How do you ship orders? Will I have to sign for the package?
If sent by the standard unregistered mail the order will come in a plain envelope without any reference to content. The envelope will be left in your mail box. There is no need to sign for it. If sent by a courier, the recipient needs to sign for the package.
All orders are shipped in discreet packaging. There is no mention on the outside of the package as to what is contained inside. Furthermore, your name or any other personal information will never be given or sold to any other company. Your privacy is our utmost concern.
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Atenolol is used for:
Decreasing death due to heart problems after a heart attack. It may also be used for other conditions as determined by your doctor.
Atenolol is a beta-blocker. Exactly how Atenolol works to decrease heart problems after a heart attack is not known.
Do NOT use Atenolol if:
you are allergic to any ingredient in Atenolol
you have a very slow heartbeat, heart block, uncontrolled heart failure, shock caused by serious heart problems, or low blood pressure after a heart attack
you have an untreated adrenal gland tumor (pheochromocytoma)
you are taking mibefradil
Contact your doctor or health care provider right away if any of these apply to you.
Before using Atenolol :
Tell your health care provider 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 a history of any severe allergic reaction
if you have a history of lung or breathing problems (eg, asthma, chronic bronchitis, chronic obstructive pulmonary disease [COPD], emphysema), heart problems (eg, heart failure, conduction problems, left ventricle problems), blood vessel problems, diabetes, kidney problems, an adrenal gland tumor, or an
overactive thyroid
Some MEDICINES MAY INTERACT with Atenolol. Tell your health care provider if you are taking any of the following medicines.
Clonidine because the risk of severe high blood pressure may be increased
Mefloquine because the risk of irregular heartbeat may be increased
Amiodarone, calcium channel blockers (eg, diltiazem, verapamil), catecholamine-depleting medicines (eg, reserpine), digoxin, disopyramide, flecainide, ketanserin, mibefradil, or quinidine because they may increase the risk of Atenolol 's side effects
Indomethacin or phenylpropanolamine because it may decrease Atenolol 's effectiveness
Bupivacaine, lidocaine, or quinazolines (eg, alfuzosin) because the risk of their side effects may be increased by Atenolol
This may not be a complete list of all interactions that may occur. Ask your health care provider if Atenolol 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 Atenolol :
Use Atenolol as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Atenolol is usually given as an injection at your doctor's office, hospital, or clinic.
If you miss a dose of Atenolol , contact your doctor right away.
Ask your health care provider any questions you may have about how to use Atenolol.
Important safety information:
Atenolol may cause dizziness or drowsiness. These effects may be worse if you take it with alcohol or certain medicines. Use Atenolol with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
Atenolol 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.
Tell your doctor or dentist that you take Atenolol before you receive any medical or dental care, emergency care, or surgery.
Atenolol may reduce the amount of blood that flows to your feet and hands. This may cause them to feel cold and make you more sensitive to the cold. Dress warmly in cold weather. Be careful when you are out in the cold for long periods of time. Ask you doctor for more information.
If you have a history of any severe allergic reaction, talk with your doctor. You may be at risk for an even more severe allergic reaction if you come into contact with the substance that caused your allergy. Some medicines used to treat severe allergies may also not work as well while you are using Atenolol.
Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.
Diabetes patients- Atenolol may hide signs of low blood sugar such as a rapid heartbeat. Other symptoms, such as sweating, may still occur. Check your blood sugar levels regularly. Ask your doctor before you change the dose of your diabetes medicine.
Check your blood pressure and pulse regularly, as directed by your doctor. Ask your doctor or pharmacist for help if you are unsure how to properly measure your blood pressure or pulse.
Lifestyle changes may also help reduce your blood pressure. Talk with your doctor about appropriate diet and exercise programs that may be helpful to you.
Lab tests, including blood pressure and heart function tests, may be performed while you use Atenolol. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
Use Atenolol with caution in the ELDERLY; they may be more sensitive to its effects, especially dizziness.
Atenolol should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been determined.
PREGNANCY and BREAST-FEEDING: Atenolol has been shown to cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Atenolol while you are pregnant. Atenolol is found in breast milk. If you are or will be breast-feeding while you use
Atenolol , check with your doctor. Discuss any possible risks to your
baby.
Possible side effects of Atenolol :
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: Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Cold fingers and toes; diarrhea; dizziness; drowsiness; nausea; tiredness or weakness.
Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); blue fingernails, toenails, or palms; decreased sexual ability; fainting; mental or mood problems; persistent dizziness or lightheadedness; shortness of breath; sudden, unusual weight gain; swelling of hands, ankles, or feet; unusual bruising or
bleeding; unusually slow heartbeat.
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.
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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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