The medications are manufactured in India, thus the orders are processed and sent out from there.
Pain Medicine / Generic Isosorbide
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Isosorbide Dinitrate is used for:
Preventing symptoms of angina (chest pain) caused by heart disease. Isosorbide Dinitrate is used alone or with other medicines. It may be used for other conditions as determined by your doctor.
Isosorbide Dinitrate is a nitrate. It works by relaxing the blood vessels in the body, allowing them to widen. This lets more blood flow through the blood vessels, which reduces the work the heart has to do to pump blood. This reduces the oxygen needs of the heart and decreases chest pain
Do NOT use Isosorbide Dinitrate if:
you are allergic to any ingredient in Isosorbide Dinitrate
you are taking a phosphodiesterase type 5 inhibitor (eg, sildenafil), a medicine often used for sexual dysfunction
Contact your doctor or health care provider right away if any of these apply to you.
Before using Isosorbide Dinitrate :
Some medical conditions may interact with Isosorbide Dinitrate. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
if you are pregnant, planning to become pregnant, or are breast-feeding
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 bleeding in the brain, a recent head trauma, an overactive thyroid, heart problems (eg, heart failure, cardiomyopathy, history of heart attack), or anemia (a low red blood cell count)
Some MEDICINES MAY INTERACT with Isosorbide Dinitrate. Tell your health care provider if you are taking any other medicines, especially any of the following:
Ethanol or phosphodiesterase type 5 inhibitors (eg, sildenafil) because side effects, such as extremely low blood pressure, dizziness, or fainting, may occur
This may not be a complete list of all interactions that may occur. Ask your health care provider if Isosorbide Dinitrate 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.
How to use Isosorbide Dinitrate :
Use Isosorbide Dinitrate as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Place Isosorbide Dinitrate under the tongue and allow it to dissolve. Do not break, crush, or chew this tablet unless directed otherwise by your doctor.
If you miss a dose of Isosorbide Dinitrate , 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.
Ask your health care provider any questions you may have about how to use Isosorbide Dinitrate.
Important safety information:
Isosorbide Dinitrate may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Isosorbide Dinitrate with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
Isosorbide Dinitrate may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
When you begin taking Isosorbide Dinitrate , it may give you a headache. This usually becomes less noticeable with time. This is a sign that the medicine is working. Do not change your dosing schedule to avoid headaches. Take aspirin or acetaminophen with Isosorbide Dinitrate to avoid headaches.
Isosorbide Dinitrate should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.
PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Isosorbide Dinitrate while you are pregnant. It is not known if Isosorbide Dinitrate is found in breast milk. If you are or will be breast-feeding while you use Isosorbide
Dinitrate , check with your doctor. Discuss any possible risks to your
baby.
When used for long periods of time without a break, Isosorbide Dinitrate may not work as well. This is known as TOLERANCE. Increasing the dose is not effective in managing tolerance to Isosorbide Dinitrate. Tolerance to other nitrates or nitrites may also occur. Be sure to have a "nitrate-free" period of time each day to help prevent this tolerance. Talk with your doctor
if Isosorbide Dinitrate stops working well. Do not take more than prescribed.
Some people who use Isosorbide Dinitrate for a long time without a break may develop a physical need to continue taking it. This is known as physical DEPENDENCE. If you take Isosorbide Dinitrate without a break and then suddenly stop taking it, you may get WITHDRAWAL symptoms. These may include chest pain, heart attack, or possibly sudden death. Be sure to have a
"nitrate-free" period of time each day; this may help prevent dependence
and withdrawal problems.
Possible side effects of Isosorbide Dinitrate :
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:
Dizziness; flushing of the face and neck; headache; lightheadedness.
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); fainting; frequent, continuing, or severe chest pain; nausea; rapid or slow heartbeat; vomiting.
What is the shelf life of the pills?
The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.
I just recently arrived home from a long road trip and found that my order was here safe and secure, right on schedule, with a 4 pill "bonus"!! A little note ensued thanking me for my order and I just wanted to say thank you for your generosity and professionalism. I was a bit wary of ordering from an online pharmacy, especially overseas....but I came to be extremely happy with the service and the product. My sex life is back!!! I will absolutely place any and all future orders through your site.
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You must set the tan_unit_111.txt file to be writable (check file name as also).
Erectile dysfunction
Erectile dysfunction (ED) affects the lives of many middle-aged men and their partners. The term erectile dysfunction covers a range of disorders, but usually refers to the inability to obtain an adequate erection for satisfactory sexual activity.
Although erectile dysfunction, formerly called impotence, is more common in men older than 65, it can occur at any age. An occasional episode of erectile dysfunction happens to most men and is normal. As men age, it's also normal to experience changes in erectile function. Erections may take longer to develop, may not be as rigid or may require more direct stimulation to be achieved. Men may also notice that orgasms are less intense, the volume of ejaculate is reduced and recovery time increases between erections. Erectile dysfunction may also be a sign of a physical or emotional problem that requires treatment.
Erectile dysfunction was once a taboo subject, but more men are seeking help. Doctors are gaining a better understanding of what causes erectile dysfunction and are finding new and better treatments.
This Website discusses all about erectile dysfunction, physiology of the normal erection and the pathophysiology, and treatment of ED.
What is Erectile Dysfunction?
Erectile dysfunction or impotence is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis for satisfactory sexual intercourse regardless of the capability of ejaculation. There are various underlying causes, such as diabetes, many of which are medically reversible.
The causes may be physiological or psychological. Psychological impotence can often be helped by almost anything that the patient believes in; there is a very strong placebo effect.
Due to its embarrassing nature and the shame felt by sufferers, the subject was taboo for a long time, and is the subject of many urban legends. Folk remedies have long been advocated, with some being advertised widely since the 1930s. The introduction of perhaps the first pharmacologically effective remedy for impotence, sildenafil (trade name Viagra), in the 1990s caused a wave of public attention, propelled in part by the news-worthiness of stories about it and heavy advertising.
The Latin term impotentia coeundi describes simple inability to insert the penis into the vagina. It is now mostly replaced by more precise terms.
Signs and symptoms:
Erectile dysfunction is characterized by the inability to maintain erection. Normal erections during sleep and in the early morning suggest a psychogenic cause, while loss of these erections may signify underlying disease, often cardiovascular in origin. Other things leading to erectile dysfunction are diabetes mellitus (causing neuropathy) or hypogonadism (decreased testosterone levels due to disease affecting the testicles or the pituitary gland).
Here are some causes of Erectile Dysfunction:
* Arousal: The first step is sexual arousal, which men obtain from the senses of sight, touch, hearing and smell, and from thoughts.
* Nervous system response: The brain communicates the sexual excitation to the body's nervous system, which activates increased blood flow to the penis.
* Blood vessel response:. A relaxing action occurs in the blood vessels that supply the penis, allowing more blood to flow into the shafts that produce the erection.
Physiology of normal erections:
Penile erections involve an integration of complex physiologic processes involving the CNS, peripheral nervous system, and hormonal and vascular systems. Any abnormality involving these systems, whether from medication or disease, has a significant impact on the ability to develop and sustain an erection, ejaculate, and experience orgasm. Tumescence, the vascular filling of the cavernous bodies, relies on neural and hormonal mechanisms operating at various levels of the neural axis. This is unique among visceral functions because it requires central neurological input.
Andersson et al summarized some of the information related to the pathways involved in erectile function. The degree of contraction of corpus cavernosal smooth muscle determines the functional state of the penis. The balance between contraction and relaxation is controlled by central and peripheral factors that involve many transmitters and transmitter systems. At the cellular level, smooth muscle relaxation occurs following the release of acetylcholine from the parasympathetic nerves.
Pathophysiology of erectile dysfunction:
Erectile Dysfunction is essentially a vascular disease. It is often associated with other vascular diseases and conditions such as diabetes, hypertension, and coronary artery disease. Other conditions associated with Erectile Dysfunction include neurologic disorders, endocrinopathies, benign prostatic hyperplasia, and depression. Conditions associated with reduced nerve and endothelium function, such as aging, hypertension, smoking, hypercholesterolemia, and diabetes, alter the balance between contraction and relaxation factors. These conditions cause circulatory and structural changes in penile tissues, resulting in arterial insufficiency and defective smooth muscle relaxation. In some patients, sexual dysfunction may be the presenting symptom of these disorders.
Treatment:
Sildenafil Citrate is the way to treat Erectile Dysfunction. Generic Viagra contains sildenafil citrate and contains same ingredients like branded drug.
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