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ℱorzest (generic Ciaȴis) – a new soȴution to oȴd probȴems.
Indian company Ranbaksi on the production oḟ generic drugs oḟḟers the worȴd a new innovative ranbaxy tabȴets to soȴve probȴems with erection. This eḟḟective and perḟectȴy saḟe Ciaȴis generic can be used ḟor any etioȴogy and any severity oḟ erectiȴe dysḟunction. It is worth taking a piȴȴ ḟorzect beḟore the sexuaȴ act, and the man is again abȴe to experience an erection.

ℱorzest 20 mg  – one oḟ the newest deveȴopments ḟor the treatment oḟ potency in men. The active substance is tadaȴaḟiȴ. In the modern worȴd, this is a ḟairȴy common aiȴment, which is ḟaced not onȴy by men oḟ mature age, but aȴso quite young. ḟortunateȴy, this medication can be easiȴy handȴed by this medicine.

Men oḟ middȴe age are recommended to take the drug in the amount oḟ 1 tabȴet beḟore sexuaȴ intercourse ḟor 15 – 20 minutes. This wiȴȴ ensure a permanent erection ḟor a ȴong time, which reaches 36 hours, which gives a great advantage to the generics. Throughout this time, you can repeatedȴy commit sexuaȴ intercourse whiȴe not worrying at aȴȴ about the process, the erection wiȴȴ be persistent and proȴonged. Generic does not repȴace naturaȴ processes, but rather onȴy strengthens them, does not cause addiction.

ℱorzest (tadaȴaḟiȴ) heȴps men who suḟḟer ḟrom erectiȴe dysḟunction, heȴping to increase the ḟȴow oḟ bȴood in the penis during sexuaȴ stimuȴation.
This wiȴȴ heȴp you achieve and maintain an erection. Dosage: Take ḟorzest (tadaȴaḟiȴ), when necessary, up to once a day, or as directed by a doctor. Each dose shouȴd be taken oraȴȴy, washed down with a ḟuȴȴ gȴass oḟ water, at ȴeast haȴḟ an hour beḟore the pȴanned sexuaȴ act. This drug can be taken with or without ḟood. Remember that ḟorzest (tadaȴaḟiȴ) can heȴp achieve an erection onȴy when there is sexuaȴ stimuȴation. You wiȴȴ not get an erection, just taking piȴȴs and doing nothing. Attention! Contraindications are possibȴe.

The drug is contraindicated in peopȴe with cardiovascuȴar diseases. ḟorzest 20 mg shouȴd be taken according to aȴȴ recommendations, in case oḟ an overdose, the ḟoȴȴowing symptoms are typicaȴ:

– headache;
– tides oḟ bȴood to the ḟace;
– nasaȴ congestion;
– dizziness;
– Not recommended ḟor persons under the age oḟ majority.

ℱorzest 20 mg generic eḟḟective and saḟe that aȴȴows ḟor persistent erection oḟ any severity oḟ erectiȴe dysḟunction.
ℱorzest (tadaȴaḟiȴ) oḟḟers you aȴȴ the advantages oḟ Ciaȴis with a ȴow price! Advantages: -The eḟḟect ȴasts much ȴonger than traditionaȴ medicines – up to 36 hours -The action does not decrease with ḟatty ḟoods, so you can eat with or without ḟood -The eḟḟects can be ḟeȴt so quickȴy, that within haȴḟ an hour aḟter intake you wiȴȴ ḟeeȴ the best man in bed sos his companion -Proizvodit ḟewer side eḟḟects than Viagra – The most convenient oḟ aȴȴ the drugs ḟrom impotence and it is not necessary to pȴan everything in advance How it works Reparata ḟorzest? ḟorzest (tadaȴaḟiȴ) beȴongs to the group oḟ medicines caȴȴed phosphodiesterase inhibitors. It reȴaxes muscȴes and increases bȴood ḟȴow to particuȴar areas oḟ the body.

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Active Ingredient: Sildenafil
Sublingual Viagra is used for the treatment of erectile dysfunction in men.
INDICATIONS
Sublingual Viagra is indicated for the treatment of erectile dysfunction in men. It works by helping the blood flow into a penis to achieve and maintain an erection.
INSTRUCTIONS
Use Sublingual Viagra as directed by your doctor.
Take Sublingual Viagra by mouth. The pill has to be placed under the tongue. It’s absorbed directly in to the blood stream from the mouth’s mucus membrane.
Sublingual Viagra should be taken 30 minutes to 1 hour before sexual activity; however, it may be taken anywhere from 4 hours to a half hour before sexual activity. Talk with your doctor about the best way to take Sublingual Viagra.Sublingual Viagra can help you have an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.Do not take more than the recommended dose or take it more often than once daily, or as directed by your doctor.
If you miss a dose of Sublingual Viagra and you still intend to engage in sexual activity, take it as soon as you remember. Continue to take it as directed by your doctor.
Ask your health care provider any questions you may have about how to use Sublingual Viagra.
STORAGESublingual Viagra is to be kept in its original container. It is to be stored at room temperature between 59 and 86 degrees F (15-30 degrees C) away from moisture, heat and light and out of the reach of children.
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✦ Levitra Professionaℓ 20 mg (active ingredient Vardenafil 20 mg) is an innovative preparation of a new generation of drugs successfully coping with any problems associated with erectile dysfunction. Its unique feature is that it works effectively with alcohol and various stimulants.

✦ Country of origin: India
✦ Action period: up to 8 hours
✦ Admission: 20-30 minutes before sexual intercourse
✦ Alcohol: works well with alcohol
✦ Recommended daily dose: not more than 1 tablet
✦ International name: Vardenafil Tablets
✦ Pharmacological group: PDE5 inhibitor
✦ Active substance: Vardenafil
✦ Dosage form: round tablets, coated

Levitra Professionaℓ
Levitra Professionaℓ 20 mg has a more perfect formula that allows you to combine the use of the drug with small doses of alcohol, in addition, it does not affect the positive effect of the drug on fatty foods, which gives significant advantages to this drug over the usual drugs to normalize the potency. Levitra Professionaℓ 20 mg works much faster and longer than standard drugs, and the possible side effects are minimized.

A good potency is provided by complex hemodynamic and chemical processes, with a key role played by cGMP, special chemicals that block the relaxation of the smooth muscles of the cavernous bodies of the penis, resulting in their rapid filling with blood, which ensures a reliable and qualitative erection. The active ingredient of vardenafil acts selectively on the vessels of the reproductive system, without affecting the vessels of the retina of the eyes and the heart vessels, which not only enhances the positive effect of the drug, but also further increases the safety of its use.

Vardenafil destroys cGMP by blocking PDE5, and thus helps to relax the smooth muscles of the penis and provides a reliable erection. However, the effect of the drug occurs only in the presence of sexual stimulation, this is the main condition for the successful action of the drug. Levitra Professionaℓ begins to operate after 15-20 minutes, the peak of activity occurs after an hour and lasts up to five hours, then the activity of the drug begins to decrease and after ten hours is completely eliminated from the body.

Advantages of the drug:

The active ingredient of the drug vardenafil, guarantees a lasting result of complete elimination of male impotence. For today, this remedy is considered one of the best, effective, and most importantly safe with prolonged use;
Levitra Professionaℓ 20mg has higher quality characteristics;
The perfect formula of the drug allows you to get a longer lasting positive effect, on average, it lasts for 10 hours;
The drug acts quickly and has a complex positive effect on male sexual health, which has not a one-time effect, but persists for a long time;
The positive effect of the drug and the speed of its onset do not depend on the intake of food and alcoholic beverages.
Men for complete recovery from impotence or with temporary failures of potency at any age from adulthood to 80 years. Often, the drug is a means of choice in patients with severe diabetes mellitus or in conditions of the operated prostate gland.

As you know, sexual activity is associated with certain risks for the cardiovascular system, so it is so important not only to fully assess the state of health before taking the means to combat erectile dysfunction, but also to choose an adequate dosage of Levitra Professionaℓ. Only Professionaℓ medical advice will help to adequately assess all risks and prescribe the right dosage for safe permanent reception.

Levitra Professionaℓ 20 mg for ingestion, it is necessary to start the initial reception of the drug with 10 mg, and if there are serious problems with the work of the liver or heart, it is more appropriate to take 5 mg.

The daily maximum dose is 20 mg or one Levitra Professionaℓ 20 mg tablet. The drug is well tolerated with prolonged use and has a minimal set of possible side effects. After taking the medication, it is activated after 15-20 minutes, if there is an obligatory condition in the form of strong sexual arousal.

Directions for use: Levitra Professionaℓ
Pharmachologic effect

The main mechanism of action of Levitra Professionaℓ 20 mg is based on the relaxing effect of nitric oxide on the smooth muscles of the reproductive system of men, which leads to increased local blood flow and increased potency. It should be remembered that Levitra’s action consists only in providing a qualitative potency, and not an exciting action. Therefore, to obtain a good result, sexual arousal is necessary, then Levitra will begin its stimulating action to increase the potency in response to sexual stimulation. The main distinguish the usual Levitra from Levitra Professionaℓ is the rapid onset of a positive result and combining with small doses of alcohol.

✦ Indications for use

Successful treatment of problems associated with a violation of potency, regardless of the causes of its causes. The remedy is effective in the presence of sexual stimulation.

Contraindications

Do not allow the drug to men under the age of 18, as well as individuals with individual intolerance to individual components of the drug. Do not use Levitra Professionaℓ with medicines containing organic nitrates and nitrogen donors. With caution, it is necessary to apply the drug in the presence of hypertension, hypotension, arrhythmia, cardiovascular system, with curvature of the penis, with oncological diseases, with diseases of the retina.

Side effects

Despite the excellent tolerability of the drug in numerous clinical trials, minor side effects of the drug were revealed, mainly they were manifested with increasing dosage and appeared as standard negative drugs for most medicines. Of the most frequent manifestations can be identified headache, flushes to the face. Nausea, very rarely vomiting, drowsiness and allergic rhinitis.

Mode of application

It is recommended to take no more than one tablet per day, given the high speed of the onset of a positive result, you need to consume the medication 15-20 minutes before intimacy. The peculiarity of using Levitra Professionaℓ 20 mg is the possibility of combining with a moderate amount of alcohol and high-calorie food. The minimum dose for taking the drug is 5 mg, the recommended dosage per day is 10 mg and the maximum allowable is 20 mg. The remedy is active for 8 hours.

✦ Interaction with other drug groups

Before Levitra is used, a compulsory medical consultation is necessary, some types of medicines may have a negative effect on Levitra’s action, or may increase the risk of adverse events. The main thing is that you must completely exclude Levitra Professionaℓ 20 mg with nitrate preparations, alpha blockers and nitrogen donors.

 

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Avanafil – innovation among agents for the treatment of erectile dysfunction
Even faster effect, and even fewer side effects
Avana-100 – the very generic “young” for the treatment of impotence Stendra. The drug is actually able to “outdo” all brand tablet for the treatment of impotence.

Avanafil – the quick cure of all: it takes effect within 15 minutes after the decision. Other advantages Avana-100 is its power (one tablet of 100 mg Avanafil does not lose its effectiveness even in severe forms of impotence) and the almost complete absence of side effects (principally new technologies have allowed drug makers to reduce the level of such effects to 1%). Time of the drug – 6 hours.

What is Avana 100 mg?
Avana 100 mg – a drug for the latest generation of an erection. He developed a small company Vivus Inc, which is headquartered in Mountain View (Calif., USA). The drug has been declared as the first tool that can completely restore control over an erection within 15 minutes. Following approval in April 2012 FDA Avanafil went on sale under the trade names Spedra (in Europe) and Stendra (in the US). It has established itself as a safe and reliable fast-acting drug. Widespread prevented just too high a price.

The well-known pharmaceutical company in our Sunrise Remedies decided to make medicine more affordable. Scientists from this company created a generic drug Stendra, which is a complete analog of the “original”. From the American Indian Avanafil it differs only in a very low price. All other characteristics of the drug Stendra (generic) are similar. Thanks to the efforts of “Sunrise” men in the world had the opportunity to take advantage of high-quality medicines at a reasonable price.

What is better – or Stendra Avana?
As we have said, Stendra – US drug developed by Vivus. Avana – Indian counterpart. Essentially, the drug is one manufactured by different manufacturers. Avana-100 (Stand) gained more widespread due to the lower price. The efficiency and speed are the same as the “original” preparation. It is no wonder that most men prefer to Avana. Reviews confirm the high popularity of the drug.

Avana (generic): principle of action
The most high-speed drug for erectile considered generic Stendra. Guide says that it belongs to the group of PDE-5 inhibitors. Like other active substances from this category Avanafil inhibits specific enzyme phosphodiesterase (type 5). Healthy men PDE5 need to go to the quiet state after sex. If you have sexual dysfunction, an enzyme found in the blood constant.

To enhance erection quality needed to increase blood flow to the penis and relax the smooth muscles of the corpora cavernosa. This “engaged” cyclic guanosine monophosphate. The level of cGMP is constantly decreasing the enzyme PDE-5. Before scientists were challenged to create a drug that blocks the action of phosphodiesterase. As a result, the drug was invented Avana (generic). Responses indicate that high efficiency of the tool has a unique degree of security.

How long does the effect of 100 mg pills Avana?
Searching for a cure, which in a few minutes to restore an erection? Try generic Avana. Reviews about this drug is always only positive. It is rapidly absorbed and becomes effective immediately. The effect of the reception Avanafil in 75% of cases after 15 minutes. Avanafil concentration in the blood reaches a maximum at 1-1.5 h. The validity period of 5-6 hours.

Medicine Avana-100, which can be bought on this page are completely eliminated from the body in the form of neutral metabolites. It is metabolized in the liver (isozyme CYP3A4) and is excreted in the feces. Via the kidneys displayed no more than 12-15% of active ingredient.

Generic Stendra: indications for use
One of the newest drugs to improve erections – generic Stendra. Reviews show that Avanafil starts to act faster than other drugs. It is used to treat erectile dysfunction. It is a special condition of the body, in which a man is not able to achieve an erection. There are also cases when the excitement of the reproductive system occurs, but the penis does not reach the desired hardness. Erectile dysfunction is also called impotence. Previously, it was considered an incurable disease. Today it is easy to cope Avanafil. Reviews of generic Stendra indicate that the drug is like a lot of men.

Can I take Avana100 women?
Many people wonder if the solution to raise the female libido Avana-100. Reviews of some women talking about the effectiveness of drugs in this direction. In particular, women often say that after taking Avanafil significantly enhanced sexual desire and orgasm becomes stronger. But special research studied the effects of the drug on women, was conducted. It is unknown how Avanafil affects lactating and pregnant women. Therefore, at this time Avana-100 is indicated for use only men who have reached 18 years of age.

Generic Avana: how to use
High speed and efficiency has generic Avana 100. Buy at the lowest price you can online pharmacy “ShopStoyal”. We always have the most advantageous offers for regular customers and new customers. Dosing of the drug:

Take Avana 100 mg 15 minutes before anticipated sexual intimacy.
minimum dose – ½ tablet.
The recommended dose – 1 tablet.
During the reception, you can use alcohol (in small amounts), and fatty foods.
Reviews Generic Stendra show that abundant and fatty food on Avanafila performance is not affected.

Avana100: Dosage
For preparation Avana-100 daily dose should not exceed 200 mg of active ingredient (two tablets). Doctors recommend at the initial stages of erectile dysfunction limited to 50 mg (half tablet). Only if the effect will not be possible to pass on the whole tablet Avana. The drug has a high degree of safety and almost never cause side effects. However, when exceeding the maximum daily dose (200 mg) adverse reactions are not only more frequent, but also increase.

Stendra (Avana): CONTRAINDICATIONS
Before you buy Avana 100 mg, check the list of contraindications. The drug is banned for use to people who have sexual activity can lead to a heart attack or fainting.

There are also diseases in which you need to carefully take the drug Avana-100. Instruction is one of them:

stomach ulcer or bowel;
stroke or myocardial infarction;
uncontrolled high or low blood pressure;
Penis deformation (fibrosis, injury, Peyronie’s disease, etc.);
ischemic optic neuropathy;
multiple myeloma.
Note that one of the safest drug is generic Stendra. Customer reviews show that it can still create a situation ugrozhayuschuie health when combined with other drugs.

Therefore it is impossible to combine the technique with Avanafil:

medications containing nitrates;
inhibitors of CYP3A4;
medicines for high blood pressure;
alpha-blockers;
antihypertensive agents.
We have tried to collect as much information about the drug generic Avana. Price, location, reviews, the principle of action – on this page there are all the necessary information. However, over the reception Avanafila must always consult a doctor.

Avana 100mg: Compatibility with alcohol
The manufacturer allows the use of small doses of alcoholic beverages while taking pills generic Avana 100. Responses indicate that a moderate amount of ethanol does not interact with the drug. But do not abuse alcohol. Alcohol promotes vasodilation. Avanafil has the same effect. As a result, blood pressure (especially in people with hypotension) may drop dangerously. In addition, the combination with alcohol drink Stendry can cause more severe side effects.

Generic Stendra: side effects
Before you buy generic Stendra Avana, check the list of possible side effects. As is known, Avanafil has an unprecedented level of security.

However, in rare cases (mainly in non-compliance with instructions) can occur:

runny nose;
headache;
back pain or lower back;
a sore throat.
Reviews of generics Avana say that these reactions are temporary. They completely disappear within 2-4 hours.

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This page contains all the information about Avana-100 preparation (instructions, reviews and other useful information). Buy it on the most favorable terms possible in our online pharmacy. We specialize in high-quality, proven generics. We have the lowest prices and the most fast delivery to any region. For the convenience of customers, we offer several options for the checkout:

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Viagra 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.

INSTRUCTIONS 

Use Viagra as directed by your doctor.

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  • Viagra is usually taken about 1 hour before sexual activity; however, it may be taken anywhere from 4 hours to a half hour before sexual activity. Talk with your doctor about the best way to take Viagra.
  • Viagra can help you have an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.
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Extra Super Viagra is used in the treatment of Erectile Dysfunction with Premature Ejaculation. Extra Super Viagra contains Sildenafil100 mg and Dapoxetine 100 mg.

 Product description

INDICATIONS
Extra Super Viagra is indicated for the treatment of erectile dysfunction in men.
INSTRUCTIONS
Use Extra Super Viagra as directed by your doctor.
Take Extra Super Viagra by mouth with or without food. Viagra may not work as quickly if you take it with a high-fat meal.
Viagra is usually taken about 1 hour before sexual activity; however, it may be taken anywhere from 4 hours to a half hour before sexual activity. Talk with your doctor about the best way to take Extra Super Delgra. Extra Super Viagra can help you have an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.
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Do NOT use Extra Super Viagra if:
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you have been advised by your doctor to avoid sexual activity because of heart problems
you are taking nitrates (eg, isosorbide, nitroglycerin) in any form (eg, tablet, capsule, patch, ointment), or nitroprusside
you use certain recreational drugs called “poppers” (eg, amyl nitrate or nitrite, butyl nitrate or nitrite)
you take another PDE5 inhibitor (eg, tadalafil, vardenafil) or another medicine that contains sildenafil.
Contact your doctor or health care provider right away if any of these apply to you.
Some medical conditions may interact with Extra Super Viagra. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
if you have a deformed penis (eg, cavernosal fibrosis, Peyronie disease), blood cell problems (eg, leukemia, multiple myeloma, sickle cell anemia), or any other condition that may increase the risk of a prolonged erection (priapism)
if you have a history of a prolonged (more than 4 hours) or painful erection (priapism)
if you have a history of certain eye problems (eg, macular degeneration, optic neuropathy, retinitis pigmentosa, sudden vision loss in one or both eyes) or hearing problems (eg, ringing in the ears, decreased hearing, hearing loss)
if you have a history of liver or kidney problems, lung problems (eg, pulmonary veno-occlusive disease), high or low blood pressure, ulcers, bleeding problems, heart problems (eg, angina, aortic stenosis, heart failure, irregular heartbeat), or blood vessel problems
if you have a history of heart attack, stroke, or life-threatening irregular heartbeat, especially within the past 6 months.
Some medicines may interact with Extra Super Viagra. Tell your health care provider if you are taking any other medicines, especially any of the following:
Alpha-blockers (eg, doxazosin), medicines for high blood pressure, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low blood pressure with dizziness, lightheadedness, and fainting may occur
Azole antifungals (eg, itraconazole, ketoconazole), H2 antagonists (eg, cimetidine), HIV protease inhibitors (eg, ritonavir, saquinavir), macrolide antibiotics (eg, erythromycin), narcotic analgesics (eg, dihydrocodeine), or telithromycin because they may increase the risk of Extra Super Viagra’s side effects
Bosentan or rifampin because they may decrease Extra Super Viagra’s effectiveness.
This may not be a complete list of all interactions that may occur. Ask your health care provider if Extra Super Viagra may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

Side effects

All medicines may cause side effects, but many people have no, or minor, side effects.
Check with your doctor if any of these most common side effects persist or become bothersome:
Diarrhea; dizziness; flushing; headache; heartburn; stuffy nose; upset stomach.
Seek medical attention right away if any of these severe side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; fainting; fast or irregular heartbeat; memory loss; numbness of an arm or leg; one-sided weakness; painful or prolonged erection; ringing in the ears; seizure; severe or persistent dizziness; severe or persistent vision changes; sudden decrease or loss of hearing; sudden decrease or loss of vision in one or both eyes.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider.
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Silvitra 120 mg (active ingredient – Sildenafil 100 to vardenafil 20 mg) tablets new safe Silvitra – the drug, which included just two predominant popular ingredient used to manufacture Viagra and Levitra.

Duration: 12:00
Admission: 20-25 minutes before sexual intercourse
Alcohol: I suppose in minimum quantities
Recommended daily dose: not more than 1 tablet

Modern scientists regularly conduct research and introduce the latest developments in chemical preparations for preserving and increasing male potency. The main purpose to cause and how to fix a longer period of strong erection. One of these innovations and become drug Silvitra

Advantages of the drug:

It felt the impact of the drug within 25 minutes after ingestion;
Silvitra enhances blood circulation in the pelvic organs;
mild effect of the drug is almost no side effects;
symbiosis of the two best active ingredients, can cope with even the most “neglected” diseases of the male;
excitation mechanism is triggered only when a natural sexual stimulation;
increased duration of erections in 2-3 times;
reduces the amount of time between sexual acts, that is already half an hour after intercourse man is once again ready to continue lovemaking.
Aphrodisiac Silvitra very popular among males, leading an active life and aspiring to sexual diversity.

International name: Silvitra 120 mg
Pharmacological group: PDE 5 inhibitor (PDE-5)
Active substance: Sildenafil Vardenafil 20mg 100mg
Dosage form: oval tablets, coated yellow.

Pharmachologic effect
Each tablet contains 100 mg Nitre sildenafil and 20 mg vardenafil. Regardless of the cause of impotence, sildenafil helps to achieve full sexual arousal. Vardenafil is rapidly dissolved in the blood and spreads throughout the body.

Indications
The drug is prescribed to treat erectile dysfunction and improve the quality of sexual life. With two active substances, which increase blood flow to the penis, Silvitra helps to cope with the problems caused by the man’s psychological factors, stress and fatigue, problems with the endocrine system and vascular disease.

Mode of application
At night you can eat no more than 120 mg Silvitry (one tablet). Take the medicine on an empty stomach is better for half an hour before the planned sexual intercourse. Its effect is maintained for at least 24 -30 hours, if not abuse of fatty foods and alcohol.

Contraindications
stomach cancer and other cancers;
allergic to one or more active ingredients;
cardiac disease character;
chronic diseases of the gastrointestinal tract;
deformation of the sexual organs.

Side effects:
migraine;
dizziness;
diarrhea;
nasal congestion.

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Active substance
Vardenafil
Active ingredient: vardenafil (vardenafil)
Rec.INN registered WHO
Dosage Form
LEVITRA®
Tab., cover. film coating is 5 mg: 1, 4 or 20 units.
Composition, structure and packing
The tablets covered with a film cover from light orange to gray-orange, round, biconcave, slightly rough, embossed with “5” on one side and the Bayer Cross trademark – on the other.
1 tab.
vardenafil hydrochloride trihydrate 5,926 mg,
which corresponds to the content of 5 mg vardenafil
Other ingredients: crospovidone – 4.35 mg magnesium stearate – 870 mg, microcrystalline cellulose – 75,419 mg colloidal anhydrous silica – 435 micrograms.
Cover structure: macrogol 400 – 555 mg, Valium – 1.664 mg of titanium dioxide – 455 mg, yellow iron oxide – 92 mg, iron oxide red – 7 g.
1 PC. – Blisters (1) – packs cardboard.
4 things. – Blisters (1) – packs cardboard.
The tablets covered with a film cover from light orange to gray-orange, round, biconcave, slightly rough, embossed with “10” on one side and the Bayer Cross trademark – on the other.
1 tab.
vardenafil hydrochloride trihydrate 11,852 mg,
which corresponds to the content of 10 mg vardenafil
Other ingredients: crospovidone – 6.25 mg magnesium stearate – 1.25 mg, microcrystalline cellulose – 105,023 mg colloidal anhydrous silica – 625 micrograms.
Cover structure: macrogol 400 – 797 mg, Valium – 2.391 mg of titanium dioxide – 653 micrograms of iron oxide yellow – 133 g, iron oxide red – 11 micrograms.
1 PC. – Blisters (1) – packs cardboard.
4 things. – Blisters (1) – packs cardboard.
The tablets covered with a film cover from light orange to gray-orange, round, biconcave, slightly rough, embossed with “20” on one side and the Bayer Cross trademark – on the other.
1 tab.
vardenafil hydrochloride trihydrate 23,705 mg,
which corresponds to the content of 20 mg vardenafil
Other ingredients: crospovidone – 8.85 mg magnesium stearate – 1.77 mg, microcrystalline cellulose – 141,797 mg colloidal anhydrous silica – 885 micrograms.
Cover structure: macrogol 400 – 1.128 mg, Valium – 3.385 mg of titanium dioxide – 925 micrograms of iron oxide yellow – 188 g, iron oxide red – 15 micrograms.
1 PC. – Blisters (1) – packs cardboard.
4 things. – Blisters (1) – packs cardboard.

Indications
– Erectile dysfunction (inability to achieve and maintain an erection necessary for sexual intercourse).
ICD-10 code reading
F52.2 Lack of genital response (psychogenic impotence)
N48.4 Impotence of organic origin

Side effect
From the central and peripheral nervous system: ≥10% – headache; ≥1% – dizziness; ≥0.1% – <1% – lethargy; ≥0.01% – <0.1% – anxiety, fainting.
Cardio-vascular system: ≥10% – tides (periodic sudden reddening of the face, the sensation of heat); ≥0.1% – <1% – increase in blood pressure, reduced blood pressure, orthostatic hypotension; ≥0.01% – <0.1% – angina, myocardial ischemia.
From the digestive system: ≥1% – <10% – indigestion, nausea; ≥0.1% – <1% – change liver function tests (increased ALT, AST, GGT).
The respiratory system: ≥1% – <10% – congestive hyperemia of the nasal mucosa (mucosal edema, rhinitis, rhinorrhea); ≥0.1% – <1% – shortness of breath, nosebleeds; ≥0.01% – <0.1% – swelling of the larynx.
From a sight organ: ≥0.1% – <1% – increased lacrimation, blurred vision (of brightness); ≥0.01% – <0.1% – increased intraocular pressure.
Dermatological reactions: ≥0.1% – <1% – swelling of the face, photosensitivity.
From the musculoskeletal system: ≥0.1% – <1% – myalgia, back pain, increased CPK; ≥0.01% – <0.1% – increase in muscle tone. On the part of the reproductive system:> 0.01% – <0.1% – elongation erection or painful erection,priapism.
Other: ≥0.01% – <0.1% – hypersensitivity reactions.
There are rare post-marketing reports of cases of anterior ischemic optic neuropathy (PINZN), which leads to impaired vision, including permanent loss of vision associated in time with taking PDE5 inhibitors, including and Levitra, patients, many of whom have concomitant risk factors for developing this condition, such as an anatomical defect of the optic nerve, age over 50, diabetes, hypertension, coronary artery disease, hyperlipidemia and smoking. Not determined whether the development PINZN connected directly with PDE5 inhibitors or with existing patient associated cardiovascular risk factors and anatomical defect, or a combination of these factors, or other causes.
Reported cases of visual disturbances, including the temporary or permanent loss of vision, which are linked in time with taking PDE5 inhibitors, including and Levitra. Not installed, whether these cases directly with taking PDE5 inhibitors, or with concomitant vascular risk factors, or other causes.

Contraindications
– Simultaneous treatment with nitrates or drugs, which are nitric oxide donators;
– Combination with HIV protease inhibitors such as indinavir, or ritonavir;
– Hypersensitivity to the drug.
The drug is not intended for use in children and adolescents under the age of 16 years.
Caution should be used in patients with congenital prolongation of the interval QT, with anatomical deformation of the penis (contortion, cavernous fibrosis, Peyronie’s disease), diseases predisposing to priapism (sickle-cell anemia, multiple myeloma, leukemia), severe hepatic impairment, kidney disease in the terminal stage, hypotension (systolic pressure at rest less than 90 mmHg), recent stroke and myocardial infarction, unstable angina, hereditary retinal degenerative diseases (such as retinitis pigmentosa), with a tendency to bleeding and aggravation peptic ulcer disease, aortic stenosis and idiopathic hypertrophic subaortal stenosis.
Pregnancy and breast-feeding
The preparation is not intended for use in women.
Application for violations of liver function
With care use in patients with severe hepatic dysfunction.
In patients with severe hepatic slightly nedostatochnostyukorrektsii dosing regimen is required. In patients with moderate hepatic impairment initial dose is 5 mg sutki.Vdalneyshem depending on the efficacy and tolerability of treatment dose can be increased to 10 mg and then 20 mg.
Application for violations of renal function
With care use in patients with kidney disease in the terminal stage.
In patients with severe and moderate only slightly impaired renal function correct dosing regimen is not required

Use in children
The drug is not intended for use in children and adolescents under the age of 16 years.
Use in elderly patients
Correct dosing regimen in elderly patients is not required.
special instructions
Before prescribing the drug Levitra® (and other drugs used to treat erectile dysfunction), the physician should evaluate the state of the cardiovascular system, as there is the risk of cardiac events during sexual activity.

Vardenafil has vasodilator properties, which may be accompanied by minor or moderate decrease in blood pressure.
Patients with obstruction of the outflow tract of the left ventricle such as aortic stenosis, idiopathic hypertrophic subaortal stenosis, can be sensitive to the action of vasodilators, including PDE5 inhibitors.
Men who do not show sexual activity due to concomitant cardiovascular disease, drugs to treat erectile dysfunction is not appointed.
Since Levitra® in therapeutic doses (10 mg) causes elongation of the QT interval, medication should not be prescribed to patients with congenital QT prolongation and those who are taking antiarrhythmics class IA (quinidine, procainamide) or Class III (amiodarone, sotalol).
The safety and efficacy of vardenafil in combination with other drugs to treat erectile dysfunction has not been studied, so their combined use is not recommended.

Safety of vardenafil has not been studied, and its use is not recommended for the following groups of patients: severe liver, kidney disease in the terminal stage, requiring dialysis, hypotension (systolic pressure at rest While taking Levitra and other PDE5 inhibitors have reported cases of transient visual loss and nearteriitnoy ischemic optic neuropathy. In the event of a sudden loss of the patient should stop taking Levitra and immediately consult a physician.

Combined therapy of alpha-blockers and vardenafil may be accompanied by the development of arterial hypotension with the appropriate clinical picture, because these drugs have vasodilating effects. The combined purpose of Levitra and an alpha-blocker is permissible only if the stable performance of BP in patients receiving alpha-blockers, while Levitra should be given to the minimum recommended dose of 5 mg. It should not take Levitra at the same time with an alpha-blocker, with the exception of tamsulosin which reception can coincide in time with the reception of vardenafil. If you receive a dose of Levitra selected alpha-blocker therapy should be started at the minimum dose. The gradual increase in the dose of alpha-blockers to patients receiving drugs from the group of PDE-5 inhibitors may result in further reduction of blood pressure.
Levitra dose should not exceed 5 mg when it is combined with erythromycin, ketoconazole, itraconazole. The dose of ketoconazole and itraconazole thus should not exceed 200 mg.
The combination with indinavir and ritonavir is contraindicated.
Since vardenafil has not been used in patients with a tendency to bleeding in patients with acute exacerbation of peptic ulcer disease, its purpose in these cases is possible only after a careful assessment of benefit-risk ratio of the therapy.
Vardenafil does not affect the duration of the bleeding, as it does not affect the rate in the combined use with acetylsalicylic acid.
Vardenafil not enhance platelet aggregation induced by different agents. The above therapeutic concentrations vardenafil causes a slight increase in antiplatelet action of sodium nitroprusside, which is a donor of nitric oxide.
Effect of heparin and vardenafil, while the use of the length of bleeding is not known.
Effect of vardenafil on the hypotensive effect of nitrates in patients not studied, so the combined purpose of Levitra and nitrates is contraindicated.
Use in Pediatrics
Vardenafil is not intended for use in children.
Effects on ability to drive vehicles and management mechanisms
Before prescribing the drug to patients who are driving a vehicle and work with the mechanisms necessary to clarify their individual response to Levitra.

Conditions and terms
The drug should be stored out of reach of children, dry place at temperatures no higher than 30 ° C. Shelf life – 3 years.

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Description and user Cialis

Cialis is a drug, under the influence of men whose erectile function is restored. Active ingredient of this drug is tadalafil. It relieves the spasm arteries that supply blood to the penis. Filling blood becomes full, so that it becomes possible erection. It should be emphasized that the onset of effect is not only influenced by Cialis, and occurs only when a man feels sexually aroused. In other words, the drug contributes to the normalization of the natural biological functions, rather than a substitute for, or an imitation.

Pharmacological form Cialis – pills. To the preparation instruction manual, which is a diagram of the use of medication and dosage. Contraindications to the use is individual intolerance to the drug and its components. Also, the drug is not recommended for use in patients who are under eighteen years old. Cialis is not combined with drugs, which are organic nitrates.

Caution should be used for patients who have hepatic or renal dysfunction, cardiovascular problems with the system. In this case, Cialis may indirectly affect the weak systems and organs. As a side effect while taking this drug may experience phenomena such as digestive disorder, headache. In rare cases, there is quite swelling, muscle aches, nasal bleeding, hot flushes in the face.

Reviews of Cialis

As a rule, the positive reviews of Cialis. Many men believe that the drug is effective. On the basis of their stories can be concluded that Cialis not a stimulator of erection, as such, … – The drug increases the local sensitivity. The result obtained after taking Cialis lasts for two or three days, anyway, so write in a review. Many men believe that this is the medicine that they need. Because of its effects, they get rid of a significant mental stress associated with erectile dysfunction.

In the discussion of the properties of the drug meets the theme, which compares the effectiveness of their drug-originals with medicines – generics. When men leave their opinion, they specify exactly how the drug used, whether it was a patented drug or generic – unpatented. On the basis of reports it can be concluded that the use of the original drug Cialis bring more tangible results, while the copy is much weaker, the result is quite mediocre, although we can not say that it is completely absent. But in some cases, men write that when taking generic effect was zero.

In order not to be disappointed in the actions of the acquired drugs need to know what is the difference between the original drug and its copy. The original drug has a high cost, it is patented, sold through pharmacies. In contrast, generics are not certified, and these drugs are sold mainly in the online stores. If you believe their producers – the drug is absolutely identical to the original medicines, but there is no way to test and verify such information. Everyone refers to his health as he seems to be more correct. Still, choosing a drug, consult with a specialist about his reception, and read all the available information on this subject.
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Modern man has to fight many diseases that often affect the body and can lead to violations of its normal functioning. Most diseases are prevented or successfully treated, but erectile dysfunction (considered a disease) treated fairly difficult, unfortunately, the people can not prevent this disorder.

Erectile dysfunction – this is definitely a disease in which a man is not able to achieve an erection to have intercourse, or maintain an erection during sexual intercourse. That is why the disease is called “erectile dysfunction” as soon as he heard the word, a man usually runs in terror to the doctor. In fact, erectile dysfunction is a “problem” for men. Every failure is a weakness for men, worthlessness and self-contempt. All of these can have an impact on physical, mental and emotional state of any man. Symptoms of erectile dysfunction appear suddenly, causing more discomfort because a man is not ready for such a situation. That’s why men usually prefer to guarantee themselves against the risk of failure in bed, and they buy Viagra – a drug that helps to maintain an erection. Viagra – a well-known brand sold throughout the world as the best means to treat erectile dysfunction.

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Sildenafil – a drug that was developed over 15 years ago. Sildenafil was supposed to be a new drug to treat a variety of diseases of the cardiovascular system. During clinical trials, the features of sildenafil, the men who took the drug, – noted an immediate improvement in erection. At first no one paid much attention to this fact. However, soon after the men have been sending a lot of positive feedback, which made them an erection sildenafil much better. For example, pharmacists have started to study this unique effect. While some studies, they found that sildenafil erection actually increases, and this feature greatly surpassed the effectiveness of the treatment of cardiovascular diseases.

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