Levitra vs viagra.

Reducing Medication Costs - Topic Overview

carinawinits — Mon, 26 May 2008 05:11:23 +0000

diabetes,
high blood pressure, and low back pain, require fewer
medications if you can increase your activity level, lose weight, and improve
your diet. For some people who have type 2 diabetes, simple measures such as
eating a balanced diet that spreads
carbohydrate throughout the day and exercising
regularly can help keep your blood sugar level within a safe range without
insulin or other medications. Likewise, following a
particular eating plan and lowering your salt intake has been proven to lower
blood pressure.¹

How can I save money on prescriptions?

Generic medications are less expensive
copies of brand-name medications. Ask your doctor if you can take a
generic equivalent for the brand-name medication that
you take now. Generic equivalents are made according to the same strict U.S.
Food and Drug Administration (FDA) standards as brand-name drugs and therefore
have the same quality, strength, purity, and stability as their more expensive
counterparts.

Erectile pill, generic equivalents are not available for every
brand-name medication. If there is not an equivalent, ask your doctor if there
is a similar medication in the same class that may be less expensive or that
has a generic equivalent. For example, Flomax, which is used to treat an
enlarged prostate, is a relatively expensive medication that does not have a
generic equivalent. However, another medication that also is used for enlarged
prostate, Hytrin, does have a less expensive generic equivalent.

Always shop around for the best deal on
medications. The retail cost of medications can vary widely from pharmacy to
pharmacy. While finding a good deal is important, it’s also important that your
pharmacist (or pharmacists) knows your medical history, including all the
drugs-both prescription and erectile dysfunction
, as well as dietary supplements and
herbs-you take, even if they are not dispensed at that particular pharmacy.
That way he or she can provide valuable advice about any potential for drug
interactions, side effects, or other problems.

Also, compare costs of buying medications online. Some large
drugstore chains have Web sites that offer savings. See a complete list of Web
sites on the National Association of Boards of Pharmacy (NABP) site at
http://www.nabp.net/vipps/consumer/search.asp. Look for Web sites that display
the NABP VIPPS (Verified Internet Pharmacy Practice Sites) seal, which means
they have met state and federal requirements.

The U.S. Medicare Web site, http://www.medicare.gov, has a useful
tool for comparing prices of hundreds of prescription drugs and generic
equivalents at pharmacies near you and also available by mail order. You can
access this information by answering “Yes” to the question “Do you have
Medicare?” and entering your Zip code. The Web site requires that you answer
several screens of questions and have some familiarity with computers. People
who have difficulty can call 1-800-MEDICARE (1-800-633-4227) to receive lists
of prices for the drugs they use.

Pill splitting is another strategy that
can help you save money without losing drug effectiveness or safety. Some
tablets are available at double the dose and at the same or almost the same
cost as lower doses. By splitting the larger dose, you can essentially get two
doses for the price of one. However, many medications are not suitable for pill
splitting, including timed-release pills and capsules. The chart below lists 10
commonly prescribed medications that researchers have determined can be split
safely and effectively with significant cost savings.²

Medications that can be split to save
money
Medication	Most commonly prescribed for:	Savings
Clonazepam (Klonopin)	Panic disorder, epilepsy	41%
Doxazosin (Cardura)	Hypertension	46%
Citalopram (Celexa)	Depression	46%
Atorvastatin (Lipitor)	High cholesterol	33%
Paroxetine (Paxil)	Depression	46%
Pravastatin (Pravachol)	High cholesterol	23%
Sildenafil (Viagra)	Erectile dysfunction	50%
Lisinopril (Zestril)	Heart failure, high blood pressure	38%
Sertraline (Zoloft)	Depression	46%
Olanzapine (Zyprexa)	Viagra soft generic , bipolar disorder	31%

Ask your doctor or pharmacist if any of your prescription
medications are sold at higher dosages and if it’s possible to split them. Talk
to your pharmacist about how to split pills with an inexpensive, easy-to-use
pill
splitter.

Buying prescriptions in bulk can also
save you money. Ask your doctor to write a prescription for several months’
supply of medications that you take consistently. Mail-order services can often
save you money on large orders.

Are prescription medications always necessary?

There may be an over-the-counter alternative for your
prescription medication. For example, nonprescription Aleve is a fraction of
the cost of the prescription equivalent Naprosyn. (Generic versions of
over-the-counter medications can save you even more money.) Often
nonprescription equivalents of prescription medications come in lower
strengths, so get instructions from your doctor on how to take them.

In the case of antibiotics, recent research has found that
antibiotics are not always necessary. For example, up to 80% of ear infections
get better without antibiotics.³ Your doctor might
recommend that you take a wait-and-see approach before buying expensive
antibiotics. Likewise, randomized trials show that 69% of people who had
uncomplicated sinus infection recovered without any antibiotics.⁴

Can I save money by purchasing prescription medications from Canada? Is it safe?

The answer to the first question is “Yes.” You can buy most
prescription medications, either over the Internet, by mail order, or in
person, for less money from Canadian pharmacies than from their U.S.
counterparts. Whether it is legal to do so remains sildenafil citrate 100mg.

The FDA warns that the safety of drugs bought from other
countries cannot be ensured. However, many doctors acknowledge that Canada also
demands safety and efficacy for medications, and they would rather their
patients buy medications from Canada than have to skip doses because they can’t
afford their medications. U.S. citizens have been buying medications in Canada
for years, although officially federal law prohibits the practice. Currently,
the U.S. Customs Service allows Americans to bring a 90-day supply of
prescription drugs across the Canadian borders for personal use.⁵

Talk to your doctor if you decide to import your medications, and
be sure to buy only from licensed Canadian pharmacies and wholesalers.

How can my doctor help?

To enlist your doctor’s help, tell him or her that your
prescription medication bill is a financial burden. Ask for drugs that are less
expensive but just as effective. Often, several medications can be used to
treat the same condition, and your doctor may be able to prescribe the one that
is the most economical. For example, researchers have found that older, less
expensive antibiotics such as amoxicillin work better than newer antibiotics
for children who need treatment for middle ear inflammation.⁶

Often, drug companies give doctors medication samples free of
charge. You might ask your doctor if he or she has medication samples,
especially when you are trying out a new medication to see whether it will
work.

How can my insurance plan help save me money?

Take time to find out about how your medical insurance or
managed health care plan covers medication costs. Some insurance companies
cover only generic medications if they are available. With some insurance
plans, you may have to pay more for medications that are not on the plan’s list
of preferred medications. Some insurers cover medications that are bought only
at participating pharmacies. Your insurance company also may not pay for
certain medications such as weight-loss and hair-growth drugs. Ask the customer
service representative whether your medications are covered, whether you need
to buy at participating pharmacies, and about your copayment. Many insurance
companies also list this information on their Web sites.

If you have a choice between plans, check what your copayment for
prescription drugs will be, the maximum amount the plan will pay in a year, and
other particulars. Choose the plan that best suits your needs. When buying
medications, find out which payment option will be the least expensive. Some
factors to consider include whether there is a generic version of a preferred
medication, and whether an over-the-counter equivalent is cheaper than your
copayment. Remember, having the right information can save you time and
money.

What about the Medicare drug program?

Beginning in January 2006, a new Medicare drug program-the
Medicare Part D prescription drug benefit-will begin. For the most current
information about what the Medicare Part D Act means for you, go to
http://www.medicare.gov or call 1-800-MEDICARE. Your doctor, pharmacist, or
social worker may also be able to help you understand
your Medicare benefits.

What other resources are available?

See whether the pharmaceutical company that makes your
medication has a patient assistance program. Many pharmaceutical companies
offer free or discounted drugs for people who cannot afford them. These
companies often require that your doctor contact them first about your case. In
any case, your doctor will need to be involved, and the application process can
be complex. You may need to provide documentation to verify your income. The
nonprofit organization RxAssist provides doctors and other health care
providers with the information they need to access these programs. You can find
out more at http://www.rxassist.org. This Web site
also lists state programs for seniors and disabled and low-income people.

If you have a rare disease, you may be eligible for the National
Organization for Rare Disorders (NORD) medication assistance program. This
program helps people with rare diseases whose income is too high to qualify for
Medicaid but too low to pay for their prescribed medications. For more
information, visit http://www.rarediseases.org/programs/medication.

Most veterans know that the Veterans Administration offers
prescription drug coverage for retired veterans. But many people don’t know
that the same service is available for their families and survivors. Call the
VA Health Benefits Service Center toll-free at 1-877-222-VETS (8387), or go to
http://www1.va.gov/health_benefits/.

Some ed pills
offer special discounts on prescription drugs
for their members. For example, members of AARP save 17% on brand drugs and at
least 50% on generic drugs. Also, many pharmacies offer some form of a discount
plan for seniors.

Read another articles about generic viagra 50mg x 90 pills.

ED Treatments for People With Diabetes

carinawinits — Sat, 24 May 2008 23:32:18 +0000

Diabetes is a very common cause of erectile dysfunction (ED). Clinical
experience and numerous studies suggest that at least 50% of diabetic patients
will experience difficulties with erections. When compared to nondiabetic men,
men with diabetes are up to 3 times more likely to have ED and appear to get it
earlier in life. The significance of ED increases with the severity and
duration of diabetes as well as with advanced age.

There is evidence that controlling blood sugars and new treatment for erectile dysfunction as well as
participating in a consistent exercise program may help in preventing the
development of ED and, in some cases, may even improve symptoms in those with
ED. If you are one of the many men with diabetes and ED, you have many
treatment options to consider, including:

Oral Drugs

The three oral medications available — Viagra, Cialis, and Levitra — to
treat ED have been used successfully in people with diabetes. In general,
however, the success rate of these medications is less than the reported
success rates in people without diabetes. These medications may help 50% to 60%
of men with diabetes.

Injection Treatment

When oral medications are ineffective, buy cheap tadalafil
injection therapy (the
injection of medication directly into the erection chamber of the penis) may be
helpful in erectile dysfunction treatment
intercourse. Among diabetic men, the success rates with
this method range from 60% to 80%. The medications used include:

Alprostadil (brand names Caverject Impulse, Edex, and Prostin VR)
Papaverine hydrochloride
Phentolamine mesylate

In many cases, it may take a mixture of the three medications to produce an
adequate response. Although injections may be reasonably effective in diabetic
patients, about 50% of users stop after several years.

Vacuum Constriction Devices (VCD)

VCDs have been helpful in
facilitating intercourse among diabetic patients. They work in up to 80% of
users; however, like injection therapy, many people discontinue treatment after
several years.

This device consists of an acrylic cylinder that is placed over the penis. A
lubricant is used to create a good seal between the body and the cylinder. A
pump mechanism is used to create a vacuum inside the cylinder, allowing a
patient to achieve an adequate erection. If an adequate erection can be
achieved, a band or ring is then placed over the base of the penis (the part of
the penis closest to the body) and is used to help maintain the erection.

Learn more about vacuum buy sildenafil citrate
devices.

Intraurethral Therapy

This treatment involves using an applicator to place a suppository or pellet
containing medicine into the urethra (canal in the penis that carries
urine).

Learn more about intraurethral
therapy.

Penile Implants

Clinical studies have shown a high degree of patient satisfaction with
penile implants when other therapies have not worked. Patients need to be
suitable surgical candidates and it is preferable that patients have reasonably
good diabetic control before surgery.

Learn more about penile
implants.

Get the facts about diabetes and
ED.

View the full table of contents
for the ED guide.

Reviewed by the doctors at the Glickman Urological
Institute at The Cleveland Clinic.

edmedicine, and more another.

High Blood Pressure and ED: When Medication Is the Problem

carinawinits — Fri, 23 May 2008 19:31:12 +0000

viagra vs levitra
rectile generic risk using viagra
(ED), you have to lower your blood pressure
first. Some people are able to do that through lifestyle changes alone. Others
need help from prescribed blood pressure medication.

A problem for many men, however, is that some types of blood pressure
medicines can actually cause erectile dysfunction. That may make it
difficult to stay on your medication, especially if your high blood pressure
never caused any symptoms before. An estimated 70% of men who have side effects
from blood pressure medicine stop taking it.

Many drugs used to treat high blood pressure have been linked to erectile
dysfunction. But some are much less likely than others to cause problems.
Certain of the blood pressures drugs may even improve erectile
dysfunction for some men.

It’s known that diuretics (or water pills, like erectile dysfunction
) and
generic viagra soft tab
s (like Atenolol) can cause erection problems. These are also the
first drugs that a doctor is likely to prescribe if you are not able to lower
your blood pressure through diet and exercise.

If you’re taking a diuretic, you should stay on your medicine until your
blood pressure is under control. If your erection problem persists, or your
blood pressure goes back up, then your doctor might switch you to a drug that’s
less likely to cause erectile dysfunction. Or, a combination of ed pills

might work better to control your blood pressure and reduce the risk of
erectile dysfunction.

If you take a beta blocker you may also want to ask your doctor if it might
cause erectile dysfunction. You might be better off on a medication less likely
to cause a problem.

Erection-Friendly High Blood Pressure Drugs

Some families of high blood pressure drugs rarely cause erectile dysfunction
as a side effect:

ACE inhibitors
Alpha-blockers
Calcium channel blockers
ARBs

ACE (angiotensin converting enzyme) inhibitors — such as Lotensin, Capoten,
Zestril, Prinivil, etc. — widen blood vessels and increase blood flow.
Erectile dysfunction is rarely a side effect, occurring in less than 1% of
patients. There are several different medications in the category. This seems
to be true of all of them.

There are also medications known as calcium channel blockers, such as
Diltiazem, Verapamil, or Amlodipine. As a group, they rarely cause erectile
dysfunction. But erection problems may be less common with some individual
drugs within that group than with others. Your doctor can tell you which.

In general, alpha-blockers do not often cause erection problems either. In
one study published in the journal Hypertension in 1997, a small
number of men actually had a 100% improvement in their erectile dysfunction
after two years on the alpha-blocker Cardura.

Drugs known as ARBs (angiotensin II receptor blockers, like Losarten) are
not only unlikely to cause erection problems, but they may actually
improve sexual function in men with high blood pressure.

A 2001 study published in the American Journal of the Medical
Sciences looked at the drug Cozaar, an ARB. At first, just 7% of men and
women in the study said they felt sexually satisfied overall. After 12 weeks of
Cozaar, about 58% said they were sexually satisfied. The percentage of men who
reported having erectile dysfunction dropped from 75% to 12%.

Another study compared the drug Diovan, an ARB, with Coreg, a beta-blocker.
The study, published in the American Journal of Hypertension in 2001,
compared the effect of the two drugs on blood pressure and frequency of sexual
intercourse.

The drugs controlled blood pressure equally well. But people who took the
ARB reported having sex more often during the 16 weeks of treatment. They said
they had sex about eight times a month before, and 10 times a month after.
People taking the beta-blocker had sex much less often: eight times a month
before, and four times a month after.

Steps to Take If Your Medicine Causes Erection Problems

Tell your doctor if you think your blood pressure medicine may be causing
problems with your erections.

If it is your medication, and not just your high blood pressure,
switching to another prescription may solve the problem. Never stop taking your
medicine without your doctor’s OK.

But high blood pressure itself still could be to blame for your erectile
dysfunction. In that case, ask about trying an erectile dysfunction drug like
Viagra, Cialis, or Levitra.

You should only take these drugs once your blood pressure is under control.
They are not safe for men with untreated high blood pressure. They are also not
safe for men taking alpha-blockers, or men taking nitrate drugs for heart
disease.

generic viagra 100mg x 180 pills, and more another.

Multiple Sclerosis (MS) - Medications

carinawinits — Wed, 21 May 2008 07:15:50 +0000

multiple sclerosis (MS) may be used:

During a
relapse, to make the attack shorter and less
severe.
Over a long period of time, to alter the natural course of
the disease (disease-modifying therapy).
To control specific
symptoms as they occur.

Controlling a relapse

Medications can shorten a sudden relapse and help you recover
more quickly. Temporary treatment with medications called
corticosteroids is the most common treatment used to
control a relapse. These medications have not been shown
to affect the long-term course of the disease or to prevent disability.

Altering the course of MS using disease-modifying treatment

Strong evidence suggests that MS is caused by the
immune system causing
inflammation and attacking the myelin-the coating
surrounding the nerve and nerve fibers. Medications that change the activity of
the immune system can reduce the number and severity of attacks that damage the
protective myelin.

Currently, interferon beta (Avonex and Rebif, and Betaseron),
glatiramer acetate (Copaxone), and mitoxantrone (Novantrone) are the only
medications that have been approved for this purpose. For people with
relapsing-remitting MS, these medications can reduce
the number and severity of relapses and can result in fewer brain lesions. They
may also delay disability in some people. Betaseron and Novantrone may delay
disease progression in some people with
secondary progressive MS.

Currently, there is no effective disease-modifying treatment for
primary progressive MS.

Relieving symptoms

Treating specific symptoms can be effective, even if it does not
stop the progression of the disease. Symptoms that can often be controlled or
relieved with medication include:

Fatigue. Medications to reduce fatigue
or help you sleep better may include amantadine (Symmetrel), modafinil
(Provigil), or fluoxetine (Prozac).
Muscle stiffness
(spasticity) and tremors. Medications that may reduce muscles spasms or
stiffness include baclofen (Lioresal), tizanidine (Zanaflex), dantrolene
(Dantrium), gabapentin (Neurontin), diazepam (Valium), or clonazepam
(Klonopin). Sometimes a combination of these medications works best to reduce
your muscle symptoms.
Urinary problems and constipation.
Medications used to reduce frequent urination may include propantheline
(Pro-Banthine), oxybutynin (Ditropan), or tolterodine (Detrol). Medications
sometimes used to relieve constipation include bulk agents such as psyllium
(Metamucil) or daily use of laxatives.
Pain and
abnormal sensations. Depending on the severity of the pain, both
prescription and nonprescription medications may be tried. Prescription
medications commonly used to reduce pain associated with MS include baclofen
(Lioresal), carbamazepine (Tegretol), or gabapentin (Neurontin).
Sildenafil citrate 100mg medications may include acetaminophen, ibuprofen, or naproxen
sodium.
Depression. Antidepressant medications may be used to
reduce depression that often occurs as a result of having MS. Antidepressants
often tried include tricyclic antidepressants-such as amitriptyline (Elavil),
desipramine (Norpramin), or imipramine (Tofranil)-or selective serotonin
reuptake inhibitors (SSRIs)-such as fluoxetine (Prozac) or sertraline (Zoloft)
among others.
Sexual difficulties. Medications used
to relieve sexual difficulties that can be associated with MS include
sildenafil (Viagra) for both men and women. Yohimbine and clomipramine may also
be given to improve
erectile dysfunction.

MS can affect many parts of the nervous system and produce a wide
range of symptoms. The choice of medications depends on your symptoms.
Medication may be used only some of the time or regularly, depending on how
severe or constant a particular symptom is. Changes in diet, schedule,
exercise, and other habits can also help manage some of these symptoms. See the
Home Treatment section of this topic.

Medication Choices

Symptom management

Medications used to treat symptoms of an attack of multiple
sclerosis (MS) and help you recover more quickly from a relapse include:

Corticosteroids (such as
effects side viagra works
).
ACTH (adrenocorticotropic
hormone).
Intravenous immunoglobulin (IVIG) or
plasma exchange (neither is used frequently).

Relapsing-remitting MS

Medications used specifically for relapsing-remitting MS to
reduce the number and severity of relapses and possibly delay disability
include:

Interferon beta (Avonex, Rebif, and
Betaseron).
Glatiramer acetate
(Copaxone).
Mitoxantrone (Novantrone) for relapsing-remitting MS
that is rapidly getting worse.

Secondary-progressive MS

Medications used to treat and possibly delay the progression of
secondary progressive MS that is also relapsing include:

Interferon beta-1b (such as
Betaseron).
Mitoxantrone (Novantrone).

Primary-progressive MS

No medicines have been clearly proven to help, and none have
been approved for primary-progressive MS. Some of the newer and experimental
medications, such as
generic name viagra
and
other medications and biological chemicals (derived
from or identical to substances produced by the body) are being tested for
primary-progressive MS.

Medications being studied

A variety of
immunosuppressants and
other medications and biological chemicals (derived
from or identical to substances produced by the body) have been tried as
therapy for MS. While none have been clearly proven beneficial and none have
been approved for treatment of MS, these medications may be used when standard
therapy fails.

Several medicines are currently being tested in
clinical trials. People with MS who have not responded
to standard therapy sometimes choose to participate in these trials. To learn
more about clinical trials, talk to your doctor or contact the National
Multiple Sclerosis Society at http://www.nationalmssociety.org.

What To Think About

Long-term treatment with interferon beta and glatiramer acetate
can improve the quality of life for some people who have relapsing-remitting MS
by making relapses less frequent and less severe. Some evidence suggests that
these medications may also reduce or delay future disability caused by this
form of the disease.

The National Multiple Sclerosis Society recommends that treatment
with interferon beta or glatiramer acetate be started as soon as it is clear
that you have MS. Most
neurologists support this recommendation and now agree
that permanent damage to the
nervous system may occur early on, even while symptoms
are still quite mild. Early treatment may help prevent or delay some of this
damage. In general, treatment is recommended until it no longer provides a
clear benefit.

Despite the recommendation, however, some people find it
difficult to decide whether to begin disease-modifying therapy, especially when
their symptoms have been fairly mild. Some may not want to bear the risks and
flu-like side effects of interferon therapy when they are not sure they need
it. Some may want to see whether their disease worsens before starting therapy.
A small percentage of people diagnosed with MS may never have more than a few
mild episodes and may never develop any disability, but the disease is
unpredictable. For more information, see:

Should I have disease-modifying therapy for
MS?

If you decide not to try disease-modifying therapy at this time,
work with your doctor to monitor your health through regular checkups and
periodic MRI scans to evaluate whether the disease is progressing. If new
lesions are developing or existing lesions are growing, you may want to
reconsider your decision and begin treatment.

Treating symptoms and relapses

The need and desire for medication vary. If your symptoms are
mild, you may choose to manage them without any medication. If you have
specific symptoms that are causing problems, certain medications may help you
keep them under control. Or you may want to use medication only during a
relapse.

You may also want to consider:

The possible side effects of using steroids
or other medications to treat symptoms or control a relapse. Some people have
only minor side effects, but others may have side effects that concern them
more than their MS symptoms.
The costs of treating symptoms and
controlling relapses. In some cases, using medication to control symptoms and
relapses may reduce the need for hospital stays.
Other personal
issues that you face at work or at home.

Also keep in mind that it can be hard to tell whether
medication is helping. Multiple sclerosis is a disease with spontaneous
remissions, which means that your condition can improve on its own, without any
treatment. Just because your symptoms improve after treatment does not mean
that a treatment is working.

sildenafil citrate 100 mg, and more another.

Type 1 Diabetes: Living With Complications - Home Treatment

carinawinits — Tue, 20 May 2008 06:44:27 +0000

type 1 diabetes are:

Keep your blood sugar as close to normal as
possible. The American Diabetes Association recommends a
hemoglobin A_1c
(HbA_1c) level of less than 7%. Some people may be
able to achieve a normal level of less than 6%.² The
lower the A_1c, the lower the chance of over the counter erectile dysfunction drug
s.
The A_1c level is a measure of your blood sugar over the
past 2 or 3 months.
Eat a diet that spreads
carbohydrate throughout the day.
Get
regular exercise.
Take your prescribed insulin either by injection
or through an
insulin pump.
Do not smoke.

For more information, see the Home Treatment section of the topic
Type
1 Diabetes: Living With the Disease.

Other measures to care for and protect yourself depend on which
complication you have.

Heart and large blood vessel disease

Even if you don’t have heart and blood vessel problems, you are
at risk for them.

Don’t smoke. Smoking increases your risk of a
heart attack or
stroke, and makes many health problems
worse.
Take your blood pressure medicine, if
prescribed.
Take aspirin daily, if advised by your health
buy sildenafil citrate.
Drink alcohol in moderation. This means no more than
1 drink a day for women and no more than 2 drinks a day for men. Discuss with
your health professional whether you should drink alcohol.

Eye disease (diabetic retinopathy)

Call your eye specialist if you notice any changes in your
vision. Vision changes may mean worsening of diabetic retinopathy. Early
detection and treatment can help prevent vision loss.

If you have severe vision loss from diabetic retinopathy,
vision aids can help. Your local or state organization
for the visually impaired can help you find these aids.

For more information, see the topic
Diabetic Retinopathy.

Kidney disease (diabetic ed pills
)

Take your
blood pressure medications, if prescribed. Your blood
pressure should be less than 130/80 mm Hg. Ask your health professional if you
need to monitor your blood pressure at home.
Get no more than 10%
of your daily calories from protein foods if you have small amounts of protein
in your urine (microalbuminuria).²
Limit
salt in your diet because it makes your body retain fluid and can increase your
blood pressure.

For more information, see the topic
Diabetic Nephropathy.

Foot problems

Daily care of your feet is very important. Because
diabetic neuropathy and diabetic damage to the blood
vessels in your legs can lead to severe infections and deformities of your
feet, seek treatment for any foot problem, no matter how minor it seems. Even a
small foot injury can lead to serious complications.

For more information, see

Foot care for people with
diabetes

Nerve damage (diabetic neuropathy)

If it affects your ability to feel (peripheral
neuropathy):

Turn your water heater down, and use a bath
thermometer or have someone test your bath water to make sure it is not too
hot.
Don’t go barefoot. Always wear shoes, even in the
house.
Don’t use an electric blanket.
Arrange your
furniture so that the walkways through your house are free of clutter.

If it affects your body’s internal functioning (autonomic neuropathy):

Eat smaller, more frequent meals that contain
less fat and fiber, if you have
gastroparesis or other digestive
problems.
Drink more fluids each day, if you have urinary problems
or profuse sweating. This will prevent urinary tract infections and
dehydration.
Try a device for erection
problems or a lubricating cream for vaginal dryness, if you have sexual
problems. Talk to your health professional about medication for erection
problems (Cialis, Levitra, Viagra). For more information, see the topic
Erection Problems.
Check your blood sugar
level frequently during the day and during the night occasionally, if you have
hypoglycemia unawareness.

If it affects one nerve (focal
neuropathy):

Wear a joint splint, if your health
professional advises.
Take breaks during activities that require
repetitive movements.
Make sure your work area has appropriate
support for the affected joint.

For more information, see the topic
Diabetic Neuropathy.

And some information of generic viagra 50mg x 60 pills.

High Blood Pressure and Erectile Dysfunction: Working With Your Doctor

carinawinits — Sun, 18 May 2008 20:58:20 +0000

If you have high blood pressure (or erectile pill
) and are having problems
with erectile dysfunction (ED), the first step toward a solution is to see your
doctor. You may be a bit hesitant to discuss your sex life with a doctor, but
rest assured. Your doctor has heard it all before and will know how to help
you.

Erectile dysfunction is fairly common in men with high blood pressure. One
study in the Journal of the American Impotence treatment uk Society found that
nearly half of men aged 40 to 79 with high blood pressure had it.

Your doctor will need a lot of information from you before suggesting any
treatment. If this doctor had been involved in your care for high blood
pressure in the past, you can talk about how well you’ve been controlling your
blood pressure and about how you are doing with the medications you’re taking.
If you are meeting with a new doctor, you will share all that, plus
information about other health problems you may have, like diabetes or high
cholesterol.

Telling a doctor that you have difficulty with your erection is not the
easiest thing to do. But to get the right care you have to tell your doctor
everything, including the truth about things like drinking a lot of alcohol,
doing drugs, or smoking cigarettes. It’s in your best interest to be totally
honest.

You may also feel uncomfortable if the doctor asks a lot of questions about
your sex life and your emotions. You may be asked things like:

What’s your sexual orientation?
Do you have a steady partner? Multiple partners?
How is sex with your partner? Has anything changed recently?
Has anything upsetting happened to you lately?
In general, are you under a lot of stress?
Do you feel depressed a lot?

Again, it’s best to answer honestly, even though these things are very
personal.

A doctor you are seeing for the first time may also need to examine your
penis, testicles, and prostate gland. Some men have their testosterone level
tested.

There is another test that is done sometimes to see whether you get
erections while you are asleep. The doctor may send you home with a special
tape that you wrap around your penis before you go to bed. If the tape is
broken in the morning, you’ve had an erection during the night. That means the
cause of your erection problem may not be physical.

In many cases erectile dysfunction does have a physical cause.

The first treatment doctors usually try is one of the erectile dysfunction
pills: Cialis, Levitra, or Viagra.

Typically you will see the doctor again for follow-up around the time that
your prescription runs out. You can talk then about any issues you may be
having with the medication. Maybe it’s not working as well as you’d like. If
not, you can make sure you’re using it correctly. The doctor might switch you
to a different drug or a different type of treatment if thing’s aren’t
improving.

It’s a good idea to stay in touch with your doctor about your erectile
dysfunction. Changes in your health over time may affect your treatment. But
you don’t need to be in the doctor’s office more often. Since you will already
have regular checkups for managing your blood pressure, bring up your erectile
dysfunction treatment at those visits.

Remember, there’s no such thing as a bad question. Your doctor asks you lots
of questions. Feel free to ask as many of your own, until you’re confident that
you drug for treatment of erectile dysfunction
all the risks and benefits of your treatment. Also, it’s
important to show your doctor all the other medications that you take. And, if
the doctor doesn’t know the answer to a question you ask, you can have them get
back to you with it.

If you ever feel like your concerns are being ignored, don’t accept it. Find
another doctor who will talk to you.

But most doctors genuinely want to work together with you to solve your
health problems. You can help them help you by taking an active role in your
care.

And some information of erectile dysfunction in men.

Sexual Health: Sexual Problems in Women

carinawinits — Sat, 17 May 2008 20:24:19 +0000

A sexual problem, or sexual dysfunction, refers to a problem
during any phase of the sexual response cycle that prevents the individual or
couple from experiencing satisfaction from the sexual activity. The sexual
response cycle has four phases: excitement, plateau, orgasm, and
resolution.

While research suggests that sexual dysfunction is common (43%
of women and 31% of men report some degree of difficulty), it is a topic that
many people are hesitant to discuss. Fortunately, most cases of sexual
dysfunction are treatable, so it is important to share your concerns with your
partner and doctor.

What Causes Sexual Problems?

Sexual dysfunction can be a result of a physical or
psychological problem.

Physical causes. Many physical and/or medical conditions can cause
problems with sexual function. These conditions include diabetes, heart
disease, neurological diseases, hormonal imbalances, menopause, chronic
diseases such as kidney disease or liver failure, and alcoholism and drug
abuse. In addition, the side effects of certain medications, including some
antidepressant drugs, can affect sexual desire and function.
Psychological causes. These include generic vardenafil stress and anxiety,
concern about sexual performance, marital or relationship problems, depression,
feelings of guilt, and the effects of a past sexual trauma.

Who Is Affected by Sexual Problems?

Both men and women are affected by sexual problems. Sexual
problems occur in adults of all ages. Among those commonly affected are those
in the geriatric population, which may be related to a decline in health
associated with aging.

How Do Sexual Problems Affect Women?

The most common problems related to sexual dysfunction in women
include:

Inhibited sexual desire. This involves a lack of sexual desire or
interest in sex. Many factors can contribute to a lack of desire, including
hormonal changes, medical conditions and treatments (for example cancer and
chemotherapy), depression, pregnancy, stress and fatigue. Boredom with regular
sexual routines also may contribute to a lack of enthusiasm for sex, as can
lifestyle factors, such as careers and the care of children.
Inability to become aroused. For women, the inability to become
physically aroused during sexual activity often involves amazing generic product viagra
vaginal
lubrication. The inability to become aroused also may be related to anxiety or
inadequate stimulation. In addition, researchers are investigating how blood
flow problems affecting the vagina and clitoris may contribute to arousal
problems.
Lack of orgasm (anorgasmia). This is the absence of sexual climax
(orgasm). It can be caused by sexual inhibition, over the counter erectile dysfunction drug
, lack of
knowledge and psychological factors such as guilt, anxiety, or a past sexual
trauma or abuse. Other factors cure dysfunction erectile to anorgasmia include insufficient
stimulation, certain medications, and chronic diseases.
Painful intercourse. Pain during intercourse can be caused by a
number of problems, including endometriosis, a pelvic mass,
ovarian cysts, vaginitis, poor
lubrication, the presence of scar tissue from surgery, or a sexually transmitted disease. A
condition called vaginismus is a painful, involuntary spasm of the muscles that
surround the vaginal entrance. It may occur in women who fear that penetration
will be painful and also may stem from a sexual phobia or from a previous
traumatic or painful experience.

How Is a Female Sexual Problem Diagnosed?

The doctor likely will begin with a physical exam and a
thorough evaluation of symptoms and a physical exam. The doctor may perform a
pelvic examination to evaluate
the health of the reproductive organs and a Pap smear to detect changes in the
cells of the cervix (to check for cancer or a pre-cancerous condition). He or
she may order other tests to rule out any medical problems that may be
contributing to the problem.

An evaluation of your attitude regarding sex, as well as other
possible contributing factors (fear, anxiety, past sexual trauma/abuse,
relationship problems, alcohol or drug abuse, etc.) will help the doctor
understand the underlying cause of the problem and make appropriate
recommendations for treatment.

sildenafil citrate 50 mg

Male Sexual Problems

carinawinits — Fri, 16 May 2008 11:21:22 +0000

A sexual problem, or sexual dysfunction, refers to a problem during any
phase of the sexual response cycle that prevents the individual or couple from
over the counter erectile dysfunction drug
satisfaction from the sexual activity. The sexual response cycle
has four phases: excitement, plateau, orgasm and resolution.

While research suggests that sexual dysfunction is common (43% of women and
31% of men report some degree of difficulty), it is a topic that many people
are hesitant to discuss. Fortunately, most cases of sexual dysfunction are
treatable, so it is important to share your concerns with your partner and
doctor.

What Causes Sexual Problems?

Sexual dysfunction can be a result of a physical or psychological
problem.

Physical causes: Many physical and/or medical conditions can cause problems
with sexual function. These conditions include diabetes, heart and vascular
(blood vessel) disease, cure dysfunction erectile disorders, hormonal imbalances, chronic
diseases such as kidney or liver failure, and alcoholism and drug abuse. In
addition, the side effects of certain medications, including some
antidepressant drugs, can affect sexual desire and function.
Psychological causes: These include work-related stress and anxiety,
concern about sexual treat erectile dysfunction the best, marital or relationship problems, depression,
feelings of guilt and the effects of a past sexual trauma.

Who Is Affected by Sexual Problems?

Both men and women are affected by sexual problems. Sexual problems occur in
adults of all ages. Among those commonly affected are those in the geriatric
population, which may be related to a decline in health associated with
aging.

How Do Sexual Problems Affect Men?

The most common sexual problems in men are ejaculation disorders, erectile
dysfunction and inhibited sexual desire.

What Are Ejaculation Disorders?

There are different types of ejaculation disorders, including:

Premature ejaculation: This refers to ejaculation that occurs before or
soon after penetration.
Inhibited or retarded ejaculation: This is when ejaculation is slow to
occur.
Retrograde ejaculation: This occurs when, at orgasm, the ejaculate is
forced back into the bladder rather than through the urethra and out the end of
the penis.

In some cases, premature and inhibited ejaculation are caused by
psychological factors, including a strict religious background that causes the
person to view sex as sinful, a lack of attraction for a partner and past
traumatic events. Premature ejaculation, the most common form of sexual
dysfunction in men, often is due to nervousness over how well he will perform
during sex. Certain drugs, including some citrate generic sildenafil viagra
, may affect
ejaculation, as can nerve damage to the spinal cord or back.

Retrograde ejaculation is common in males with diabetes who suffer from
diabetic neuropathy (nerve damage). This is due to problems with the nerves in
the bladder and the bladder neck that allow the ejaculate to flow backward. In
other men, retrograde ejaculation occurs after operations on the bladder neck
or prostate, or after certain abdominal operations. In addition, certain
medications, erectile dysfunction remedy
those used to treat mood disorders, may cause
problems with ejaculation.

What Is Erectile Dysfunction?

Also known as impotence, erectile dysfunction is defined as the inability to
attain and/or maintain an erection suitable for intercourse. Causes of erectile
dysfunction include diseases affecting blood flow, such as atherosclerosis
(hardening of the arteries); nerve disorders; psychological factors, such as
stress, depression, and performance anxiety (nervousness over his ability to
sexually perform); and injury to the penis. Chronic illness, certain
medications, and a condition called Peyronie’s disease (scar tissue in the
penis) also can cause erectile dysfunction.

What Is Inhibited Sexual Desire?

Inhibited desire, or loss of libido, refers to a decrease in desire for, or
interest in sexual activity. Reduced libido can result from physical or
psychological factors. It has been associated with low levels of the hormone
testosterone. It also may be caused by psychological problems, such as anxiety
and depression; medical illnesses, such as diabetes and high blood pressure;
certain medications, including some anti-depressants; and relationship
difficulties.

generic viagra 50mg x 10 pills

Type 2 Diabetes: Living With Complications - Home Treatment

carinawinits — Thu, 15 May 2008 10:38:30 +0000

type 2 diabetes. Eating a balanced diet, getting
regular exercise, taking oral diabetes medication, and possibly taking insulin
to keep your blood sugar levels within a
normal or near-normal range will help you feel better
and have control of your life. If you need help with these skills, see the
topic
Type 2 Diabetes: Living With the Disease.

Early treatment of buy now viagra
can help save your vision, slow
the rate of kidney failure, and reduce the risk of amputation. Keep all
erectile pill with your doctor, specialists, and other health professionals. The
examinations and tests done during these visits can detect early signs of
complications and monitor the progression of existing complications.

Take the following measures at home to help control
complications.

Heart and large blood vessel disease (macrovascular disease)

Don’t smoke.
Smoking increases your risk for heart
attack.
If you are age 30 or older, take a low-dose, or baby,
aspirin daily if advised by your health professional.
Take your
blood pressure medicine, as prescribed.

Eye disease (diabetic retinopathy)

Call your
effects viagra woman
or
optometrist if you notice any changes in your vision.
Early detection and treatment of any changes can help prevent vision
loss.

Avoid heavy lifting if you have advanced diabetic eye disease
(proliferative retinopathy).

Call your ophthalmologist if you have retinopathy and become
pregnant. Retinopathy can become worse rapidly during pregnancy.

If you have severe vision loss from diabetic retinopathy,
vision aids can help you do as much of your diabetes
care as possible. These include home glucose monitors with large-print displays
and talking glucose monitors. Your local or state organization for the visually
impaired can help you find appropriate vision aids.

For more help, see the topic
Diabetic Retinopathy.

Kidney disease (diabetic nephropathy)

Take your blood pressure medications, if
prescribed. Your blood pressure should be 130/80 millimeters of mercury (mm Hg)
or lower.
Get no more than 10% of your daily calories from
protein.
Limit salt in your diet, because it makes your body retain
fluid and can increase your blood pressure.
Avoid
nonsteroidal anti-inflammatory drugs (NSAIDs),
including ibuprofen (such as Advil or Motrin), ketoprofen, and
naproxen (such as Aleve). These medications can harm your kidneys.

For more help, see the topic
Diabetic Nephropathy.

Foot problems

Foot care is important for people with diabetes. You need to
inspect your feet every day and protect them from injury. If you have poor
eyesight, have someone else check your feet.

To protect your feet:

Avoid exercise that could injure your feet;
walking is fine, but jogging may be too rough.
Make sure bathwater
is not too hot.
Check your shoes for any loose objects or rough
edges before you put them on.
Get early treatment for any foot
problem, even a minor one. Call your doctor at the first sign of a problem with
your feet. Blisters, small cuts, or other problems that may seem minor can
quickly become more serious.

For more information on protecting your feet, see:

Foot care

Nerve damage (diabetic neuropathy)

If it affects your ability to feel (peripheral
neuropathy):

Turn down the temperature of your hot-water
heater and use a bath thermometer or have someone test your bath water to see
whether it is too hot.
Do not go barefoot, even in the
house.
Do not use an electric blanket.
To prevent
falls, arrange your furniture so that walkways are free of clutter.
To avoid burning your hands, use pot holders when you
cook.

If it affects your body’s internal functioning (autonomic neuropathy):

Eat smaller, more frequent meals that contain
less fat and fiber if you have
levitra vs cialis
or other digestive
problems.
Drink more fluids each day if you have urinary problems
or profuse sweating. This will prevent urinary tract infections and
dehydration.
Try a device or medication
such as Viagra, Levitra, or Cialis for erection problems or a lubricating cream
for vaginal dryness if you have sexual problems. Check with your doctor to find
out whether you can take these medications.
Check your blood sugar
level more often if you have
hypoglycemia unawareness, especially before
driving.

If it affects one nerve (focal
neuropathy):

Wear a joint splint, if your health
professional advises this.
Take breaks when you are doing
activities that require repetitive movements.
Make sure your work
environment provides appropriate support.

For more help, see the topic
Diabetic Neuropathy.

Read another articles about sildenafil citrate 50mg.

Coronary Artery Disease - Living With CAD

carinawinits — Wed, 14 May 2008 09:13:56 +0000

coronary artery disease (CAD), can be difficult to
accept and understand. If you do not have symptoms, it may be especially hard
to recognize that CAD is a serious disease that can lead to complications.
Coronary artery disease is caused by the gradual buildup of plaque on the
inside of the coronary arteries, the blood vessels that supply ed medicine

blood to heart muscle.

It is important to talk with your doctor to learn about the disease
and what you can do to help manage CAD and prevent its progression.

Making healthy lifestyle changes can delay and possibly reverse the
course of CAD. Quitting smoking, eating a low-fat and generic research viagra
diet, and
getting regular exercise are the most important steps you can take to reduce
your risk of developing coronary artery disease.²⁶ For
more information, see:

Exercising for a healthy heart.

For more information on how to make healthy lifestyle changes, see
the Prevention section of this topic.

Most people are able to control
angina by taking medications as prescribed and
nitroglycerin when needed. See
how
to use nitroglycerin pills under the tongue. Remaining as active as
possible is important for most people. However, if angina is not controlled by
the above, consider these tips:

If an activity causes angina, slow it
down.
Ease into activities in the morning, and reduce activity
immediately after meals.
Change your eating patterns. Eat smaller,
more frequent meals rather than 2 or 3 large meals.

When angina is more severe and cannot be controlled, the following
tips may be useful:

If it is feasible, it may help to move to a
different home to avoid physical stress caused by climbing stairs, shoveling
snow, or mowing lawns. Or, find other ways to get chores done, such as hired
help, family members, or trading for other services that are easier to
do.
It may be necessary to change the kind of work you perform to
avoid physical stress. This may be especially important if your work involves
heavy labor.

Taking nitroglycerin before an activity may reduce or eliminate the
chest pain associated with the activity. Discuss with your doctor the use of
nitroglycerin to prevent chest pain.

Do not use the sildenafil citrate viagra medication
sildenafil (Viagra), vardenafil (Levitra), or tadalafil (Cialis) if you are
taking nitroglycerin or other nitrates. Combined, these two drugs can result in
a life-threatening drop in blood pressure. If you are taking an
erection-enhancing medication and develop chest pain, be sure to alert the
health cause of erectile dysfunction
caring for you about your use of this medication so that
they do not inadvertently give you nitroglycerin or another type of nitrate.
There are other oral antianginal medicines that may be appropriate.

Alert your doctor immediately if there is a sudden change in your
angina symptoms or if angina begins to occur unpredictably or when you are at
rest.

More Information:

What are the main lifestyle
changes I need to make?
How to exercise for a healthy
heart
How can I lower my stress
level?
How can I make my meals
healthier?
How can I get help managing the cost of
treatment?
How can I help a loved one with coronary
artery disease?
How can I communicate better with my
doctor?

erectile dysfunction treatments

Levitra vs viagra.

Reducing Medication Costs - Topic Overview

How can I save money on prescriptions?

Are prescription medications always necessary?

Can I save money by purchasing prescription medications from Canada? Is it safe?

How can my doctor help?

How can my insurance plan help save me money?

What about the Medicare drug program?

What other resources are available?

ED Treatments for People With Diabetes

Oral Drugs

Injection Treatment

Vacuum Constriction Devices (VCD)

Intraurethral Therapy

Penile Implants

High Blood Pressure and ED: When Medication Is the Problem

Erection-Friendly High Blood Pressure Drugs

Steps to Take If Your Medicine Causes Erection Problems

Multiple Sclerosis (MS) - Medications

Controlling a relapse

Altering the course of MS using disease-modifying treatment

Relieving symptoms

Medication Choices

Symptom management

Relapsing-remitting MS

Secondary-progressive MS

Primary-progressive MS

Medications being studied

What To Think About

Treating symptoms and relapses

Type 1 Diabetes: Living With Complications - Home Treatment

Heart and large blood vessel disease

Eye disease (diabetic retinopathy)

Kidney disease (diabetic ed pills )

Foot problems

Nerve damage (diabetic neuropathy)

High Blood Pressure and Erectile Dysfunction: Working With Your Doctor

Sexual Health: Sexual Problems in Women

What Causes Sexual Problems?

Who Is Affected by Sexual Problems?

How Do Sexual Problems Affect Women?

How Is a Female Sexual Problem Diagnosed?

Male Sexual Problems

What Causes Sexual Problems?

Who Is Affected by Sexual Problems?

How Do Sexual Problems Affect Men?

What Are Ejaculation Disorders?

What Is Erectile Dysfunction?

What Is Inhibited Sexual Desire?

Type 2 Diabetes: Living With Complications - Home Treatment

Heart and large blood vessel disease (macrovascular disease)

Eye disease (diabetic retinopathy)

Kidney disease (diabetic nephropathy)

Foot problems

Nerve damage (diabetic neuropathy)

Coronary Artery Disease - Living With CAD

Kidney disease (diabetic ed pills
)