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Active Ingredient: Tadalafil
Forzest is an oral drug, used for treating male impotence, also known as men’s erectile dysfunction.
INDICATIONS
Forzest (Tadalafil) is an effective treatment for men’s erectile dysfunction.
INSTRUCTIONS
Forzest tablets must be taken orally. Take Forzest about one hour before you plan to have sex. Beginning in about 30 minutes and lasts for up to 36 hours, Forzest can help you get an erection if you are sexually excited. If you take Forzest after a high-fat meal, the medicine may take a little longer to start working.
If you miss a dose of Forzest, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
DOSAGE
Use exactly as prescribed by your Health Provider.
STORAGEStore Forzest below 86 degrees F (30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Forzest out of the reach of children and away from pets.This drug is supposed to be taken only at a need, and the dosage may be higher. Don’t you ever take more of preparation than is defined, as a result there may happen severe side effects. If you are curing with it, use this drug approximately 30 minutes before you will sexual experience; or use as ordered by your physician. This medicals influence of sexual possibility is supposed to continue up to 36 hours. Consequently, there is no need to take it more than once per day. If you take it properly each day, you may try sexual activity at any suitable time between your doses. You should not take more than one potion each day. Try not to eat grapefruit or drink its juice when are curing with this drug, except your physician insists it. Grapefruit juice can be a cause of enlargement of definite medications in your bloodstream.The impact of this medication stays for 24-36 hours which is a sufficient time to take opportunity of a satisfied sexual intercourse. His tablet makes the stream of blood in the penis smooth, consequently giving an erection. Erectile dysfunction is an outcome of the blocked blood flow to the male organ. The blockage here is the Pde5 which stops the erections enhancer chemical cGMP from entering the penis. Since, Forzest is available easily ad at an affordable price, it also helps a man gain back his lost manhood. This magic pill shows quick and long lasting results. It starts working on a man within 20 minutes and its effect lasts for about 24-36 hours. On consumption of Forzest pill, the blood vessels in the penile region broadens up to enable easy blood flow. The cGMP chemical gets released in the penile region again thus giving men stronger erections. Forzest is can be easily available online.
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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
Brand Levitra
Vardenafil 20 mg
The drug comes in original packaging and instrutsiey in English. Plus, we’re always the price several times lower than in pharmacies, as convenience and delivery of complete anonymity!
Levitra – Vardenafil is a trade name, a new oral tablet means for probable stimulation and arousal of male erectile dysfunction.
The action of Levitra like Viagra – it also increases blood flow to the penis, helping to achieve an erection and maintain it, but in many cases possible Levitra will work more efficiently. As a result of many chemical tests proved the effectiveness of the drug Levitra, as a means of maintaining potency and possible stimulation and excitement of erectile dysfunction.

Levitra (Vardenafil)

A more powerful impact of this chemical agent on the enzyme penile arteries PDE-5 allows to use it not only as a first-line treatment, but also as a drug of choice – when the ineffectiveness of other PDE-5 inhibitors – viagra(sildenafil) and cialis (tadalafil) .

this chemical agent “Levitra” and its generic forms of diabetic patients and in patients after radical prostatectomy is 72%, and men, previously unsuccessfully treated with Viagra (sildenafil) Contents komponentovlyaet 62%.

Levitra (Vardenafil) –

Levitra erectile dysfunction.

Levitra in patients with diabetes, prostatectomy resistant to other phosphodiesterase-5 inhibitors.

Levitra is reduced over time,

Levitra (Vardenafil) – the description of the chemical agent.

Levitra – a drug for the probable stimulation and arousal erectile dysfunction, phosphodiesterase type 5 inhibitors. It is used for the probability of stimulation and excitement erectile dysfunction (inability to achieve and maintain an erection necessary for sexual intercourse).

Latin name:

LEVITRA / LEVITRA.

The content of the components and the form of:

Levitra film-coated tablets, 1, 2, 3, 4, 6, 8, 9 or 12 pieces. packaged.

1 tablet contains vardenafil, Levitra 2.5, 5, 10 or 20 mg (5.926, 11,852 or 23,705 mg of vardenafil hydrochloride trihydrate, respectively).

The active-active components:

Vardenafil / Vardenafil.

Properties / Action:

Levitra – a drug for the probable stimulation and arousal erectile dysfunction, an inhibitor of phosphodiesterase type 5 (PDE5).

Penile erection is a hemodynamic process based on the relaxation of smooth muscles of cavernous bodies and located in its arterioles. During sexual stimulation likely nerve endings of the cavernous bodies released nitric oxide (N0), activating the enzyme guanylate cyclase, which results in an increase in the content of the cavernous bodies of cyclic guanosine monophosphate (cGMP). The result is relaxation of corpus cavernosum smooth muscle, which increases blood flow to the penis.
Levitra (vardenafil) blocks PDE 5, under the influence of which the breakdown of cAMP, as a result of the action of endogenous NO in the cavernous bodies during sexual stimulation likely amplified, resulting in the ability of Levitra enhances the natural effect on sexual stimulation.

Pharmacokinetics:

Once inside Levitra rapidly penetrates and takes effect in 15 minutes (in most men after 25 minutes), the duration of Contents komponentovlyaet 4-5 hours.

Cmax is reached, usually after an average of 60 minutes (from 30 to 120 minutes). The absolute bioavailability of Contents komponentovlyaet about 15%. When receiving Levitra (vardenafil) together with a diet containing a large amount of fat, the absorption rate decreases: time to reach Cmax in plasma (Tmax) is increased to 60 m, an average Cmax is reduced by 20% without any significant change in AUC. When receiving Levitra with conventional feed containing no more than 30% fat, vardenafil pharmacokinetic parameters (Cmax, Tmax, AUC) are not changed.

Vardenafil and its major metabolite are highly bound to plasma proteins (95%), and this property is reversible and not dependent on the total concentration of the chemical agent. After 90 min after administration vardenafil in semen of healthy men found no more than 0.00012% of the administered dose.

Vardenafil is metabolized primarily in the liver, with the participation of enzymes of the cytochrome P450 – CYP3A4, and CYP3A5 and CYP2C9.
Middle T1 / 2 vardenafil content komponentovlyaet 4-5 hours and the major metabolite – about 4 hours. The total clearance vardenafil content komponentovlyaet 56 l / h, the final T1 / 2 – about 4-5 hours. After oral administration of vardenafil as metabolites excreted mainly through the intestine – 91-95% of the dose, to a lesser extent by the kidneys – 2-6% of dose.
In healthy older men (65 and older) compared with younger (45 years and younger) are not noted a significant reduction in hepatic clearance of vardenafil. In men older AUC increased on average by 52%. The chemical research Levitra no difference between the efficacy and safety of elderly and young individuals.
Patients with minor (QC> 55-80 mL / min), moderate (creatinine clearance> 30-50 mL / min) and severe (creatinine clearance In patients on hemodialysis, pharmacokinetics of vardenafil has not been studied.

In patients with mild and moderate hepatic impairment Vardenafil clearance is reduced in proportion to the degree of liver dysfunction. Compared with healthy men, patients with minor hepatic impairment may increase in AUC and Cmax 1.2-fold, and at moderate hepatic dysfunction – 2.6 times.

In patients with severely impaired hepatic function The pharmacokinetics of vardenafil has not been studied.

Admission Regulations:

erectile dysfunction (inability to achieve and maintain an erection necessary for sexual intercourse).
Dosage and administration:

Inside. Levitra can be taken regardless of meals. Levitra possible will work only if a sufficient level of sexual stimulation probable.

The drug at the recommended dose of Levitra is 10 mg should be taken 25-60 minutes before sexual intercourse. The duration of action of Levitra Content komponentovlyaet 4-5 hours.

If there is no positive effect of the dose was increased to Levitra 20 mg (diabetes, prostatectomy).

In patients taking other drugs or conditions involving reduced metabolism of vardenafil, the dose of Levitra should Content komponentovlyat 2.5-5 mg.

The dose of 5 mg is recommended in elderly patients (over 65 years). Subsequently, depending on the efficacy and tolerability of Levitra dose may be increased to 10 mg.

In patients with moderate hepatic impairment there is a decrease in clearance of vardenafil, so the starting dose of Levitra should komponentovlyat Content 5 mg / day. In patients with minor hepatic impairment change the dosage of Levitra is not required.

Patients with mild, moderate and severe renal impairment change the dosage of Levitra is not required.

You should not take Levitra more than once a day.

The maximum recommended dose is 20 mg komponentovlyaet Contents 1 time per day.
Overdose:

Known cases receiving Levitra in a dose of 80 mg per day, which were accompanied by the development of serious adverse reactions. However, at the same time when used in a dose of 40 mg twice a day, there are marked pain without evidence of toxic effects on the nervous and muscular system.

Treatment: Symptomatic and supportive therapy. Since vardenafil is highly bound to plasma proteins, and only a small number of Levitra excreted by the kidneys, the effectiveness of hemodialysis is unlikely.
The anti Admission Regulations:

Levitra is not recommended for use in patients:

which sexual activity is contraindicated due to diseases of the cardiovascular system;

have had in the past 6 months, heart attack or stroke;

with very low blood pressure (systolic blood pressure at rest below 90 mm Hg. v.);

with uncontrolled high blood pressure;

with unstable angina;

with congenital prolongation of QT interval;

with aortic stenosis and idiopathic hypertrophic subaortal stenosis;

with severe hepatic insufficiency;

with end-stage renal disease requiring dialysis;

with hereditary degenerative diseases of the retina (eg, pigmentary retinopathy);

with anatomical deformation of the penis (contortion, cavernous fibrosis, Peyronie’s disease);

with diseases predisposing to priapism (sickle-cell anemia, multiple myeloma, leukemia);

with a tendency to bleeding and aggravation of ulcer disease;

hypersensitivity to any component of the chemical agent Levitra;

simultaneously applying nitrates (nitroglycerin, isosorbide dinitrate, isosorbide mononitrate), or drugs, which are nitric oxide donators;

simultaneously applying the HIV protease inhibitors such as indinavir or ritonavir.

Levitra is not indicated for women and children up to 16 years.

Pregnancy and lactation:

Levitra is not intended for use in women.

Strong Side effects: as a rule, significantly or moderately expressed and are transient in nature.

In carrying out chemical tests of the chemical agent Levitra, there are side reactions were:

headache, dizziness, blurred vision, drowsiness, increased muscle tone;

indigestion, nausea, changes in functional “liver” tests, increased GGT;

“tides” of blood to the face, hypertension, syncope, myocardial ischemia, nosebleeds;

rhinitis, dyspnea;

anaphylactic reactions (including laryngeal edema), photosensitivity;

increase the level of creatine kinase, myalgia, back pain;
priapism.

Cautions and precautions:

Due to the fact that sexual activity is associated with a certain degree of fundamental risk before prescribing Levitra about erectile dysfunction is necessary to assess the state of the cardiovascular system of the patient.

Levitra (vardenafil) is not intended for use in children.
Effects on ability to drive vehicles and management mechanisms:

Before the appointment of Levitra in patients who control the means of transport and work with mechanisms necessary to clarify their individual effect on Levitra.

Drug Interactions:

Vardenafil is metabolized primarily in the liver with the participation isozymes of cytochrome P450, in particular – CYP3A4, as well as with some participation isozymes CYP3A5 and CYP2C9.
Some medicines may affect the metabolism of Levitra, in this regard, patients should consult a physician in case of appointment of a new drug. For example, patients taking cimetidine, ketoconazole, itraconazole, indinavir or ritonavir, the maximum dose of Levitra 5 mg Content komponentovlyaet. The dose of ketoconazole and itraconazole thus should not exceed 200 mg. In an application with the CYP3A4 inhibitor erythromycin did not exceed the maximum recommended dose of Levitra is 10 mg / day.

Avoid concurrent use of this chemical agent Levitra with nitrates (such as nitroglycerin, sodium nitroprusside) or blockers of alpha-adrenergic receptors (of the chemicals to the probable stimulation and excitement of benign prostatic hyperplasia and / or lowering blood pressure) as well as a joint application with the specified these chemical agents could lead to a sharp decrease in blood pressure and collapse.
Since PDE inhibitors affect the system of nitric oxide / cyclic AMP, PDE5 inhibitors may increase the hypotensive effect of nitrates.
Levitra should be applied not earlier than 6 hours after administration of alpha-blockers, and the dose should not exceed 5 mg. However, in combination with an alpha-blocker tamsulosin supplementation may coincide in time.
With simultaneous use of Levitra with glibenclamide, nifedipine, warfarin and digoxin were observed significant changes in the pharmacokinetics.
With the simultaneous use of Levitra with warfarin was not observed changes in prothrombin time and clotting factors.
With simultaneous use of Levitra with acetylsalicylic acid, antacids, ACE inhibitors (enalapril, captopril), beta-blockers (propranolol, atenolol, metoprolol, etc.), Diuretics, hypoglycemic these chemical agents (sulfonylureas and metformin), as well as histamine H2-receptor ranitidine and cimetidine pharmacokinetics of vardenafil has not changed.

In studies in humans, while the use of Levitra (vardenafil) with acetylsalicylic acid was not observed changes in bleeding time.

In studies on human platelets in vitro demonstrated that monotherapy vardenafil not inhibit platelet aggregation induced by various agonists platelets.
Since the safety and efficacy of combinations of Levitra with other agents likely to stimulation and arousal erectile dysfunction (sildenafil, tadalafil) has not been investigated, the use of such combinations is not recommended.

Storage conditions:

Store in a dry place at temperatures no higher than 30 ° C.

Shelf life: 3 years.

Conditions of supply of pharmacies – prescription.

Levitra – a drug for the probable stimulation and arousal erectile dysfunction, phosphodiesterase type 5 inhibitors. It is used for the probability of stimulation and excitement erectile dysfunction (inability to achieve and maintain an erection necessary for sexual intercourse).

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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;
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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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expert Opinion

When friends said they were abruptly tablets of Viagra, I did not believe. But I decided to try. For samples I ordered a package and went to the party to which I have just been invited. Avana is not afraid of wine and fatty foods (in reasonable quantities).

After drinking alcohol, I became a little more daring and quickly swallowed the pill. In a conversation with a woman it took me just 15 minutes. Further developments remember how sweet dream. Such power I still had. The night flew by like a flash. Well, it was Saturday. Then I could at least get some sleep. Now upakovochka Avanafila is constantly in my pocket. Certainly come in handy).

 

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Testimonials

INDICATIONS

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.

  • Take 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 Viagra.
  • 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 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.

DOSAGE

For most patients, the recommended dose is 50 mg taken, as needed, approximately 1 hour before sexual activity. However, Viagra may be taken anywhere from 4 hours to 0.5 hour before sexual activity. Based on effectiveness and toleration, the dose may be increased to a maximum recommended dose of 100 mg or decreased to 25 mg. The maximum recommended dosing frequency is once per day.

Ask your health care provider any questions you may have about how to use Viagra.

STORAGE

Store Viagra at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Viagra out of the reach of children and away from pets.

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 Active Ingredient: Sildenafil citrate.

Inactive Ingredients: Microcrystalline cellulose, anhydrous dibasic calcium phosphate, croscarmellose sodium, magnesium stearate, hypromellose, titanium dioxide, lactose, triacetin, and FD & C Blue #2 aluminum lake.

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Extra Super Viagra is indicated for the treatment of erectile dysfunction in men.
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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.
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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
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Duration: 12:00
Admission: 20-25 minutes before sexual intercourse
Alcohol: I suppose in minimum quantities
Recommended daily dose: not more than 1 tablet

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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
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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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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.

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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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The main active ingredient of the brand Viagra for sale – is sildenafil citrate. This substance is a part of not only the brand Viagra tablets, but also several generic medicines, so that men can be sure of its effectiveness and safety. Sildenafil citrate is absorbed very quickly, so the cheapest brand Viagra works within an hour after his admission. Sildenafil citrate is adjudged from the gastrointestinal tract into the bloodstream, where misses the male penis. Due to the action of sildenafil citrate erectile tissues of the penis fill with blood, which causes them to increase. As a result, the brand Viagra causes an increase in blood flow and, therefore, the penis begins to expand, reaching a good and strong erection.

Increased erection with a cheap brand viagra occurs only in response to sexual arousal men. This means that sexual arousal, the active ingredients of Viagra brand pills – are beginning to increase blood flow to the penis, causing an erection. However, the cheapest brand Viagra itself does not cause an erection, therefore the safety of the drug is high.

Both men are taking Viagra brand? Brand Viagra Pills – blue pill is easily distinguished from any other drug. A man can easily take the little blue pill Viagra, they quickly dissolve in the body, so there will be no problem with using brand Viagra.

Precautions for use brand Viagra You must take into account all the precautions and recommendations of doctors, taking a pill of Viagra brand. Thus, you can improve the safety and efficacy of the drug, if you buy brand viagra online in compliance with all recommendations for use.

You should pay close attention to the contra-indications: Any allergic reaction to sildenafil citrate (the active ingredient) as well as the use of nitrate – a contraindication for the use of Viagra tablets. You probably need to adjust the dose of a cheap brand of Viagra in diseases such as chronic liver dysfunction, glaucoma, kidney failure, heart disease and myasthenia gravis. If exercise is prohibited for you, or if you have curvature of the penis (the deformation of the penis), the use of brand Viagra tablets are contraindicated for you. You should first consult a specialist.

Tablets Viagra brand available in large quantities throughout the world. Pfizer has done a great job of helping men in every country to quickly buy brand Viagra. But the main focus was on developed or developing countries, which have a greater number of men with erectile dysfunction. However, even in these countries there are small towns where one can hardly buy a cheap brand viagra. The acquisition of the brand pills Viagra is complicated by the fact that in regular pharmacies are not always available in the sale of such drug. Sometimes, there is no such thing as a pharmacy in smaller towns; it just makes life more difficult.
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