is an antiandrogen. It works in the body to prevent the actions of androgens (male hormones).
Flutamide is used in the treatment of prostate cancer.
Flutamide may also be used for purposes other than those listed in this medication guide.
How should I take Eulexin (Flutamide)?
Take flutamide exactly as directed by your doctor. If you do not understand these directions, ask your doctor, nurse, or pharmacist to explain them to you.
Take each dose with a full glass of water.
Flutamide is usually taken three times a day (every 8 hours). Follow your doctor’s instructions.
Your doctor will need to monitor your liver function with blood tests before starting treatment with flutamide, every month for the first 4 months of treatment, and periodically thereafter.
In rare cases, flutamide has caused severe liver damage resulting in death or hospitalization. Notify your doctor immediately if you develop nausea, vomiting, abdominal pain, unusual fatigue, loss of appetite, “flu-like” symptoms, yellow skin or eyes, itching, clay-colored stools, or dark urine. These symptoms may be early signs of liver damage.
Do not stop taking this medication without first talking to your doctor.
Store flutamide at room temperature away from moisture and heat.
What are the possible side effects of Eulexin (Flutamide)?
Stop taking flutamide and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives).
In rare cases, flutamide has caused severe liver damage resulting in death or hospitalization. Notify your doctor immediately if you develop nausea, vomiting, abdominal pain, unusual fatigue, loss of appetite, “flu-like” symptoms, yellow skin or eyes, itching, clay-colored stools, or dark urine. These symptoms may be early signs of liver damage.
Other, less serious side effects may be more likely to occur. Continue to take flutamide and talk to your doctor if you experience
hot flashes,
diarrhea,
skin rash,
increased skin sensitivity to sunlight,
loss of sex drive,
impotence,
lowered sperm count,
enlarged breasts,
amber or greenish discoloration of the urine,
rectal bleeding or inflammation, or
blood in the urine
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs affect Eulexin (Flutamide)?
Before taking flutamide, tell your doctor if you are taking warfarin (Coumadin). Flutamide may interact with warfarin, and the interaction could lead to bleeding.
Drugs other than those listed here may also interact with flutamide. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.
What should I avoid while taking Eulexin (Flutamide)?
There are no restrictions on foods, beverages, or activities while taking flutamide. Follow any special instructions given by your doctor.
What happens if I overdose on Eulexin (Flutamide)?
Seek emergency medical attention.
Symptoms of a flutamide overdose include decreased activity, slow breathing, dizziness, watering eyes, upraised body hair, decreased appetite, vomiting, and sedation.
What happens if I miss a dose of Eulexin (Flutamide)?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the dose you missed and take only your next regularly scheduled dose. Do not take a double dose of this medication.
What is the most important information I should know about Eulexin (Flutamide)?
In rare cases, flutamide has caused severe liver damage resulting in death or hospitalization. Notify your doctor immediately if you develop nausea, vomiting, abdominal pain, unusual fatigue, loss of appetite, “flu-like” symptoms, yellow skin or eyes, itching, clay-colored stools, or dark urine. These symptoms may be early signs of liver damage.
Your doctor will need to monitor your liver function with blood tests before starting treatment with flutamide, every month for the first 4 months of treatment, and periodically thereafter.
Do not stop taking this medication without first talking to your doctor.
Viagra Jelly is a jelly solution for the treatment of male erectile dysfunction, often called impotence.
How Taken
For most patients, Viagra Jelly should be taken once a day as needed. In patients taking certain protease inhibitors (such as for the treatment of HIV), it is recommended to not exceed a maximum single dose of 25 mg of Viagra Jelly in a 48-hour period.
Drug Class and Mechanism
Vigra Jelly increases blood flow to the penis allowing more blood flow into the penis like happened naturally when a man is sexually stimulated. With more blood flowing in and less flowing out, the arteries in the penis enlarge resulting in an erection.
Missed Dose
If you miss a dose of this medicine, take it as soon as possible. Do not take 2 doses at once.
Storage
Viagra Jelly should be stored at room temperature, 15-30 degrees C (59-86 degrees F).
Warnings Precautions
Before you start any treatment with Viagra Jelly, be sure to ask your healthcare provider if your heart is healthy enough.
If you’re a man who uses nitrate drugs, like nitroglycerine, never take Viagra Jelly. The combination of Viagra Jelly and nitrates can make your blood pressure suddenly drop to unsafe levels. You could get dizzy, faint, or even have a heart attack or stroke. Nitrates are found in many prescription medications that are used to treat angina (chest pain due to heart disease).
If you are not sure if any of your medications contain nitrates, or if you do not understand what nitrates are, ask your healthcare provider or pharmacist.
Possible Side Effects
If you experience any of the following serious side effects, stop taking Viagra and seek emergency medical attention or notify your doctor immediately:
an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
chest pain or an irregular heartbeat;
swelling of the ankles or legs;
shortness of breath;
prolonged or severe dizziness;
a prolonged (lasting longer than 4 hours) or painful erection; or
dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw).
Other, less serious side effects may be more likely to occur. Continue to take Viagra and talk to your doctor if you experience
flushing;
mild dizziness;
headache;
nasal congestion;
diarrhea;
temporary blue tint in vision or other vision abnormalities; or
itching or a rash.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
More Information
Drinking alcohol can temporarily impair the ability to get an erection. To get the maximum benefit from your medication, you are advised not to drink large amounts of alcohol before taking Viagra Jelly.
KAMAGRA Oral Jelly is a brand name for Ajanta’s Sildenafil Citrate Oral Jelly and used to treat erectile dysfunction (impotence or ed). Kamagra oral jelly in jelly form or Gel, meant to be consumed orally and should be allowed to dissolve in the oral cavity before it is swallowed. More easily swallowed than tablets, kamagra oral jelly is suitable for elderly people and also people who have difficulty in swallowing. Kamagra oral jelly leads to faster systemic circulation and faster onset of action. Kamagra oral jelly causes reduced gastric irritation compared to tablets. Kamagra oral jelly is available as Kamagra oral jelly 100mg. Kamagra Oral jelly is also called as Kamagra Gel, Kamagra Jellies, Oral Kamagra Jelly.
What is Kamagra Oral Jelly
How Kamagra Jelly Works
A new popular form of Kamagra is now available in Oral Jelly Sachets. The Kamagra jelly comes in 5
flavors. Consumers simply have to squeeze the sachet into their mouths or onto a spoon to take it orally. The side effects reported are very less and it starts to work quicker than Kamagra tablet. Kamagra jelly is more expensive than the Kamagra tablets but this reflects supplier costs and increased weight in postage. Kamagra’s active ingredient, Sildenafil, is an enzyme inhibitor causing the blood vessels in your penis to dilate. Consequently more blood flows into your penis resulting in an erection. This happens only when you get sexually stimulated. Kamagra should be taken one hour before sexual activity and normally works in as little as half an hour to an hour. Kamagra Jelly works faster than the pills.
Kamagra is a breakthrough medicine now available for male erectile dysfunction (ED), often called impotency or impotence. Chemically, kamagra contains citrate salt of Sildenafil. With sexual stimulation, men who have ED will be able to obtain and maintain an erection due to the effects of kamagra. This will bring back all the pleasures in their and their partner’s sexual life.
The generic drug kamagra is in no way inferior to the bigger brand viagra, or any of the other generic viagra products. In fact the majority of people that have tried kamagra oral jelly consider it to be the best viagra alternative on the market.It should be noted that there is also now a huge “recreational” market for this wonder drug and is being used by people to make an already fantastic sex life into an “unbelievable” sex life.
Kamagra is predominantly used as a cure for impotence problems and erectile dysfunction, however it has become increasingly popular with people who just want to spice up their love life and enjoy the extra pleasure they gain. Increasing numbers of our customers have contacted us to enthuse about the increased sexual pleasure and stamina that the product has provided them with. The effects of kamagra vary from increased libido, sensitivity, duration of sexual intercourse and lets not forget the size of the erection they manage to obtain as well as an increased feeling of well being.
How does Kamagra Jelly Work?
Kamagra works by improving a man’s response to sexual stimulation. So with kamagra, a touch or a glance from your partner can again lead to something more. Sildenafil citrate is by far the most widely used treatment for impotence and kamagra oral jelly is one of the best forms of this generic viagra substance. In the United States, more than 7 million men have turned to sildenafil to improve their sexual function. Doctors in the United States have prescribed viagra and its generic alternatives such as kamagra to more than 22 million times. Up to 82% of men experience improved erections with kamagra. That means more than 4 out of every 5 couples who try kamagra benefit from it. Kamagra jelly improves erections in most men regardless of how long they have suffered from impotence or erectile dysfunction, what caused it, or how old they are. The effectiveness of sildenafil (kamagra) has been proven in clinical studies of thousands of patients.
You will not get an erection just by taking this medicine. Kamagra helps a man with erectile dysfunction or impotence problems get an erection only when he is sexually excited or stimulated. Kamagra can also help in maintaining the erection longer during intercourse and provides a heightened sensitivity and awareness during sex.
Why Kamagra Oral Jelly?
Kamagra Oral Jelly is a brand name for Ajanta’s Sildenafil Citrate Oral Jelly. The product is in a gel form, meant to be consumed orally and should be allowed to dissolve in the oral cavity before it is
swallowed. Being a liquid it is more easily swallowed than tablets and therefore suitable for elderly people and also people who have difficulty in swallowing. Holding the liquid in the mouth results in buccal cavity absorption, bypassing the hepatic metabolism thus leading to faster systemic circulation and faster onset of action and also a reduction in gastric irritation compared to tablets.
Kamagra jelly AvailabilityWhatever your reasons and whatever your lifestyle – Kamagra oral jelly is for you and kamagra-kamagra is the best online kamagra store for you to purchase your cheap kamagra.
Oral Jelly Sachets come in three great flavors BANANA, VANILLA, ORANGE & PINEAPPLE. Due to our buying power we are able to stock and supply all the
flavors to ensure you person choice is meet. These Jells are without doubt the easiest way to take kamagra and will work faster than any other product. Simply open the sachet and drink the liquid.
Kamagra is a discreet method for the treatment of male erectile dysfunction, often called impotence. It is a real breakthrough treatment that can help many men who have erectile dysfunction to get and keep an erection when they are sexually aroused. Chemically, it contains citrate salt of Sildenafil same active ingredient used in Viagra
Kamagra Oral Jelly
Kamagra Gel or Jelly is a liquid, like kamagra tablets it is still taken orally, however being a liquid it disperses into your system quicker giving a faster, more effective reaction. We offer great deals on kamagra oral jelly if you wish to purchase more.
is an effective and safe to multiply your testosterone by 500%.
Benefits:
Increased Testosterone Production;
Increased Sex Drive in Men and Women.
How Taken
As a dietary supplement, take 3 capsules upon rising with a glass of water, and 3 capsules at bed time with a glass of water.
Drug Class and Mechanism
Manipulating the tendency of a testosterone to exist in an unbound state is an effective way to alter the overall activity and potency of ones overall testosterone levels. Higher levels of testosterone produce an enhanced anti-glucocorticoid effect, which yields an anti-catabolic, or more precisely, anti-proteoolytic, effect on muscle cells. This indirect anabolic effect is the result of testosterone high affinity for binding with glucocorticoid receptors, thus blocking the normal messenger pathway that triggers protein release from muscle tissue.
More free testosterone also likely results in higher concentrations of IGF-1 and IGF-1 receptor sites in skeletal muscle tissue. Correspondingly, lower testosterone also likely yields less IGF-1 production and a corresponding decrease in IGF-1 receptor sites. Lower free testosterone also likely means a weaker immune system.
Missed Dose
If you miss a dose of Herbal Testosterone, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Storage
Store Herbal Testosterone at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Keep Herbal Testosterone out of the reach of children and away from pets.
Warnings Precautions
Seek the advice of a health care professional if you have any medical condition.
Possible Side Effects
This product contains only 100% pure pharmaceutical grade ingredients and is regularly tested to ensure the safety and quality. Each ingredient has been approved as safe by the FDA and all appear on the FDA’s GRAS (Generally Recognized As Safe) list. This product is manufactured in the USA under stringent GMP guidelines that have been set by the FDA. Each bottle comes with a 2 year expiration date and is double sealed to ensure freshness and potency.
More Information
Because Herbal Testosterone is an all natural nutritional supplement containing only the finest nutritional ingredients, there is no need to obtain a prescription
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
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 also taking or using 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 any other medicine for erectile dysfunction; certain antifungal medicines such as itraconazole or ketoconazole; macrolide antibiotics such as clarithromycin or erythromycin; medicine for high blood pressure; “water pills” such as bendrofluazide or hydrochlorothiazide; certain alpha-blocker medicines such as alfuzosin, doxazosin, prazosin, or terazosin; or HIV protease inhibitors such as ritonavir or indinavir.
Do not start or stop any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions including penis problems; history of painful or prolonged erection; any heart problems; kidney problems; stomach ulcers; bleeding problems; blood cell problems such as sickle cell anemia, leukemia, or myeloma; eye diseases, especially retina diseases such as retinitis pigmentosa; uncontrolled high blood pressure; or allergies.
Use of this medicine is not recommended if you have a history of angina or chest pain, heart attack, stroke, low blood pressure, severe liver problems, or if you have been told by your healthcare provider to not have sexual activity because of certain health problems. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.
Directions
Follow the directions for using this medicine provided by your doctor. This medicine comes with a patient information leaflet. 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 before sexual activity as directed by your doctor. Do not take this medicine more often than once daily. If you are taking certain other medicines you may only be able to take this medicine one time every two or three days. Contact your doctor or pharmacist for more information. This medicine may be taken on an empty stomach or with food.
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.
Cautions
Do not take this medicine if you have had an allergic reaction to it or are allergic to any ingredient in this product. This medicine may rarely cause dizziness or 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. Alcohol may increase your risk for side effects, including headache, dizziness, or lightheadedness. Avoid excessive amounts of alcohol when using this medicine. Ask your doctor or pharmacist for more information.
Do not exceed the recommmended dose without checking with your doctor. Your dose is based on your medical condition, response to therapy, and the other medicines you are taking. Sexual activity may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any symptoms while having sex, stop having sex and tell your doctor immediately. These symptoms include severe dizziness, fainting, chest pain, or nausea. 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.
Possible side effects
Side effects that may occur while taking this medicine include headache, flushing, stomach upset or nausea, heartburn, stuffy or runny nose, back pain, muscle pain, or vision changes such as trouble telling the difference between blue and green or seeing a blue tinge to objects. If these continue or are bothersome, check with your doctor. 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 may 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.
If you take too much
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.
Additional information
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.
Drug interactions
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. 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.
Viagra Soft Tabs are used to treat impotence in men by increasing the body’s ability to achieve and maintain an erection during sexual stimulation.
How Taken
Take Viagra Soft Tabs in the mouth as needed 10 – 20 minutes before sexual activity. The manufacturer recommends a maximum of 1 dose per day (1 dose every 2 days for those taking ritonavir).
Drug Class and Mechanism
Soft Tabs Viagra are oral lozenges containing quick-dissolving compounds. As with the standard Viagra, Generic Soft Tabs Viagra will stimulate the dopamine receptors in the hypothalamus and mid-brain, enhancing the natural erection process.
Excitory signals are then transmitted down the spinal cord to the sacral parasympathetic nucleus, stimulating parasympathetic activity of the sacral nerves supplying the penis. The penile smooth muscle then relaxes, and the pelvic arteries dilate. Dilated arteries of the penis fill with blood, and corpora cavernosa engorges, and the penis becomes erect.
Missed Dose
Viagra is used as needed, so you are not likely to miss a dose. If you miss a dose of Viagra, take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
Storage
Keep Viagra Soft Tabs in its original container. Store at 25 degrees C (77 degrees F); excursions permitted to 15-30 degrees C (59-86 degrees F). Keep out of the reach of children.
Warnings Precautions
Do not take Viagra Soft Tabs if you are taking any nitrate-based drug, including nitroglycerin patches (Nitro-Dur, Transderm-Nitro), nitroglycerin ointment (Nitro-Bid, Nitrol), nitroglycerin pills (Nitro-Bid, Nitrostat), and isosorbide pills (Dilatrate-SR, Isordil, Sorbitrate). Combining Viagra with these drugs can cause a severe drop in blood pressure.
If you have heart problems severe enough to make sexual activity a danger, you should avoid using Viagra Soft Tabs. Use it cautiously if you’ve had a heart attack, stroke, or life-threatening heart irregularities within the past 6 months. Be equally cautious if you have severe high or low blood pressure, heart failure, or unstable angina.
If you take Viagra Soft Tabs and develop cardiac symptoms (for example, dizziness, nausea, and chest pain) during sexual activity, do not continue. Alert your doctor to the problem as soon as possible.
If you have a condition that might result in long-lasting erections, such as sickle cell anemia, multiple myeloma (a disease of the bone marrow), or leukemia, use Viagra Soft Tabs with caution. Also use cautiously if you have a genital problem or deformity such as Peyronie’s disease. If an erection lasts more than 4 hours, seek treatment immediately. Permanent damage and impotence could result.
If you have a bleeding disorder, a stomach ulcer, or the inherited eye condition known as retinitis pigmentosa, use Viagra Soft Tabs with caution. Its safety under these circumstances has not yet been studied.
Possible Side Effects
If you experience any of the following serious side effects, stop taking Viagra Soft Tabs and seek emergency medical attention or notify your doctor immediately:
an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
chest pain or an irregular heartbeat;
swelling of the ankles or legs;
shortness of breath;
prolonged or severe dizziness;
a prolonged (lasting longer than 4 hours) or painful erection; or
dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw).
Other, less serious side effects may be more likely to occur. Continue to take Viagra Soft Tabs and talk to your doctor if you experience
flushing;
mild dizziness;
headache;
nasal congestion;
diarrhea;
temporary blue tint in vision or other vision abnormalities; or
itching or a rash.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
More Information
If you are over 65 years of age, you may be more likely to experience side effects from Viagra. Your doctor may prescribe a lower dose of this medication.
Cialis Professional is a newly formulated and chemically improved prescription medicine that is taken orally for the treatment of erectile dysfunction only in men, extremely enhancing male sexual activity that is resulted in boosted penile potency, multiplied orgasms and increased penis size.
Benefits:
36-48 Hour’ Response Period;
Sexual Concentration Peak;
Penile Nerves Angered;
Non-Stoppable Desire ;
Innerved Male Stamina;
Rapid Chemical Uptake;
Sensational Hardness and Firmness;
Prolonged Sexual Activity;
Piece and Fantasy in Mind.
How Taken
Cialis Professional will help the vast majority of erectile dysfunction sufferers regain the ability to achieve and maintain fantastic erections, sufficient enough to improve their lovemaking experience.
Taking Cialis Professional about 20 minutes to 30 minutes before your sexual intercourse will make you feel comfortable and eager to experience all the recreational amenities , connected with the pleasuring your second half in the way you like.
Note, than Cialis Professional is indifferent to any high-fat meal (such as fish & chips, cheeseburger or French fries) or drinks. Cialis Professional allows you to respond to your partner when the moment is right. You can take Cialis Professional in advance so you and your partner can take your time to let an intimate moment develop spontaneously.
Drug Class and Mechanism
Cialis Professional enhances the effect of nitric oxide at the nerve ending and endothelial cells in the corpus cavernosum by inhibiting phosphodiesterase type 5 in the corpus cavernosum of the penis. This results in vasodilation, increased inflow of blood into the corporus cavernosum, and ensuing penile erection upon sexual stimulation.
Thus, by relaxing the smooth muscle of the blood vessels to the fullest, the amplified blood flow to the penis will promote your erection and sexual state to unbelievable borders.
If you experience some lapses in your sexual life, please, do not hesitate or make your life worse. Just a pill will cure all your doubts and restore the life you will not help enjoying.
Missed Dose
If you miss a dose of Cialis Professional, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Storage
Store Cialis Professional at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Keep Cialis Professional out of the reach of children and away from pets.
Warnings Precautions
Do not use Cialis Professional if:
you are allergic to any ingredient in Cialis Professional;
you have severe liver problems or certain hereditary degenerative eye problems (e.g., retinitis pigmentosa);
you have certain heart problems (e.g., unstable angina, angina during sexual intercourse, severe heart failure, uncontrolled irregular heartbeat), low blood pressure, or uncontrolled high blood pressure;
you have had a heart attack within the past 90 days or a stroke within the past 6 months;
you are taking nitrates (e.g., isosorbide, nitroglycerin) in any form (e.g., tablet, capsule, patch, ointment) or nitroprusside;
you have been advised by your doctor to avoid sexual activity because of heart problems;
you use certain recreational drugs called poppers (e.g., amyl nitrate, butyl nitrate).
Contact your doctor or health care provider right away if any of these apply to you.
Important :
Cialis Professional may cause dizziness, drowsiness, fainting, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Cialis Professional with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
Cialis Professional may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
Do not drink large amounts of alcohol (e.g., 5 drinks or more) while you take Cialis Professional. Doing so may increase your risk of dizziness, headache, fast heartbeat, and low blood pressure.
Do not use other medicines or treatments for erectile dysfunction while you are taking Cialis Professional.
Cialis Professional does not stop the spread of HIV or other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control (e.g., condoms) if you have HIV infection or an STD.
Cialis Professional will not prevent pregnancy. If your partner may become pregnant and you wish to avoid pregnancy, be sure to use an effective form of birth control.
Use Cialis Professional with caution in the elderly; they may be more sensitive to its effects.
Cialis Professional is not recommended for use in children; safety and effectiveness in children have not been confirmed.
Pregnancy and breast-feeding: Cialis Professional is not approved for use in women. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Cialis Professional while you are pregnant. It is not known if Cialis is found in breast milk. If you are or will be breast-feeding while you use Cialis Professional, check with your doctor. Discuss any possible risks to your baby
Possible Side Effects
If you experience any of the following serious side effects, stop taking Cialis Professional and seek emergency medical attention or notify your doctor immediately:
an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
chest pain or an irregular heartbeat;
swelling of the ankles or legs;
shortness of breath;
prolonged or severe dizziness;
a prolonged (lasting longer than 4 hours) or painful erection; or
dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw).
Other, less serious side effects may be more likely to occur. Continue to take Cialis Professional and talk to your doctor if you experience
flushing;
mild dizziness;
headache;
nasal congestion;
diarrhea;
temporary blue tint in vision or other vision abnormalities; or
itching or a rash.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
More Information
The efficacy and safety of Cialis Professional for the treatment of erectile dysfunction was assessed in a 6-month study. Men with mild, moderate or severe erectile dysfunction were given Cialis Professional (20 mg) as needed or placebo.
Cialis Professional significantly improved erectile function compared with placebo. At the end of the study, sexual intercourse attempts success rate for those using Cialis Professional was 73.5% (this only refers to the ability to achieve erection and have intercourse, not speaking about other advantages of Cialis Professional.
Viagra Professional is a new generation extra-strength prescription medicine that is taken orally for the treatment of erectile dysfunction only in men, powerfully activating the natural blood flow, followed by hardness and expansion of your sexually excited penis for peak sexual performance.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
• anatomical deformity of the penis, Peyronie’s disease, or ever had an erection that lasted more than 4 hours
• benign prostatic hypertrophy (BPH)
• bleeding disorder
• cancer
• diabetes
• frequent heartburn or gastroesophageal reflux disease (GERD)
• heart disease, angina, high or low blood pressure, a history of heart attack, or other heart problems
• high cholesterol
• kidney disease
• liver disease
• sickle cell disease
• stomach or intestinal ulcer
• stroke
• eye or vision problems, including a rare inherited eye disease called retinitis pigmentosa
• an unusual or allergic reaction to sildenafil, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding
How should I take this medicine?
Take sildenafil tablets by mouth. Follow the directions on the prescription label. The dose is usually taken 1 hour before sexual activity. You should not take this dose more than once per day. Swallow the tablets with a drink of water. Do not take double or extra doses.
Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.
What drug(s) may interact with sildenafil?
Do not take sildenafil if you are taking the following medications:
• nitroglycerin-type drugs for the heart or chest pain such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, even if these are only taken occasionally
Sildenafil may also interact with the following medications:
• alpha blockers, used for high blood pressure or an enlarged prostate. NOTE: Do not take doses of sildenafil higher than 25 mg within 4 hours of taking alpha blockers, such as alfuzosin (UroXatral®), doxazosin (Cardura®), prazosin (Minipress®), or terazosin (Hytrin®).
• bosentan
• certain drugs used for seizures such as carbamazepine, phenytoin, and phenobarbital
• certain drugs used for fungal or yeast infections, such as fluconazole, ketoconazole, and voriconazole
• certain drugs for the treatment of HIV infection or AIDS
• cimetidine
• cisapride
• clarithromycin
• diltiazem
• erythromycin
• grapefruit juice
• mibefradil
• monoamine oxidase inhibitors (Azilect®, Eldepryl®, Emsam®, Marplan®, Nardil®, Parnate®, Zelapar™)
• nitroprusside
• rifabutin
• rifampin
• quinidine
• some drugs for treating depression, anxiety or other mood problems (examples: fluoxetine, fluvoxamine, nefazodone)
• verapamil
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
What side effects may I notice from taking sildenafil?
Side effects that you should report to your prescriber or health care professional as soon as possible:
•changes in vision such as loss of vision, blurred vision, eyes being more sensitive to light, or trouble telling the difference between blue and green objects or objects having a blue color tinge to them
•difficulty breathing, shortness of breath
•chest pain or palpitations
•prolonged erection (lasting longer than 4 hours)
•skin rash, itching
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
•diarrhea
•dizziness
•flushing
•headache
•indigestion
•nasal congestion
What should I watch for while taking sildenafil?
If you notice any changes in your vision while taking this drug, notify your prescriber or health care professional as soon as possible. Stop using sildenafil right away if you have a loss of sight in one or both eyes. Contact your healthcare provider immediately.
Contact you physician immediately if the erection lasts longer than 4 hours or if it becomes painful. This may be a sign of priapism and must be treated immediately to prevent permanent damage.
If you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after sildenafil use, you should refrain from further activity and should discuss the episode with your prescriber or health care professional as soon as possible.
Do not change the dose of your medication. Please call your prescriber or health care professional to determine if your dose needs to be reevaluated.
Using Viagra® (sildenafil) does not protect you or your partner against HIV infection (the virus that causes AIDS) or other sexually transmitted diseases.
Where can I keep my medicine?
Keep out of reach of children in a container that small children cannot open.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.
LEVITRA is an FDA-approved oral prescription medication for the treatment of erectile dysfunction (ED) in men. It is available in 2.5-mg, 5-mg, 10-mg, and 20-mg tablets and is taken only when needed. Take LEVITRA no more than once a day.
What LEVITRA does:
LEVITRA helps increase blood flow to the penis, so it may help men with ED get and keep an erection that lasts long enough to finish having sex. Once a man has completed sexual activity, blood flow to his penis should decrease and his erection should go away
LEVITRA has been clinically shown to improve erectile function, even in men who had other health factors, like high cholesterol, high blood pressure, or diabetes
LEVITRA provided first-time success and reliable improvement of erection quality for many men, including those with high cholesterol, high blood pressure, or diabetes
Men taking LEVITRA reported having harder erections and greater success at maintaining their erections long enough to finish having sex
A lot of men who took LEVITRA were successful the first time they tried it. It’s for the man who needs a little help once in a while and the man who needs more frequent help.
LEVITRA:
Works for many men with a broad range of conditions, including high cholesterol
Works for most men, including those taking one or more types of blood pressure medication (ask your doctor about drug interactions)
Works for many men with type 1 or type 2 diabetes, across all levels of ED severity
May work when other oral treatments do not
LEVITRA is a proven, effective treatment that works for most men. And it has been taken with medications used to treat other common medical conditions (ask your doctor about drug interactions). So why not see your doctor and find out for yourself?
What is the most important information I should know about Cialis?
Do not take Cialis if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite (“poppers”). Taking Cialis with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack. If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of Cialis. Do not take Cialis more than once a day. Allow 24 hours to pass between doses. Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.A small number of patients have had a sudden loss of eyesight after taking Cialis. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether Cialis is the actual cause of such vision loss. Sudden vision loss with Cialis use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.
Stop using Cialis and get emergency medical help if you have sudden vision loss.
What is Cialis?
Cialis relaxes muscles and increases blood flow to particular areas of the body.
Cialis is used to treat erectile dysfunction (impotence).
Cialis may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Cialis?
Do not take Cialis if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite (“poppers”). Taking Cialis with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.A small number of patients have had a sudden loss of eyesight after taking Cialis. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether Cialis is the actual cause of such vision loss. Sudden vision loss with Cialis use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.
Before taking Cialis, tell your doctor if you have:
heart disease or heart rhythm problems;
a recent history a heart attack (within the past 90 days);
a recent history of stroke or congestive heart failure (within the past 6 months);
angina (chest pain);
high or low blood pressure;
liver disease;
kidney disease (or if you are on dialysis);
a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
a bleeding disorder such as hemophilia;
a stomach ulcer;
retinitis pigmentosa (an inherited condition of the eye);
a physical deformity of the penis (such as Peyronie’s disease); or
if you have been told you should not have sexual intercourse for health reasons.
If you have any of these conditions, you may not be able to use Cialis or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category B: Although Cialis is not for use in women, this medication is not expected to be harmful to an unborn baby. Do not use Cialis without telling your doctor if you are pregnant or plan to become pregnant during treatment. Although Cialis is not for use in women, it is not known if Cialis passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. You may need a lower dose of this medication if you are older than 65. Follow your doctor’s instructions.
How should I take Cialis?
Take Cialis exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor.
Take each dose with a full glass of water.Cialis can be taken with or without food.
Cialis is usually taken only when needed, just before sexual activity. The medication can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor’s instructions.
Do not take Cialis more than once a day. Allow 24 hours to pass between doses. Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis. Store this medication at room temperature away from moisture and heat.
What happens if I miss a dose of Cialis?
Since Cialis is used as needed, you are not likely to be on a dosing schedule.
What happens if I overdose with Cialis?
Seek emergency medical attention if you think you have used too much of this medicine.Symptoms of a Cialis overdose may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.
What should I avoid while taking Cialis?
Avoid drinking alcohol, which can increase some of the side effects of Cialis.Grapefruit and grapefruit juice may interact with Cialis. Discuss the use of grapefruit products with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
Do not use any other drug to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), unless your doctor tells you to.
What are the possible side effects of Cialis?
If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of Cialis. Stop using Cialis and get emergency medical help if you have sudden vision loss. Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.Stop using Cialis and call your doctor at once if you have any of these serious side effects:
chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
irregular heartbeat;
swelling in your hands, ankles, or feet;
shortness of breath;
vision changes;
feeling light-headed, fainting; or
penis erection that is painful or lasts 4 hours or longer.
Continue taking Cialis and talk with your doctor if you have any of these less serious side effects:
warmth or redness in your face, neck, or chest;
stuffy nose;
headache;
upset stomach; or
back pain.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Cialis?
Before taking Cialis, tell your doctor if you are using any of the following medications:
cimetidine (Tagamet, Tagamet HB);
erythromycin (E-Mycin, Eryc, Ery-Tab) or clarithromycin (Biaxin);
HIV medicines such as amprenavir (Agenerase), tipranavir (Aptivus), darunavir (Prezista), efavirenz (Sustiva), nevirapine (Viramune), indinavir (Crixivan), saquinavir (Invirase, Fortovase), lopinavir/ritonavir (Kaletra), fosamprenavir (Lexiva), ritonavir (Norvir), atazanavir (Reyataz), or nelfinavir (Viracept);
itraconazole (Sporanox) or ketoconazole (Nizoral);
carbamazepine (Tegretol), phenobarbital (Luminal), or phenytoin (Dilantin); or
rifampin (Rifadin, Rimactane).
If you are using any of these drugs, you may not be able to take Cialis, or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect Cialis. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Where can I get more information on Cialis?
Your pharmacist has additional information about Cialis written for health professionals that you may read.
What does my medication look like?
Tadalafil is available with a prescription under the brand name Cialis. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
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