Aug
13
Entecavir - Guaifenesin - Epoetin - Sildenafil Citrate - Ergoloid Mesylates
August 13, 2009 | Leave a Comment
Generic Name
Entecavir (m-M-ah-veer)
Brand Name Baraclude
Information in this monograph also applies to:
Generic Ingredient: Telbivudine Tyzeka
Type of Drug Antiviral.
Prescribed For
Chronic hepatitis B infection in adults.
General Information
Entecavir is a prescription medicine for adults with chronic hepatitis B virus (HBV) infection in which the virus is multiplying and damaging the liver. Entecavir can reduce the amount of virus in the body, make it harder for new liver cells to be infected by the virus, and improve the general condition of the liver. They work by attacking HBV polymerase, an enzyme essential to the reproduction of the hepatitis B virus inside an infected cell. These drugs are eliminated from the bodj,4kalbe kidney. Telbivudine does not wGCK alg4msl HIV infection and can be taken together with HIV drug therapy. These medicines do not cure HBV or stop you from spreading HBV to others, generally through sexual contact or exposure to infected blood. The HBV virus can live outside the body for one week.
Cautions and Warnings
Do not take these medicines if you are allergic or sensitive to any
of their ingredients.
Entecavir should be used with caution in people who have both HIV and HBV because of possible HIV resistance developing after entecavir is taken.
Severe worsening of HBV has occurred in people who stopped taking this medication.
These drugs can lead to further liver damage. In rare cases, they have been associated with liver failure that resulted in death. The safety of this drug in people who have had a liver transplant is not known.
These drugs are eliminated through the kidneys. People with kidney disease may require lower doses.
Telbivudine has also been associated with lactic acidosis, a condition in which excess lactic acid in the body causes the blood to become acidic. Feeling very weak or tired, experiencing unusual Muscle pain, difficulty breathing, stomach pain with nausea and vomiting, feeling cold—especially in your arms and legs, feeling dizzy or lightheaded, and a fast or irregular heartbeat may be signs of lactic acidosis. It is a medical emergency and must be treated in the hospital. This has happened in some people taking these medications.
Possible Side Effects
Entecavir
♦ Most common: headache, fatigue, dizziness, and nausea.
✓ Less common: diarrhea, upset stomach, vomiting, tiredness, and sleeplessness.
✓ Rare: Rare side effects may affect almost any part of the body. Contact your doctor if you experience any side effect not listed above.
Telbivudine
✓ Most common: upper respiratory infection, latigue, not feeling well, missO2 tenderness or weakness, abdominal pain, nasal irritation, and sore throat.
♦ Common: flu or flu-like symptoms, diarrhea or loose stools, and throat pain.
✓ Less common: fever, joint pain, rash, back pain, dizziness, muscle ache, sleeplessness, and upset stomach.
Drug Interactions low in-
• These drugs do not affect liver enzymes and have a
teraction potential.
• Drugs that affect kidney function may affect blood concentrations of entecavir and telbivudine.
• Other hepatitis B treatments (lamivudine, adefovir, cy-
closporine, and pegylated interferon-alpha 2a) do not affect
either entecavir or telbivudine and are not affected by them. Food Interactions
Take entecavir at least 2 hours after a meal and 2 hours before the next meal. Telbivudine may be taken without regard to food or meals. Usual Dose
Entecavir
Adult and Child (age 16 and over): 0.5-1 mg once daily. People with kidney failure may be treated with as little as 0.05-0.1 mg a day. Child (under age 16): not recommended.
Telbivudine
Adult and Child (age 16 and over): 600 mg once daily. People with moderate to severe kidney failure may be treated with a single 600 mg dose every 2, 3, or 4 days depending on the seriousness of kidney disease.
Child (under age 16): not recommended.
Overdosage
There are no reports of entecavir overdose. People taking single doses up to 40 mg or multiple doses up to 20 mg per day for up to 14 days had no unusual side effects. One person accidentally took an overdose with no consequences. People taking up to 1800 mg a day of telbivudine had no increase in side effects. Overdose victims should be taken to a hospital emergency room for treatment, where dialysis may be necessary to remove the drug from the blood. ALWAYS bring the prescription bottle or container.
Special Information
Call your doctor il you develop muscle aches, pains, or weakness; ‘it your skin or the white part of your eyes turns yellow; if your urine becomes dark; if your bowel movements turn light in color; if you don’t feeling like eating food for several days or longer; if you become nauseous; or if you have lower stomach pain. These can be signs of a serious liver problem called hepatotoxicity, which has occurred in some people taking these medications.
Your hepatitis B may get worse or become very serious if you stop taking these medications. Do not stop taking them or change your daily dose without talking to your doctor.
If you forget to take your daily entecavir dose, take it as soon as you remember but do not take a double dose. Call your doctor if you forget to take 2 or more doses in a row.
Entecavir oral solution is a ready-to-use product and should not be mixed with water or any other liquid product. Each bottle of the oral solution comes with a dosing spoon that is calibrated in 1 -mL increments, up to 10 mL. Hold the spoon upright and gradually fill it to the mark next to the prescribed dose. Drink the liquid directly from the dosing spoon. Your pharmacist can help you properly measure your medication dose. Rinse the dosing spoon with water after each daily dose and allow it to air dry.
Special Populations
Pregnancy/Breast-feeding: Animal studies of entecavir revealed slowed development of the skeleton. Animal studies of telbivudine did not reveal any effects on the developing fetus. However, it is not known if either medicine is safe to use during pregnancy or if it helps prevent the hepatitis B virus from passing on to a developing fetus. If your doctor considers entecavir or telbivudine crucial for you, potential benefits must be carefully weighed against their risks. A data bank has been established to collect information from doctors on pregnant women who do take these medicines.
These medicines may pass into breast milk. Nursing mothers who must take these drugs should use infant formula.
Seniors: Dosage reduction may be needed in seniors because of normal declines in kidney function.
Brand Name
Entex PSE
Generic Ingredients
Guaifenesin + Pseudoephedrine Hydrochloride M
Other Brand Names
Anatuss LA Coldmist Jr.
Aquatab D Dosepack Coldmist LA
Coldmist Congess Jr.
Congess SR Nasabid
Congestac Nasabid-SR
Deconsal LA Nasatab LA
D-Feda 11 PanMist
Durasal U PanMist-Jr.
Duratuss AM/PM PanMist LA
Dynex Profen 11
Endal-SR Pseudovent
Guaimax-D Sudal 60/500
Guaipax PSE SudaI120/600
Guaitab Sudal SR
Guaituss PE Syn-RX
Guai-Vent PSE Touro LA
losal El Tuss-LA
Maxifed V-Dec-M
Maxifed G Versacaps
Med-RX Zephrex
Miraphen PSE Zephrex LA
The information in this profile also applies to the following drugs:
Generic Ingredients: Guaifenesin + Ephedrine Hydrochloride 19 Broncholate Bronkaid
Generic Ingredients: Guaifenesin + Phenylephrine Hydrochloride 91
Deconsal Il PhenaVent
Deconsal Pediatric PhenaVent D
Endal PhenaVent LA
Entex LA PhenaVent PED
Liquibid D Rescon GG
Liquibid-D 1200 Sinupan
Liquibid-PD Sinuvent PE
Type of Drug
Decongestant and expectorant combination.
Prescribed For
Cold or allergy and for nasal congestion, runny nose and cough associated with other upper respiratory conditions.
General Information
The decongestant ingredient in Entex PSE, pseudoephedrine, dramatically reduces congestion and stuffiness. The decongestant ingredients ephedrine and phenylephrine act similarly. The expectorant, guaifenesin, is used to help loosen thick mucus that may contribute to chest congestion; the effectiveness of guaifenesin and other expectorants has not been established. There are other drugs on the market using this same general formula—an expectorant plus a decongestant—but they use different decongestant ingredients or a combination of decongestants plus guaifenesin. Nothing cures a cold or allergy, but Entex PSE may provide relief from symptoms.
Cautions and Warnings
Do not take Entex PSE if you are allergic or sensitive to any of its ingredients.
Entex PSE may cause anxiety or nervousness or interfere with sleep.
Do not use Entex PSE if you have ventricular tachycardia (quickened heartrate), or hypertension (high blood pressure).
Entex PSE should be used with extreme caution in those with heart disease, other heart rhythm disorders, thyroid disease, diabetes, glaucoma, stomach ulcer, urinary blockage, or a prostate condition.
Entex PSE should not be used over extended periods of time to treat persistent or chronic cough especially one that may be caused by cigarette smoking, asthma, or emphysema.
Possible Side Effects
Mritl common: anxiety, restlessness, sleeplessness, tension, excitation, dizziness, drowsiness, and headache.
♦ Less common: nausea, vomiting, upset stomach, low blood pressure, heart palpitations, chest pain, rapid or slow heartbeat, abnormal heart rhythms, irritability, euphoria (feeling Possible Side Effects (continued)
“high”), eye irritation and tearing, hysterical reaction, appetite loss, kidney stones, urinary difficulties in men with a prostate condition, weakness, loss of facial color, and breathing difficulties.
Drug Interactions
• Entex PSE should be avoided if you are taking a monoamine oxidase inhibitor (MAGI) antidepressant for depression or hypertension because the MAGI may cause a very rapid rise in blood pressure or increase side effects such as dry mouth or nose, blurred vision, and abnormal heart rhythms.
• The decongestant in Entex PSE may interfere with bloodpressure-lowering medication.
Food Interactions
Take Entex PSE with food if it upsets your stomach.
Usual Dose
Adult and Child (age 12 and over): 1 tablet or capsule twice a day or 2 tsp. of liquid 4 times a day.
Child (age 6-11):1/2-1 tablet or 1 capsule twice a day or 1 tsp. of liquid 4 times a day.
Overdosage
Most cases of overdose are not severe. Symptoms include sedation, sleepiness, increased sweating, and increased blood pressure. Hallucinations, convulsions, nervous system depression, and breathing difficulties are more prominent in older adults. Most cases of overdose are not severe. Induce vomiting with ipecac syrup—available at any pharmacy. Call your local poison control center or a hospital emergency room before doing this. If you lseey, treatment. ALWAYS bring the prescription bottle or container.
-SIDt’dial Information
Call your doctor if your side effects are severe or gradually become intolerable.
If you forget a dose, take it as soon as you remember. If it is almost time for your next dose, skip the one you forgot and continue with your regular schedule. Do not take a double dose.
Special Populations
Pregnancy/Breast-feeding: Women who are or might be pregnant should avoid Entex PSE. When your doctor considers this drug crucial, its potential benefits must be carefully weighed
against its risks.
The decongestant in Entex PSE may pass into breast milk. Nursing mothers who must take Entex PSE should consider using in-
fant formula.
Seniors: Seniors are more sensitive to the effects of Entex PSE.
Generic Name
Epoetin (EE-poh-eh-tin)
Brand Names Epogen
Type of Drug
Red-blood-cell growth stimulator.
Prescribed For
Anemia; may also be used for reducing the need for blood or redblood-cell transfusions.
General Information
Epoetin is a natural hormone that stimulates the bone marrow to produce red blood cells. It is used for anemia that does not respond to iron supplements. In most cases of anemia, there are plenty of red blood cells circulating, but they lack iron. People who need epoetin do not have enough red blood cells. Epoetin stimulates the production of new red blood cells to carry needed oxygen.
Cautions and Warnings
Do not use epoetin if you are allergic or sensitive to albumin or products manufactured from animal cells.
People with urtvaRtmliked high blood pressure should not use epoetin.
Some people with chronic kidney failure and severe anemia should not take epoetin. Epoetin is not a replacement for emergency blood transfusion.
Epoetin is not intended for anemia caused by folate or iron deficiency, hemolysis, or gastrointestinal bleeding.
Procrit People using epoetin may require anticoagulant medicine to prevent blood clotting during treatment. Tell your doctor it you have any blood-clotting disorders.
In rare cases, people taking epoetin may have seizures. Avoid driving or any other activities where a sudden seizure could be dangerous. Do not take epoetin if you have a history of seizures or strokes.
Epoetin should be avoided in patients with blood cancers such as lymphoma, because it can act as a growth factor for the tumor.
If your hemoglobin levels become too high, your chance of heart attack, stroke, heart failure, blood clots, and death is increased. It is important to have your blood tested and adjust dosage of epoetin accordingly throughout treatment.
Possible Side Effects
Side effects reported in studies of epoetin were similar to those reported with an inactive placebo (sugar pill).
♦ Most common: high blood pressure, headache, constipation, diarrhea, nausea, joint pain, fever, fatigue, itching, rash, and difficulty breathing.
✓ Common: swelling, vomiting, chest pain, skin reactions at the site of injection, weakness, dizziness, urinary infections, diarrhea, upset stomach, blood clots, anxiety, tingling in the hands or feet, and trunk pain.
✓ Rare: stroke and heart attack. Contact your doctor if you experience any side effect not listed above.
Food and Drug Interactions None known.
Usual Dose
Adult: starting dose-23-69 units per 1b. of body weight 3 times a week by intravenous or subcutaneous injection. Final dose is based on response and need. Surgery patients take 138 units per lb. for 10 days before Surgery or 276 units once a week for 3 weeks before surgery and another dose on the day of surgery. Dialysis patients take epoetin once a week.
Child (under age 12): 23 units per lb. of body weight 3 times a week by intravenous or subcutaneous injection. Final dose is based on response and need.
Child (under 1 month): not recommended.
Overdosage
Little is known about the effects of epoetin overdose. Call your local poison control center or a hospital emergency room for information. If you seek treatment, ALWAYS bring the prescription container.
Special Information
People taking epoetin should have regular blood tests to assure the drug is working well. Your doctor may want to take blood samples twice a week for several weeks and then test your blood regularly.
Epoetin has been used by athletes to enhance physical performance. This is called blood doping and has resulted in several deaths because the percentage of red blood cells in a blood sample can reach hazardous levels.
Epoetin must be stored in a refrigerator.
Most patients will need to take iron supplements with this drug.
This drug can be given by injection under the skin. For more in-
formation on how to properly administer this drug, see page 1242.
Special Populations
Pregnancy/Breast-feeding: Animal studies suggest that epoetin may enter fetal circulation. When this drug is considered crucial by your doctor its potential benefits must be carefully weighed against its risks.
It is not known if epoetin passes into breast milk. Nursing mothers who must take it should use infant formula.
Seniors: Seniors may use this product without special precaution.
Type of Drug
Erectile Dysfunction Drugs
Generic Ingredient: Sildenafil Citrate
Viagra Revatio
Generic Ingredient: Tadalafil Cialis
Generic Ingredient: Vardenafil Levitra
Prescribed For
Erectile dysfunction (ED). sildenafil is also prescribed for pulmonary
hypertension.
General Information
The chemical nitric oxide is released in the penis during sexual stimulation. Nitric oxide causes the release of an enzyme called cyclic guanosine monophosphate (cGMP), which increases blood flow into the penis, producing an erection. cGMP is broken down by the enzyme phosphodiesterase type 5 (PDE5). In men with low levels of cGMP, these medicines help achieve and maintain an erection by inhibiting PDE5, thus causing higher levels of cGMP. ED can be the result of nerve, blood vessel, or psychological problems. These drugs, which are effective in about 70% of men, only help when poor blood flow is the cause of the dysfunction. Women have reported some benefit from sildenafil, although it has been widely studied only in men. Vardenafil and tadalafil are intended only for men. These medicines start working in 30-60 minutes and their effects usually last from 2-4 hours, although some have noted an effect for 24 hours or more. Some drug interactions and kidney or liver diseases extend this time. Tadalafil begins working in 30-60 minutes and can remain in the body for more than 2 days, much longer than the other medicines in this group. Low-dose tadalafil may be taken every day for chronic ED.
Pulmonary hypertension, a rare disease in which high pressure in the blood vessels moves from the heart to the lungs, is sometimes treated with sildenafil.
Cautions and Warnings
Do not take ED drugs if you are allergic or sensitive to any of their ingredients.
These medicines lower blood pressure and should be avoided if you have high (greater than 170/100) or low (less than 90/50) blood pressure. Several people have died from a sudden blood-pressure drop after combining erectile dysfunction medications with other medications that can reduce blood pressure.
These Medicines should never be taken by those taking heart medications called nitrates, as fatal reactions have occurred.
People with heart disease may experience heart problems with sildenafil or vardenafil, including a heart attack. These reactions can occur during or shortly after sexual activity.
Avoid these medicines if you have had a heart attack, stroke, or life-threatening abnormal heart rhythms in the past 6 months, or if you have heart failure, unstable angina pectoris, damage to the penis, or a progressive eye disease called retinitis pigmentosa. Blindness is a rare side effect of sildenafil and may be a problem with all of these medications.
People taking sildenafil or vardenafil have experienced difficulties seeing blue or green colors and may see things with a blue tinge surrounding them. This happens because they affect an enzyme in the eye. The effect clears up after the drug passes out of the body.
People with kidney or liver damage retain these medicines in their bodies longer than people whose kidneys and liver function normally. People with kidney or liver problems should always begin with the lowest possible dosage.
People with priapism (painful erection lasting more than 6 hours) or a condition that predisposes them to priapism—such as leukemia, multiple myeloma, or sickle cell anemia—should be cautious about taking these medicines.
Vardenatil and sildenafil should be avoided by people with stomach or bleeding ulcers because its effect on these conditions is not known.
Possible Side Effects
Sildenafil
✓ Most common: headache and flushing.
♦ Less common: upset stomach, stuffy nose, urinary tract infection, diarrhea, rash, dizziness, seizure, anxiety, prolonged and possibly painful erection, double vision, visual changes, bloodshot eyes, burning eyes, swelling in the eye, and blood vessel diseases in the retina.
✓ Rare: Rare side effects can occur in almost any part of the body. Contact your doctor if you experience any side effect not listed above.
Tadalafil
I Most common: headache.
✓ Common: upset stomach. Back pain and muscle aches can develop 12-24 hours after taking tadalafil and go away on their own after 2 days.
Possible Side Effects (continued)
♦ Less common: flushing, nasal congestion, and arm or leg
pain.
♦ Rare-. prolonged or painful erections. Other rare side ef-
fects can occur in almost any part of the body. Contact
your doctor if you experience any side effect not listed
above.
Vardenafil
✓ Most common: headache and flushing.
✓ Less common: upset stomach, sinus infection, flu-like symptoms, dizziness, and nausea.
♦ Rare: prolonged or painful erection. Other rare side effects can occur in almost any part of the body. Contact your doctor if you experience any side effect not listed above.
Drug Interactions
• Do not combine any of these drugs with nitrates (such as nitroglycerin) and other drugs that lower blood pressure. The combination can cause a sudden, rapid drop in blood pressure.
• Do not take vardenafil if you are taking an alpha blocker (such as alfuzosin, doxazosin, prazosin, tamsulosin, or terazosin). Tadalafil may be taken only with tamsulosin. You may take sildenafil at its lowest possible dose with an alpha blocker, but you must separate the doses by at least 4 hours.
• Combining cimetidine and sildenafil leads to a substantial (more than 50%) increase in the amount of sildenafil in the blood.
• Erythromycin, itraconazole, ketoconazole, and protease inhibitors (used to combat HIV) can cause sildenafil blood levels to almost double. Vardenafil levels can increase by 400-1000% when combined with these medicines. It you are taking one of these medicines, do not take more than the %west possible dose of your ED drug. Do not take tadalafil more than once every 3 days if you are also taking one of these medicines.
• Rifampin can be expected to reduce the effect of ED medicines by reducing the amount of drug in the blood. Other
drugs that may reduce the effects of these drugs are carbamazepine, phenobarbital, and phenytoin.
• Dihydrocodeine—a widely used prescription pain reliever—may increase the effects of sildenafil, yielding substantially prolonged erections, sometimes lasting for hours.
• Do not combine sildenafil, tadalafil, and vardenafil. The effects of combining these drugs are not known.
• Do not take vardenafil if you are taking any medicine to treat an abnormal heartbeat, including amiodarone, procainamide, quinidine, and sotalol.
• Combining sildenafil with selective serotonin reuptake inhibitors (SSRIs) or tacrolimus may increase the risk of sildenafil side effects.
• Alcohol adds to the blood-pressure-lowering effects of these medicines.
Food Interactions
Grapefruit juice may increase the amount of these drugs in the blood. Taking sildenafil with a high-fat meal reduces the amount of drug absorbed. Tadalafil and vardenafil may be taken without regard to food or meals.
Usual Dose
Sildenafil
Adult: 50 mg taken about 1 hour before sexual activity. Individual doses can range from 25-100 mg. The maximum dosing frequency is once a day.
Senior: Begin with 25 mg and gradually increase dosage as needed.
Tadalafil
Adult: 10 mg taken about 1 hour before sexual activity. Individual doses can range from 2.5-20 mg. Do not take more than 1 dose of tadalafil a day.
Senior: Begin with 5 mg and gradually increase dosage as needed.
Adult: 10 mg taken about 1 hour before sexual activity. Individual doses can range from 5-20 mg.
Senior: Begin with 5 mg and gradually increase dosage as needed.
Overdosage
sildenafil and tadalafil overdose are likely to produce exaggerated drug side effects. Vardenafil overdose may cause neck pain, muscle aches, or vision changes. Call your local poison control center or hospital emergency room for more information. If you seek treatment, ALWAYS bring the prescription bottle or container.
Special Information
Call your doctor and do not engage in sexual activity if the erection produced by ED drugs is painful or lasts 4 or more hours, or if you experience dizziness, nausea, or chest pain after taking an ED drug. In rare cases, men taking ED drugs have reported a sudden decrease or loss of vision and/or hearing. Call your doctor right away if you experience this adverse side effect.
People who use organic nitrates for gardening or other purposes can experience a severe and dangerous blood pressure drop if they take sildenafil or vardenafil. It is not known how long you have to wait to resume nitrate use.
These drugs do not protect against sexually transmitted diseases.
Special Populations
Pregnancy/Breast-feeding: There is no evidence that sildenafil or vardenafil harm the fetus; however, they are not intended for pregnant women or nursing mothers.
Seniors: Men age 65 and over eliminate these drugs more slowly than younger men and should begin with the lowest possible dosage.
Generic Name
Ergoloid Mesylates (ER-goe-loid
MES-il-ates) (GI
Brand Names Caerimal
Hydergine
Type of Drug Psychotherapeutic agent.
Hydrogenated Ergot Alkaloids
Prescribed For
Age-related decline in mental capacity.
General Information
Ergoloid mesylates are used to treat decreased mental capacity of unknown cause in people over age 60. These drugs should not be used for any condition that is treatable with another drug or that may be reversible. People who respond to ergoloid mesylates are likely to have Alzheimer’s disease or some other cause of dementia. Nobody knows exactly how ergoloid mesylates produce their effect, but they improve the supply of blood to the brain in test animals, reduce their heart rate, and improve muscle tone in blood vessels. Some studies show the drugs to be very effective in relieving mild symptoms of mental impairment, while others find it to be only moderately effective. They are most beneficial in people whose symptoms are due to the effects of high blood pressure in the brain.
Cautions and Warnings
Do not take ergoloid mesylates if you are allergic or sensitive to any of their ingredients or you have psychotic symptoms or psychosis.
Ergoloid mesylates should be used with caution in people with liver disease, low blood pressure, or slow heartbeat.
Possible Side Effects
Ergoloid mesylates do not produce serious side effects.
♦ Common: When taken under the tongue, these drugs may
cause irritation, nausea, or upset stomach. Other side ef-
fects are drowsiness, slow heartbeat, and rash.
Drug Interactions None known.
Food Interactions
Do not eat, drink, or smoke while you have an ergoloid mesylates pill under your tongue.
Usual Dose
Starting dose is 1-2 mg 3 times a day. Increase as needed. Do not exceed 12 mg a day.
Overdosage
Symptoms include blurred vision, dizziness, fainting, flushing, headache, appetite loss, nausea, vomiting, stomach cramps, and stuffy nose. Take the victim to a hospital emergency room. ALWAYS bring the prescription bottle or container.
Special Information
The effects of ergoloid mesylates are gradual and frequently not seen for up to 6 months. A 6-month period of treatment with ergoloid mesylates is recommended before your doctor can fully evaluate your response to the drug. Your doctor should periodically reevaluate your condition to determine if ergoloid mesylates treatment is still needed and that it is working for you.
Dissolve sublingual tablets under the tongue. Do not chew or crush them; they are not effective if swallowed whole.
If you forget a dose, skip it and go back to your regular schedule. Do not take a double dose. Call your doctor if you miss 2 or more consecutive doses.
Special Populations
Pregnancy/Breast-feeding: Ergoloid mesylates may interfere with fetal development. When these drugs are considered crucial by your doctor, their potential benefits must be carefully weighed against their risks.
Ergoloid mesylates pass into breast milk. Nursing mothers who must take these drugs should use infant formula.
Seniors: Seniors are more likely to develop side effects, especially hypothermia (low body temperature).
Generic Name
Erythromycin (eh-rith-roe-MYE-sin) 10
Brand Names
Akre-mycin Eryderm
Arr/S Erygel
E-Base Ery-Tab
E-Glades Erythra-derm
E-Mycin PCE Eryc
The information in this profile also applies to all forms of erythromycin:
Generic Ingredient: Erythromycin Estolate LN
Generic Ingredient: Erythromycin Ethylsuccinate E.E.S. Pediamycin EryPed
Generic Ingredients: Erythromycin Ethylsuccinate + Sulfisoxasole
Eryzole Pediazole
Generic Ingredient: Erythromycin Stearate Erythrocin Stearate
Type of Drug Macrolide antibiotic.
Prescribed For
Infections of virtually any part of the body: upper and lower respiratory tract infections; sexually transmitted diseases; urinary tract infections; infections of the mouth, gums, or teeth; and infections of the nose, ears, or sinuses. It is prescribed for acne and may be used for mild to moderate skin infections. Erythromycin is effective against diphtheria and dysentery. It is also prescribed for legionnaires’ disease, rheumatic fever, whooping cough, and bacterial endocarditis. It is prescribed to patients with pelvic inflammatory disease as an alternative to penicillin. The eye ointment is used to prevent newborn gonococcal or chlamydial eye infections.
General Information
Erythromycin and other macrolide antibiotics are either bactericidal (bacteria-killing) or bacteriostatic (inhibiting bacterial growth), depending on the organism in question and amount of antibiotic present. Erythromycin is deactivated by stomach acid, so the tablet form is made to bypass the stomach and dissolve in the intestine.
Since the action of this antibiotic depends on its concentration in the invading bacteria, kk is crucial that you follow your doctor’s ISNVKi10ns regarding the spacing of doses as well as the number of days you must take the medication—otherwise, this antibiotic may be much less effective.
Cautions and Warnings
Do not take erythromycin if you are allergic or sensitive to any of its ingredients or to any macrolide antibiotic.
Erythromycin is excreted primarily through the liver. People with liver disease or damage should consult their doctors. Those on long-term therapy with erythromycin should have periodic blood tests. If you restart erythromycin after having experienced liver damage, it is likely that symptoms will recur within 48 hours.
Erythromycin estolate has occasionally produced liver problems (symptoms include fatigue, nausea, vomiting, abdominal cramps, and fever). If you are susceptible to stomach problems, erythromycin may cause mild to moderate stomach upset; discontinuing the drug will reverse this condition.
Colitis (bowel inflammation) has been associated with all antibiotics and can range from mild to life-threatening (see “Possible Side Effects”),
Possible Side Effects
• Most common: nausea, vomiting, stomach cramps, and diarrhea. Colitis (symptoms include severe abdominal cramps and severe, persistent, and possibly bloody diarrhea) may develop. Side effects of the topical erythromycin include peeling, dryness, itching, and oiliness.
♦ Less common: hairy tongue, itching, irritation of the anal or vaginal region, eye irritation, and skin tenderness. If any of these symptoms appear, call your physician immediately.
♦ Rare: hearing loss—which reverses itself after the drug is stopped and occurs most often in people with liver and kidney problems—and abnormal heart rhythms. Contact your doctor if you experience any side effect not listed above.
Drug Interactions
• Antacids may slightly affect the release of erythromycin from your body. This effect is not considered important.
• Do not combine erythromycin with astemizole or terfenadine.
• Erythromycin may slow the breakdown of carbamazepine (an anticonvulsant prescribed for seizures). Avoid this combination.
• Mixing erythromycin with rifabutin or rifampin can interfere with the antibiotic’s effect and increase the risk of intestinal side effects.
• Do not combine erythromycin and pimozide. Two people died after combining pimozide and a macrolide antibiotic.
• Erythromycin may neutralize penicillin. It may also neutralize the antibiotics lincomycin and clindamycin.
• Erythromycin interferes with the elimination of theophylline
from the body, possibly leading to theophylline overdose.
• Mixing erythromycin with a statin cholesterol-lowering drug increases the risk of developing a potentially fatal condition involving severe muscle pain and destruction.
• Do not mix erythromycin with sparfloxacin, ketoconazole, itraconazole, fluconazole, diltiazem, verapamil, troleandomycin, mibefradil, nefazodone, or clarithromycin. These mixtures can lead to severe, possibly fatal, abnormal heart rhythms. Grepafloxacin (another fluoroquinolone) should only be mixed with erythromycin in hospitalized patients whose hearts can be monitored during treatment.
• Combining erythromycin and alfentanil (an injectable pain reliever), bromocriptine, buspirone, digoxin, disopyramide, ergotamine, cyclosporine, methylprednisolone (a corticosteroid), tacrolimus, vinblastine, or benzodiazepines (such as alprazolam, diazepam, midazolam, and triazolam) increases the risk of drug side effects.
• Erythromycin estolate may increase the liver side effects of other drugs that affect the liver.
• Erythromycin may increase the anticoagulant (blood-thinning) effects of warfarin in people who take it regularly, especially older adults. People taking this combination should be tested regularly.
• Erythromycin may increase the effects of caffeine.
Food Interactions
Grapefruit juice slows the breakdown of erythromycin, increasing the amount of drug in the blood. For optimum effectiveness, take erythromycin base and erythromycin stearate on an empty stomach with a 6-8 oz. glass of water 1 hour before or 2 hours after meals. Other forms of erythromycin can be taken without regard to food or meals.
\huall Dose
Tablet and Suspension
Adult: 250-400 mg every 6 hours, taken 1 hour before meals, or 500 mg every 12 hours. Maximum dose is 4 g a day.
Child: 15-25 mg per lb. of body weight a day in divided doses depending on age, weight, and severity of infection.
Eye Ointment 1/2 inch 2-6 times a day.
Topical Solution: Apply morning and night.
Doses of erythromycin ethylsuccinate are 60% higher due to differences in chemical composition.
Overdosage
Overdose may cause severe side effects, especially nausea, vomiting, stomach cramps, and diarrhea. Mild hearing loss, ringing or buzzing in the ears, or fainting may also occur. Call your local poison control center or a hospital emergency room for more information. ALWAYS bring the prescription bottle or container.
Special Information
Erythromycin is used instead of penicillin for mild to moderate infections in people who are allergic to penicillin. Erythromycin is not the antibiotic of choice for severe infections.
Erythromycin products should be stored at room temperature, except for oral and topical liquids, which should be kept in the refrigerator.
Call your doctor if you develop nausea; vomiting; diarrhea; stomach cramps; severe abdominal pain; rash, itching, or redness; dark or amber-colored urine; yellowing of the skin or whites of the eyes; or any severe or persistent side effect.
If you forget a dose of oral erythromycin, take it as soon as you remember. If it is almost time for your next dose, space the next 2 doses over 4-6 hours, then continue with your regular schedule. Do not take a double dose.
Remember to complete the full course of therapy prescribed even if you feel well before you finish the medication.
Special Populations
Pregnancy/Breast-feeding: Erythromycin passes into the fetal circulation. Erythromycin estolate has caused mild liver inflammation in about 10% of pregnant women who took it and should not be used if you are or might be pregnant. Other forms of erythromycin have been used sale)y without difficulty.
Erythromycin passes into breast milk. Nursing mothers who must take erythromycin should use infant formula.
Seniors: Seniors with liver disease should use caution. Seniors taking high doses of erythromycin may be at an increased risk of hearing loss.
Aug
1
Clarithromycin
August 1, 2009 | Leave a Comment
Generic Name
Clarithromycin (klah-rith-roe-MYE-sin) 91
Brand Names Biaxin
Type of Drug Macrolide antibiotic.
Biaxin XL
Prescribed For
Mild to moderate infections of the upper and lower respiratory tract, tonsillitis, pharyngitis, sinusitis, exacerbation of chronic bronchitis, middle-ear infections, and for duodenal ulcers; also used for skin and other infections, including membrane attack complex (MAC) in people with advanced HIV infection.
General Information
Clarithromycin and other macybYide antibiotics are either bacteri(;((JW (’UaCkeeia-killing) or bacteriostatic (inhibiting bacterial growth), depending on the organism in question and amount of antibiotic present. In ulcer disease, clarithromycin is used to fight Helicobacter pylori infection, which is present in almost all ulcers and most cases of stomach inflammation.
Cautions and Warnings
Do not take clarithromycin if you are allergic or sensitive to any of its ingredients or to any macrolide antibiotic.
Clarithromycin should not be used during pregnancy.
Clarithromycin is primarily eliminated from the body through the liver and kidneys. People with severe kidney disease may require dose adjustments. Liver disease generally does not require an adjustment.
Colitis (bowel inflammation) has been associated with all antibiotics (see “Possible Side Effects”). If colitis does develop, your doctor should start appropriate treatment. Mild cases of colitis usually respond to the discontinuation of the medicine.
Possible Side Effects
Most side effects are mild and go away once you stop taking clarithromycin.
✓ Most common: nausea, upset stomach, changes in sense of taste, headache, he. diarrhea, abdominal pain, vomiting, and rash in children. Colitis (symptoms include severe abdominal cramps and severe, persistent, and possibly bloody diarrhea) may develop.
✓ Rare: serious abnormal heart rhythms. Contact your doc-
tor if you experience any side effect not listed above.
Drug Interactions
• Clarithromycin may increase the anticoagulant (blood-thinning) effects of warfarin in people who take it regularly, especially older adults. This combination requires careful monitoring by your doctor.
• Do not combine clarithromycin with astemizole or terfenadine.
• Combining clarithromycin and omeprazole raises the amount of both drugs in the blood.
• Two deaths have been reported in people combining Oarithromycin and pimozidp_ ?imuiide should not be used by peibp)e faking a macrolide antibiotic.
• Clarithromycin may raise blood levels of theophylline, possibly leading to a theophylline overdose. It can also increase the effects of caffeine.
• Combining clarithromycin and digoxin, cyclosporine, ergot
alkaloids, or tacrolimus may lead to serious side effects.
Aug
1
Chlorpheniramine Maleate
August 1, 2009 | Leave a Comment
Generic Name
Chlorpheniramine Maleate
(KLOR-ten-ERE-uh-mene MAL-ee-ate) M
Brand Names
Aller-Chlor Efidac 24
Chlor-Trimeton Pediox S
Chlor-Trimeton Allergy 8 Hour Prohist+8 Chlor-Trimeton Allergy 12 Hour QDALL AR
The information in this profile also applies to the following drugs: Generic Ingredient: Cyproheptadine Hydrochloride 0
Generic Ingredient: Dexchlorpheniramine Maleate 19
Type of Drug Antihistamine,
Prescribed For
Stuffy and runny nose, itchy eyes, and scratchy throat caused by seasonal allergy, and other symptoms of allergy such as rash, itching, and hives.
General Information
Antihistamines generally work by blocking the release of histamine (a chemical released by body tissue during an allergic reaction) from body cells at the H, histamine receptor site, drying up secretions of the nose, throat, and eyes.
Cautions and Warnings
Do not use this drug if you are allergic or sensitive to any of its ingredients.
Use chlorpheniramine maleate with care if you have a history of thyroid disease, heart disease, high blood pressure, or diabetes. This drug should be avoided or used with extreme care if you have narrow-angle glaucoma, stomach ulcer or other stomach problems, enlarged prostate, or problems passing urine. It should not be used by people who have deep-breathing problems such as asthma, emphysema, or chronic bronchitis.
Possible Side Effects
V Less common: rash or itching, sensitivity to bright light, increased sweating, chills, lowered blood pressure, headache, rapid heartbeat, sleeplessness, dizziness, disturbed coordination, confusion, restlessness, nervousness, irritability, euphoria (feeling “high”), tingling in the hands or feet, blurred or double vision, ringing in the ears, upset stomach, appetite loss, nausea, vomiting, constipation, diarrhea, urinary difficulties, chest tightness, wheezing, stuffy nose, and dryness of the mouth, nose, or throat. Young children may also develop nervousness, irritability, tension, and anxiety.
Drug Interactions
• chlorpheniramine maleate should not be taken with a mono-amine oxidase inhibitQ(aMkdepiessank, because the combination may cause severe side effects.
• The effects of sedatives, benzodiazepines such as diazepam, and sleeping medications will be increased when any of these drugs is combined with chlorpheniramine maleate. It is extremely important for your doctor to know if you are taking any other medication with chlorpheniramine maleate so that the dosage of that medication can be properly adjusted.
• Anti chol inergenics may cause an increase in side effects of chlorpheniramine maleate.
• Be extremely cautious when drinking alcoholic beverages while taking this drug, which enhances the intoxicating and sedating effects of alcohol.
Food Interactions
You may take this drug with food if it upsets your stomach.
Usual Dose
chlorpheniramine
Adult and Child (age 13 and over): 4 mg every 4-6 hours; do not take more than 24 mg a day.
Child (age 6-12): 2 mg every 4-6 hours; do not take more than 12 mg a day.
Child (age 2-5): 1 mg every 4-6 hours; do not take more than 4 mg a day.
chlorpheniramine, Sustained-Release
Adult and Child (age 13 and over): 8-12 mg at bedtime, or every 8-12 hours during the day; do not take more than 24 mg a day. Child (age 6-12): 8 mg during the day or at bedtime.
Child (under age 6): not recommended.
Cyproheptadine
Adult and Child (age 15 and over): 4-20 mg a day; do not exceed 32 mg a day.
Child (age 7-14): 4 mg 2-3 times a day; do not exceed 16 mg a day.
Child (age 2-6): 2 mg 2-3 times a day; do not exceed 12 mg a day.
Dexchlorpheniramine
Adult and Child (age 12 and over): 2 mg every 4-6 hours. Child (age 6-11): 1 mg every 4-6 hours.
Child (age 2-5): 0.5 mg every 4-6 hours.
Dexchlorpheniramine, Sustained-Release
Adult and Child (age 12 and over): 4-6 mg every 8-10 hours and at bedtime.
Child (age 6-11): 4 mg once a day and at bedtime. Child (under age 6): not recommended.
Tripelennamine
Adult and Child (age 12 and over): 25-50 mg every 4-6 hours; do not take more than 600 mg a day. Adults may take up to 3100-mg, sustained-release tablets a day, although this much is not usually needed.
Child (under age 12): 2 mg per lb. of body weight a day in divided doses; no more than 300 mg a day should be given.
Overdosage
Symptoms of overdose include depression or stimulation, especially in children; dry mouth: fixed or dilated pupils; flushing of the skin; upset stomach; unsteadiness; and convulsions. Overdose victims should be made to vomit as soon as possible with ipecac syrup—available at any pharmacy—to remove excess drug from the stomach. Take the victim to a hospital emergency room immediately if the victim is unconscious.or if you cannot induce vomiting. ALWAYS bring the prescription bottle or container.
Special Information
This drug may cause tiredness or loss of concentration: Be extremely cautious when driving or doing anything that requires close attention.
If you forget a dose of this drug, take it as soon as you remember. If it is almost time for your next dose, skip the one you forgot and continue with your regular schedule. Do not take a double dose.
Special Populations
PregnancylBreast-feeding., Animal studies have shown that some antihistamines may cause birth defects. Do not take any antihistamine without your doctor’s knowledge if you are or might be pregnant—especially during the last 3 months of pregnancy, because newborns may have severe reactions to antihistamines.
Small amounts of some antihistamines pass into breast milk. NV ing mothers who must take chlorpheniramine maleate should use infant formula.
Seniors: Seniors are more sensitive to antihistamine side effects. Dosage reduction may be needed.
Aug
1
Cevimeline
August 1, 2009 | Leave a Comment
Generic Name
Cevimeline (seh-VIM-ih-lene) 9
Brand Name Evoxac
Type of Drug Cholinergic.
Prescribed For
Dry mouth in people with syndrome.
General Information
Sj6gren’s syndrome jS a group 0j symptoms related to a lack of bodily secretions. People with this condition have very dry eyes and mucous membranes, facial lesions, and neck swelling. It often occurs in menopausal woman and is often associated with rheumatoid arthritis, poor blood circulation in the legs, and tooth decay. Cevimeline increases secretions in the mouth by binding to specific nervous system receptors and causing the release of more saliva.
Cautions and Warnings
Do not take cevimeline if you are allergic or sensitive to any of its
ingredients.
This drug may make breathing more difficult and worsen lung conditions such as asthma, chronic bronchitis, or chronic obstructive pulmonary disease (COPD).
Eye conditions like glaucoma or inflammation of the iris may be worsened by cevimeline.
Cevimeline may affect the heart, and some people with severe heart disease, including those with a history of severe angina or heart attack, may not be able to compensate for this effect.
Cevimeline may worsen gallstones and kidney stones and should be avoided by people with a history of these conditions.
Cevimeline may cause visual blurring, especially at night.
Possible Side Effects
✓ Most common: excessive sweating, headache, nausea, sinus irritation, respiratory infection, runny nose, and diarrhea.
✓ Common: upset stomach, abdominal pains, urinary infection, coughing, and sore throat.
✓ Less common: vomiting, back pain, injury, rash, conjunctivitis (pinkeye), dizziness, bronchitis, severe joint pain, fatigue, bone pain, sleeplessness, hot flushes, excess salivation, chills, and anxiety.
✓ Rare: frequent urination, weakness, and flushing. Other rare side effects can occur in almost any part of the body. Contact your doctor if you experience any side effect not listed above.
Drug Interactions
• Combining cevimeline with a beta blocker can lead to heart rhythm disturbances.
• Cevimeline may interfere with the effects of anticholinergics, found in Some medications for abdominal or stomach spasms or cramps.
• Cholinergics such as bethanechol, donepezil, physostigmine, pilocarpine, and pyridostigmine can add to the effects of cevimeline.
• Some drugs may interfere with the breakdown of cevimeline in the liver, increasing the chance of drug side effects. These include amiodarone, celecoxib, chlorpheniramine, cimetidine, ciprofloxacin, clarithromycin, clomipramine, cocaine, diltiazem, erythromycin, fluconazole, fluoxetine, halofantrine, indinavir, itraconazole, ketoconazole, methadone, mibefradil, nelfinavir, paroxetine, quinidine, ranitidine, ritonavir, saquinavir, and terbinafine.
Food Interactions
Grapefruit juice may interfere with the breakdown of cevimeline in the liver, increasing the chance of drug side effects. Food interferes with the absorption of cevimeline into the bloodstream. Take this drug on an empty stomach.
Usual Dose
Adult: 30 mg 3 times a day. Child: not recommended.
Overdosage
Overdose symptoms can include exaggerated drug side effects including headache, visual impairment, excess tearing and/or sweating, difficulty breathing, stomach or intestinal spasms, nausea, vomiting, diarrhea, changes in heart rhythm, blood pressure changes, shock, mental confusion, and tremors. Overdose victims should be taken to a hospital emergency room. ALWAYS bring the prescription bottle or container.
Special Information
cevimeline may cause blurred vision, possibly interfering with driving or performing tasks that require reliable vision, especially at night or in low light.
If you sweat excessively while taking cevimeline, be sure to drink a lot of water. Excessive sweating can lead to dehydration.
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose.
Special Populations
Pregnancy/Breast-feeding: Pregnant women should take cevimeline only if it is considered crucial by your doctor, since its effect on the developing fetus is not known.
It is not known if cevimeline passes into breast milk, but nursing mothers who must take this drug should consider using infant formula.
Seniors: Older adults should be cautious about using this drug because of its possible effects on the kidney, liver, and heart, and on other diseases or medications.
Jul
18
Prostatitis Terminology Glossary.
July 18, 2009 | Leave a Comment
Glossary
ACUTE - Often used to describe a disorder, or symptom, that comes on suddenly. An acute condition may or may not be severe, but it is usually of short duration.
ANDROGENS - Bodily hormones that help in the development of male sex characteristics. Testosterone is the most important of these.
ANUS - The exterior opening, through which waste products are excreted, located at the end of the digestive tract.
BACTERIA - A group of single-celled micro-organisms, many -though not all - of which cause diseases.
BENIGN - Not malignant. Characteristic of a mild illness. Recovery is likely.
BIOPSY - The removal of tissue from a patient so that it may be
studied under a microscope in order to make a precise diagnosis.
BLADDER - An elastic sac that stores urine before it is excreted from the body.
BOGGY - A term used to describe the prostate when it is swollen, spongy and soft.
CANCER - A group of diseases in which symptoms are due to the uncontrolled growth of abnormal cells creating a cellular tumour. These cells can spread throughout the body through the bloodstream or the lymphatic system.
CAPSULE - The structure in which an item, such as the prostate, is enclosed.
CATHETER - A hollow, flexible, surgical tube that is used to drain or inject fluid. It is used, in particular, to drain urine via the urethra from the bladder.
CAT SCAN (CT SCAN) - A diagnostic imaging technique using X-rays and computer technology to provide cross-sectional pictures of the body.
CHLAMYDIA - A group of non-bacterial infections in the urethra and genital tract, and one of the most common sexually-transmitted diseases.
CHRONIC - A chronic condition is one that persists fora long time (sometimes in spite of treatment).
CYSTOSCOPE - A lighted viewing instrument that is inserted up the urethra in order to examine the urethra and the bladder.
DYSURIA - Pain on passing urine.
EJACULATION - The act of emission of semen from the penis.
ENZYME - A protein that regulates the rate of a chemical reaction in the body. Every cell in the body produces various enzymes.
ERECTION - The stiffening, hardening and elevation that occur in the penis in response to sexual arousal.
FREQUENCY - The need to urinate at short intervals.
GENITALS - The reproductive organs - both male and female, both internal and external.
GENITO-URINARY - Referring to a man’s or woman’s reproductive and urinary tract.
GLAND - A group of specialised cells that manufacture and release certain chemicals, including hormones and enzymes, for use in the body.
HAEMATURIA - Blood in the urine.
HAEMOSPERMIA - Blood in the seminal fluid.
HESITANCY - Slowness to start the initial urinary flow.
HORMONE - A chemical that is released into the bloodstream by a particular gland or tissue and which has a specific effect on tissues elsewhere in the body.
HYPERPLASIA - Cell proliferation.
HYPERTROPHY - The excessive, abnormal growth of an organ.
IMPOTENCE - Inability to achieve a good enough erection for sexual intercourse.
INCONTINENCE, URINARY - Inability to control the passing of urine.
INTERMITTENCY - Stopping and starting the flow of urine, often resulting in an inability to empty the bladder completely.
INTRAVENOUS PYELOGRAM (IVP) - Also known as urography.
• diagnostic procedure for taking X-ray pictures of the urinary tract.
• dye - or, to give its proper name, a radio-opaque medium - is injected intravenously into the bloodstream, which then shows up on X-rays when it is excreted by the kidneys, ureter and bladder.
KIDNEYS - Two small organs located on either side of the spinal column. Impurities in the blood are removed in the kidneys and dissolved to form urine.
LASER - An acronym, which stands for Light Amplification by Stimulated Emission of Radiation. Laser beams, which are concentrations of light and heat, can be used to cut, and are now being employed increasingly in surgery.
LIBIDO - Sexual desire.
MALIGNANT - Not benign. Cancerous, with the ability to invade other tissues, and to spread, or metastasise, throughout the body.
METASTASIS - A resulting cancer that has spread from another part of the body. Metastases are spread by the bloodstream or the lymph system.
MID-STREAM URINE (MSU) - A urine sample is taken mid-way in the flow of urination - neither at the beginning nor at the end, which gives less opportunity for contamination from surrounding tissues. This gives the best sample for culture or analysis.
NOCTURIA - The urge to urinate during the night, which wakes you up and means you have to get up to go to the toilet. Normally, the kidneys will produce less urine during the night when you are asleep, and the bladder will not signal that it is full until the morning. If the bladder is irritable, however, or if there is residual urine left over in the bladder, a man will be woken by the sensation of a full bladder.
ORCHIDECTOMY - The surgical removal of one or both testicles.
ORGASM - The ultimate climax of the sexual act. In a man, ejaculation normally occurs at this point.
PEAK URINE FLOW - The maximum urine flow that a man can produce, measured in millilitres per second.
PERINEUM - The area between the scrotum and anus.
PROSTATECTOMY - The surgical removal of all or part of the prostate gland.
PROSTATE GLAND - Male gland, about the size of a chestnut, through which the urethra, or urinary pipe, passes.
RADIATION - Energy that is emitted in the form of waves or particles of light. Used in medicine for both diagnosis and treatment.
RADIOTHERAPY - The use of radiation in medicine for the treatment of disease, usually cancer.
RESECTOSCOPE - A surgical instrument that allows the surgeon to see inside the urethra and is used in a transurethral prostatectomy (TURP).
SCROTUM - The pouch at a man’s crotch containing the testicles.
SEMEN - The fluid that is produced by the male on ejaculation.
SEMINAL FLUID - The fluid that is emitted by the penis when a man ejaculates.
SECRETIONS - The manufacture and release by a gland, cell or organ of chemical substances.
SEXUALLY-TRANSMITTED DISEASE - One of the many diseases that can be transmitted through sexual relations. Used to be known as venereal disease.
SITZ BATH - A sit-down bath, which can be beneficial to people suffering from rectal and urinary problems.
SPERM - The male sex cell produced by the testes, also known as spermatozoon (singular) or spermatozoa (plural), which can fertilise the female egg, or ovum.
STERILITY - The inability of a man to father children.
TESTICLES - A man’s two reproductive glands located in his scrotum. The testicles produce sperm and androgens (primarily testosterone).
ULTRASOUND - Also known as sonography. A diagnostic technique in which very high frequency sound waves are passed into the body, and reflected echoes are analysed to build up a picture of the internal organs. The procedure is entirely safe, and quite painless.
URETHRA- Urinary pipe which passes through the penis, through which urine passes from the bladder to the outside. Seminal fluids also pass through the urethra during ejaculation.
URINARY FLOW RATE - How quickly urine is voided from the bladder at the peak of urination. If the urinary flow is weaker than normal, it may indicate that there is some urethral obstruction.
URINE - The pale yellow fluid produced by the kidneys, which is excreted four the body via the bladder and the urethra.
URINE CULTURE - The study of a sample of urine to allow the growth of micro-organisms. This allows a urinary tract infection to be identified.
UROLOGIST - Doctor specialising in disorders of the urinary tract and the male genital tract.
VASECTOMY - Male sterilisation, performed by cutting through the vas deferens on each side of the body, which carry sperm from the testicles to the urethra.
X-RAY - Probably the best known of all imaging techniques, first discovered by Wilhelm Konrad Rbntgen in 1895. It is a useful diagnostic procedure, using electromagnetic radiations of short wave length, which produce high-quality images of bones, organs and internal tissues.
Jul
16
Alprazolam
July 16, 2009 | Leave a Comment
Generic Name
Alprazolam (al-PRAY-zoe-lam) CGI
Brand Names
Niravam Xanax Xanax XR Type of Drug
Benzodiazepine sedative.
Prescribed For
Generalized anxiety disorder and anxiety associated with depression; panic disorder with or without agoraphobia.
General Information
Alprazolam is a member of a group :)f drugs known as benzodiazepines. Benzodiazepines directly affect the brain. They can relax you and make you more tranquil or sleepier, or they can slow nervous system transmissions in such a way as to act as an anticonvulsant. Many doctors prefer benzodiazepines to other drugs that can be used to similar effect because they tend to be safer, have fewer side effects, and are usually as effective, if not more so.
Cautions and Warnings
Do not take alprazolam if you know you are allergic or sensitive to it or to another benzodiazepine drug, including clonazepam.
Alprazolam can aggravate narrow-angle glaucoma, but you may take it if you have open-angle glaucoma and are receiving therapy for it.
Other conditions where alprazolam should be avoided are: severe lung disease, sleep apnea (intermittent cessation of breathing during sleep), liver disease, drunkenness, and kidney disease. In each of these conditions, the depressive effects of alprazolam may be enhanced or could be detrimental to your overall condition.
Alprazolam should not be taken by psychotic patients because it is not effective for them and can trigger unusual excitement, stimulation, and rage.
Alprazolam is meant to be used for no more than 3-4 months in a row. Your condition should be reassessed before continuing your medicine beyond that time.
Alprazolam may be addictive. When used to treat panic disorder, alprazolam is frequently prescribed in doses exceeding 4 mg a day. Studies show that these higher doses may cause physical and emotional dependence, making it very difficult to stop taking the drug. Drug withdrawal may develop if you stop taking it after only 4 weeks of regular use but is more likely after longer use and at higher doses. It may start with anxiety and progress to tingling in the hands or feet, sensitivity to bright light, sleep disturbances, cramps, tremors, muscle tension or twitching, poor concentration, flu-like symptoms, fatigue, appetite loss, sweating, and changes in mental state. Severe withdrawal symptoms may include seizures.
Your dosage should be reduced gradually (0.5 mg decrease every 3 days) to prevent drug withdrawal symptoms.
Possible Side Effects
V Most common: mild drowsiness during the first few days of therapy. Weakness and confusion may occur, especially in seniors and in those who are sickly. If these effects persist, contact your doctor.
V Less common: depression, lethargy, disorientation, headache, inactivity, slurred speech, stupor, dizziness, tremors, constipation, dry mouth, nausea, inabilityto control urination, Possible Side Effects (continued)
sexual difficulties, irregular menstrual cycle, changes in heart rhythm, low blood pressure, fluid retention, blurred or double vision, itching, rash, hiccups, nervousness, inability to fall asleep, and occasional liver dysfunction. If you experience any of these symptoms, stop taking the medicine and contact your doctor immediately.
V Rare: withdrawal seizures. Rare side effects can occur in almost any part of the body. Contact your doctor if you experience any side effect not listed above.
Drug Interactions
• Alprazolam is a central-nervous-system depressant. Avoid alcohol, other sedatives, narcotics, barbiturates, monoamine oxidase inhibitor (MAGI) antidepressants, antihistamines, and antidepressants. Taking alprazolam with these drugs may result in excessive depression, tiredness, sleepiness, breathing difficulties, or related symptoms.
• Smoking may reduce the amount of alprazolam in your blood by 50%. Smokers may need larger doses.
• The effects of alprazolam may be prolonged when taken together with cimetidine, contraceptive drugs, disulfiram, fluoxetine, isoniazid, itraconazole, ketoconazole, metoprolol, probenecid, propoxyphene, propranolol, and valproic acid.
• The effects of some benzodiazepines may be decreased by rifampin.
• Theophyllines may reduce alprazolam’s sedative effects.
• If you take antacids, separate them from your alprazolam dose by at least 1 hour to prevent them from interfering with the absorption of alprazolam into the bloodstream.
• Alprazolam may raise digoxin blood levels and the chances of digoxin toxicity.
• The effect of levodopa + carbidopa may be decreased if it is taken together with alprazolam.
• Combining alprazolam with phenytoin may increase phenytoin blood concentrations and the chances of phenytoin toxicity.
Food Interactions
Alprazolam is best taken on an empty stomach but may be taken with food if it upsets your stomach.
Usual Dose
Anxiety Disorder
Adult: 0.25-0.5 mg 3 times a day. Dosage must be tailored to your individual needs with a maximum dose of 4 mg a day. Child (under age 18): not recommended.
Panic Disorder
Adult: 1 -10 mg a day.
Child (under age 18): not recommended.
Overdosage
Symptoms of overdose are confusion, sleepiness, poor coordination, lack of response to pain such as a pinprick, loss of reflexes, shallow breathing, low blood pressure, and coma. The victim should be taken to a hospital emergency room. ALWAYS bring the prescription bottle or container.
Special Information
Alprazolam can cause tiredness, drowsiness, inability to concentrate, or related symptoms. Be careful if you are driving, operating machinery, or performing other activities that require concentration.
Anyone taking alprazolam for more than 3 or 4 months at a time may have a drug withdrawal reaction if the medicine is stopped suddenly (see “Cautions and Warnings”). Do not stop taking alprazolam, or increase or decrease the dosage, without first consulting your doctor.
If you forget a dose of alprazolam, take it as soon as you remember. If it is almost time for your next dose, skip the dose you forgot and return to your regular schedule. Do not take a double dose. If you take Xanax XR, take your full daily dose once a day in the morning. Do not chew or crush Xanax XR tablets.
Special Populations
Pregnancy/Breast-feeding: Alprazolam may cause birth defects if taken during the first 3 months of pregnancy. You should avoid alprazolam while pregnant.
Alprazolam may pass into breast milk. Nursing mothers who must take alprazolam should use infant formula.
Seniors: Seniors, especially those with liver or kidney disease, are more sensitive to the effects of alprazolam and generally require smaller doses to achieve the same effect.
Jul
16
Acitretin
July 16, 2009 | Leave a Comment
Generic Name
Acitretin (ah-sih-TREH-tin)
Brand Name
Soriatane
Type of Drug Antipsoriatic.
Prescribed For
Severe psoriasis; also prescribed for a variety of other skin conditions.
General Information
Acitretin is related to vitamin A and prescription drugs such as etretinate and isotretinoin. Acitretin is produced when etretinate is broken down in the body and its effects are very similar to etretinate. The way that acitretin works is not known. Its full benefit is not likely to be seen until you have taken it for 2 or 3 months. Your doctor is urged to use this medication only in cases of severe psoriasis that have not responded to other treatments because of the risks associated with acitretin.
Cautions and Warnings
Do not take acitretin if you are allergic or sensitive to any of its ingredients. Women who take acitretin must not be pregnant during treatment or for 3 years after the completion of treatment. It is not known if acitretin taken by men before conception is also a risk to the fetus.
A small number of people taking this drug have developed liver damage including jaundice (symptoms include yellowing of the skin and whites of the eyes). Acitretin has also been associated with hepatitis. People with kidney failure have much less acitretin in their blood than people with normal kidneys. Caution is advised for people with liver or kidney damage.
Cholesterol levels rise in 25-560/6 of people taking acitretin. Very large increases in triglycerides may be responsible for the few cases of pancreatitis (pancreas inflammation) that have been reported. Your doctor should measure your blood fat levels before you start taking acitretin and monitor them weekly or biweekly until your response to the medication has been determined. People with diabetes, who are obese, or who have a history of these conditions are at increased risk for high cholesterol levels as are people who drink alcohol excessively.
Drugs similar to acitretin have been associated with pseudo-tumor cerebri (increased pressure in the brain). Symptoms of pseudotumor cerebri include visual disturbances, headache, nausea, and vomiting. Report these or any unusual symptoms to your doctor at once.
People taking acitretin who had spine or bone—including knee or ankle—problems before starting the drug may find that their problems worsen while on the drug.
People with diabetes may find it more difficult to control their blood sugar while on acitretin.
Possible Side Effects
✓ Most common: hair loss or change in texture, peeling skin, and inflammation of the lips.
✓ Common: dry eyes, chills or stiffness, dry skin, fingernail problems, itching, rash, tingling in the hands or feet, increased sensory awareness, loss of some sections of skin, sticky skin, and runny nose.
✓ Less common: drying and thickening of eye tissue; eye irritation; eyebrow or eye lash loss; changes in appetite; swelling; fatigue; hot flashes; flushing; sinus irritation; headache; pain; earache; insomnia; depression; Bell’s palsy; crusting of the eyelids; blurred vision; conjunctivitis (pinkeye); double vision; itchy eyes or eyelids; cataracts; swelling inside the eye; unusual sensitivity to bright light; dry mouth; nausea; stomach pain; diarrhea; bleeding gums; joint; back; and muscle pain; and worsening of existing spinal problems.
✓ Rare: Rare side effects can occur in almost any part of the body. Contact your doctor if you experience any side effect not listed above.
Drug Interactions
• People combining acitretin and glyburide (an antidiabetic) may have unusually low blood-sugar levels. Your doctor may have to adjust your diabetic treatment program while you are taking acitretin.
• Combining acitretin with methotrexate increases the risk of liver damage.
• Acitretin reduces the effectiveness of low-progestin oral contraceptives (the “mini-pill”). If you are taking one of these contraceptives, switch to another type of birth control and use at least one other contraceptive method for at least 3 years after treatment is completed.
• Combining alcohol with acitretin produces acitretin’s parent compound, etretinate. Etretinate stays in the body much longer than acitretin and may therefore affect the fetus for an even longer period of time than might acitretin. Avoid alcoholic beverages.
• Do not take a vitamin A supplement that has more than the standard minimum daily requirement (1000 mcg). Excess vitamin A plus acitretin exposes you to possible vitamin A toxicity.
• Combining acitretin with tetracyclines may increase the risk of severe pressure on the brain.
• Notify your doctor if you are taking etretinate, isotretinoin, oral or topical tretinoin, or cyclosporine.
Food Interactions
Acitretin is best absorbed when taken with food or meals. Usual Dose
Adult: 25-50 mg a day with your main meal. Dosage may increase after 4 weeks to 25-75 mg a day. Dosage must be individualized to your specific needs.
Child: not recommended.
Overdosage
Symptoms of acitretin overdose include vomiting, headache, and vertigo. Call your local hospital emergency room or local poison control center for more information. ALWAYS bring the prescription bottle or container.
Special Information
Contact your doctor at once if you become pregnant while taking acitretin or in the 3 years following treatment. The risk of birth defects persists as long as the drug is in your body. In one case,
small amounts of etretinate were found in blood plasma and fatty tissue more than 5 years after treatment.
Some people have experienced decreased night vision while taking acitretin. Be careful when driving at night.
Report visual disturbances, headache, nausea, vomiting, or anything unusual to your doctor at once.
Do not drink any alcoholic beverages during acitretin treatment and for at least 2 months after treatment has been completed. Avoid excess vitamin A (see “Drug Interactions”).
Some birth control methods, including low-dose progestin contraceptives and tuba) ligation may fail while taking this drug. Use at least one additional form of contraception while taking acitretin to avoid pregnancy.
You may have problems tolerating contact lenses while you are taking acitretin.
Do not donate blood while taking acitretin or for 3 years afterwards because your blood might be given to a pregnant woman.
Avoid exposure to excessive sunlight or to sunlamps because of unusual sensitivity caused by acitretin.
If you forget to take a dose of acitretin, take it with food as soon as you remember. If it is almost time for your next dose, skip the one you forgot and continue with your regular schedule. Do not take a double dose.
A worsening of psoriasis may initially occur with treatment, and the full benefit of acitretin may not be seen for 2-3 months.
Special Populations
Pregnancy/Breast-feeding: Acitretin causes birth detects and may damage the fetus. Women who take acitretin must be sure they are not pregnant before starting therapy by using reliable contraception for at least 1 month before starting the drug and taking a pregnancy test within 1 week of starting treatment. Women must use 2 reliable contraceptive methods during treatment and for 3 years following the completion of treatment.
Acitretin may pass into breast milk. Nursing mothers who must take this drug should use infant formula.
Seniors: Seniors have twice as much acitretin in their blood as do younger adults but may take acitretin without special precaution.
Jul
15
Alternatives to Prostate Surgery
July 15, 2009 | Leave a Comment
Alternatives to Surgery
No treatment - orthodox treatments included - can ever be guaranteed to work perfectly every time, and can sometimes
either fail to cure the condition in question, or can produce side-effects hypothyroidism levothyroxine overdose . It is therefore hardly surprising that some
patients want to try alternative approaches, including some of the less conventional forms of treatment finds celebrex . Some patients,
in any case, prefer to try the complementary, or alternative, therapies before resorting to strong drugs or to surgery omeprazole and diabetes .
One thing that the complementary therapies have in common is that they treat the person as a whole - including the
mental, emotional, spiritual and physical aspects strattera onset duration . This approach is rather different from that of orthodox medicine,
which tends to treat individual symptoms rather than the person jon propecia results .
If you choose to consult a complementary therapist, always make sure that he or she is fully qualified in his or her
particular field side effects of lamictal 100 mg . For details of how best to contact a therapist, see the Useful Addresses on page 110 pictures of allegra pills .
The evidence on how well complementary therapies work in the treatment of prostate disease tends to be anecdotal effexor xr sale . It is
not generally supported by conventional rigorous clinical trials, though that does not mean you should not try them maxolon metoclopramide .
Keep an open mind about treatment, and don’t expect miracles, any more than you would with a conventional doctor dilantin class action litigation . What
follows is a discussion of some of the most popular and readily available complementary approaches to prostate disease diploma lexapro withdrawals .
WARNING!
If you have the symptoms of prostate disease, you must consult your doctor before seeking complementary options hair loss in dogs on buspar . You may
need to undergo tests to rule out a serious condition such as prostate cancer neurontin dosing adjustment .
ACUPUNCTURE
Acupuncture is an ancient Chinese therapy, some 3,500 years old caffeine intake . Its name is based on the Latin words acus, meaning
needle, and punctus, meaning to prick or puncture what is the medicine atenolol . This becomes clear when you know that when patients have acupuncture,
they are treated by having needles put into their skin acomplia and canadian pharmacies .
Needles are put into the skin at particular points, known as acupuncture points, on the body different names for lithium medication . These lie along a network
of invisible energy channels, called ‘meridians’ experience with paroxetine . It is believed that the meridians are responsible for the flow of
energy throughout the body and that they are linked to the body’s internal organs who discovered scientific element lithium . Traditional Chinese medicine is based
on the belief that good health is based on a perfect balance of the energy flowing through the body selegiline imitrex .
Very fine stainless steel needles with very small heads are inserted into the acupuncture points, the idea being that
they regulate the flow of energy, known as Qi, through the meridians what does enalapril look like . This may mean unblocking it, increasing it, or
decreasing it - according to what is required pets flomax .
Some acupuncturists also apply local heat to supplement the body’s natural flow of energy does viagra have an expiration date . The most common way of doing
this is moxibustion, which is done by placing moxa - the shredded leaves of the common mugwort - over the acupuncture
point viagra company info . It is then set alight and when it becomes too hot, it is removed trileptal market . This may be repeated a number of times, and an
acupuncture needle is then inserted as usual triamcinolone cream 0.1 .
Does it work?
Acupuncture has been used in Britain since the early nineteenth century, primarily for the relief of pain and the
treatment of fever, but also to stimulate the body’s own ability to heal itself discounted imitrex . It used to be dismissed as nonsense by
sceptics, but the fact that it has enormous success can no longer be denied antabuse dose .
Acupuncturists claim success in relieving symptoms from prostate problems by using pressure points governing the bladder,
large intestine, spleen and kidney paroxetine 30 mg tablets teva . These are points on the lower abdomen and on the inner side of the lower leg lithium saft ls 14500 .
ACUPRESSURE
Acupressure is an ancient Japanese form of therapy synthetic testosterone urine test . It uses the same energy channels, or meridians, as acupuncture homeopathic avoid caffeine . The
difference is that, instead of using needles, acupressure uses finger pressure glyburide half life .
If you think about it, we all use some form of acupressure - when we press our hands against our forehead when we have a
headache, or when we rub a sore part of the body casodex patient assistance . The idea is that it not only brings pain relief but that it also
stimulates the body’s healing capacity measles treatment valacyclovir .
As with acupuncture, a qualified practitioner in acupressure knows exactly which points to press in order to influence
the prostate gland coumadin labs in kansas city .
Does it work?
There are too many sufferers who can testify to the benefits of acupressure for its efficacy to be doubted soma concerts .
REFLEXOLOGY
Reflexology is a method of treatment whereby reflex points in the feet are massaged in a particular way metformin discount price . The aim is to
cause an effect in other parts of the body, which may well be in an altogether different area from the feet flomax pumpps .
It has similarities to acupuncture and acupressure in that it is based on the same principle - namely that energy flows
through the body along invisible energy channels, or meridians problem swallowing lexapro . The difference in this case is that the terminal points
of the meridians are in the feet prilosec longterm .
Reflexology dates back some 5,000 years to China and, subsequently, to ancient Egypt what is beta zoloft . In more recent times, there is
evidence that reflexology has been used by some of the Red Indian tribes and by the primitive tribes of Africa profusely sweating on zoloft .
The first modern-day use of reflexology, also known as zone therapy, can be attributed to Dr William H lithium depression treatment . Fitzgerald, who
worked as an ear, nose and throat specialist in America at the beginning of this century sleepiness caused by prozac . He developed his theory of
reflexology and mapped out the meridians of the body, ending in the feet and hands prednisone and hepatitis c . Using the thumbs and fingers, the
reflexologist will balance the body’s flow of energy by stimulating various terminal points in the feet topamax used for bipolar disorder .
Does it work?
All the reproductive gland disorders, both female and male - of which the prostate gland is one - respond particularly
well to reflexology when to have sex with clomid . As with all the complementary therapies, it is particularly important to consult a fully qualified
therapist testosterone replacement therapy for transgender .
HERBAL TREATMENT
Herbalism has been around for a long time ephedra diet pills without caffeine . It was, in fact, the most common form of medical treatment in the West right
up until the eighteenth century digoxin and heartrate .
The use of herbs as a method of treatment has retained much of its popularity throughout the world to this day what does doxycycline treat .
Herbalists say that herbs enhance the body’s natural healing powers citalopram major depressive disorder .
Caution is advised when using herbal remedies viagra indonesia . Many herbs can be highly beneficial, but they must be used in carefully
controlled doses drug photo of fluconazole . This means that they must be prescribed by someone who knows what they are doing prilosec otc vs prilosec . The random use of
herbs or incorrect handling can, in fact, be dangerous, which is why it is so important to consult a qualified herbalist
and not to self-medicate testosterone aged .
Does it work?
Herbalists claim success with most kinds of illness, though it should be realised that herbalism is often slower to have
an effect than conventional medicine is anything weaker than lexapro .
A non-cancerous enlarged prostate often responds to herbal teas canada drug prednisone 5 mg . Non-cancerous prostate enlargement and associated
difficulty in passing water respond particularly well to a number of diuretic herbs, such as couch grass, horsetail or
saw palmetto, to provoke the release of urine what is biaxin used for . A good healing diuretic can be made in an infusion of 10g each of dried
white deadnettle, cornsilk and pellitory-of-thewall, take this two or three times a day triamcinolone vaginal .
It’ the problem is one of increased frequency of urination and associated discomfort, a decoction of equal quantities of
gravel root, sea holly and hydrangea root taken at a dosage of 45-60 ml/3-4 tablespoonfuls three times a day will reduce
inflammation and thereby help ease the problem which is better zanaflex or flexeril .
Other herbs that are thought to ease prostate problems include club moss, damiana, horse chestnut, golden rod, greater
celandine, ladies’ mantle, mallow, nettles, parsley, rosemary, St John’s wort, white deadnettle, wild thyme, and the
small-flowered willow herb risperdal work side effects .
HOMOEOPATHY
Homoeopathy has been around for nearly 200 years, when a German doctor called Samuel Hahnemann developed a new system of
treatment as an alternative to the conventional form of medicine that was being practised at the time dose prilosec . Conventional
medical practices included such procedures as blood-letting and purging, which Hahnemann considered to be too severe and
to tend to weaken patients rather than to heal them omeprazole dosage for pepcid ulcer . Hahnemann’s aim was to come up with a new system based on gentle
ways of helping the body to heal itself inducing lactation with domperidone .
It was Hahnemann’s belief that a person’s symptoms are a sign that he or she is trying to resist illness aricept doseing . “Far from
seeking a way to suppress symptoms, it may be desirable to take some form of treatment calculated to help the
resistance caffeine clothes .”
A breakthrough came when Hahnemann discovered that if a healthy person took a herbal remedy for malaria, cinchona tree
bark, it actually provoked symptoms of the disease, such as headache and a high temperature fever hydrochlorothiazide . This discovery in fact
revived an ancient principle, first formulated by the Greek physician Hippocrates in the fifth century B excessive testosterone symptoms .C tramadol cheap cod ., that ‘like
cures like’ effudex and coumadin . Hahnemann believed that small doses were actually more effective than big ones, and devised a system - still
little understood by many doctors to this day, of diluting doses to the maximum degree info on norvasc .
Hahnemann called his new system of medicine homoeopathy, from the Greek words’homolos’, meaning like, and’pathos’,
meaning suffering cialis comparison levitra viagra . It is a complex system, whose aim is to restore the body’s natural balance and to strengthen its
resistance to disease xenical prescribing information .
He spent years trying out his beliefs not only on himself but also on his family and friends 2004 viagra nascar car . He used a wide range of
natural substa>lces and developed an extensive homoeopathic pharmacopoeia overnight shipping viagra soft .
Does it work?
Clinical trials on homoeopathy have had mixed results: some have claimed success, others have shown no significant
improvement celexa drug .
In spite of this, however, many homoeopathy claim that their remedies are actually much more effective than conventional
medicine, and there are many patients who have been successfully treated and who would agree with this medical report on taking soma pills .
There are literally hundreds of possible homoeopathic remedies from the plant and animal world that are beneficial to men
suffering from prostate problems caffeine statistics . Prescribing the right remedy for your particular problem is not a simple matter of
do-it-yourself but must be put in the hands of a qualified homoeopath, who will select a remedy with reference to the
patient’s personality rather than just the patient’s prostate kamagra duro .
NATUROPATHY
We may not realise it but we all practise naturopathic treatment from time to time lithium frappuccino . Every time you bathe a sore part of
the body, stop eating when your stomach is upset, or sweat out a fever, you are practising naturopathy celebrex and heart disease .
Naturopathy aims to help the body to cure itself in a number of ways plavix in regional anesthesia . These include dietary measures, exercise and water
treatment clarithromycin info .
Does it work?
Naturopathy has a large and pleasing measure of common sense about it dextromorphan zyprexa side effects .
Naturopathic procedures recommended for prostate problems include hot and cold compresses composition of casodex . Also recommended are hot and
cold sitz baths, which are the partial immersion in a bath of the pelvic region illegal possession of prozac in california . They are more easily given in a
specially constructed bath, but may also be performed in an ordinary bath-tub research support use of aricept . Another form of hydrotherapy, or water
treatment, is to sit in hot water with the feet in cold water for 3 minutes, and then change over to sitting in cold
water with the feet in hot water for I minute antara tricor .
Dietary recommendations are to maintain a wholefood diet, preferably an organic diet with as little exposure as possible
to pesticides and other environmental contaminants femara and pcos . Avoid refined carbohydrates, coffee, strong tea and alcohol,
particularly beer viagra cut pills in half . If you are suffering from an enlarged prostate, increase your intake of zinc-rich foods, such as
pumpkin seeds (about 25g/l oz seeds a day) ger omeprazole pediatric . Alternatively, there are a number of recommended supplements that have been
found to be effective in the treatment of an enlarged prostate buspar overdose . Some of these are widely used in Continental Europe,
where they are often prescribed to men who are being treated for an enlarged prostate wellbutrin xl coupons . Many of the men treated in this
way report a dramatic improvement in symptoms, particularly with extracts of rye pollen (see below) zoloft effect .
Natural treatments include a number of preparations lamictal keloid scar . These are:
• Extracts of rye pollen, such as Cernilton and ProstaBrit levitra causing anion . Rye pollen has been used to treat an enlarged prostate
in Continental Europe since the 1960s, and has been shown to be effective in several clinical trials evista and kidney infections . There are very few
reported side-effects, mild heartburn and nausea being the most common ones uses of lithium medicine .
• Golden rod (Solidago), which is widely used in Continental Europe, where it is claimed to be responsible for a
dramatic improvement in symptoms breast tenderness and estradiol levels .
• South African stargrass, such as Harzol, also used in Continental Europe celecoxib and recall . This has not as yet been subjected to
clinical trials discount soma underwear .
• African prune (Pygeum africanum), such as Tadenan, also used in Continental Europe clitorus testosterone treatment .
• American dwarf saw palmetto (Serenoa repens) palm m515 batteries lithium ion . This is a small palm tree native to the Atlantic coast of North
America from south Carolina to Florida, growing up to 10 feet high with a crown of large leaves naprelan pharmaceutical . The dark red/brown
berries of the palm were used by the American Indians and later by naturopaths and homoeopathy to treat genito-urinary
tract disorders post surgery asprin use . Extract of the berries, such as Permixon, have been shown in clinical studies to improve prostate
enlargement, due to the inhibition of dihydrotestosterone estrogen doses estradiol gel effects . Take 160 mg twice daily reactive hypoglycemia estradiol .
• Zinc, which digital rectal examinations have shown to reduce the size of the prostate gland treating mycoplasma with doxycycline 100 mg . The best
supplemental form of zinc to use is probably zinc picolinate, and the recommended dose is 60 mg a day for a maximum of
six months differance in tetracycline and baytril 100 . The absorption of zinc is reduced by alcohol can lexapro cause hair loss .
• Vitamin B6 (pyridoxine), which increases the absorption of zinc taking cipro while pregnant . Take 100-125 mg per day olanzapine information from answers com . Again, alcohol is known
to reduce the absorption of vitamin B6 levels amitriptyline versus cymbalta for pain .
• Essential fatty acids, the administration of which has been shown to result in significant improvement for many
sufferers of prostate enlargement lithium ion battery pack uk . One teaspoonful or 4 g of oil twice daily is recommended, or 3-6 capsules a day longtime effects of prolonged premarin use .
Linseed oil, sunflower oil, evening primrose oil, walnut oil and soya oil are all appropriate oils to add to the diet buying viagra online vs doctor prescription .
• Ginseng, which is one of the most widely used plants in Oriental medicine and has a long historical folk use in
prostate enlargement, though no clinical trials have been done should you snort strattera . Take 2-4 g of the dried root three times daily, or 25-50
mg extract daily buy prozac without prescription .
• kombucha, which is a tea fermented from the kombucha plant indigenous to Eastern Europe labetalol hcl pregnancy . This works by refining
the body’s metabolism and boosting the immune system herbal cialis alternative . In Eastern Europe, the kombucha tonic is believed to have the
magical ability to delay ageing lithium 6 volt 2cr-1 3n replacement . It has been found to be especially effective in treating prostate problems and, in
particular, in combating impotence fosamax interactions . Drink two or three cups of kombucha tea a day citalopram fluoxetine .
• Royal jelly, which is manufactured in the beehive for the sole consumption of the queen bee and has been found to
relieve symptoms of a diseased prostate in humans, particularly a sense of burning on urination finasteride use in teen boys . Take two capsules of
royal jelly three times a day when to eat orlistat .
Jul
15
PROSTATE PROBLEMS. WHERE IS PROSTATE GLAND LOCATED?
July 15, 2009 | Leave a Comment
1 What is the Prostate Gland?
This is one case where small is definitely not beautiful! A tiny gland which causes enormous problems, the prostate is
the bane of many a man’s life toprol xl running .
Other than the usual proviso of leading as healthy a life as possible (see Chapter 10), there’s not a great deal you can
do to prevent it causing you problems baytril macrobid . In spite of all your best efforts, it may nevertheless cause you untold discomfort
and misery what is asprin in medicine . What started as a tiny part of your body that you didn’t even know you had, let alone where it was or what it
did, may end up playing a distressingly large role in your life, as it affects your life every single day (and probably
night, too) usage du topamax . That, then, is the bad news obesity causes low testosterone . You ignore your prostate gland at your peril 1831 celebrex heart attack 2638 .
But there’s also some good news - in fact, some very good news paxil maintenance dose . This is, quite simply, the miracle of medicine femara duration of treatment . The
treatment of prostate problems has come on by leaps and bounds can tramadol effect bladder control . There have been several advances in drug therapy, not to
mention the use of microwave therapy to shrink the prostate buspar product marketing manager .
The latest and most attention-grabbing advance, though, is research in London which has shown that the prostate can now
be operated on by a robot - more quickly, accurately, precisely and efficiently than could be done by any human being uroxatral tylenol .
And that really is an amazing piece of good news first degree heart block digoxin . Some 40,000 operations are performed each year in this country to
correct an enlarged prostate (Diseases of the Prostate, Nick Marchant, Department of Health Economics) stop taking selegiline . The fact that
this operation can now be done by a robotic surgeon will shorten the ever-increasing waiting list for operations at one
fell swoop, and gives every man hope for the future abilify and inappropriate adh .
The prostate gland is a tiny part of the male body, about the size of a chestnut, yet it can cause a disproportionately
large number of problems moxifloxacin side effects . The great majority of these problems are irritating and inconvenient, and can have a dramatic
effect on lifestyle rather than in any way life-threatening, though some of them can be very serious indeed ofloxacin typhoid .
The prostate is not just one gland sulfamethoxazole trimethoprim description . It is, in fact, a complex gland, consisting of millions of tiny glands, lined with
cells that secrete fluids, which empty into tens of thousands of tubules and ducts, and eventually into the urethra
through 14-18 exits motrin cold medicine .
The prostate gland is involved in the reproductive process, in that prostate secretions in semen are important providers
of nutrients for sperm lexapro sperm dna damage . The prostate gland is known as an accessory sex gland, in that it is made up of glandular tissue
and plays only a secondary role in the reproductive process tcp carisoprodol .
PROSTATE PROBLEMS
According to the World Health Organization (WHO), as many as 80 per cent of men are likely to experience prostate
problems at some point in their lives diamox brain changes how works . Many of them will require some kind of treatment evista ltd . And as many as one in three men
will probably need surgery joint pain arimidex vicodin .
It may come as a surprise to you that, in spite of these alarming statistics, there are very few men who know anything at
all about their prostate gland mycard for micardis . Most men don’t know where it is, what it is, what it does, or what can happen when it
goes wrong asprin therapy 81mg .
According to a recent MORI poll, only 32 per cent of men in the UK know anything about their prostate gland at all prozac and mania . Yet
ignoring the existence of the prostate gland can actually be a foolish - even a dangerous - thing to do how many prozac to die .
The animal kingdom
Most male animals have some kind of prostate gland, but animal prostate glands differ greatly from human prostate glands viagra abu dhabi .
Most mammalian non-human prostates are very different from human ones generic to asacol . Some animals actually have not one gland, but two
or three of them neurontin 400mg . The fact that animal prostates are so different from human ones means that it is particularly difficult
for scientists to conduct research into the prostate ivermectin dog wormer . It is only possible to induce either benign enlargement or prostate
cancer in very few animals - rats, mice, dogs and guinea-pigs being the only ones viagra and thromocytopenia .
IN IGNORANCE
Most men will probably have heard it mentioned in the news tapering zoloft to start lexapro . They will have heard about famous sufferers of prostate
problems -Harold Macmillan, President Ronald Reagan, Australian Prime Minister Bob Hawke, President Francois Mitterand,
Chancellor Helmut Kohl, Frank Zappa and Roger Moore are just seven names that spring to mind singulair clarinex . They may also have heard
friends or relatives discussing the problems experienced by some elderly relative of theirs omeprazole as prophylactic .
But by the time they reach their 50s, their 60s, and still more their 70s, the prostate will probably have taken on a
more sinister meaning antibiotic augmentin . They will realise by now that, if they haven’t already experienced any problems their chances of
finishing life without doing so are pretty slim indeed detoxing the body and caffeine .
Given this unpalatable fact, it makes sense for men to get to know a bit about their prostate gland and what can happen
to it ibuprofen and lactation . A man who has some understanding of his body, his symptoms and what they mean will be equipped to ask his doctor
the right questions if and when the time comes blood pressure lotrel ginkgo ginseng . The informed patient is more likely to gain the respect of his doctor
than the total ignoramus, and to enable doctor and patient to form a constructive equal-sided relationship what is loperamide . That, in
turn, will give the patient the confidence he needs, especially if he is facing the uncertainties of an illness buy pseudoephedrine hcl online .
No man can afford to ignore his prostate gland canadian pharmacy meloxicam fexofenadine .
The origins of the word
The Greek words from which the word ‘prostate’ was derived by 16th-century French surgeon Ambroise Pare suggest that it
played the role of ‘doorkeeper’ to the bladder cialis cheap visa .
WHERE IT IS LOCATED
The prostate is located just below the bladder and in front of the rectum cymbalta symptons .
It encircles the outlet of the bladder, which is called the urethra, in rather the same way as the cuff encircles the arm
during the measurement of blood pressure negative stories of caffeine drug .
WHAT IT LOOKS LIKE
The prostate gland is small and solid, about the size and shape of a large chestnut clonidine in neuropathic pain . It weighs only a few grams at birth,
when it is about the size of a garden pea, and then gains weight as it becomes larger through adolescence clomiphene citrate and my immune system . Its weight in
an adult man is about 20g tetracycline lawsuits . It measures between 1 and 11/2 inches in width accutane and unborn baby .
Jul
14
CAN I STILL HAVE SEX AFTER PROSTATE TROUBLE?
July 14, 2009 | Leave a Comment
CAN I STILL
HAVE SEX AFTER
PROSTATE TROUBLE?
This probably will be the most read chapter in the book, and rightly so can i take flagyl and benadryl . The prostate is tightly bound up with a male’s manhood, and how he thinks of himself as a man viagra nottingham po box . That’s why even the mention, let alone the discussion, of the prostate and its troubles, make most men uneasy, nervous and embarrassed viagra from canada legitimate .
We’ll look at all problems with the prostate and how they may or may not affect a man’s libido, his attitude, his sexual performance and his sexual desires actos and advandia .
PROSTATITIS AND SEX
The first problem many men have with their prostate is prostatitis counsel on salmeterol . Symptoms of this involve lower back pain, pelvic discomfort, a burning in the penis when urinating, urinary frequency and sometimes a slight pain after ejaculation prozac dosages .
This form of noninfectious prostatitis may be caused by some infectious agent we know nothing about, or by some noninfectious form of inflammation what is arimidex . On the other hand, it also can be caused by a man’s sexual habits — too much sex or too little soma and teens .
During arousal, a man produces four times the prostatic fluid he usually does ampicillin for staphylococcus uti . If this fluid is not discharged by ejaculation, it remains in the prostate avelox treats for bacteria . If this happens often, the prostate can become seriously congested improvement after two days of zoloft .
To prevent this problem, a normal, healthy sex life is the best course of action gemfibrozil pill picture . If this is not possible, a massage of the prostate by a urologist will relieve the congested prostate and eliminate the pain carisoprodol somacid . If that’s not desired, masturbation is a quick solution suggested by many urologists steven lipshultz caffeine .
Too much sex, too quickly, say eight or ten ejaculations in a two day period, can overwork the prostate and again cause problems omeprazole swine . On the other hand, abstinence may cause a build up of prostatic fluids and lead to congestion so a massage is needed diltiazem recall lawyers .
Coitus interruptus, simply the removal of the penis before ejaculation, is a method of birth control once practiced by millions effects of mixing alcohol and seroquel . If done often enough, and if it stops the man’s climax, this too, can lead to an oversupply of fluid in the prostate and bring about congestion and its symptoms atorvastatin and side effect .
If coitus interruptus is used frequently by a couple, the man or woman should continue to excite the penis to a normal ejaculation to prevent buildup problems in the prostate atorvastatin calcium lipitor .
So for prostatitis, which can strike men of any age, sexual intercourse may be both the cause and the solution lithium magenize battries .
INFECTIOUS PROSTATITIS
This inflammation of the prostate is caused by some type of infection and can cause fever, chills, nausea and vomiting as well as an urgency to urinate, burning, pain and blood and pus in the urine caffeine get into the brain . It’s more serious than the non-infectious type can caffeine cause prostate cancer .
There may be serious congestion of the prostate and urologists sometimes use a prostate massage to relieve it insulan doses prednisone . Most urologists feel that sexual activity of any type that leads to ejaculation is the ideal way to empty the prostate and relieve the congestion caverta vs caverta .
BENIGN PROSTATIC HYPERPLASIA
With the enlargement of the prostate there will be some sexual changes, particularly if there is surgery involved ranitidine and side affects .
As you may remember, a man will have a normally enlarging prostate for ten to fifteen years, maybe more, before he notices it indications for lopressor . The enlargement itself does little to sexual performance with the exception of a seriously pinched urethra that could reduce the amount and force of an ejaculation clindamycin phophate .
When it comes to needed surgery for BPH, the question of sex becomes more important lamisil on market as generic .
First, there should be no sexual intercourse for six weeks after a normal TURP surgery a list of ingredients in aleve . This is to allow time for the “canal” dug through the enlarged prostate tissue to heal ultram generico .
On a standard TU RP operation to remove enlarged prostate tissue, about six percent of all men operated on will become impotent celexa verses lexapro tiredness . That means they will not be able to have a normal erection changing to abilify from zyprexa .
There are bundles of nerves on each side of the prostate, and some of these control the impulses and nerve responses that combine to produce an erection ricci prozac . If these nerve bundles are damaged in any way, impotence can follow enalapril for canines .
Remember, this six percent figure may not be totally accurate generic viagra 0d 0a . The figure is based on subjective information supplied by the patient generic vendor paroxetine . It wouldn’t be unusual for a man 68 or 70 or older to claim that he could have an erection before the operation, when in reality he had lost that ability due to natural aging or some other problem trileptal and alcohol . It is a factor to consider resonance premarin .
The other change in a man who has had a TURP operation is that the bladder neck may have been damaged or removed during the TURP pharmacogenomics of methotrexate 2008 . The bladder neck is like a “valve” that automatically closes when a man is ejaculating coumadin safety . It prevents the fluids from going upward into the bladder lexapro and menopausal symptoms . The urethra muscles then force the fluid out the end of the penis dangerous side effect from premarin .
After a TURP operation, the bladder neck may no longer be there or it may be enlarged to such an extent that the fluids of the ejaculation take the path of least resistance, and flow upward a half inch or so and empty into the bladder hydrocodone vs ultram er .
When this happens the man has exactly the same physical sensations that he had when the ejaculate emptied out the end of his penis exercise testosterone levels . The feeling, the motion, the thrill is the same, only the path the fluid takes is different is augmentin related to penicillin . This retrograde ejaculation is almost a one hundred percent probability in a TURP or open surgery for BPH countering the effects of caffeine . It’s simply a fact of life caffeine benzoate compat . However, with men who usually are in the operative stage, their age is often in the early to late sixties or later, and the lack of a penile ejaculation does not present much of a problem imitrex and side effects . This is especially true if the situation is carefully explained to the patient and his wife before the operation tamoxifen endometrial .
CANCER OF THE PROSTATE
Stage A and B cancer of the prostate will usually involve a radical prostatectomy, the complete removal of the prostate detrol 5mg . This almost always harms the nerve bundles on both sides of the prostate and results in a man being impotent caffeine safe level . However new techniques have now been developed to preserve these nerves anastrozole recurrence risk . Some urologists say that in so doing, they may leave some cancer cells behind after the operation diflucan dangerous side effects .
At this point the cancer is the main concern, the life of the patient, and not his sexual function cymbalta canine depression . The surgeon will try his best to get all of the cancerous growth topamax diet aid . The nerve bundles are not a high priority tramadol adn sex drive .
For the man who might be in his fifties, and is cured of a stage A cancer of the prostate, there are drugs and devices that can help him achieve an erection for satisfying intercourse evista cam bio .
The cancer patient who is treated with radiation, internal or external, can usually continue his sex life without any problems how to make natrual penicillin . His sexual ability would be the same before or after the radiation with the exception of the normal radiation caused fatigue problems overnight zocor . When used in certain areas, radiation can also cause impotence discount lipitor 80mg .
For the cancer patient with stage D cancer of the prostate, which is usually not operable, the man’s sex life would be in direct relation to where the cancer was situated and how it affected his ability to perform biaxin drug interactions . At this point the patient is much more interested in extending his life, and not worried about his sexual function topamax and leg pain .
SOME DRUGS CAN DEFEAT IMPOTENCE
There are drugs that can be used to help an impotent man manufacturer of accutane . One of them is called papaverine, and many urologists suggest its use clotrimazole diproponate . The drug is injected directly into the side of the penis no prescription clomiphene with overnight delivery . This drug causes a dilation of arteries in the penis thereby increasing the flow of blood to the penis and also causes less blood to leave the penis megan paul zyrtec commercial .
Blood is what causes an erection, and with the increased flow, many impotent men are able to achieve a firm erection and subsequent intercourse clopidogrel hemorrhage .
The patient is given the first injection in the office to teach him how to do it clarinex dosage . A skinny needle is used and there is no pain involved feeding zyrtec . The medication will cause a temporary burning sensation but it’s not severe med store furosemide .
Sometimes a patient has psychological problems involved with his impotence clomiphene and insomnia . Papaverine is especially good in these cases does circumcision make men need viagra . By injecting himself, the patient achieves and maintains an erection for up to an hour exelon employee discounts . This will naturally reduce the fear of failure which results so often in a poor performance anxiety female and male testosterone comparison facts .
Some urologists gradually reduce the dosage and frequency of the shots rimonabant study . For patients with purely psychological impotency problems this can result in a return to normal sexual function without any shots hydroxyzine pre-medication for hypersensitivity .
Another drug, Prostaglandins, is also being used for penile injections to help in impotency penicillin though the iv . It is also a vein-dilating medication and works much the same way that Papaverine does purchase viagra cialis levitra .
What about the over the counter aphrodisiacs that can be found in many health food stores? Most aren’t labeled as such, but the advertising or the labels suggesting a vigor for life, and an elixir especially for men, tell what they are selling nexium 2c heartburn .
The Food and Drug Administration has simply banned all aphrodisiacs from sale with the explanation that they do not do what they claim cheap online omeprazole . Most still sold don’t help, but don’t do that much harm either propecia offer . Here you have to remember the placebo effect remeron and elderly . If a sugar pill will help a man to get a workable erection, use it and don’t ask questions paxil and birthdefects .
One old folk remedy, however, is being talked about by some serious researchers and physicians zosyn rocephen augmentin . This is yohimbine effexor making you gain weight . It comes in a pill form and some doctors say it can help restore function and desire in some men ibuprofen and thc false positives . It is said to dilate blocked blood vessels and helps in the release of norepinephrine country of soma . Doctors say this compound is helpful in causing and maintaining erections gabapentin no prescription required . We expect to hear more about this yohimbine in the years ahead olmesartan uses .
PROSTHESES
For more than twenty years now, there have been available to urologists mechanical penile prostheses to implant in patients who are impotent nexium aleve drug interaction .
Today there are several types available and the man who can’t achieve a firm erection and can’t achieve penetration, may want to talk to his urologist about such a mechanical device is seroquel a ssri drug .
Before the talks get very far the urologist may suggest that the man and his wife go see a specialist in sexual counseling xenical weight loss story . Implanting a penile prostheses is a big decision for a couple to make, and before it happens, both partners must be sure this is the right thing to do amiodarone interosseous .
Sometimes a man will go ahead with such a project because he thinks that his wife wants him to mechanism of action of arcoxia . He may go through the operation and the certain amount of pain and recovery time required, only to find that his wife wasn’t all that eager for him to do it 2003 cymbalta .
It is best before any commitments are made for the couple to receive qualified counseling, and then to have a frank discussion with their doctor or urologist about the devices available, which would be best for this particular man, how they work, what can go wrong, how much the operation costs, and the end results of the procedures prazosin cats .
A single man of any age, should consider his situation carefully clonidine and burn . He may want to consider the effect such an operation might have on his friends, and anyone with whom he is considering having intimate relations taking a break from femara . He must ask himself if this is truly something that he wants to do which neurotransmitters are affected by lithium .
When the answer is a “yes” he needs to sit down with his urologist and look over the types of devices available caffeine comparison in energy drinks . there are two general types linezolid approved for myobacterium . Those implants which are rigid or semi-rigid and once in place remain the same unless they
are removed citalopram alcohol .
The second type includes those which can be inflated and deflated on demand, that are inflatable or that are hydraulic in nature cialis or vardenafil 20mg tablet .
The more recent developments include the inflatable types st john’s wort and lexapro together . Most of these consist of two hollow cylinders delivery of mebendazole at the ileum . One is implanted on each side of the penis in the area usually filled with blood during a normal erection minocin empire . These tubes are filled with fluid through the use of a rubber pump that is placed under the scrotum requip dosage .
This system uses a small pump, a cylinder, a reservoir and interconnecting tubes and every bit of it is concealed beneath the man’s skin and can’t be seen from the outside cymbalta and valtrex .
The abdominal muscles hide the small reservoir and fluid clonidine patches .
To activate this system the man squeezes the pump that forces fluid into the cylinders in the penis, Much the way blood does during a natural erection indocin liver . Some of these models do not require any fluid so have no reservoirs free caffeine free weight loss pills .
To return the penis to a flaccid position, the deflation valve is pushed and the fluid returns to the reservoir and the penis relaxes zocor maximum dosage .
This type of hidden device is more natural, and out of sight, and it permits the penis to return to a normal state when not inflated prescribing guide for sporanox . The inflated or hydraulic prosthesis is more complicated than some of the others and the most expensive to buy and to have surgically implanted aleve and liver disease .
The first available device was the Small-Carrion Penile Prosthesis developed by Dr nifedipine pronunciation . Michael Small and Dr cns penetration of ciprofloxacin . Herman Carrion of the University of Miami School of Medicine back in 1970 depakote pill identifier . It is simply a pair of tubes filled with spongy material health articles about avandamet . They are implanted surgically into the penis and gives a man a semirigid penis that can achieve vaginal
semirigi
One of the problems here is that it is the same all the time lithium distal tubule . A semirigid penis can be embarrassing at times, as well as being uncomfortable cheat antabuse .
A later development is made with flexible silicone rods that are hinged for better concealment coumadin track software . Such an implantation allows the penis to hang down normally codeine and ibuprofen . It offers a man intercourse but there may be some difficulty in vaginal penetration coffee and didronel . The permanent erection here is not quite so hard to live with and the man can wear tight clothing without any undue embarrassment benzoyl peroxide safe .
The rigid and semirigid implants are the most simple
to place, and since they have no working parts, can’t break
down or malfunction cheapest viagra anywhere . They are also the least costly but,
at the same time, are the most difficult to live with since
they leave the penis in a semirigid state 24-hours a day mixing paxil and alcoholi .
None of these prostheses have any bearing on or create
any effect on normal urination for the man using them tramadol urine levels .
A NEW IDEA
A new device is now on the market to help men achieve a workable erection fluoxetine mental fogginess . It’s called an Erect Aid Suction Device For Potency amoxycillin dose . The principal the device uses is that nature hates a vacuum ibuprofen liver . It’s always trying to fill up a partial vacuum lithium ion cordless vacuums .
The device uses a long hollow tube that will fit over a penis synthroid and adrenal fatigue . It is fixed to the body with a salve to create an air tight seal and then it is simply held in place with hand pressure what is diflucan .
Then a small pump is used to exhaust the air in the tube low testosterone after replacement therapy . This reduces the pressure inside the tube and blood from the body rushes into the penis to try to fill that vacuum effexor and excess iron . In doing, it fills the two cavities in the penis and creates an erection element lithium hazards . Next the tube is removed and a rubber device is quickly fitted around the base of the penis to retain the blood in place health issue paxil .
The erection will hold for thirty minutes, at which time the band must be removed to let the blood leave prilosec pharmacy online . Cost, about $300 penile burning sensation allergic to diflucan . This item is available at medical supply houses with a doctor’s prescription travolta depakote . There is no injection, no implantation, no mechanical device, no continuing prosthesis that gets in the way, no pain, and it’s simple and easy to use treating cats with amoxicillin . Urologists who suggest this system show their patient a video in the office, then let him take the video home to show to his wife wellbutrin 150 sr . Some offer a demonstration of the device in the office hash citalopram copyfarm .
Men who use it say it works wonderfully without any high operating cost, embarrasing hardware or surgical procedures lamictal elimination .