Making Lust Last

30 01 2008

erectile dysfunction

By Keith Ablow, M.D.

Good Housekeeping Magazine Logo
Rekindling Passion For The Husband You Still Love

People sometimes tell me they know a couple married 20 years whose sex life
is still as good as it ever was. Here’s what I tell them in return: “There
are only three possibilities. One: This couple is lying. Two: They are telling
the truth, because they didn’t have good sex to begin with. Or three: Sex is
all they really have together. They never connected emotionally.”

I’ve drawn that erectile dysfunction tabs
by listening to the many dozens of husbands and
wives I’ve counseled, almost all of whom have admitted that after 10 or 20
years of marriage, passion became elusive.

Sharing lives is different from sharing dinners and long walks and weekends
away. When you were dating the man you ultimately married, you were both acting
much of the time (consciously or not), putting your best feet forward in order
to be attractive to each other.

When you were sick or had a bad headache, you probably pretended it was no
big deal. So did he. Now when your stomach is upset, you feel free to tell him
you’re about to throw up.

When you had an argument with a close friend or your sister, you might have
told him, “It really wasn’t the best day, but it’s getting better now that
we’re together.” He might have smiled, taken your hand, and said, “Tell
me what happened. I want to know.” Now when he asks how your day was, you
might just say, “Fine,” and leave it at that. And he might be happy to
leave it at that too.

Nobody would write that kind of dialogue into a romantic movieunless it was
a sad or serious one. But that’s how married people generally talk because no
one can always act adoring or keep up an air of mystery while sharing the same
space with his or her spouse, year after year. Here are the truths about sex,
as I’ve learned from years of counseling, for most married couples:

Love is constant; passion needs recharging

No surprise: Everything in the universe eventually demagnetizes when left in
proximity to something of the opposite charge. Magnets do, and men and women do
too. Some people fall out of lust in seven days, never mind seven yearsor 17.
Basic animal ed tabs
is a force of nature that seems designed to make us
matenot mate for life. Relaxing in our marriages and freeing ourselves from
the pressure of trying to impress our partners has a predictable outcome: Our
partners are not impressed. The magnetic spell we once cast on them begins to
lift.

Cozy is comfortable, but not sexy

To the extent that men and women become real to each other, they cease to be
princes and princesses, gods and goddesses who inspire romantic fantasies or
amorous worship. Since couples lucky enough to be emotionally genuine with each
other share so many real moments, they need to pay special attention to
creating magical erectile dysfunction drugs
great sex requires magic. I’d never suggest that
a couple trade their warm, safe home life for better sex. Why keep your
distance just so you can make love with abandon? I believe you can have a close
marriage and recapture a good sex lifebut only once you admit that reigniting
romance takes creativity and a commitment of time and energy.

Intimacy doesn’t equal sex

When a man and a woman reveal themselves to each other, it makes each person
feel more vulnerable. And, particularly for men, it’s hard to have amazing sex
while feeling emotionally exposed. Our earliest experiences with being close
come from our relationships with parents. And those relationships aren’t (in
any normal scenario) linked with sexual passion. That’s why some husbands and
wives are open about what pleases them sexually only when they have affairs.
They feel as if they have to be free of “family” to be free with their
amorous impulses.

Read another articles about erectile disfunction medicine.



Why Women Lose Interest in Sex

29 01 2008

erectile dysfunction

Living with libido loco? For a growing number of women,
declining hormones, job stress, relationship issues, menopause, and other
problems are taking their toll in the bedroom.

Loss of sexual desire, known in medical terms as hypoactive
sexual desire disorder (HSDD), is the most common form of sexual dysfunction
among women of all ages. A recent study showed that nearly one-third of women
aged 18 to 59 suffer from a lost interest in sex, and it’s not all in their
heads.

Unlike men’s main sexual complaint, erectile dysfunction,
women’s biggest sexual problem is caused by a combination of both mental and
physical factors, which aren’t likely to be cured by merely popping a pill.

“Women’s sexuality tends to be multifaceted and fairly
complicated,” says sex psychologist Sheryl Kingsberg, PhD. “Although we
would love to simplify it so we could have the one-two or even a one-punch
treatment, it doesn’t tend to work that way.”

But the introduction of citrate pfizer sildenafil treatments in the last
few years has spurred more research into the causes of sexual dysfunction among
both men and women, and effective therapies are available to help put the lust
back into women’s lives.

What Is Low Sexual Desire?

Contrary to popular belief, experts say frequency of sexual
intercourse has nothing to do with sexual desire or satisfaction.

“One of first things I do in speaking to women who come in
with sexual concerns is let them know that there is no normal frequency or set
of behaviors and things change with time,” says Jan Shifren, MD, an
assistant professor at Harvard Medical School. “If it’s working for them
and/or their partner, there is no problem.”

But when a woman experiences a significant decrease in interest
in sex that is having an effect on her life and is causing distress, then it’s
considered a problem of low sexual desire or HSDD.

Kingsberg says that sexual desire is more than just an issue of
low libido or sex drive. She says sexual drive is the biological component of
desire, which is reflected as spontaneous sexual interest including sexual
thoughts, erotic fantasies, and daydreams.

Kingsberg, who is an associate professor of viagra online bestellen

biology at the Case Western Reserve School of Medicine says, “It’s about
your body signaling that it wants to be sexual. Whether or not there is any
intention to act on it, we all have a certain level of drive.”

That sexual drive declines naturally with age based on
physiological factors. But sexual desire also encompasses interpersonal and
psychological factors that create a willingness to be sexual.

“Above and beyond horniness, it is the sense of intimacy in
the relationship,” says Kingsberg. “If you are mad at your spouse, you
could be horny but you’re not going want to be sexual with that particular
person.”

Therefore, all of these aspects of sexual desire must be
examined in order to determine the root of the problem.

Common causes for a loss of sexual desire and drive in women
include:

  • Interpersonal relationship issues. Partner performance problems,
    lack of emotional satisfaction with the relationship, the birth of a child, and
    becoming a caregiver for a loved one can decrease sexual desire.
  • Sociocultural influences. Job stress, peer pressure, and media
    images of sexuality can negatively influence sexual desire.
  • Low testosterone. Testosterone affects sexual drive in both men and
    women. Testosterone levels peak in women’s mid-20s and then steadily decline
    until menopause, when they drop berman sister female viagra study.
  • Medical problems: Mental illnesses such as depression, or medical
    conditions, such as endometriosis, fibroids, and thyroid disorders, impact a
    woman’s sexual drive both mentally and physically.
  • Medications: Certain antidepressants (including the new generation
    of SSRIs), blood pressure lowering drugs, and oral over the counter erectile dysfunction drug can lower
    sexual drive in many ways, such as decreasing available testosterone levels or
    affecting blood flow.
  • Age. Blood levels of androgens fall erectile dysfunction treatment
    in women as they
    age.

erectile dysfunction medicine



Reducing Medication Costs - Topic Overview

28 01 2008

viagra cialis

diabetes,
high blood pressure, and low back pain, require fewer
medications if you can increase your activity level, lose weight, and improve
your diet. For some people who have type 2 diabetes, simple measures such as
eating a balanced diet that spreads
carbohydrate throughout the day and exercising
regularly can help keep your blood sugar level within a safe range without
insulin or other medications. Likewise, following a
particular eating plan and lowering your salt intake has been proven to lower
blood pressure.1

How can I save money on prescriptions?

Generic medications are less expensive
copies of brand-name medications. Ask your doctor if you can take a
generic equivalent for the brand-name medication that
you take now. Generic equivalents are made according to the same strict U.S.
Food and Drug Erectile pill (FDA) standards as brand-name drugs and therefore
have the same quality, strength, purity, and stability as their more expensive
counterparts.

Unfortunately, generic equivalents are not available for every
brand-name medication. If there is not an equivalent, ask your doctor if there
is a similar medication in the same class that may be less expensive or that
has a generic equivalent. For example, Flomax, which is used to treat an
enlarged prostate, is a relatively expensive medication that does not have a
generic equivalent. However, another medication that also is used for enlarged
prostate, Hytrin, does have a less expensive generic equivalent.

Always shop around for the best deal on
medications. The retail cost of medications can vary widely from pharmacy to
pharmacy. While finding a good deal is important, it’s also important that your
pharmacist (or pharmacists) knows your medical history, including all the
drugs-both prescription and nonprescription, as well as dietary supplements and
herbs-you take, even if they are not dispensed at that particular pharmacy.
That way he or she can provide valuable advice about any potential for drug
interactions, side effects, or other problems.

Also, compare costs of buying medications online. Some large
drugstore chains have Web sites that offer savings. See a complete list of Web
sites on the National Association of Boards of Pharmacy (NABP) site at
http://www.nabp.net/vipps/consumer/search.asp. Look for Web sites that display
the NABP VIPPS (Verified Internet Pharmacy Practice Sites) seal, which means
they have met state and federal requirements.

The U.S. Medicare Web site, http://www.medicare.gov, has a useful
tool for comparing prices of hundreds of prescription drugs and generic
equivalents at pharmacies near you and also available by mail order. You can
access this information by answering “Yes” to the question “Do you have
Medicare?” and entering your Zip code. The Web site requires that you answer
several screens of questions and have some familiarity with computers. People
who have difficulty can call 1-800-MEDICARE (1-800-633-4227) to receive lists
of prices for the drugs they use.

Pill splitting is another strategy that
can help you save money without losing drug generic erectile dysfunction drug or safety. Some
tablets are available at double the dose and at the same or almost the same
cost as lower doses. By splitting the larger dose, you can essentially get two
doses for the price of one. However, many medications are not suitable for pill
splitting, including ed medicine
pills and capsules. The chart below lists 10
commonly prescribed medications that researchers have determined can be split
safely and effectively with significant cost savings.2

Medications that can be split to save
money

Medication Most commonly
prescribed for:
Savings
Clonazepam (Klonopin) Panic disorder, epilepsy 41%
Doxazosin (Cardura) Hypertension 46%
Citalopram (Celexa) Depression 46%
Atorvastatin (Lipitor) High cholesterol 33%
Paroxetine (Paxil) Depression 46%
Pravastatin (Pravachol) High cholesterol 23%
Sildenafil (Viagra) Erectile dysfunction 50%
Lisinopril (Zestril) Heart failure, high blood
pressure
38%
Sertraline (Zoloft) Depression 46%
Olanzapine (Zyprexa) Sildenafil citrate and discount, bipolar disorder 31%

Ask your doctor or pharmacist if any of your prescription
medications are sold at higher dosages and if it’s possible to split them. Talk
to your pharmacist about how to split pills with an inexpensive, easy-to-use
pill
splitter.

Buying prescriptions in bulk can also
save you money. Ask your doctor to write a prescription for several months’
supply of medications that you take consistently. Mail-order services can often
save you money on large orders.

Are prescription medications always necessary?

There may be an over-the-counter alternative for your
prescription medication. For example, nonprescription Aleve is a fraction of
the cost of the prescription equivalent Naprosyn. (Generic versions of
over-the-counter medications can save you even more money.) Often
nonprescription equivalents of prescription medications come in lower
strengths, so get instructions from your doctor on how to take them.

In the case of antibiotics, recent research has found that
antibiotics are not always necessary. For example, up to 80% of ear infections
get better without antibiotics.3 Your doctor might
recommend that you take a wait-and-see approach before buying expensive
antibiotics. Likewise, randomized trials show that 69% of people who had
uncomplicated sinus infection recovered without any antibiotics.4

Can I save money by purchasing prescription medications from Canada? Is it safe?

The answer to the first question is “Yes.” You can buy most
prescription medications, either over the Internet, by mail order, or in
person, for less money from Canadian pharmacies than from their U.S.
counterparts. Whether it is legal to do so remains controversial.

The FDA warns that the safety of drugs bought from other
countries cannot be ensured. However, many doctors acknowledge that Canada also
demands safety and efficacy for medications, and they would rather their
patients buy medications from Canada than have to skip doses because they can’t
afford their medications. U.S. citizens have been buying medications in Canada
for years, although officially federal law prohibits the practice. Currently,
the U.S. Customs Service allows Americans to bring a 90-day supply of
prescription drugs across the Canadian borders for personal use.5

Talk to your doctor if you decide to import your medications, and
be sure to buy only from licensed Canadian pharmacies and wholesalers.

How can my doctor help?

To enlist your doctor’s help, tell him or her that your
prescription medication bill is a financial burden. Ask for drugs that are less
expensive but just as effective. Often, several medications can be used to
treat the same condition, and your doctor may be able to prescribe the one that
is the most economical. For example, researchers have found that older, less
expensive antibiotics such as amoxicillin work better than newer antibiotics
for children who need treatment for middle ear inflammation.6

Often, drug companies give doctors medication samples free of
charge. You might ask your doctor if he or she has medication samples,
especially when you are trying out a new medication to see whether it will
work.

How can my insurance plan help save me money?

Take time to find out about how your medical insurance or
managed health care plan covers medication costs. Some insurance companies
cover only generic medications if they are available. With some insurance
plans, you may have to pay more for medications that are not on the plan’s list
of preferred medications. Some insurers cover medications that are bought only
at participating pharmacies. Your insurance company also may not pay for
certain medications such as weight-loss and hair-growth drugs. Ask the customer
service representative whether your medications are covered, whether you need
to buy at participating pharmacies, and about your copayment. Many insurance
companies also list this information on their Web sites.

If you have a choice between plans, check what your copayment for
prescription drugs will be, the maximum amount the plan will pay in a year, and
other particulars. Choose the plan that best suits your needs. When buying
medications, find out which payment option will be the least expensive. Some
factors to consider include whether there is a generic version of a preferred
medication, and whether an over-the-counter equivalent is cheaper than your
copayment. Remember, having the right information can save you time and
money.

What about the Medicare drug program?

Beginning in January 2006, a new Medicare drug program-the
Medicare Part D prescription drug benefit-will begin. For the most current
information about what the Medicare Part D Act means for you, go to
http://www.medicare.gov or call 1-800-MEDICARE. Your doctor, pharmacist, or
social worker may also be able to help you understand
your Medicare benefits.

What other resources are available?

See whether the dysfunction pills
company that makes your
medication has a patient assistance program. Many pharmaceutical companies
offer free or discounted drugs for people who cannot afford them. These
companies often require that your doctor contact them first about your case. In
any case, your doctor will need to be involved, and the application process can
be complex. You may need to provide documentation to verify your income. The
nonprofit organization RxAssist provides doctors and other health care
providers with the information they need to access these programs. You can find
out more at http://www.rxassist.org. This Web site
also lists state programs for seniors and disabled and low-income people.

If you have a rare disease, you may be eligible for the National
Organization for Rare Disorders (NORD) medication assistance program. This
program helps people with rare diseases whose income is too high to qualify for
Medicaid but too low to pay for their prescribed medications. For more
information, visit http://www.rarediseases.org/programs/medication.

Most veterans know that the Veterans Administration offers
prescription drug coverage for retired veterans. But many people don’t know
that the same service is available for their families and survivors. Call the
VA Health Benefits Service Center toll-free at 1-877-222-VETS (8387), or go to
http://www1.va.gov/health_benefits/.

Some organizations offer special discounts on prescription drugs
for their members. For example, members of AARP save 17% on brand drugs and at
least 50% on generic drugs. Also, many pharmacies offer some form of a discount
plan for seniors.

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Sexual Health: Sexual Problems in Women

27 01 2008

viagra cialis

A sexual problem, or sexual dysfunction, refers to a problem
during any phase of the sexual response cycle that prevents the individual or
couple from experiencing satisfaction from the sexual activity. The sexual
response cycle has four phases: excitement, plateau, orgasm, and
resolution.

While research suggests that sexual dysfunction is common (43%
of women and 31% of men report some degree of difficulty), it is a topic that
many people are hesitant to discuss. Fortunately, most cases of sexual
dysfunction are treatable, so it is important to share your concerns with your
partner and doctor.

What Causes Sexual Problems?

Sexual dysfunction can be a result of a physical or
psychological problem.

  • Physical causes. Many physical and/or medical conditions can cause
    problems with sexual function. These conditions include diabetes, heart
    disease, generic viagra usa diseases, hormonal imbalances, menopause, chronic
    diseases such as kidney disease or liver failure, and alcoholism and drug
    abuse. In addition, the side effects of certain medications, including some
    antidepressant drugs, can affect sexual desire and function.
  • Psychological causes. These include viagra sample
    stress and anxiety,
    concern about sexual performance, marital or relationship problems, depression,
    feelings of guilt, and the effects of a past sexual trauma.

Who Is Affected by Sexual Problems?

Both men and women are affected by sexual problems. Sexual
problems occur in adults of all ages. Among those commonly affected are those
in the geriatric population, which may be related to a decline in health
associated with aging.

How Do Sexual Problems Affect Women?

The most common problems related to sexual dysfunction in women
include:

  • Inhibited sexual desire. This involves a lack of sexual desire or
    interest in sex. Many factors can contribute to a lack of desire, including
    hormonal changes, medical conditions and treatments (for example cancer and
    generic erectile dysfunction drug), depression, pregnancy, stress and fatigue. Boredom with regular
    sexual routines also may contribute to a lack of enthusiasm for sex, as can
    lifestyle factors, such as careers and the care of children.
  • Inability to become aroused. For women, the inability to become
    physically aroused during sexual activity often involves insufficient vaginal
    lubrication. The inability to become aroused also may be related to anxiety or
    inadequate stimulation. In addition, researchers are investigating how blood
    flow problems affecting the vagina and clitoris may contribute to arousal
    problems.
  • Lack of orgasm (anorgasmia). This is the absence of sexual climax
    (orgasm). It can be caused by sexual inhibition, effects side viagra, lack of
    knowledge and psychological factors such as guilt, anxiety, or a past sexual
    trauma or abuse. Other factors fast generic shipping viagra to anorgasmia include insufficient
    stimulation, certain medications, and chronic diseases.
  • Painful intercourse. Pain during intercourse can be caused by a
    number of problems, including endometriosis, a pelvic mass,
    ovarian cysts, vaginitis, poor
    lubrication, the presence of scar tissue from surgery, or a sexually transmitted disease. A
    condition called vaginismus is a painful, involuntary spasm of the muscles that
    surround the vaginal entrance. It may occur in women who fear that penetration
    will be painful and also may stem from a sexual phobia or from a previous
    traumatic or painful experience.

How Is a Female Sexual Problem Diagnosed?

The doctor likely will begin with a physical exam and a
thorough evaluation of symptoms and a physical exam. The doctor may perform a
pelvic examination to evaluate
the health of the reproductive organs and a Pap smear to detect changes in the
cells of the cervix (to check for cancer or a pre-cancerous condition). He or
she may order other tests to rule out any medical problems that may be
contributing to the problem.

An evaluation of your attitude regarding sex, as well as other
possible contributing factors (fear, anxiety, past sexual trauma/abuse,
relationship problems, alcohol or drug abuse, etc.) will help the doctor
understand the underlying cause of the problem and make appropriate
recommendations for treatment.

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Male Sexual Problems

26 01 2008

viagra cialis

A sexual problem, or sexual dysfunction, refers to a problem during any
phase of the sexual response cycle that prevents the individual or couple from
citrate pfizer sildenafil satisfaction from the sexual activity. The sexual response cycle
has four phases: excitement, plateau, orgasm and resolution.

While research suggests that sexual dysfunction is common (43% of women and
31% of men report some degree of difficulty), it is a topic that many people
are hesitant to discuss. Fortunately, most cases of sexual dysfunction are
treatable, so it is important to share your concerns with your partner and
doctor.

What Causes Sexual Problems?

Sexual dysfunction can be a result of a physical or buy in uk viagra
problem.

  • Physical causes: Many physical and/or medical conditions can cause problems
    with sexual function. These conditions include diabetes, heart and vascular
    (blood vessel) disease, neurological disorders, hormonal imbalances, chronic
    diseases such as kidney or liver failure, and alcoholism and drug abuse. In
    addition, the side effects of certain medications, including some
    antidepressant drugs, can affect sexual desire and function.
  • Erectile dysfunction drugs
    causes: These include work-related stress and anxiety,
    concern about sexual performance, marital or relationship problems, depression,
    feelings of guilt and the effects of a past sexual trauma.

Who Is Affected by Sexual Problems?

Both men and women are affected by sexual problems. Sexual problems occur in
adults of all ages. Among those commonly affected are those in the geriatric
population, which may be related to a decline in health associated with
aging.

How Do Sexual Problems Affect Men?

The most common sexual problems in men are ejaculation disorders, erectile
dysfunction and inhibited sexual desire.

What Are Ejaculation Disorders?

There are different types of ejaculation disorders, including:

  • Premature ejaculation: This refers to ejaculation that occurs before or
    soon after penetration.
  • Inhibited or retarded ejaculation: This is when ejaculation is slow to
    occur.
  • Retrograde ejaculation: This occurs when, at orgasm, the ejaculate is
    forced back into the bladder rather than through the urethra and out the end of
    the penis.

In some cases, premature and inhibited ejaculation are caused by
psychological factors, including a strict religious background that causes the
person to view sex as sinful, a lack of attraction for a partner and past
traumatic events. Premature ejaculation, the most common form of sexual
dysfunction in men, often is due to nervousness over how well he will perform
during sex. Certain drugs, including some anti-depressants, may affect
ejaculation, as can nerve damage to the spinal cord or back.

Retrograde ejaculation is common in males with diabetes who suffer from
diabetic neuropathy (nerve damage). This is due to problems with the nerves in
the bladder and the bladder neck that allow the ejaculate to flow backward. In
other men, retrograde ejaculation occurs after operations on the bladder neck
or prostate, or after certain abdominal operations. In addition, certain
medications, particularly those used to treat mood disorders, may cause
problems with ejaculation.

What Is Erectile Dysfunction?

Also known as impotence, erectile dysfunction is defined as the inability to
attain and/or maintain an erection suitable for intercourse. Causes of erectile
dysfunction include diseases affecting blood flow, such as atherosclerosis
(hardening of the arteries); nerve disorders; psychological factors, such as
stress, depression, and performance anxiety (nervousness over his ability to
sexually perform); and injury to the penis. Chronic illness, certain
medications, and a condition called Peyronie’s disease (scar tissue in the
penis) also can cause erectile dysfunction.

What Is Inhibited Sexual Desire?

Inhibited desire, or loss of libido, refers to a decrease in desire for, or
interest in sexual activity. Reduced libido can result from physical or
psychological factors. It has been associated with low levels of the hormone
testosterone. It also may be caused by psychological problems, such as anxiety
and depression; medical illnesses, such as diabetes and high blood pressure;
certain medications, including some anti-depressants; and relationship
difficulties.

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Coronary Artery Disease - Living With CAD

25 01 2008

viagra cialis

coronary artery disease (CAD), can be difficult to
accept and understand. If you do not have symptoms, it may be especially hard
to recognize that CAD is a serious disease that can lead to complications.
Coronary artery disease is caused by the gradual buildup of plaque on the
inside of the coronary arteries, the blood vessels that supply oxygen-rich
blood to heart muscle.

It is important to talk with your doctor to learn about the disease
and what you can do to help manage CAD and prevent its progression.

Making healthy lifestyle changes can delay and possibly reverse the
course of CAD. Quitting smoking, eating a low-fat and erectile dysfunction tablets diet, and
getting regular exercise are the most important steps you can take to reduce
your risk of developing coronary artery disease.26 For
more information, see:

Exercising for a healthy heart.

For more information on how to make healthy lifestyle changes, see
the Prevention section of this topic.

Most people are able to control
angina by taking medications as prescribed and
nitroglycerin when needed. See
how
to use nitroglycerin pills under the tongue. Remaining as active as
possible is important for most people. However, if angina is not controlled by
the above, consider these tips:

  • If an activity causes angina, slow it
    down.
  • Ease into activities in the morning, and reduce activity
    immediately after meals.
  • Change your eating patterns. Eat smaller,
    more frequent meals rather than 2 or 3 large meals.

When angina is more severe and cannot be controlled, the following
tips may be useful:

  • If it is feasible, it may help to move to a
    different home to avoid physical stress caused by climbing stairs, shoveling
    snow, or mowing lawns. Or, find other ways to get chores done, such as hired
    help, family members, or trading for other services that are easier to
    do.
  • It may be necessary to change the kind of work you perform to
    avoid physical stress. This may be especially important if your work involves
    heavy labor.

Taking nitroglycerin before an activity may reduce or eliminate the
chest pain associated with the activity. Discuss with your doctor the use of
nitroglycerin to prevent chest pain.

Do not use the erection-enhancing medication
sildenafil (Viagra), vardenafil (Levitra), or tadalafil (Cialis) if you are
taking nitroglycerin or other nitrates. Combined, these two drugs can result in
a fake generic viagra
drop in blood pressure. If you are taking an
erection-enhancing medication and develop chest pain, be sure to alert the
health professionals caring for you about your use of this medication so that
they do not inadvertently give you nitroglycerin or another type of nitrate.
There are other oral antianginal medicines that may be appropriate.

Alert your doctor immediately if there is a sudden change in your
angina symptoms or if angina begins to occur erectile dysfunction drug or when you are at
rest.

More Discount generic levitra online viagra
:

  • What are the main lifestyle
    changes I need to make?
  • How to exercise for a healthy
    heart

  • How can I lower my stress
    level?
  • How can I make my meals
    healthier?
  • How can I get help managing the cost of
    treatment?
  • How can I help a loved one with coronary
    artery disease?
  • How can I communicate better with my
    doctor?

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Using Nitroglycerin for Sudden Chest Pain - Topic Overview

24 01 2008

viagra cialis

angina-a type of chest pain-that happens when there is
not enough blood flowing to the heart. To improve blood flow to the heart,
nitroglycerin opens up (dilates) the arteries in the heart (coronary arteries), which improves symptoms and
reduces how hard the heart has to work.

Over the counter erectile dysfunction drug comes in a quick-acting tablet or spray form, or as
a long-acting pill. The quick-acting pill or spray forms are used under the
tongue (sublingually). Your health professional will prescribe the right amount
for you; do not use another person’s nitroglycerin.

When do I use nitroglycerin under the tongue?

Your health professional will advise you when to use your
nitroglycerin. Generally, nitroglycerin under the tongue is used:

  • To relieve sudden angina.
  • Before
    stressful activities that can cause angina, such as walking uphill or having
    sexual intercourse.

How do I use nitroglycerin under the tongue?

  • Sit or lie down to take your nitroglycerin.
    If you are driving, pull over and park the car. Taking nitroglycerin can lower
    your blood pressure, which sometimes may cause you to pass out, especially if
    you are standing up.
  • For sudden episodes of angina, use
    nitroglycerin in a tablet or liquid spray form.

    • The tablet should be placed under your
      tongue and left until it dissolves. If you accidentally swallow the tablet,
      take another. The medicine won’t work if it is swallowed.
    • To use
      the spray, lift your tongue and depress the spray canister button once.
  • Take one tablet or spray dose. If after 5
    minutes the chest pain is not better or gets worse, call 911 or other emergency
    services immediately
    .
  • After calling
    911 , continue to stay on the phone with the emergency
    operator; he or she will give you further instructions.
  • Regardless
    of what happens, you should let your health professional know that you had an
    episode of angina. If this is unusual for you, your angina episodes are
    occurring more frequently or lasting longer, or you need more medicine to
    control them, tell your health professional. Report any change in your chest
    pain (unstable angina) to your health professional.

A fresh tablet should taste bitter and sting when you put it
under your tongue. If it does not, it probably is not effective and you should
take another.

Are there side effects or interactions with other drugs I should be aware of?

Normal, temporary side effects of nitroglycerin include a warm or
flushed feeling, headache, dizziness, or generic erectile dysfunction drugs. You may also feel a
burning sensation under your tongue.

Do not take the ed medicine
medicine sildenafil (Viagra),
vardenafil (Levitra), and tadalafil (Cialis) if you are taking nitroglycerin.
Combining nitroglycerin with any of these medicines can cause a
life-threatening drop in blood pressure. If you develop chest pain and have
taken one of these erection-enhancing medicines, be sure to tell your health
professional so that you are not given nitroglycerin or another nitrate
medicine.

Do not take the
pulmonary hypertension medication sildenafil (Revatio)
if you are taking nitroglycerin or another nitrate medication.

How should I store nitroglycerin?

Store nitroglycerin pills in a drug free viagra (such as brown),
airtight, glass container that you cannot see through. Keep nitroglycerin pills
and liquid spray away from heat or moisture. Remove the cotton stopper from the
bottle.

Can nitroglycerin get old and lose potency?

If nitroglycerin is old, the tablets may not work well. Get a new
prescription as soon as possible if your supply is past the expiration date.
Usually you should replace your tablets every 3 to 6 months.

There are ways to tell whether your nitroglycerin is still
effective. You should have a headache when you use it. Or if you use
nitroglycerin under your tongue, you should feel a slight tingle or burn when
you place it there. If you do not notice these signs, your nitroglycerin is
probably old. In this case, contact your health professional to get a new
prescription. Fill the prescription as soon as possible, and discard your
out-of-date nitroglycerin.

Read another articles about erectile disfunction remedy.



Blood Pressure Medications and ED

23 01 2008

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To treat erectile dysfunction (ED), you have to lower your blood pressure
first. Some people are able to do that through lifestyle changes alone. Others
need help from prescribed blood pressure medication.

A problem for many men, however, is that some types of blood pressure
medicines can actually cause erectile dysfunction. That may make it
difficult to stay on your medication, especially if your high blood pressure
never caused any symptoms before. An estimated 70% of men who have side effects
from blood pressure medicine stop taking it.

Many drugs used to treat high blood pressure have been linked to erectile
dysfunction. But some are much less likely than others to cause problems.
Certain of the blood pressures drugs may even improve erectile
dysfunction for some men.

It’s known that diuretics (or water pills, like hydrochlorothiazide) and
sildenafil citrate and discount (like Atenolol) can cause erection problems. These are also the
first drugs that a doctor is likely to prescribe if you are not able to lower
your blood pressure through diet and exercise.

If you’re taking a diuretic, you should stay on your medicine until your
blood pressure is under control. If your erection problem persists, or your
blood pressure goes back up, then your doctor might switch you to a drug that’s
less likely to cause erectile dysfunction. Or, a combination of medications
might work better to control your blood pressure and reduce the risk of
erectile dysfunction.

If you take a beta blocker you may also want to ask your doctor if it might
cause erectile dysfunction. You might be better off on a medication less likely
to cause a problem.

Erection-Friendly High Blood Pressure Drugs

Some families of high blood pressure drugs rarely cause erectile dysfunction
as a side effect:

  • ACE inhibitors
  • Alpha-blockers
  • Calcium channel blockers
  • ARBs

ACE (angiotensin converting enzyme) inhibitors — such as Lotensin, Capoten,
Zestril, Prinivil, etc. — widen blood vessels and increase blood flow.
Erectile dysfunction is rarely a side effect, occurring in less than 1% of
patients. There are several different medications in the category. This seems
to be true of all of them.

There are also medications known as calcium channel blockers, such as
Diltiazem, Verapamil, or Amlodipine. As a group, they rarely cause erectile
dysfunction. But erection problems may be less common with some individual
drugs within that group than with others. Your doctor can tell you which.

In general, penile impotence
do not often cause erection problems either. In
one study published in the journal Hypertension in 1997, a small
number of men actually had a 100% improvement in their erectile dysfunction
after two years on the alpha-blocker Cardura.

Drugs known as ARBs (angiotensin II receptor blockers, like Losarten) are
not only unlikely to cause erection problems, but they may actually
improve sexual function in men with high blood pressure.

A 2001 study published in the American Journal of the Medical
Sciences
looked at the drug Cozaar, an ARB. At first, just 7% of men and
women in the study said they felt sexually satisfied overall. After 12 weeks of
Cozaar, about 58% said they were sexually satisfied. The percentage of men who
reported having erectile dysfunction dropped from 75% to 12%.

Another study compared the drug Diovan, an ARB, with Coreg, a beta-blocker.
The study, published in the American Journal of Hypertension in 2001,
compared the effect of the two drugs on blood pressure and frequency of sexual
intercourse.

The drugs controlled blood pressure equally well. But people who took the
ARB reported having sex more often during the 16 weeks of treatment. They said
they had sex about eight times a month before, and 10 times a month after.
People taking the beta-blocker had sex much less often: eight times a month
before, and four times a month after.

Steps to Take If Your Medicine Causes Erection Problems

Tell your doctor if you think your blood pressure medicine may be causing
problems with your erections.

If it is your medication, and not just your high blood pressure,
switching to another erectile dysfunction pills may solve the problem. Never stop taking your
medicine without your doctor’s OK.

But high blood pressure itself still could be to blame for your erectile
dysfunction. In that case, ask about trying an erectile dysfunction drug like
Viagra, Cialis, or Levitra.

You should only take these drugs once your blood pressure is under control.
They are not safe for men with untreated high blood pressure. They are also not
safe for men taking alpha-blockers, or men taking nitrate drugs for heart
disease.

Erectile Dysfunction Drugs



Female Sexual Problems

22 01 2008

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A sexual problem, or sexual dysfunction, refers to a problem
during any phase of the sexual response cycle that prevents the individual or
couple from experiencing satisfaction from the sexual activity. The sexual
response cycle has four phases: excitement, plateau, orgasm and resolution.

While research suggests that sexual dysfunction is common (43%
of women and 31% of men report some degree of difficulty), it is a topic that
many people are hesitant to discuss. Fortunately, most cases of sexual
dysfunction are treatable, so it is important to share your concerns with your
partner and doctor.

What Causes Sexual Problems?

Sexual dysfunction can be a result of a physical or
psychological problem.

  • Physical causes: Many physical and/or medical conditions can cause
    problems with sexual function. These conditions include diabetes, heart
    disease, neurological diseases, hormonal imbalances, menopause, chronic
    diseases such as kidney disease or liver failure, and alcoholism and drug
    abuse. In addition, the side effects of certain medications, including some
    erectile dysfunction new drug drugs, can affect sexual desire and function.
  • Psychological causes: These include erectile dysfunction pill stress and anxiety,
    concern about sexual performance, marital or relationship problems, depression,
    feelings of guilt and the effects of a past sexual trauma.

Who Is Affected By Sexual Problems?

Both men and women are affected by sexual problems. Sexual
problems occur in adults of all ages. Among those commonly affected are those
in the geriatric population, which may be related to a decline in health
associated with aging.

How Do Sexual Problems Affect Women?

The most common problems related to sexual dysfunction in women
include:

  • Inhibited sexual desire: This involves a lack of sexual desire or
    interest in sex. Many factors can contribute to a lack of desire, including
    hormonal changes, medical conditions and treatments (for example cancer and
    cialis vs viagra
    ), depression, pregnancy, stress and fatigue. Boredom with regular
    sexual routines also may contribute to a lack of enthusiasm for sex, as can
    lifestyle factors, such as careers and the care of children.
  • Inability to become aroused: For women, the inability to become
    physically aroused during sexual activity often involves insufficient vaginal
    lubrication. The inability to become aroused also may be related to anxiety or
    inadequate stimulation. In addition, researchers are investigating how blood
    flow problems affecting the vagina and clitoris may contribute to arousal
    problems.
  • Lack of orgasm (anorgasmia): This is the absence of sexual climax
    (orgasm). It can be caused by sexual inhibition, inexperience, lack of
    knowledge and psychological factors such as guilt, anxiety, or a past sexual
    trauma or abuse. Other factors best price for generic viagra to anorgasmia include insufficient
    stimulation, certain medications and chronic diseases.
  • Painful intercourse: Pain during intercourse can be caused by a
    number of problems, including endometriosis, a pelvic mass, ovarian cysts,
    vaginitis, poor lubrication, the presence of scar tissue from surgery or a
    sexually transmitted disease. A condition called vaginismus is a painful,
    involuntary spasm of the muscles that surround the vaginal entrance. It may
    occur in women who fear that penetration will be painful and also may stem from
    a sexual phobia or from a previous traumatic or painful experience.

How Is a Female Sexual Problem Diagnosed?

The doctor likely will begin with a thorough evaluation of
symptoms and a physical exam. The doctor may perform a pelvic examination to
evaluate the health of the reproductive organs and a Pap smear to detect
changes in the cells of the cervix (to check for cancer or a pre-cancerous
condition). He or she may order other tests to rule out any medical problems
that may be contributing to the problem.

An evaluation of your attitude regarding sex, as well as other
possible contributing factors (fear, anxiety, past sexual trauma/abuse,
relationship problems, alcohol or drug abuse, etc.) will help the doctor
understand the underlying cause of the problem and make appropriate
recommendations for treatment.

Erectile Dysfunction Drugs



Prostate Cancer: Glossary

21 01 2008

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You may hear a number of words you are not citrate medication sildenafil with during prostate
cancer diagnosis, treatment, and generic erectile dysfunction drugs
. Some definitions follow. Just click
on a treat erectile dysfunction the best to find a specific word, or scroll generic viagra overnight delivery the entire list.

A
B
C
D
E
F
G
H
I
L
M
N
O
P
R
S
T
U
V
W
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impotence.

The Cleveland Clinic
Urological Generic soft tab viagra.

erectile disfunction, and more another.