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A few years ago, I was interviewed by a German TV channel which wanted to show that taking over the counter drugs was a dangerous practice, and had gone to great pains to do some secret filming in Thai suburban pharmacies (of which there are numerous).
The drug they wished to highlight was our old friend (or probably better described as the “friend of the old”), the blue diamonds. They had chosen Thailand because so many blue diamonds were being taken here, and they wanted to show the disastrous side effects from taking the fake pills.
During the course of the interview I pointed out that Germany has its own very well known red light areas, so they could save money on plane fares and get the blue diamond statistics much closer to home. I also pointed out that we were not inundated with octogenarians with heart failure and loaded condoms, and “over the counter” (OTC) drugs could be found all over the world, and not just here.
It might come as no surprise to those who have an inkling of television “news” that they cut my interview out of the feature. Do not forget the journalist’s creed – “Never let the truth stand in the way of a good story”!
So back to counterfeit blue diamonds, how do you find out that yours are real or otherwise? Every day I receive Spam, offering me the opportunity to keep a battalion of beauties satisfied. These are the internet email offers of cut-price drugs that will keep me in a state of perpetual priapism, a continuing (and painful) male erection and the term was coined after the Greek god Priapus who is shown in paintings to have a central member like a third leg.
Offers like these which are too good to be true, are usually just that – too good to be true! These cut-price drugs are not the real deal. The chances are very high that they are counterfeit.
One of the patients showed me a box purporting to be genuine brand name Cialis tablets, which were not having the desired effect. I was immediately suspicious as the box was not all that well printed. I was quite sure they were counterfeit when I read the Patient Information slip (the printed sheet that you don’t read). The English grammar was incorrect, and there were spelling mistakes. Eli Lilly, the ‘real’ manufacturer does not send out mis-spelled literature with their product. How real is the threat of counterfeit drugs? The World Health Organization estimates that one in three drugs on the worldwide market today is counterfeit. One in three!
Pfizer’s laboratories analyze fakes and stated, “We’ve seen boric acid, heavy metals, road paint, floor wax to coat the pills and give them a shine.”This is actually a serious situation. If specific drugs are only available through pharmacies, on the prescription of a doctor, is it safe to just buy over the internet (or counter), without any doctor’s advice?
According to WHO, drugs commonly counterfeited include antibiotics, antimalarials, hormones and steroids. Increasingly, anticancer and antiviral drugs are also faked. And you can add to that, the ‘blue diamonds’. Get your medications on a doctor’s prescription. There is a reason for it.
I do know that many of our patients complain that my hospital’s pharmacy is expensive, but that is the price of guaranteeing that your medications are not the WHO’s one in three fake medications in our pharmacy! We may be more expensive, but the medication is the real deal!
Previously published in the Pattaya Mail.
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Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.
Common side effects reported from Cialis use include:
More severe side effects include:
If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.
As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.
Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.
In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.
Read more about Cialis's effects on erectile dysfunction. Tell your health care provider if you are using Cialis or taking other medications.azole 150mg capsule (Lariam) capsule (ooters) $18.95Note: Azole 150mg can interact with Cialis. Lariam can interact with Cialis. Azole 150mg can interact with Cialis. Tell your health care provider if you are taking Cialis or taking other medications. Cialis can interact with certain medications, especially nitrates.
As with all prescription medications, inform your doctor if you are taking Cialis or taking other medications. This can cause potentially serious adverse reactions.
recounted by kamagra.com user reviewsRead more about how long it takes for Cialis to work. can you get it without insuranceA new study in the Journal of the American Medical Association (JAMA) shows that a drug that treats erectile dysfunction may be more effective than placebo. The drug, called Levitra, was originally developed by researchers at Pfizer, but the FDA approved it for the treatment of erectile dysfunction when it was first tested. It works by relaxing the muscles in the walls of blood vessels, making it easier for blood to flow in. When the researchers tested the drug on male volunteers, they saw that it caused the test subjects to feel better, the study reported. "The results were very promising," said Dr. Emily Carter, a Ph. D. at University of North Carolina at Chapel Hill. "We can’t wait to bring it back."
This is the second study in the same journal to show Levitra has a different side effect profile. The other is that a similar drug called Cialis, which treats erectile dysfunction, has a longer half-life. It’s also been shown to be more effective than Levitra.
“The new study shows that Levitra’s effectiveness is quite different than Viagra’s,” said Dr. Michael O’Brien, a clinical professor of urology at the University of Pennsylvania. “It’s not just about half the Viagra. It’s about a third. It’s about half the effect of Viagra.”
Viagra and Levitra are used to treat erectile dysfunction. The FDA approved the drug for use in the United States on Dec. 13, 2012. The drug works by relaxing the muscles in the walls of blood vessels, which can allow more blood to flow into the penis. Cialis works by inhibiting an enzyme called phosphodiesterase-5, which is responsible for breaking down cyclic guanosine monophosphate (cGMP).
“The difference in the safety profile between Levitra and Viagra is that Viagra has a longer half-life,” said Dr. Daniel V. Gershan, assistant professor of urology at the University of Pennsylvania School of Medicine. “Cialis, on the other hand, has a shorter half-life.”
It's not known if Levitra works the same way. However, Dr. O’Brien noted that while it can be effective, “a higher dose or longer half-life might be needed.”
Image credit:Researchers analyzed a sample of patients taking Levitra in a double-blind, placebo-controlled trial. They found that the drug significantly improved erectile function and was more effective than placebo. In addition, the researchers found that Levitra’s effect was similar to that of Viagra. However, the results showed that the drug was more effective for men who had erectile dysfunction than for those who didn’t. "It's a little bit different from Viagra," said Dr. Michael O’Brien, the study's lead author. “This is a unique study, and it may have implications for our understanding of erectile dysfunction.”
This study is the first to show that Cialis can be effective for men who have erectile dysfunction. It was also the first study to show that it may be effective for men who have not needed Cialis for erectile dysfunction. The study was conducted by Dr. Gershan, an assistant professor of urology at the University of Pennsylvania School of Medicine. "We don't know the specifics of this study," Dr. Gershan said. "It may be a small subset of men who are healthy enough to be treated with Cialis. That's why it's so important to understand the effects of Cialis."
It is important to remember that men who are using Cialis don't necessarily have erectile dysfunction. In fact, some men may have a reduced ability to achieve and maintain erections. Dr.
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