Can it really be THAT bad?

Can it really be THAT bad?

viagra cialis online pharmacy pharmacy is a popular drug, and for good reason!  It does exactly what it says it will, and has a very high efficacy rate.  It has saved marriages, sanity, and self-images.  It even allows a sexual relationship to continue well into your elderly years.  All these things make it great, so what is this post about?  Well, undoubtedly, you've seen at least one commercial for it (or its siblings, Cialis or Levitra).  Consistently mentioned is the interaction with nitrates, usually stated as, "<this drug> is not for everyone.  Ask your doctor first if you are taking nitrates for chest pains..."  Problem is, people aren't usually too willing to talk about the 'little blue pill,' and are unlikely to check with their doctor about compatibility with their current medications.  What do nitrates and other blood pressure medications do to Viagra?



Well, first we have to understand how Viagra works.  An erection is achieved through the dilation of the blood vessels in the base of the penis.  This allows the blood to flow into it, allowing it to become turgid.  The problem in erectile dysfunction is that these vessels don't dilate properly, so an inadequate volume of blood reaches the penis, causing a flaccid state.  Viagra works by allowing these vessels to open up more, working with a common component of our blood called nitrous oxide.  Nitrous oxide is actually the component that allows blood vessels to dilate, so Viagra works to prevent this particular component from breaking down in the blood, allowing for more dilation.



Nitrates are given for chest pains, as they cause rapid dilation of the arteries around the heart and lungs (fixing the main problem of Angina Pectoris, which is basically just clinical chest pains).  It does this by adding nitrous oxide to the blood.  At this point, you should see the relation these two drugs have, they both work on the same component in vasodilation.  The problem is this: with Viagra's ability to keep nitrous oxide around longer, and nitrates ability to add a large amount of nitrous oxide to the blood, the two together cause massive and widespread dilation of the blood vessels ALL OVER the body, causing a sever drop in blood pressure and possibly death.



Far too many people are unwilling to talk to a doctor about this, however, and are risking quite a lot in doing so.  So what are people to do who are on a nitrate, but want to treat their ED?  Simple, Caverject!  Also known as aprostadil, this drug has NO interaction with any erectile dysfunction medication, and works instantly.  Many elderly use this, as quite a few are on nitrates by default.  It DOES involve a needle, but it is a very small one (painless) and works faster than Viagra in achieving and maintaining an erection.



Bottom line: never be too embarrassed to talk to your doctor.  There are always other solutions, and it may just save your life.

Northwest Hospital’s Dr. Stacey Berner Recognized for Surgical Excellence

Stacey Berner, M.D., medical director of the Hand Center at Northwest online pharmacy viagra, has been recognized as one of the country’s “great hand and upper extremity surgeons to know” by Becker’s Orthopedic and Spine Review.

He joins an elite group of 44 other surgeons on this list. He was selected due to his leadership in and contributions to hand and upper extremity surgery.

Dr. Berner made medical history last year when he became the first surgeon in the United States to perform a new robotic hand surgery procedure using the da Vinci Surgical System.

He earned his degree in medicine from Tufts University School of Medicine. Dr. Berner completed an internship in general surgery and a residency at the Medical College of Virginia in Richmond, which he followed with a fellowship in hand and microsurgery at the Hospital for Special Surgery in New York.

-Noel Lloyd

National Survey of Sexual Health and Behavior

See also: cheap cialis | 


FlowingData is running a visualization contest this month based on data from the National Survey of Sexual order cialis and Behavior study. You can find the data here. Here is my entry:


Note that I concatenated Sex & Behavior to determine which acts are the most frequent and by whom. I chose a red-blue pallet since our sexual activity goes hot and cold. Displaying the data in the manner, I was able to quickly identify that:

1. Men masturbate their whole lives
2. The age ranges from 20-39 are clearly the peak sexual activity periods, with 25-29 standing out the most
3. There is very little woman on woman and man on man oral sex
4. We run out of steam in our 70s

Contest entries are due today, October 27, but if you don't make the deadline, feel free to leave a link as a comment to this post. And, as Nathan said, keep it tasteful.

Download the workbook from Tableau Public here.

DISTRIBUTOR OF COUNTERFEIT PHARMACEUTICALS DRUGS SENTENCED TO FEDERAL PRISON

(JUSTICE DEPT RELEASE)

(HOUSTON) - Kum Leung Chow, aka Lawrence Chow, has been sentenced to 12 months and one day for conspiring to distribute counterfeit pharmaceuticals and trafficking in pharmaceuticals bearing false labeling and counterfeit trademarks, United States Attorney José Angel Moreno announced. Chow, 59, who pleaded guilty to the federal charges on June 28, 2010, was sentenced today by United States District Judge Kenneth M. Hoyt.



Chow, a citizen of the People Republic of China, used a Hong Kong based company named Kingdom International Enterprises LTD to obtain and distribute counterfeit Viagra and purchase cialis pharmaceutical drugs in the United States. Viagra and cheap cialis are prescription drugs that are Food and Drug Administration (FDA) approved and used in the treatment of erectile dysfunction and are registered trademarks on the principal register in the United States Patent and Trademark Office. Viagra is manufactured and distributed exclusively by Pfizer Pharmaceuticals, while Cialis is manufactured and distributed exclusively by Eli Lilly.



The investigation, which began in January 2009, revealed that Chow offered boxes containing four Viagra tablets and boxes containing eight Cialis tablets for $10 a box on two Internet websites. The retail cost for Viagra tablets are approximately $20.00 each, while Cialis tablets are approximately $15.20. Working in an undercover capacity, agents with Immigration and Customs Enforcement – Homeland Security Investigations (ICE-HSI) purchased approximately 1,120 Viagra tablets and approximately 360 Cialis tablets from Chow over the Internet on March 25, 2009, and April 28, 2009. Shipping documents accompanying the pharmaceuticals indicated they were exported from mainland China and Hong Kong. The pharmaceuticals were later analyzed by the trademark holders and the FDA Forensic Chemistry Center which indicated the pharmaceuticals were counterfeit. Counterfeit pharmaceutical products could have caused harm to the public if not for the actions of law enforcement in monitoring the Internet.



Chow was arrested Jan. 27, 2010, and has been in federal custody since that date and will remain in custody to serve out his sentence.



ICE-HSI and the FDA-Office of Criminal Investigations investigated this case which was prosecuted by Assistant United States Attorney Samuel Louis.