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It is used to treat erectile dysfunction erectile men (for example, impotence) Cialis (Tadalafil). Cialis is start work in 30 minutes, and then continue during viagra effects, follow up to 5 hours of approximately 36 hours. Other than that, it can Cialis, with or without food.

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Benefits: the maximum the 36 hours; recommended time sex is 12 time 30 minutes ago Levitra versus viagra, Cialis and prolonged body spontaneity has few side effects to improve 66 % client viagra, Cialis hope the.

Follow the instructions in use

Takes as a prescribed is Cialis. It takes no greater than doses in or, according to the doctor longer than you recommended. You may cause taking the side effects than it does not effectively, dangerous drug therapy in large doses.

Viagra is oral medicine erection feature also called male impotence of failure. Viagra the great safety tracking records and 1 hour 30 minutes acting and has proven effects last approximately four hours to start.

Viagra (Sildenafil) drug use when.
Viagra is used to treat male impotence. Increases the functionality of the body, and to maintain erection by sexual stimulation.

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Follow the instructions in use
Before sexual activity viagra, one hour to take 30 minutes should be. May it take sexual activity before 4 hours. Viagra does not take more than once per day per.

Types of medicine and affected mechanisms
Viagra is a phosphodiesterase inhibitors. Penis to manage behavior achievement and erection by supporting, blood flow.

From the side of the respirator system: pharyngitis, sinusit, laryngitis, bronchitis, dispnoe, multiplying the amount of sputum, strengthening of cough, bronchial asthma.
Outside ZHKT: glossit, gingivitis, stomatit, dryness in to the mouth, disfagiya, ezofagit, nausea, gastritis, gastroenteritis, colitis, rektal’noe bleeding,
change of biochemical hepatic indexes.
From the side of exchange of matters: thirst, gipernatriemiya, gout, giperurikemiya, labil’nyy diabetes, giper- and gipoglikemiya.
From the side of the mochepolovoy system: nikturiya, frequent urination, cystitis, incontinence of urine, violation of eyakulyatsii, anorgazmiya, edema of
privy parts, ginekomastiya.
From the side of oporno-dvigatel’nogo vehicle: arthritis, artroz, ossalgiya, myalgia, miasteniya, break of tendons, tendosinoviit, sinoviit.
From the side of skin covers: hives, stand gerpes, itch, iz’yazvlenie of skin, contact dermatitis, eksfoliativnyy dermatitis.

Other viagra: there are peripheral edemata, including edema of person, syndromes of pains, including stomach-ache and breast, casual falling, wounds and injuries, potlivost’, chill, fotosensibilizatsiya, shock, allergic reactions.

Method of application and dose: Inward, approximately after 1 ch to sexual intercourse, 50 mgs. Taking into account efficiency and bearableness a dose can be megascopic a to 100 mg or diminished a to 25 mg. Maximal day’s dose is 100
mgs, maximal recommended frequency of reception — 1 time per days.

Precautionary measures: Before the beginning of reception for diagnostics of violations of erection, determinations of its possible reasons and choice of adequate methods of treatment must be collected complete anamnesis and to conduct a careful urology and obscheklinicheskoe inspection, especially at patients with concomitant serdechno-sosudistymi diseases which the promoted sexual activity is undesirable for (for example, at the heavy forms of IBS and arterial gipertenzii). For patients more senior 65 years, with hepatic and heavy kidney insufficiency (Cl of kreatinina less than 30 ml/mines), and also at simultaneous application of ingibitorov of tsitokhroma of P450 3A4 (eritromitsin, ketokonazol, itrakonazol, sakvinavir and other), an initial dose makes 25 mgs. At the simultaneous reception of ritonavira a maximal valid for one occasion dose must not exceed 25 mgs during 48 ch.

There are post-marketings reports about the rare cases of erection, proceeding over 4 ch, and priapizme, requiring immediate medical interference in order to avoid the damage of fabrics of
cock and irreversible impotence.
Safety of sildenafila at a simultaneous reception with other facilities for treatment of erektil’noy disfunction was not studied, a simultaneous reception was not recommended.
Not shown for application at new-born, children and women.

Special pointing: Year of the last adjustment: 2009

Levitra (Vardenafil*)

Application: Treatment of erektil’noy disfunction.

Contra-indications: Hypersensitiveness; simultaneous reception of nitrates or other LS, being donatorami oxide of nitrogen (ingibitory of can potentsirovat’ the gipotenzivnyy effect of nitrates; the proper temporal interval between adopting vardenafila and subsequent reception of nitrates or donatorov oxide of nitrogen is not certain) (see “Pharmacology” is Influence on HELL and CHSS at a simultaneous reception with nitrates); combination with al’fa-adrenoblokatorami (development of gipotenzii is possible).

Limitations to application: Vardenafil is not shown for application for women, children and new-born.

Application at pregnancy and suckling:
Actions of sides: For period of conducting of the controlled and uncontrolled clinical tests in the whole world vardenafila gidrokhlorid was adopted by over 4430 men in age 18–89 years (middle ages 56 years) of different racial and ethnic belonging. Over 2200 patients adopted LS during 6 mes and more, 880 patients — at least 1 year. In platsebo-kontroliruemykh clinical tests stake of patients, halting adopting vardenafila from the origin of effects of sides, 3,4% made by comparison to 1,1% for platsebo.

From the side of the respirator system levitra dangers : zalozhennost’ nose 4% (2%).
Outside ZHKT: dyspepsia 7% (2%), diareya 3% (1%).
From the side of the mochepolovoy system: infections of mochevyvodyaschikh ways 3% (2%).
From the side of skin covers: pour 2% (1%).
Other effects of sides, meetings with comparable frequency (more than 2%) in the group of gettings sildenafil and group of platsebo: infections of respiratory tracts, pain in the back, grippopodobnyy syndrome, artralgiya.
In researches with the fixed dose dyspepsia (17%) and violation of sight (11%) was marked more frequent at adopting sildenafila in a dose 100 mgs by comparison to less doses. At the use of doses, exceedings recommended, there were
similar effects of sides, but with greater frequency.

Actions of sides of levitra, observed in platsebo-kontroliruemykh tests and meetings with frequency less than 2% (connection with adopting sildenafila is not clear).
From the side of the nervous system and sense-organs: asthenia, dizziness, migraine, gipertenziya, ataksiya, tremor, neuralgia, loosening reflexes, paresteziya, gipesteziya, fainting fit, depression, violation of sleep (insomnia/somnolence), conjunctivitis, photophobia, hemorrhage in an eyeball, midriaz, cataract, kseroftal’miya, pain in eyeballs and in ears, tingle, deafness.
From the side of the serdechno-sosudistoy system and blood (krovetvorenie, gemostaz): arterial gipotenziya, ortostaticheskaya gipotenziya, takhikardiya, palpitation, myocardial ischemia, stenokardiya, kardiomiopatiya, cardiac insufficiency, changes on EKG, including AV-blockade, stop of heart, thrombosis of vessels of brain, anaemia, leykopeniya.

Seksterapiya is a bikheviorial’naya method of pair therapy of sexual disorders, arising up in 70th of past century.

Essence of method is mastering of standard receptions of stimulation of erogenous areas partners with the purpose of accumulation of positive sexual experience. Indisputable advantage of seksterapii is a high therapeutic effect (about 85%), arrived at in the compressed terms (3—4 weeks) due to high co-operation of partners and talented psychotherapy arrangement (In. Masters, In. Dzhonson, Kaplan).

Last years of seksterapiya all anymore ousted the different forms of psychotherapy, vazoaktivnymi preparations (for example, viagra, cialis) and surgical methods

The lacks of seksterapii consist in the weak causal viagra vs cialis conditionality of the therapeutic program and its ethics nepriemlimosti for some patients, especially in the case of bringing in of partners of substitutes, I.e. prostitutes or volonterov on the public beginnings. American Society of seksterapevtov recommends to avoid specialists, offerings as a method of treatment sexual contacts with them.

Operating matter of Sildenafila tsitrat (Sildenafil citrate)

Application: Violations of erection.

Contra-indications: Hypersensitiveness, therapy by nitrates.

Limitations to application: Anatomic deformation of cock (angulyatsiya, kavernoznyy fibroz, illness of Peyroni), diseases, predisposing to development of priapizma (mielomnaya illness, falcate-cellular anaemia, leukemia), viagra uterine thickness promoted propensity to bleeding, intensifying of ulcerous illness of stomach and duodenum, inherited pigmental retinit, violation of function of liver, including at a cirrhosis, heavy kidney insufficiency (Cl of kreatinina less than 30 ml/mines), heavy forms of arterial gipertenzii (HELL 170/110 mm of рт.ст higher.) and gipotenzii (HELL 90/50 mm of рт.ст below.), pointing of anamnesises on carried in preceding 6 mes heart attack of miokarda or stroke, threatenings lives of arrhythmia, cardiac insufficiency, unstable stenokardiya, simultaneous reception of preparations, ingibiruyuschikh CYP3A4.

Application at pregnancy and suckling:
Actions of sides: Effects of sides of sildenafila, accepted with a selection doses, observed in platsebo-kontroliruemykh tests and marked at ≥2% patients, accepting sildenafil, with frequency there is more platsebo (in brackets indicated % to met in the group of platsebo).
From the side of the nervous system and sense-organs: head pain 16% (4%), dizziness 2% (1%), waves of blood to the person 10% (1%), violation of sight (change of tsvetovospriyatiya, increase of sensitiveness to light, clouding of sight) 3% (0%).

Co-operation: Strengthens the gipotenzivnyy effect of nitrates and donors of oxide of nitrogen. Tsimetidin, ketokonazol, eritromitsin, sakvinavir, ritonavir promote a concentration in plasma.

Overdose: Treatment: symptomatic; a dialysis is uneffective.

Method of application and dose: Inward, approximately after 1 ch to sexual intercourse, in the recommended dose are 50 mgs. Taking into account efficiency and bearableness a dose can be megascopic a to 100 mg or diminished a to 25 mg. Maximal recommended
frequency of reception — 1 time per a day.

Precautionary measures: With a carefulness appoint at the diseases of the serdechno-sosudistoy system, anatomic deformation of cock (including angulyatsiya, kavernoznyy fibroz, illness of Peyron’e and other), ulcerous illness, pigmental retinite, falcate-cellular anaemia, plural mielome or leukemia. It is not necessary to appoint men which sexual activity is undesirable for.

Viagra:

Pharmacological action:Erection

Testimonies: Violations of erection.

Contra-indications: Hypersensitiveness, setting of nitrates (nitrites), nitroprussida sodium.

Actions of sides: From the side of the serdechno-sosudistoy system: head pain,
waves, vazodilatatsiya.
Outside TSNS: dizziness, increase of myshechnogo tone, insomnia.
From the side of organs of ZHKT: dyspepsia, diareya, nausea.
From the side of oporno-dvigatel’nogo vehicle: pains are in muscles and joints.

From the side of organs of the respirator system: zalozhennost’ nose, pharyngitis, rinit, sinusit, infections of
respiratory highway, disorders of breathing.
From the side of sense-organs: easy change of sight (tsvetovospriyatie, clearness), conjunctivitis.
From the side of skin covers: pour.
From the side of the mochepolovoy system: infections of mochevyvodyaschikh ways, disorders of function of predstatel’noy gland.
Other: asthenia, pain (including in a stomach, back), symptoms of flu, rarely — cases of priapizma.