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A slow and steady revolution is sweeping the market for erectile dysfunction drugs – Cialis. Most people may not even be aware of it. Lilly ICOS, the pharmaceutical alliance, which launched the blockbuster drug Cialis, announced that the drug has achieved 1 billion dollars in global sales since launching in Europe less than two years back. In fact Cialis has become the top Erectile Dysfunction treatment in France, since January 2005, based on the latst market data, easily overtaking Viagra, the first brand to be launched in this market. It is also doing very well in United Kingdom, Italy, Germany, United States, Canada, Australia, Mexico and Brazil. So much so that a Lilly ICOS press release contained these words from Rich Pilnik, President of Lilly's EMEA region "We are very pleased with the performance of Cialis and the steady development of the brand since its launch two years ago. Millions of men suffer from ED and the growth of the market demonstrates that patients are speaking to their healthcare providers about ED and seeking treatment options." Not only has Cialis been able to expand the market but it has also eaten heavily in the market share of Viagra from Pfizer, the first drug to be launched in this market and Levitra from Glaxo-Bayer-Schering Plough. In fact Cialis was the second PDE5 inhibitor drug to become available in Europe. It is currently promoted in approximately 100 countries including the United States, Australia, Brazil, Mexico, Canada and across Europe and Asia for Erectile Dysfunction. According to Paul Clark, Chairman and Chief Executive Officer of ICOS Corporation. "Passing the $1 billion mark is an important milestone for Lilly ICOS and a great accomplishment for the Cialis team. Since 2003, men with erectile dysfunction have had a choice of oral treatments for their condition - a condition which may impact on relationships and daily life." Beyond all the hype and the jubilation is the sheer superiority of Cialis over all the other drugs available in this indication. To understand the benefits of Cialis, we need to firstly understand this complex condition. Erectile Dysfunction or Impotence is defined as the inability to ensure and maintain an erection sufficient for sexual intercourse. ED affects an estimated 180 million men worldwide . 90 percent of ED cases are related to a physical or medical condition, such as diabetes, cardiovascular diseases, and prostate cancer treatment, while 10 percent are due to psychological causes . In many cases, however, both psychological and physical factors contribute to the condition. Where physical factor play an important role PDE-5( Phosphodiaterase) inhibitors have a significant role to play. These include drugs like Sildenafil (Viagra) and Vardenafil(Levitra). But none are as good as Tadalafil(Cialis). Why? Firstly let’s understand how PDE-5 inhibitors work. They work by inhibiting the enzyme phosphodiasterase-5 which is responsible for degrading another enzyme called cGMP(cyclic Guanosine Mono Phosphate) which through a series of reactions is responsible for the synthesis of nitric oxide. Nitric oxide is an important vasodilator responsible for dilation of the blood vessels that supply blood to the penis. Thus, there is an increase in the blood supplied to the penis and this increased blood engorges the penis and leads the formation of an erection through hydraulic pressure. All PDE-5 inhibitors work in the same way but because they are different molecules, they also have different properties. The body quickly eliminates both Sildenafil and Vardenafil. Therefore their action lasts for only 4 hours, while Tadalafil(Cialis) is absorbed and eliminated slowly therefore it remains in the body for a longer period of time. Therefore its duration of action is 9 times that of other drugs - 36 hours. This ensures that Cialis will act over a whopping 36 hours and any patient on Cialis does not need to have hurried sex , but sex at his or his partner’s leisurely pace. That is why Cialis has been nicknamed as “Le Weekend Pill” in France. It allows the man to relax with his partner and have spontaneous sex. Also other drugs like Viagra act on the enzyme PDE-6, which is found in the eyes, leading to bluish discolouration of vision, which will not occur with Cialis. Cialis can be taken with a 100% fat meal and there will be no change in it’s action. The same is not true for Sildenafil or Vardenafil, which are affected by food. All this makes Cialis currently the best drug for erectile dyfunction. What further adds to it’s appeal are programmes like “The Cialis Promise” from Lilly ICOS which guarantees free trial with a rival drug in case Cialis does not work. With this kind of confidence oozing from Lilly ICOS, there is reason to believe in the promise of Cialis. Cialis is available at any neighbour chemist on providing a doctor’s prescription or one can buy Cialis online. An online prescription is generated on filling a short form and on payment through credit card, one can be rest assured of getting Cialis discreetly. What more cheap generic Cialis is also available online. This will further reduce your medical bills. The low cost is like an icing to the Cialis cake or pudding for that matter . 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Hypertension (high blood pressure) affects about 50 million individuals in the United States. Of these, about 70% are aware of their diagnosis, but only about a half of those are receiving treatment and only 25% are under control using 140/90 as the cutoff guideline. A new category has been designated as “pre-hypertension” and that is when the blood pressure is 120-139 systolic over a diastolic of 80-89. Blood pressure readings vary greatly in individuals depending on the time of day, where the patient is at when they get it checked, how soon they have eaten, smoked, or even drank a cup of coffee. A diagnosis of hypertension should not be based on one reading unless that reading is extremely high and/or there is evidence of end organ damage such as renal (kidney) or heart involvement. The diagnosis of hypertension should be made only after two or more readings on two or more office visits. The frightening thing about hypertension is that it usually does not cause any symptoms. Unless you are getting your blood pressure regularly checked, you could be walking around for years with elevated blood pressure and not know it. That is why it is referred to as the silent killer. If you are being diagnosed with hypertension for the first time, there are certain tests that your doctor should order. Blood tests including a complete blood count, fasting lipids (cholesterol), fasting blood sugar, renal (kidney) functions, liver functions, and electrolytes (potassium, sodium levels), along with a urinalysis should be checked. You should also have a chest xray to check for enlargement of your heart which can occur over time with hypertension, and an electrocardiogram to check for any cardiac (heart) abnormalities. Treatment of hypertension is multi-faceted. Lifestyle modification should include smoking cessation, daily exercise implementation, dietary changes, alcohol moderation, and sodium restriction. One should consume a diet with plenty of vegetables, fruit, and low dietary fat. Exercise should consist of daily brisk exercise such as walking at least 30 minutes per day most days of the week. A 10% weight loss can make a significant difference in blood pressure readings. Alcohol consumption should be limited to no more than two drinks per day (24 oz. of beer, 10 ounces of wine, or 3 oz. of “hard” liquor such as gin, whiskey, or vodka). You should also reduce salt intake to no more than 2.4 grams of sodium per day. I tell my patients not to add any salt to any foods and restrict high sodium items. If your blood pressure is not extremely elevated, say in the 145/95 range, and you are determined to make substantial lifestyle changes, then perhaps you can bring your blood pressure down to normal range with these measures. I always give my patients in these situations the option to try lifestyle modifications first if they wish as long as their blood pressure is not seriously high. Most patients, however, end up having to take a medication for their hypertension. There are a wide variety of medications available that we can prescribe and the majority of patients require more than one type of medication to reach a desired blood pressure goal. Discuss with your physician the side effects of each and what would be the most suitable medication for you. Medications have come a long way for treating blood pressure in the past twenty years and the side effect profiles are much more favorable than they used to be overall. I have found that a good portion of my patients have an aversion to taking a pill everyday for the rest of their lives. But what I tell them is that they ought to look at it like a vitamin, or better yet, an insurance policy. If it prevents you from having a heart attack or stroke and from either premature death or perhaps becoming confined to a wheel chair and not being able to take care of yourself, then taking a daily pill or two should not even be an issue. Don’t be afraid to talk to your doctor about treatment and asking about the tests I have discussed. Most importantly, please get into your physician at least once a year to get your blood pressure taken, and more often if it has been on the high end of normal. Copyright 2006 Ted Crawford herbal penis enargement pills free penile enlargment tip free penis enlarement homemade penis enlargement pennis enlargement before and after photo vig rx penis enlargement pill cheap penis enlargment pills natural penis enlagement vimax

The prostate gland plays a major role both in a man’s reproductive capacity and his ability to enjoy sexual acts. Little wonder then that this organ has been called the “male G-spot” or the “male uterus.” Knowing the right way to stimulate it can bring intense orgasmic pleasure. And because some studies suggest that having orgasms regularly can prevent a host of prostate disorders, more and more men are finding it to their benefit to indulge in self prostate milking. The prostate gland is responsible for producing semen, that milky liquid that carries spermatozoa coming from the testicles and out of the penis during orgasm. While masturbation and sexual intercourse do their part in relieving the prostate of its load of semen, there are times when a partner is unavailable or a man wants to try something other than regular masturbation for a change. Here is where self prostate milking comes into play. How does one go about doing this, especially if it’s the first time? One of the things a man should overcome is the unease that he may feel at having something penetrate him anally. Some men wonder whether they have latent homosexual feelings if they indulge in this kind of activity. But this isn’t so; all men can engage in self prostate milking whatever their sexual orientation. Another concern is that the anus is “dirty” or “unclean” because it is where fecal matter comes out. Again, this is a misconception. In fact, the mouth harbors more bacteria than any other part of the body. You should try to find the most comfortable position for you before starting. You can lie on your side or squat for easy access. The prostate swells when a man is sexually aroused, so it would be best if you are turned on before starting so that you find your prostate immediately. It’s a walnut-sized bump located about two inches inside the rectum, behind the base of your penis. To milk the prostate, massage it gently at first, either with your finger or a sex toy, then firmer and faster as the rhythm gets you. But be sure not to massage it too vigorously, or else you run the risk of injury. Some men recommend masturbating the penis simultaneously with self prostate milking for a one-of-a-kind sexual experience. You could have prolonged and more intense orgasms this way, and with more than the usual amount of semen coming out, especially if you haven’t had any sexual activity for a while. However, some men report that while they do not achieve orgasm when milking their prostate glands, the level of pleasure they feel is still very intense. The semen trickles out or flows into a pool even though there’s no ejaculation, in terms of how that word is commonly understood. Instead, one feels a deep sense of pleasurable fulfillment; it has been compared to a very good bowel movement – only a hundred times more erotic. You should be aware that there are studies indicating that certain men who masturbate or have ejaculations regularly have lower incidences of prostate inflammation, prostate cancer, and prostate enlargement. Given this evidence, self prostate milking seems to be a safe, convenient, and inexpensive way to make sure that one’s libido and prostate health are in optimum condition. compare penile enlargment pills enlargement penis pills vimax best penile enlargment penis enhancement surgeon prosolutionpill compare penis enlargement pills pnis enlargement device pro solution pills side effects vimax

Genital warts, which appear as small flesh-colored clusters or bumps of tissue, are the most common sexually transmitted disease in the U.S. In fact surveys conclude that at least half the sexually active male and female population may contract genital HPV. “HPV stands for Human Papillomavirus. This indicates that warts are a virus, and can exist in the skin even if no warts are visible to the naked eye. That means that the virus is contagious even when there are no symptoms. So be careful, and be sure to check for STD’s regularly when you visit your doctor for check-ups. This way, you won’t accidentally spread a virus to a loved one. Genital warts are generally found around the genital areas. In women they are found in the vagina, cervix or anus and on men they are found in the penis and anus. Genital warts may be passed on through vaginal, oral, or anal sex and research reveals that a pregnant woman can pass HPV on to her infant during vaginal delivery. There are more than 100 types of HPV and 30 of these are transmitted through sexual activity and are classified as high or low risk. The high-risk variety reportedly causes cell changes that may result in cervical cancer in those infected with the virus if left untreated for a long period of time. Low-risk HPV can cause genital warts, but not cervical cancer. Often, those infected with low-risk HPV are unaware they are infected since low-risk HPV may not present symptoms. best penis elargement pills penis elargement surgery picture vimax penis elargement before and after photo penis enlagement testimonials pennis enlargement before and after penis enlagement fact com enlargement pennis pennis pump vimax

Drug Uses Levitra is an oral therapy for the treatment of erectile dysfunction. How Taken Levitra comes as a tablet to take by mouth. It should be taken as needed about 1 hour before sexual activity. Some form of sexual stimulation is needed for an erection to occur with Levitra. Levitra should not be taken more than once a day. Levitra can be taken with or without food. Warnings/Precautions Before taking Levitra, tell your doctor if you currently have or have ever had a heart attack, stroke, irregular heartbeats, angina (chest pain), or congestive heart failure; have high or low blood pressure; have a personal or family history of a rare heart condition known as prolongation of the QT interval (long QT syndrome); have liver problems; have kidney problems; have ever had blood problems, including sickle cell anemia, multiple myeloma, or leukemia; have a bleeding or blood clotting disorder; have a stomach ulcer; a family history of degenerative eye disease (e.g., retinitis pigmentosa); or have a physical deformity of the penis such as Peyronie's disease. You may not be able to take Levitra, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Although Levitra is not indicated for use by women, it is in the FDA pregnancy category B. This means that Levitra is not expected to be harmful to an unborn baby. Levitra should not be taken by women. It is not known whether Levitra passes into breast milk. Levitra should not be taken by women. If you are over 65 years of age, you may be more likely to experience side effects from Levitra. Your doctor may prescribe a lower dose of the medication. Missed Dose Levitra is used as needed, so you are not likely to miss a dose. Possible Side Effects The most common side effects with Levitra are: -Headaches -Flushing -Stuffy or runny nose Levitra may uncommonly cause: An erection that will not go away (priapism). If you get an erection that lasts more than 4 hours, get medical help right away. Priapism must be treated as soon as possible or lasting damage can happen to your penis including the inability to have erections. Vision changes, such as seeing a blue tinge to objects or having difficulty telling the difference between the colors blue and green. These are not all the side effects of Levitra. For more information, ask your doctor or pharmacist. Storage Store at 25�C (77�F); excursions permitted to 15-30�C (59-86�F). Keep Levitra and all medicines out of the reach of children. Overdose Seek emergency medical attention if an overdose is suspected. Symptoms of a Levitra overdose are not known, but are likely to include chest pain, back pain, dizziness, an irregular heartbeat, abnormal vision, and swelling of the ankles or legs. More Information Do not take Levitra if you: -Take any form of medication known as "nitrates" (type of medicine used to relieve chest pain that can occur as a result of heart disease). Taking Levitra in combination with nitrates may result in serious side effects. -Take medicines called "alpha-blockers" (sometimes prescribed for prostate problems or high blood pressure). Taking Levitra with alpha-blockers may drop your blood pressure to an unsafe level. -Your doctor determines that sexual activity poses a health risk for you. You have a known sensitivity or allergy to any component of Levitra. The use of Levitra offers no protection against sexually transmitted diseases. Counseling of patients about protective measures necessary to guard against sexually transmitted diseases, including the Human Immunodeficiency Virus (HIV), should be considered. Disclaimer This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.