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Nolvadex tamoxifen

NOLVADEX is effective in the treatment of metastatic breast cancer in women and men. In premenopausal women with metastatic breast cancer, NOLVADEX is an alternative to oophorectomy or ovarian irradiation. Available evidence indicated that patients whose tumors are estrogen receptor positive arc more likely to benefit from NOLVADEX therapy. Adjuvant Treatment of Breast Cancer: NOLVADEX is indicated for the treatment of node-positive breast cancer in postmenopausal women following total mastectomy or segmental mastectomy, axillary dissection, and breast irradiation. NOLVADEX is also indicated for the treatment of axillary node-negative breast cancer in women following total mastectomy or segmental mastectomy, axillary dissection, and breast irradiation. In addition, NOLVADEX reduces the occurrence of contra lateral breast cancer in patients receiving adjuvant therapy with NOLVADEX for breast cancer. Ductal Carcinoma in Situ (DCIS): In women with DCIS, following breast surgery and radiation, NOLVADEX is indicated to reduce the risk of invasive breast cancer. (See BOXED WARNING at the beginning of full prescribing information.) Reduction in Breast Cancer Incidence in High-Risk Women: NOLVADEX is indicated to reduce the incidence of breast cancer in women at high risk for breast cancer. NOLVADEX is indicated only for high-risk women. “High risk” is defined as women at least 35 years of age with a 5-year predicted risk of breast cancer a 1.67%, as calculated by the Gail Model. (See Full prescribing information.)

Azithromycin (Zithromax)

Azithromycin (Zithromax)

Dose and Administration

Adults: Give 500 mg orally on day 1 followed by 250 mg once a day for a total of 5 days. For the prevention of disseminated Mycobacterium avium complex disease, the recommended oral dose is 1200 mg taken once weekly. For urethritis or cervicitis due to Chlamydia trachomatis, 1 g should be taken orally as one dose.
The IV form should be administered as 500 mg IV once daily followed by oral therapy for completion of therapy.
Pediatrics: Usual dose is 10 mg/kg for 5 days.

Azithromycin (Zithromax) Uses

FDA-approved: Treatment of mild to moderate cases of the following infections: acute bacterial exacerbation of chronic bronchitis due to Haemophilus influenzae, Moraxella catarrhalis, or Streptococcus pneumoniae; community acquired pneumonia due to 5. pneumoniae or H. influenzae; pharyngitis/tonsillitis due to Streptococcus pyogenes; acute otitis media due to H. influenzae, M catarrhalis, or 5. pneumoniae;

uncomplicated skin and skin structure infections due to Staphylococcus aureus, S. pyogenes, or Streptococcus agalactiae; and nongonococcal urethritis and cervicitis due to C. trachomatis. It is also approved for the prevention of disseminated Mycobacterium avium complex disease in HIV-infected patients. The IV form is approved for community acquired pneumonia due to C. pneumoniae, H. influenzae, L. pneumophila, M. catarrhalis, M. pneumoniae, S. aureus, or 5. pneumoniae and pelvic inflammatory disease due to C. trachomatis, N. gonorrhoeae, or M. hominis in patients who require initial intravenous therapy. Another use is chancroid.

Azithromycin (Zithromax) Pharmacology

Azithromycin is a macrolide antibiotic that inhibits bacterial protein synthesis in susceptible organisms by reversibly binding to the 50S ribo-somal subunit. Based on similar mechanisms of action, azithromycin should not be combined with clindamycin or chloramphenicol to prevent antibacterial antagonism. Its spectrum of activity is expanded as compared to erythromycin. It retains similar gram-positive activity (e.g., S. pyogenes, S. pneumoniae, S. aureus); however, it has greater gram-negative activity than erythromycin or clarithromycin. Susceptible gramnegative organisms include Neisseria meningitidis, N. gonorrhoeae, Haemophilus ducreyi, H. influenzae, M. catarrhalis, and Bordetella pertussis. Azithromycin also exerts activity against Treponema pallidum, Mycoplasma pneumoniae, Legionella pneumophila, Chlamydia species, and Mycobacterium avium complex.
Azithromycin is more acid stable than erythromycin. The capsule formulation should be taken on an empty stomach to maximize absorption, whereas the tablet and suspension may be taken with or without food. It is widely distributed throughout the body and concentrations in pulmonary macrophages, polymorphonuclear leukocytes, and genital/ pelvic tissues remain increased for several days following administration. Penetration of the cerebral spinal fluid is negligible and therefore it should not be used to treat infections of the central nervous system. Azithromycin is excreted primarily in the feces.

Azithromycin (Zithromax) Adverse Effects/Precautions

The most common adverse effects involve the gastrointestinal tract and include nausea, vomiting, diarrhea, and abdominal pain. Serious allergic reactions have occurred rarely with azithromycin. Reversible elevations in liver function tests may occur. Pregnancy category B.

Azithromycin (Zithromax) Drug Interactions

Azithromycin does not affect the cytochrome P450 system unlike erythromycin and clarithromycin. When combined with warfarin, however, cases of increased prothrombin times and INRs have been reported. Therefore if azithromycin is combined with warfarin, close monitoring should be performed.

Special Considerations

Administration with food may lessen the gastrointestinal adverse effects. The oral suspension single packets should be mixed with 60 mL of water and taken immediately. The glass should be mixed with an additional 60 mL of water and ingested to ensure the entire dose is consumed.

Male Pattern Baldness and Propecia

The best person to talk to about male pattern hair loss is your doctor

Since many men suffer from male pattern hair loss, it is common for doctors to help these patients. In fact, millions of men have approached their doctors for help.

Your doctor can help you separate fact from fiction when it comes to hair loss products. They know from their experience with their patients what has worked, what treatments are available, and what might work for you. They are the best equipped to listen to your concerns and answer your questions.

Be prepared

Be open and honest with your doctor about your male pattern hair loss. Express your expectation and the desire you have to maintain or possibly re-grow your hair. You will also make the most of your doctor visit by being prepared with any questions you might have about male pattern hair loss and treatment options.

The gateway to treating your male pattern hair loss begins at your doctor’s office. Take that first step now, because the sooner you begin treatment, the more hair you will most likely have later.

Questions to ask your doctor about Propecia

Your doctor will be sensitive to you and your concerns; he or she is there to help. Below is a printable list of questions that may help you get started with your doctor.

I’m concerned about male pattern hair loss. What are the treatment options?

What can I expect from these treatments?

Which treatment option works best to maintain and/or re-grow hair?

What is PROPECIA?

How does PROPECIA work?

What have other patients for whom you’ve prescribed PROPECIA said about it?

Is PROPECIA right for me?

Will it help me maintain the hair I already have?

What kind of results can I expect?

What is the safety profile of PROPECIA?

How long will I have to take PROPECIA before I see any results?

Important Information about PROPECIA

PROPECIA was developed to treat mild to moderate male pattern hair loss on the vertex (top of head) and anterior mid-scalp area (middle front of head) in MEN ONLY. There is not sufficient evidence that PROPECIA works for receding hairlines at the temples.

PROPECIA is for the treatment of male pattern hair loss in MEN ONLY and should NOT be used by women or children.

You should not use PROPECIA if you are allergic to finasteride or any of the ingredients of PROPECIA.

Women who are or may potentially be pregnant must not use PROPECIA and should not handle crushed or broken PROPECIA tablets because the active ingredient may cause abnormalities of a male baby’s sex organs. If a woman who is pregnant comes into contact with the active ingredient in PROPECIA, a doctor should be consulted. PROPECIA tablets are coated and will prevent contact with the active ingredient during normal handling provided that the tablets are not broken or crushed.

Although results will vary, generally you will not be able to grow back all the hair you have lost.

When you could see results

Take PROPECIA daily and you could see results in as little as 3 months. If you stop taking PROPECIA, however, your results will gradually go away over 12 months. And if PROPECIA hasn’t worked in 12 months, further treatment is unlikely to be of benefit.

Know the facts. PROPECIA is available by prescription only, so the best thing to do is talk to your doctor.

Well that was all I could do, so then I phoned a few hair doctors.

Doctor one, he was not a doctor at all, just a sale man in a rented room in a good address in Dublin.

Doctor two, a woman, when I met her she was about twenty one years of age, I was not going to tell some child my problems,

Doctor four, worked some down south in the country and would see me if I sent him 500 euros in advance, I never sent the money.

Is Cialis better than Viagra?

What doses of Cialis can I buy ?

There are two doses available: 10 mg (marked with C10)and 20 mg tablets (marked with C20).

How is Cialis different from Viagra?

Cialis and Viagra are in the same class of drugs (they are both PDE5 inhibitors and allow relaxation of the smooth muscle of the penis). They both need sexual stimulation to work. However, they have different chemical structures. One of the main differences is the duration of action of Cialis. Cialis offers a period of responsiveness of 24-36 hours. This will be very important for some men who find it very difficult to estimate accurately when they might have sex. Other men also complain that having to take the tablet immediately before sex makes the situation ‘medical’. Clearly a longer window of opportunity could be beneficial for them also. There is no interaction between Cialis and food, whereas Viagra’s onset of activity may be delayed by food.

Is Cialis better than Viagra?

There have been no controlled clinical trials comparing men taking the optimum doses of Cialis with Viagra, so a direct comparison cannot be made regarding which drug people prefer. What can be said clearly are that they are both very safe, very effective drugs, and it will up to the patient to decide which is the best for them in a particular social setting.

Can Cialis tablets be split?

The tablets are not designed to be split.

How well does Cialis work?

In a general population study, 81% men stated their erections improved with the 20 mg dose and 75% of attempts for full sexual intercourse were successful. In men with diabetes, 76% reported an improvement in their erections and 58% of attempts for full sexual intercourse were successful In men taking drugs for high blood pressure, 84% of men reported improvements in their erections.

If Cialis lasts for 24 hours, does this mean erections will last for 24 hoars?

No, Cialis is only effective with sexual stimulation. No one has reported episodes of priapism (prolonged erection) when they have used Cialis.

My days are rather hectic and sometimes I have no idea when I am going to have sex with my partner. When should I take Cialis for the best effect?

It can be taken from 30 minutes to 12 hours prior to sexual activity. The effects of Cialis may persist up to 36 hours after you have taken the tablet. This means that you can take the tablet some time before having sex and choose when the time is right for you and your partner.

Has Cialis any advantages over Viagra or Levitra?

The main advantage with Cialis is that it has a long ‘half-life’ -what this means is that the drug will be effective for longer than Viagra or Levitra, so you won’t have to have sex soon after taking it, taking the pressure off planning intercourse precisely. This can be a major advantage to some people, particularly those not in a regular relationship, who feel at present that they are at risk of wasting their Viagra tablet if they take it and then don’t have sex in the ensuing few hours. It will also be advantageous to those people who feel that taking a tablet immediately before sex ‘medicalizes’ the whole situation.
Another advantage is that, unlike Viagra, the absorption of Cialis does not appear to be affected by food. This means that it will work just as well when taken after a meal.

Do you think that Cialis will be better than Viagra in the long term?

At the moment, this is not possible to say. It is dangerous to try to compare the results of studies between Viagra and Cialis, as the trials have been made in different people, or were carried out or assessed differently. For the future, you might be offered a selection of these tablets, so that you can take some of each to see which suits you best, or indeed have some of each to take in different social circumstances.

What to buy Levitra VS Cialis

Can I buy Levitra on the NHS?

buy cialis online

buy cialis online

The NHS has restricted the types of patients with ED who can get treatments paid for by the NHS and this includes Levitra. Your doctor will know whether you come into one of these categories, which are discussed above under Viagra, but generally you have to have some other disease, such as diabetes or spinal cord injury. If this is the case, then, unless you are normally exempt, you will still have to pay a prescription charge for Levitra.

If you are eligible to be prescribed Levitra on the NHS, then your doctor will write the letters ‘SLS’ (standing for Selected List Scheme) next to the drug name on the prescription. If these letters are not on the prescription, the pharmacist will ask you to pay for Levitra.

You may also be able to get Levitra on the NHS if you are diagnosed as suffering severe distress as a result of your ED. This diagnosis may have to be made by a hospital specialist rather than by your own GR

The majority of patients have to pay for their ED treatments (although the consultation with the doctor is still free), but a prescription from your doctor is still needed. It is not possible to buy Levitra ‘over the counter’s from a pharmacist.

What side effects can I expect from Levitra?

Levitra is generally well tolerated, although some men will experience side effects. These are due to effects of Levitra on other parts of the body apart from the penis and the most common ones are headache, facial flushing, indigestion and a stuffy or runny nose. Similar side effects are seen with drugs that act in the same way as Levitra.

Side effects with Levitra are rarely unpleasant enough to make men stop taking it and it is often found that, with continued use, the side effects tend to disappear. If you are bothered by side effects, then you should discuss these with your doctor.

How does Levitra compare with Cialis over Viagra?

In laboratory research conditions, Levitra is the most powerful of the presently available phosphodiesterases (compared with Cialis and Viagra). The question is whether then this equates to a superiority in a ‘clinical’ setting where healthy and difficult-to-treat groups, such as men with diabetes, are taking it. Up to now there have been no head-to-head data published, so for now we cannot answer the question as to which drug is ‘better’ or indeed which drug men prefer. At this stage, what can be said confidently is that this is another highly effective drug offering another choice for men with ED.

How to buy Viagra online

Get Viagra online

How to buy viagra online

How to buy viagra online

All that stands between a man’s impotence problems and revived virility Is a credit card, an Internet pharmacy, and a subtly packaged delivery of those famous blue, diamond-shaped pills—right? Not so fast. If you buy Viagra online or by mail order without taking precautions, you could end up with fake Viagra pills that aren’t effective—or safe.

Steps

  1. See your doctor first to evaluate possible causes for impotency, check your overall health, assess Viagra a suitability in your case, rule out medication conflicts, and make sure you’re fit for sex. The two of you will discuss possible side effects.
  2. Go to a U.S.-based online pharmacy certified by the National Association of Boards of Pharmacy (NABP) program and bearing the Verified Internet Pharmacy Practice Sites (V1PPS) trademark. VIPPS-designated sites are safe because they won’t diagnose online, honor the right to privacy, follow a quality assurance policy and let you talk directly with a pharmacist.
  3. Get assurance of the drug’s authenticity, precise dosage instructions and a list of possible side effects.

Desyrel trazodone antidepressant

Desyrel (Trazodone)

buy Desyrel Trazodone

This novel antidepressant is chemically unrelated to tricyclic, tetracyclic, or other antidepressants. How Desyrel works is not fully understood, but it is believed to inhibit serotonin uptake.

Desyrel should be taken with food or shortly after a meal or light snack to lower the risk of dizziness or lightheadedness. You may be more apt to feel dizzy or lightheaded if you take the drug before you have eaten. The recommended initial dose is 150 milligrams daily. This may be increased every few days by 50 milligrams a day to a maximum daily dose of 600 milligrams. Once you have responded well to Desyrel, your doctor may gradually reduce your dose.

Desyrel (Trazodone) Side Effects

Unlike antidepressants such as Prozac that may leave you pacing die floor at night, Desyrel can have you sleeping like a baby. Because of Desyrel’s sedative qualities, it’s often added to other drugs such as Prozac if insomnia becomes problematic.

On the downside, Desyrel may cause a rare but nasty side effect called priapism, a painful erection without sexual arousal. Priapism occurs when blood doesn’t drain from the penis’s spongy tissue, keeping it erect. Urgent treatment is needed in this case because of the risk of permanent damage to the penis. (Some patients have experienced permanent impairment of erection or impotence.) Desyrel has also been linked to some heart problems.

Other side effects include dry mouth (34 percent), dizziness (28 percent), blurred vision (15 percent), and nausea (13 percent).

You may need to undergo blood tests since this drug can reduce your white blood cell count. (White blood cells are an important part of the body’s immune system; low levels could be a problem if you develop an infection, sore throat, or fever.) Because of the link between Desyrel and some heart problems, your doctor may ask you to have blood pressure readings and electrocardiograms.

If you get too sleepy or dizzy, ask your doctor if you can take a larger portion of your total dose at bedtime, dividing the rest into two or three smaller doses during the day. Be extra cautious about driving, using machinery, or engaging in any activities that require alertness, judgment, or physical coordination until you and your doctor feel reasonably confident that the drug does not impair your abilities.

Drug Interactions

If Desyrel is taken with certain drugs, the effects of either may be increased, decreased, or altered. Desyrel may intensify the effects of alcohol, so you should not combine it with alcoholic beverages. It is especially important to check with your doctor before combining Desyrel with any of the following:

  • Barbiturates such as Seconal
  • Central nervous system depressants such as Demerol or Halcion
  • Chlorpromazinc (Thorazine)
  • Digoxin (Lanoxin)
  • Drugs for high blood pressure such as Catapres and Wytensin
  • Other antidepressants such as Prozac and Norpramin
  • Phenytoin (Dilantin)
  • Warfarin (Coumadin)
  • Little is known about the interaction between Desyrel and general anesthetics; therefore, this drug should be discontinued prior to elective surgery.

Pregnancy and Breast-feeding

Because some animal studies have revealed fetal deaths and birth defects, Desyrel is not recommended during the first three months of pregnancy- The effects of Desyrel during human pregnancy have not been adequately stud­ied. You and your doctor should weigh the potential risks to the fetus and to you before deciding whether or not to take antidepressants during pregnancy.

Desyrel may appear in breast milk (it has been found in lactating rats). If this drug is essential to your health, your doctor may advise you to discontinue breast-feeding until your treatment is finished.

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