra works for at least 4 hours so you can have sex within a natural time frame.10,12
From a 6 week randomised (n=307 men), double blind placebo controlled trail of flexible dose sildenafil with a six week open label extension. In the open label extension 61% of patients who switched from placebo to Viagra and 67% of patients who initially started on Viagra achieved a Grade 4 erection.11
†Improvements in self esteem, confidence and sexual relationship satisfaction compared to placebo. Viagra® is an unfunded medicine GP fees and a pharmacy charge will apply. Viagra (sildenafil 25, 50, 100mg tablets) is a prescription medicine for use by men in the treatment of erection problems resulting in a natural response to sexual stimulation. Consult your GP to see if Viagra is right for you.
Do not use Viagra if you: are being treated for angina (chest pain) or other heart conditions with medicines called nitrates; are using amyl nitrite; have heart or blood vessel problems that make sexual intercourse inadvisable; have suffered a heart attack or stroke in the last 6 months; have severe liver problems; have unusually high or low blood pressure that is not effectively treated; have loss of vision in one or both eyes from an eye disease called non-arteritic anterior ischaemic optic neuropathy (NAION); have an eye disease called retinitis pigmentosa; have an allergy to Viagra or similar medications.
Side effects include headache, dizziness, flushing, indigestion, temporary changes in vision, stuffy nose, diarrhoea, urinary tract infection or rash. If any of the following happen, tell your GP immediately or go to Accident and Emergency at your nearest hospital: signs of allergy such as shortness of breath, wheezing or difficulty breathing; swelling of the face, lips, tongue or other part; chest pain; sudden decrease or loss of hearing; seizures, fits or convulsions; a persistent and painful erection; loss of eye sight in one or more eyes.
Use strictly as directed. If symptoms continue or you have side effects see your GP. Further information on Viagra is available from www.medsafe.govt.nz or from Pfizer New Zealand Ltd, PO Box 3998, Auckland. Freephone 0800 736 363 or www.pfizer.co.nz. ®Viagra is a registered trademark of Pfizer Inc. Date of preparation: 10/07/2008.
References. 1. Goldstein I et al. N Engl J Med 1998; 338: 1397-1404. 2. Mulhall J et al. J Sex Med 2007; 4:448-464. 3. Althof et al. J Gen Intern Med 2006; 21: 1069-1074. 4. Padma Nathan et al. Int J Impotence Res 2006 18, 423431. 5. Dean et al. European Urology Supplements 5 (2006) 761-766. 6. Dean et al. European Urology Supplements 5 (2006) 773 – 778. 7. Montorsi. J Sex Med 2005; 2: 658-667. 8.Pfizer data on file. 9. IMS Data 2009. 10. Viagra Datasheet. 11. Kadioglu A et al. J Sex Med 2008; 5: 726-734 12. Eardley I et al. Br J Clin Pharmacol 2002; 53: 61S-65S. 13. McCullough AR. et al. Urology 2002; 60(Suppl 2B): 28-38. R&A070507B DA985AC TAPS NA3473