25 Sep
Studies

Modafinil Dosage for Depression

Modafinil is a prescription-only medication given by doctors to treat attention deficit disorders (ADD and ADHD), and narcolepsy — a sleeping disorder characterized by “excessive sleepiness”.

Modafinil reduces extreme sleepiness due to narcolepsy and other sleep disorders, such as periods of stopped breathing during sleep (obstructive sleep apnea). It is also used to help you stay awake during work hours if you have a work schedule that keeps you from having a normal sleep routine (shift work sleep disorder).

This medication does not cure these sleep disorders and may not get rid of all your sleepiness. Modafinil does not take the place of getting enough sleep. It should not be used to treat tiredness or hold off sleep in people who do not have a sleep disorder.

It is not known how modafinil works to keep you awake. It is thought to work by affecting certain substances in the brain that control the sleep/wake cycle.

These effects are especially useful for boosting the feeling of wakefulness in the brain as all of the neurotransmitters affected have a stimulating effect. They also affect other areas of cognition including memory, mood, appetite, and concentration.

There is growing research that Modafinil can also be used for improving the symptoms of depression. The common dosages used are Modafinil 150 Mg and Modafinil 200 Mg. The most common brands of Modafinil used are Modvigil, Modalert and Nuvigil.

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Side Effects

Headache, nausea, nervousness, dizziness, or difficulty sleeping may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: fast/pounding/irregular heartbeat, mental/mood changes (such as agitation, confusion, depression, hallucinations, rare thoughts of suicide).

Get medical help right away if you have any very serious side effects, including: chest pain.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: fever, swollen lymph nodes, rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

Interactions

The clearance of drugs that are substrates for CYP3A4/5 (e.g., steroidal contraceptives, cyclosporine, midazolam, and triazolam) may be increased by PROVIGIL via induction of metabolic enzymes, which results in lower systemic exposure. Dosage adjustment of these drugs should be considered when these drugs are used concomitantly with PROVIGIL.

The effectiveness of steroidal contraceptives may be reduced when used with PROVIGIL and for one month after discontinuation of therapy. Alternative or concomitant methods of contraception are recommended for patients taking steroidal contraceptives (e.g., ethinyl estradiol) when treated concomitantly with PROVIGIL and for one month after discontinuation of PROVIGIL treatment.

Blood levels of cyclosporine may be reduced when used with PROVIGIL. Monitoring of circulating cyclosporine concentrations and appropriate dosage adjustment for cyclosporine should be considered when used concomitantly with PROVIGIL.

Elimination of drugs that are substrates for CYP2C19 (e.g., phenytoin, diazepam, propranolol, omeprazole, and clomipramine) may be prolonged by PROVIGIL via inhibition of metabolic enzymes, with resultant higher systemic exposure. In individuals deficient in the CYP2D6 enzyme, the levels of CYP2D6 substrates which have ancillary routes of elimination through CYP2C19, such as tricyclic antidepressants and selective serotonin reuptake inhibitors, may be increased by co-administration of PROVIGIL. Dose adjustments of these drugs and other drugs that are substrates for CYP2C19 may be necessary when used concomitantly with PROVIGIL.

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USA

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What is Modafinil ?

Modafinil, sold under the brand name Provigil, Nuvigil, Modvigil among others, is a medication to treat sleepiness due to narcolepsy, shift work sleep disorder, or obstructive sleep apnea. While it has seen off-label use as a purported cognitive enhancer, the research on its effectiveness for this use is not conclusive. It is taken by mouth.

Common side effects include headache, anxiety, trouble sleeping, and nausea. Serious side effects may include allergic reactions such as anaphylaxis, Stevens–Johnson syndrome, and hallucinations. It is unclear if use during pregnancy is safe. The amount of medication used may need to be adjusted in those with kidney or liver problems. It is not recommended in those with an arrhythmia, significant hypertension, or left ventricular hypertrophy. How it works is not entirely clear. One possibility is that it may affect the areas of the brain involved with the sleep cycle.

Modafinil reduces extreme sleepiness due to narcolepsy and other sleep disorders, such as periods of stopped breathing during sleep (obstructive sleep apnea). It is also used to help you stay awake during work hours if you have a work schedule that keeps you from having a normal sleep routine (shift work sleep disorder).

This medication does not cure these sleep disorders and may not get rid of all your sleepiness. Modafinil does not take the place of getting enough sleep. It should not be used to treat tiredness or hold off sleep in people who do not have a sleep disorder.

It is not known how modafinil works to keep you awake. It is thought to work by affecting certain substances in the brain that control the sleep/wake cycle.

For narcolepsy, take this medication by mouth with or without food as directed by your doctor, usually once daily in the morning. Or, if your doctor directs you to, the total daily dose of modafinil may be divided into a morning dose and a noon dose.

For obstructive sleep apnea, take this medication by mouth with or without food as directed by your doctor, usually once daily in the morning. Continue your other treatment (such as the CPAP machine, mouth device) unless your doctor tells you to stop.

If you are using modafinil for shift work sleep disorder, take it by mouth with or without food as directed by your doctor, usually once a day 1 hour before you start your work shift.

The dosage is based on your medical condition and response to treatment. Take this medication regularly to get the most benefit from it.

If you suddenly stop using this medication, you may have withdrawal symptoms (such as shaking, sweating, chills, nausea, vomiting, confusion). To help prevent withdrawal, your doctor may lower your dose slowly. Withdrawal is more likely if you have used modafinil for a long time or in high doses. Tell your doctor or pharmacist right away if you have withdrawal.

Side Effects

Along with its needed effects, modafinil may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking modafinil:

  • Black, tarry stools
  • blurred vision or other vision changes
  • chest pain
  • chills or fever
  • clumsiness or unsteadiness
  • confusion
  • dizziness or fainting
  • increased thirst and urination
  • mental depression
  • problems with memory
  • rapidly changing moods
  • shortness of breath
  • sore throat
  • trembling or shaking
  • trouble in urinating
  • uncontrolled movements of the face, mouth, or tongue
  • unusual bleeding or bruising
  • unusual tiredness or weakness
25 Sep
Australia

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Amoxicillin can be bought over the counter in Australia, however the cost will be much higher than the cost of buying it online.

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What is Amoxicillin and how is it used ?

Cenmox is a prescription antibiotic used primarily for treating bacterial infections. Cenmox comes in tablet form and must be prescribed by a medical professional. The generic form of Cenmox is Amoxicillin. Cenmox belongs to the penicillin family.

The most common infections treated are for infection in the nose, ear, throat, urinary tract, reproductive system, skin, or respiratory system. Cenmox is not limited to these infections and can also be used to treat things like tooth abscess, blood infections, brain infections, and meningitis.

Amoxicillin is used to treat many different types of infection caused by bacteria, such as tonsillitis, bronchitis, pneumonia, and infections of the ear, nose, throat, skin, or urinary tract.

Amoxicillin is also sometimes used together with another antibiotic called clarithromycin (Biaxin) to treat stomach ulcers caused by Helicobacter pylori infection. This combination is sometimes used with a stomach acid reducer called lansoprazole (Prevacid).

Take amoxicillin exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.

Take amoxicillin at the same time each day.

Some forms of amoxicillin may be taken with or without food. Check your medicine label to see if you should take your mediicne with food or not.

Shake the oral suspension (liquid) before you measure a dose.

Measure liquid medicine with the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon). You may mix the liquid with water, milk, baby formula, fruit juice, or ginger ale. Drink all of the mixture right away. Do not save for later use.

Precautions

Communicate your health history with your medical professional, particularly if you have are currently facing or have faced one of the following health conditions:

  • Sore Throat
  • Urinary Issues
  • Viral fever
  • Health problems related to your kidneys
  • HIV
  • Cancer that affects white blood cells

Additionally, you should discuss with your doctor other medications you might be taking or ingredients contained in Cenmox that you may be allergic to. If you are allergic to penicillin, cephalosporin, or various antibiotics your doctor can prescribe you alternative medications.

If you are pregnant, breastfeeding, or trying to conceive you should not take Cenmox unless your symptoms persist. Work with your doctor to ensure the appropriate safety measures are taken in such an instance.

Cenmox can make you drowsy and should not be taken when operating heavy machinery. Caution is recommended if you are driving after taking Cenmox. Cenmox should not be used in conjunction with alcohol.

Use caution when taking Cenmox for those who are aged as it may cause an increase in accidents.

25 Sep
USA

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What is Amoxicillin ?

Amoxicillin is used to treat a wide variety of bacterial infections. This medication is a penicillin-type antibiotic. It works by stopping the growth of bacteria.

This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections.

Amoxicillin is also used with other medications to treat stomach/intestinal ulcers caused by the bacteria H. pylori and to prevent the ulcers from returning.

Take this medication by mouth with or without food as directed by your doctor, usually every 8 or 12 hours. The dosage is based on your medical condition and response to treatment.

Drink plenty of fluids while using this medication unless your doctor tells you otherwise.

For the best effect, take this antibiotic at evenly spaced times. To help you remember, take this medication at the same time(s) every day.

Continue to take this medication until the full prescribed amount is finished, even if symptoms disappear after a few days. Stopping the medication too early may allow bacteria to continue to grow, which may result in a return of the infection.

Do not use this medication if you are allergic to amoxicillin or to any other penicillin antibiotic, such as ampicillin (Omnipen, Principen), dicloxacillin (Dycill, Dynapen), oxacillin (Bactocill), penicillin (Beepen-VK, Ledercillin VK, Pen-V, Pen-Vee K, Pfizerpen, V-Cillin K, Veetids), and others.

Before using amoxicillin, tell your doctor if you are allergic to cephalosporins such as Omnicef, Cefzil, Ceftin, Keflex, and others. Also tell your doctor if you have asthma, liver or kidney disease, a bleeding or blood clotting disorder, mononucleosis (also called “mono”), or any type of allergy.

Amoxicillin can make birth control pills less effective. Ask your doctor about using a non-hormone method of birth control (such as a condom, diaphragm, spermicide) to prevent pregnancy while taking this medicine. Take this medication for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Amoxicillin will not treat a viral infection such as the common cold or flu. Do not share this medication with another person, even if they have the same symptoms you have.

Antibiotic medicines can cause diarrhea. This may happen while you are taking amoxicillin, or within a few months after you stop taking it. This may be a sign of a new infection. If you have diarrhea that is watery or bloody, stop taking this medicine and call your doctor. Do not use anti-diarrhea medicine unless your doctor tells you to.

Side Effects

Nausea, vomiting, or diarrhea may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Use of this medication for prolonged or repeated periods may result in oral thrush or a new vaginal yeast infection (oral or vaginal fungal infection). Contact your doctor if you notice white patches in your mouth, a change in vaginal discharge or other new symptoms.

Tell your doctor right away if any of these rare but serious side effects occur: dark urine, persistent nausea or vomiting, stomach/abdominal pain, yellowing eyes or skin, easy bruising or bleeding, persistent sore throat or fever.

This medication may rarely cause a severe intestinal condition (Clostridium difficile-associated diarrhea) due to a type of resistant bacteria. This condition may occur during treatment or weeks to months after treatment has stopped. Do not use anti-diarrhea or opioid medications if you have the following symptoms because these products may make them worse. Tell your doctor right away if you develop: persistent diarrhea, abdominal or stomach pain/cramping, blood/mucus in your stool.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

25 Sep
USA

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Priligy is the brand name of Dapoxetine which is a prescription only drug in the USA which means, you need a valid prescription to buy Priligy in US.

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What is Priligy and how is it used ?

Priligy is a short acting selective serotonin reuptake inhibitor (SSRI) used specifically for the treatment of premature ejaculation in men aged between 18 and 64 years. This medicine should not be taken by men who are not diagnosed with premature ejaculation (PE).

Priligy contains the active ingredient dapoxetine, which is a selective serotonin reuptake inhibitor (SSRI). It works by boosting the levels of serotonin in the body, causing a delayed reaction in the areas of the brain that cause ejaculation. This means it takes longer to reach orgasm.

  • Priligy is not suitable for teenagers, or for anyone with a history of significant heart disease, fainting or psychiatric illness.
  • You take a tablet a couple of hours before you expect to have sex. You must not take Priligy more than once a day.
  • Swallow the tablet whole with a full glass of water.
  • The most common side effects are feeling dizzy or sick and headaches.
  • If you feel dizzy, lightheaded, sick, sweaty, or like you might faint, sit with your head between your legs or lie down until the feeling passes.
  • Don’t drink alcohol when taking Priligy.
  • Don’t take Priligy if you’ve been taking recreational drugs, for example ecstasy (MDMA), ketamine, LSD, poppers (amyl nitrate), narcotics or benzodiazepines.

Priligy is most effective 1-3hrs after it is taken, but can sometimes retain its effects for up to 12 hours.

Priligy works in around 8 out of 10 men. These men should notice a doubling or tripling of the time their erection lasts before ejaculation. Priligy is not a cure and will only work when you take it.

Do not consume alcohol with Priligy, as this can make some side effects worse and affect how well the treatment works.

Priligy (dapoxetine) is a temporary solution, not a cure. Due to the complex nature of why premature ejaculation happens, Priligy is unable to treat the underlying causes of PE. It works best when combined with behavioural techniques and, in some cases, counselling or psychotherapy.

Side Effects

Major & minor side effects for Dapoxetine

  • Dizziness and lightheadedness
  • Nervousness and confusion
  • Excessive sweating
  • Headache
  • Diarrhea
  • Sleeplessness
  • Decreased libido
  • Blurred vision
  • Ringing or buzzing in the ears
  • Fast/irregular heart beat
  • Increase in blood pressure
  • Excessive tiredness
  • Dry mouth
25 Sep
Australia

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Priligy is a prescription drug in Australia and you need a valid prescription to buy it in Australia.

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What is Priligy ?

Priligy is a treatment designed specifically for men who have problems with premature ejaculation. You take a tablet a couple of hours before you intend to have sex, and this can help you last longer before you climax.

Priligy tablets will only be prescribed after careful assessment by a doctor to make sure they are appropriate for you.

Priligy tablets contain the active ingredient dapoxetine, which is a type of medicine known as a short-acting selective serotonin re-uptake inhibitor.

Dapoxetine works by increasing the activity of serotonin in the nervous system. Serotonin is a neurotransmitter that is involved in passing messages between nerve cells. It has various functions in the body and is involved in sending the nerve messages that result in ejaculation.

Increasing the activity of serotonin in the nervous system helps to increase the time it takes to ejaculate and improve control over the ejaculation.

Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of serious adverse effects such as drowsiness, dizziness, impaired thinking, and loss of consciousness.

Men aged 18 to 64 years should take one Priligy tablet one to three hours before sexual activity.

The recommended starting dose of Priligy is 30mg. If this is not effective enough your doctor may increase your dose to 60mg, but this should only be done if you haven’t experienced any side effects with the lower dose.

You can take the tablet either with or without food. Swallow it whole (don’t chew or crush it to avoid getting a bitter taste) with a full glass of water to minimise the risk of feeling dizzy.

Precautions

Allergy

This medicine is not recommended for use in patients with a known allergy to dapoxetine or any other ingredients present along with it.

Heart failure

This medicine is not recommended for use in patients with a history of heart failure due to the increased risk of worsening of the patient’s condition.

Heart rhythm disorders

This medicine is not recommended for use in patients having abnormalities of the heart rhythm due to the increased risk of worsening of the patient’s condition.

Bipolar disorder

This medicine is not recommended for use in patients having a history of mania or severe depression (bipolar disorder) due to the increased risk of worsening of the patient’s condition.

Loss of consiousness

This medicine is not recommended for use in patients having syncope characterized by frequent loss of consciousness and muscle strength due to the increased risk of worsening of the symptoms.

Kidney Disease

This medicine is not recommended for use in patients with kidney diseases due to the increased risk of severe side effects.

Liver disease

This medicine is not recommended for use in patients with liver diseases due to the increased risk of severe side effects.

Monoamine oxidase inhibitors (MAOI)

This medicine is not recommended for use if you are taking any medicine belonging to the Monoamine oxidase inhibitors (MAOI) class. Dapoxetine should not be taken within 14 days of discontinuing treatment with a MAOI medicine. Similarly, a MAOI medicine can be taken 7 days after stopping the uptake of Dapoxetine.

Thioridazine

This medicine is not recommended for use if you are taking thioridazine. Dapoxetine should not be taken within 14 days of discontinuing treatment with thioridazine. Similarly, thioridazine can be taken 7 days after stopping the uptake of Dapoxetine.

Selective serotonin reuptake inhibitors (SSRIs)

This medicine is not recommended for use if you are taking any other medicine belonging to the Selective serotonin reuptake inhibitors (SSRIs) class. Dapoxetine should not be taken within 14 days of discontinuing treatment with a SSRI medicine. Similarly, a SSRI medicine can be taken 7 days after stopping the uptake of Dapoxetine.

Strong CYP3A4 inhibitors

This medicine is not recommended for use if you are taking any medicine belonging to the CYP3A4 class. Dapoxetine should not be taken within 14 days of discontinuing treatment with these medicines. Similarly, a potent CYP3A4 inhibitor medicine can be taken 7 days after stopping the uptake of Dapoxetine.

24 Sep
Australia, Levitra

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Levitra is a therapy for erectile dysfunction treatment (male impotence). Its active ingredient is Vadernafil. Vardenafil belongs to the class of medications called phosphodiesterase type 5 inhibitors. The medicine allows increase blood flow into your penis to achieve and maintain erection during sexual intercourse.

Vardenafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, vardenafil works by increasing blood flow to the penis to help a man get and keep an erection.

This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). Practice “safe sex” such as using latex condoms. Consult your doctor or pharmacist for more details.

Take this medication by mouth as directed by your doctor, usually as needed. Take vardenafil, with or without food, about 1 hour before sexual activity. Do not take more than once daily. Doses should be taken at least 24 hours apart.

The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Avoid eating grapefruit or drinking grapefruit juice while using this medication unless your doctor or pharmacist says you may do so safely. Grapefruit can increase the chance of side effects with this medicine. Ask your doctor or pharmacist for more details.

Side Effects

Along with its needed effects, vardenafil (the active ingredient contained in Levitra) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

  • Arm, back, or jaw pain
  • blindness
  • blurred vision
  • chest pain or discomfort
  • chest tightness or heaviness
  • chills
  • cold sweats
  • confusion
  • decreased vision
  • difficult or labored breathing
  • difficulty with swallowing
  • dizziness
  • dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
  • eye pain
  • fainting
  • fast, irregular, pounding, or racing heartbeat or pulse
  • headache
  • hives, itching, or skin rash
  • nausea
  • nervousness
  • pain or discomfort in the arms, jaw, back, or neck
  • pounding in the ears
  • puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
  • slow or fast heartbeat
  • sweating
  • tearing
  • tightness in the chest
  • unusual tiredness or weakness
  • vomiting
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What is Black Cialis 80 Mg

 Black Cialis is the medicine used as a treatment for those who have detected the main symptoms of benign prostatic hyperplasia and suffer from erectile dysfunction, impotence.This version of generic Cialis contains 80 mg of Tadalafil – the main component of the most popular erectile dysfunction medicine. Due to such a great dosage of a basic ingredient,Tadalafil remains in your body for more than 48 hours. That is why the medicine has already become well-known as a good sperm amount booster and one of the best enhancer of sexual stamina that simultaneously cures blood circulation in male genitalia, especially of those who smoke a lot.

Cialis black can be used as a treatment for various ED diseases. All the men can be in shape to get fully sexual satisfaction at any time despite of neuroses, stress and life hardships around. The most important is taking the pills carefully according to the right dosage. 

If you are taking tadalafil to treat erectile dysfunction, follow your doctor’s directions and the guidelines in this paragraph. There are two different ways to take tadalafil, either daily or on an as needed basis. Talk to your doctor about which dosing schedule is right for you. Tadalafil is sometimes taken as needed, usually at least 30 minutes before sexual activity and not more often than once every 24 hours. Your doctor will help you decide the best time for you to take tadalafil before sexual activity. Tadalafil is also sometimes taken once a day every day without regard to timing of sexual activity. You may attempt sexual activity at any time between doses. If you are taking tadalafil on a regular schedule, take it at around the same time every day. If you have certain health conditions or are taking certain medications, your doctor may tell you to take tadalafil less often or may prescribe a lower dose to be taken once a day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take tadalafil exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Side Effects

  • headache
  • indigestion or heartburn
  • nausea
  • diarrhea
  • flushing
  • pain in the stomach, back, muscles, arms, or legs
  • cough
  • sudden decrease or loss of vision (see below for more information)
  • blurred vision
  • changes in color vision (seeing a blue tinge on objects or having difficulty telling the difference between blue and green)
  • sudden decrease or loss of hearing (see below for more information)
  • ringing in ears
  • erection that lasts longer than 4 hours
  • dizziness
  • chest pain
  • hives
  • rash
  • difficulty breathing or swallowing
  • swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
  • blistering or peeling of skin
24 Sep
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Cialis (tadalafil) is the only medication in its class that treats both erectile dysfunction and enlarged prostate symptoms. You can also take it on a regular basis, which can allow for more spontaneity.

Tadalafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, tadalafil works by increasing blood flow to the penis to help a man get and keep an erection.

Tadalafil is also used to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). Tadalafil is thought to work by relaxing the smooth muscle in the prostate and bladder.

This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). Practice “safe sex” such as using latex condoms. Consult your doctor or pharmacist for more details.

Take this medication by mouth, with or without food, as directed by your doctor. Do not take tadalafil more often than once daily.

The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

To treat the symptoms of BPH, take this medication as directed by your doctor, usually once a day. If you are also taking finasteride with this medication to treat symptoms of BPH, talk with your doctor about how long you should continue taking this medication.

Precautions

Before taking tadalafil, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months, chest pain/angina, heart failure), stroke in the past 6 months, kidney disease, liver disease, high or low blood pressure, a severe loss of body water (dehydration), penis conditions (such as angulation, fibrosis/scarring, Peyronie’s disease), history of painful/prolonged erection (priapism), conditions that may increase the risk of priapism (such as sickle cell anemia, leukemia, multiple myeloma), eye problems (such as retinitis pigmentosa, sudden decreased vision, NAION), bleeding disorders, active stomach ulcers.

This drug may make you dizzy. Alcohol or marijuana (cannabis) can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

This brand of the drug is not usually used in women. During pregnancy, tadalafil should be used only when clearly needed. Discuss the risks and benefits with your doctor.

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What is Black Viagra 200 Mg ?

Viagra Black is indicated for the treatment of erectile dysfunction in men. Viagra is a phosphodiesterase type 5 (PDE5) inhibitor. It works by helping to increase blood flow into the penis during sexual stimulation. This helps you to achieve and maintain an erection.

Viagra Black (Cialis Black) is a male enhancement medication that is used to treat men with erectile dysfunction. It is a powerful version of one of the more popular medications that are commonly used to treat this problem. Unlike other popular products, the effect of the medication is promised to last up to 36 hours.

Take this medicine by mouth with a glass of water. You may take this medicine with or without meals. The dose is usually taken 30 to 60 minutes before sexual activity. You should not take this dose more than once per day. Do not take your medicine more often than directed.

Viagra Black is a highly effective medication in treating erectile dysfunction. It works by redirecting blood flow to allow the patient to experience and maintain an erection with the help of sexual stimulation. It’s important to note that this medication is not intended to give you an unstimulated erection and if this happens, you should seek medical attention. Viagra is not meant for women and should be kept out of easy reach of children, as it is not intended for them either.

Side Effects

Along with its needed effects, sildenafil may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

  • Bladder pain
  • burning feeling in the chest or stomach
  • burning, crawling, itching, numbness, prickling, “pins and needles”, or tingling feelings
  • cloudy or bloody urine
  • dizziness
  • increased frequency of urination
  • indigestion
  • pain on urination
  • stomach upset
  • tenderness in the stomach area
  • Abnormal vision
  • anxiety
  • behavior change similar to drunkenness
  • bleeding of the eye
  • blurred vision
  • bone pain
  • breast enlargement
  • chest pain
  • chills
  • cold sweats
  • confusion
  • convulsions (seizures)
  • cool and pale skin
  • deafness or hearing loss
  • decrease in amount of urine or the frequency of urination
  • decreased vision
  • difficulty in concentrating
  • dizziness or lightheadedness, especially when getting up suddenly from a lying or sitting position
  • double vision
  • drowsiness
  • dry eyes
  • dry mouth
  • dryness, redness, scaling, or peeling of the skin
  • excessive hunger
  • eye pain
  • fainting or faintness
  • fast, irregular, or pounding heartbeat
  • feeling of something in the eye
  • fever or chills
  • headache (severe or continuing)
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