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Viagra, Cialis, Levitra, sono farmaci conosciuti per la loro possibiltà di aiutare a migliorare l'erezione tuttavia in moltissimi casi risultano inefficaci! Perchè? Per oltre il 35 per cento degli uomini con problemi di erezione, il farmaco può essere inefficace, dato che le loro difficoltà sono in gran parte psicologiche. Per evitare l'ansia da prestazione e migliorare l'erezione, gli uomini devono imparare come riformulare il loro modo di pensare. Questo video è realizzato dal Dott. Pierpaolo Casto - Psicologo e Psicoterapeuta - Specialista in Psicoterapia Cognitivo Comportamentale * Contatti: Via Magenta, 64 73042 CASARANO (Lecce) Tel. 328.9197451 – Il Dott. Pierpaolo Casto presso il proprio Centro si occupa esclusivamente della cura e soluzione ai seguenti disturbi: ansia da prestazione, ansia da prestazione sessuale, eiaculazione precoce o ritardata, problemi di erezione, disturbo d’ansia, attacchi di panico, disturbo ossessivo compulsivo e ansia sociale. Per ottenere altre informazioni utili su questi disturbi si suggerisce di visitare i seguenti siti: www.centroitalianodipsicoterapia.it www.ansiadaprestazionesessuale.it www.ansiadaprestazione.it www.sessuologia-italia.it www.problemidierezione-italia.it www.erezione-italia.it che hanno tutti come Direttore e curatore il Dott. Pierpaolo Casto. Grazie.
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Dec. 19 (Bloomberg) -- Bloomberg's Eric Chemi take a look at the two most popular erectile dysfunction medications on the market, Viagra and Cialis. Pfizer, the maker of Viagra, eliminated 20% of its sales workforce on December 18.
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Cialis Tablets Price In Pakistan Cialis is also known under its generic name tadalafil, It is a prescription-only medicine. these are Cialis once daily strengths. Cialis 20mg are almond-shaped, yellow tablets in packets of four or eight.Pharmacy2U’s Online Doctor Service offers a convenient and confidential consultation service for Cialis. If you don’t have a prescription, click the green button to begin your consultation. If you have a prescription, click one of the products or use the search bar above. Cialis has been shown to significantly improve the ability of obtaining a hard erect penis suitable for sexual activity. Cialis (tadalafil) can work for up to 36 hours, allowing a man to take the tablet plenty of time before he wishes to have sex. This is where Cialis differs from other impotence medicines – which only last up to 5 hours. Cialis should be taken at least 30 minutes before the couple wishes to have sex. The speed of action is not affected by food. Cialis has been shown to work in many clinical trials but it will not work for some men. It has been shown to improve the ability for most men with erection problems to have successful sex. Cialis vs Viagra Most individuals are acquainted with Viagra, and realize that it gives expanded blood stream to outer genitalia for more or less 6-8 hours, subsequently serving to briefly calm erectile dysfunction. The significant contrast here is that Viagra can provide for you an erection for 6-8 hours, while Cialis is useful for 36-48 hours. This greatly improves the situation purchase, as far as matters in profit making, as you are getting a window of chance that keeps going significantly more with Cialis. Actually, at present out of the three prevalent erectile dysfunction meds (Cialis, Viagra, and Levitra)- Cialis is effortlessly the particular case that keeps going the longest. What are the side effects of Cialis? When taken at the recommended dose, Cialis side effects are mild and normally pass with time. The most common side effects are a headache and upset stomach, whereas the less-common effects include flushing, dizziness, back ache, stuffy nose and muscle pain. Most men aren’t concerned enough by the side effects to stop taking Cialis. If you experience any of the following side effects stop using the medicine and seek medical help immediately: allergic reactions including rashes chest pain – do not use nitrates but seek immediate medical assistance prolonged and possibly painful erection after taking Cialis. If you have such an erection lasting continuously for more than four hours you should contact a doctor immediately sudden loss of vision.
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For a blog post on this video check out : https://jeffpharmacist.com/2018/11/12/the-generic-viagra-and-generic-cialis-situation/ Things have changed in the erectile dysfunction market. Both Cialis and Viagra have a generic now. The price is explained also a warning about a certain manufacturer that you should not use for Viagra. If you guys have questions, thoughts, ideas, please comment. Thanks!
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Shortness of breath? Learn more and get a better lung disease treatment plan with top experts. Visit our Online Expert Centers at https://diagnosticdetectives.com/expert-centers/ Exclusive interview / Dr. Anton Titov MD and Professor Dr. Aaron Waxman MD, leading pulmonary arterial hypertension, right heart failure and lung disease expert. Find out exact cause if you have shortness of breath - get a precise diagnosis and best treatment for shortness of breath root cause. - Pulmonary arterial hypertension treatment. You mentioned phosphodiesterase type 5 inhibitors. They are also used for erectile disfunction. Common medications are viagra, sildenafil, and there are other medications of that class. So they're also used to treat pulmonary arterial hypertension. What is a typical way how they are used for pulmonary arterial hypertension? Are they effective? There is probably a different dosing schedule of those medications? So phosphodiesterase 5 inhibitors are in the nitric oxide pathway. And nitric oxide response, which really is our most potent vasodilator, works through cyclic GMP. So all the phosphodiesterase 5 inhibitors do is keep that cyclic GMP around longer by preventing its breakdown. And within the same path now we also have a medication called Riociguat, which is a soluble guanylate cyclase stimulator. So it actually increases the amount of available cyclic GMP and works in parallel with nitric oxide or independently of nitric oxide in pulmonary arterial hypertension. These patients generally have inadequate NO production. So all of these drugs are vasodilators. There's probably some added benefit, although we don't fully understand yet how, as far as remodeling - both myocardial remodeling and vascular remodeling. But there's no way to know which patients are going to get the most benefit from each individual drug. But I would say from an efficacy standpoint they're all pretty equivalent in pulmonary arterial hypertension. We don't combine them, but as individual drugs they're all pretty equivalent. - Are they used early in a therapy of pulmonary arterial hypertension, or when the first line therapy fails? - No, they probably are now first line therapy. Certainly sildenafil and tadalafil are considered first-line therapy, because they're generally very well tolerated and they're easy to use and they've been around for a long time in pulmonary arterial hypertension. I think Riociguatis a little more complicated to use because there's titration involved and it has a little more broader FDA approval targeting. It includes chronic thromboembolic disease but otherwise it's probably equally effective in pulmonary arterial hypertension. - Is the typical dosage [of PDE5 inhibitors in PAH] continuous or daily? Is it a smaller dose to compare with doses used for erectile disfunction indications? - When we did the clinical trials in pulmonary arterial hypertension, we studied sildenafil at 20 milligrams, 40 milligrams and 80 milligrams, at 3 times per day. So the usual dose for erectile dysfunction is 25, 50 and 75 mg, and a 100 mg, "when you need it". So certainly during the clinical trial, before the drug was approved, we were using Viagra at those doses. So I think there's room for dose adjustment. The only dose that was approved was 20 milligrams three times a day. So from an insurance standpoint we might have a little difficulty changing dose. But we often do titrate the dose, and Tadalafilwe use it at 40 milligrams once a day. - Every day? So with this frequent and fairly large dosing for pulmonary arterial hypertension treatment, as far as the cardiovascular side effects or other side effects, have you seen any major side effects? It's interesting, because the reason we went to these drugs are because phosphodiesterase 5 is predominantly localized to the vessels of the lung and the vessels of the penis. So we actually don't see a huge incidence of cardiovascular side effects. There are some patients whose blood pressure may be a little soft [low] with these drugs. But most patients with pulmonary arterial hypertension tolerate it quite well. I think the most important side effect that we see is headache, and it's not a bad headache. But it can be a nuisance. But it's usually readily responsive to simple things like Tylenol and aspirin or a non-steroidal anti-inflammatory medications.
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