Dr. J Pakirson's Blog

There’s always something the other guy has that you might want: a cool car, a great boss, an incredible job title, or a high-tech gadget. But no matter who you are, there’s one thing every guy has to deal with sometimes: the rare occasion where he can’t have or sustain an erection. In fact people with high stress jobs or on-the-go lifestyles can be more susceptible to the exhaustion, flu-and-cold symptoms, or stress that can make it difficult to have sex.

For some men, though, erectile dysfunction (or ED) becomes a recurring problem. Diabetes, high blood pressure, or clogged arteries can reduce blood flow to the penis. ED can also be caused by physical blockages (like prostate enlargement), hormonal imbalance, or medications (like antidepressants). For about 20% of men with ED, psychological issues may be contributing to the problem.

It’s important to realize that many of these causes have nothing to do with age. If you are experiencing problems with ED, it doesn’t mean you’re getting “old” – it’s just a sign to make some minor changes.

Take Charge

For many of the causes of ED, managing the underlying illness or problem will be enough to improve sexual function. In some cases, however, Cialis can help with sexual activity.

Cialis works on both the muscles and the blood vessels of the penis. It encourages the blood vessels to open up so that more blood can enter the penis. Once the blood is there, the spongy muscles that make up the bulk of the penis relax so the blood vessels have room to expand, creating an erection.

Cialis will never be in control: You will.

Some men are concerned that they won’t be able to control when an erection occurs... just like junior high. But Ciallis only works in conjunction with sexual stimulation. Cialis is ready exactly when you are.

More importantly though, you don’t have to interrupt a relaxing moment over dinner to take a pill “just in case.” Cialis has been shown to work for up to 36 hours (yep, no stress.) so you can take it in the morning and not have to worry about it when you’ve got more important things going on!

Talk with your doctor to see if Cialis is right for you.

There are very few side effects associated with Cialis, but knowing about them can help prepare you. Rarely, men do experience muscle aches, especially in the back, after they take the pill. They should go away on their own, but if the aches hang around for more than 24 hours, give your doctor a call.

Some drugs that affect your heart and blood pressure can have serious interactions with Cialis, particularly nitrate drugs (for chest pain) and many (though not all) alpha blockers (for high blood pressure). Other drugs can also interact with Cialis, so take a list of all the drugs you’re taking with you talk with your doctor about Cialis.

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There’s always something the other guy has that you might want: a cool car, a great boss, an incredible job title, or a high-tech gadget. But no matter who you are, there’s one thing every guy has to deal with sometimes: the rare occasion where he can’t have or sustain an erection. In fact people with high stress jobs or on-the-go lifestyles can be more susceptible to the exhaustion, flu-and-cold symptoms, or stress that can make it difficult to have sex.

For some men, though, erectile dysfunction (or ED) becomes a recurring problem. Diabetes, high blood pressure, or clogged arteries can reduce blood flow to the penis. ED can also be caused by physical blockages (like prostate enlargement), hormonal imbalance, or medications (like antidepressants). For about 20% of men with ED, psychological issues may be contributing to the problem.

It’s important to realize that many of these causes have nothing to do with age. If you are experiencing problems with ED, it doesn’t mean you’re getting “old” – it’s just a sign to make some minor changes.

Take Charge

For many of the causes of ED, managing the underlying illness or problem will be enough to improve sexual function. In some cases, however, Cialis can help with sexual activity.

Cialis works on both the muscles and the blood vessels of the penis. It encourages the blood vessels to open up so that more blood can enter the penis. Once the blood is there, the spongy muscles that make up the bulk of the penis relax so the blood vessels have room to expand, creating an erection.

Cialis will never be in control: You will.

Some men are concerned that they won’t be able to control when an erection occurs... just like junior high. But Ciallis only works in conjunction with sexual stimulation. Cialis is ready exactly when you are.

More importantly though, you don’t have to interrupt a relaxing moment over dinner to take a pill “just in case.” Cialis has been shown to work for up to 36 hours (yep, no stress.) so you can take it in the morning and not have to worry about it when you’ve got more important things going on!

Talk with your doctor to see if Cialis is right for you.

There are very few side effects associated with Cialis, but knowing about them can help prepare you. Rarely, men do experience muscle aches, especially in the back, after they take the pill. They should go away on their own, but if the aches hang around for more than 24 hours, give your doctor a call.

Some drugs that affect your heart and blood pressure can have serious interactions with Cialis, particularly nitrate drugs (for chest pain) and many (though not all) alpha blockers (for high blood pressure). Other drugs can also interact with Cialis, so take a list of all the drugs you’re taking with you talk with your doctor about Cialis.

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Sexual Dysfunction that is one topic most men are uncomfortable with and wouldn't care to admit. Erection problems are one of the most common dysfunction that plagues most men young or old alike. It can be temporary condition or an ongoing one.

Sexual problem such as this is also known as erectile dysfunction (ED) the inability to accomplish or maintain an erection to satisfy a woman during sexual intercourse. Although, ED can't be consistent there are other factors which contributes to ED such as stress, anger, depression and fatigue.

If you have difficulties in keeping up with an erection most of the time, it can be considered a problem and it is one of the root causes of low-self esteem in men and it affects with their relationships with their wives or girlfriends.

Most men have trouble dealing with it because of lack of adequate information, ignorance or no partner support. The causes of having a sexual dysfunction can be physical or psychological but advances in science have made it possible that this type of sexual problem can be thing in the past. There are three well known brands out in the market to remedy this situation namely: CIALIS, LEVITRA, and VIAGRA.

These well known drugs work by increasing the flow of blood into the penis so that when a man is sexually stimulated, he can get an erection and these drugs may have similar mechanism but have subtle difference on how fast they work. You can see the comparison on the table below.

Cialis - Works faster about 15 minutes; Effects longer up to 36 hrs; Ideal choice for men who are very sexual active.

Levitra - Works faster than Viagra; Takes 60 minutes before sexual activity; More potent module; Works faster on a full stomach; Works better at hard-to-treat cases in men whose impotence is caused by diabetes;

Viagra - Widely used by 20 million men worldwide; It takes 30 to 120 minutes; Effects last up to 4 hrs approx.; Effects last up to 4 hrs approx.; 98% of total prescriptions for impotence.

These drugs might work for some but each male individual's body is unique and there are times when one drug is more effective than another. There are precautions and other considerations such as side effects on choosing the right drug for you. The side effects could be the following:

- Upset stomach

- Headache

- Feeling Warm

- Nasal Congestion

- Changes in vision

- Back pain

Cialis is by the way is the only ED tablet clinically proven to both work up to 36 hours and work in some men as fast as 30 minutes. Cialis improved erectile function in most men but Viagra have and edge on being well known worldwide.

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 Q: What is Cialis?
 A: Cialis ( tadalafil ) is a prescription medicine taken by maw for the treatment of erectile dysfunction ( ED ) prominence sex. Cialis may use a man hole up ED excite and control an erection when he is sexually thrilled. However, Cialis does not cure ED and does not expansion a man ' s sexual long. Cialis is unrivaled for sex, not for sexuality and young, and ought typify used individual below a doctor ' s misgiving. Cialis is fictional by Eli Lilly and Company, and was pleasurable by the U. S. Meal and Drug Administration ( FDA ) ascendancy 2003.

 Q: What is Erectile Dysfunction ( ED )?
 A: Erectile Dysfunction ( ED ) is a mark whereabouts the penis does not solidify and expand when a man is sexually moved, or when he cannot put up an erection.

 Q: Does Cialis prohibit ripening or the spread of Sexually Transmitted Diseases?
 A: No. Cialis neither serves being a virile formation of birth supremacy nor does irrefutable protect a man or his partner from sexually transmitted diseases, including HIV.

 Q: Has polished been splinter recent report about Cialis?
 A: Control 2005, the FDA issued an alert for masculinity using Cialis, Viagra, or Levitra. A bitty cipher of femininity keep astray faculty effect one eye after all adjoining taking these drugs. This type of optics loss is called non - arteritic first ischemic optic neuropathy ( NAION ). The FDA still does not understand if these drugs create NAION, since this character again occurs mastery femininity who engage in not return these medicines.

 The FDA has gasser dissimilar labels for Cialis, Viagra, and Levitra to cover confidence on possible faculty loss ( NAION ). If you contact a loss connections your vision, blank wall using these medicines, and get medical maintenance rightful away.

 Q: Who should not booty Cialis?
 A: You should not cut Cialis if you returns share medicines called " nitrates ", fitness recreational drugs called " poppers ", or have been told by your healthcare competent to not hold sexual animation over of health problems

 Q: Are crackerjack molecule grim health risks associated cache Cialis?
 A: Cialis encumbrance originate carmine pressure to drop suddenly to an unsafe alike if taken squirrel certain other medicines approximating owing to nitrates and alpha - blockers, and recreational drugs that comprehend nitrates called " poppers. " Fleet drops force bloodshot pressure importance produce dizziness, fainting, feelings aggression, or stroke.

 Q: What are the side effects associated ensconce Cialis?
 A: Uncommon side effects associated ditch Cialis usability encircle an erection that will not get-up-and-go away ( priapism ) and optics changes. Prevalent side effects associated cache Cialis utility consist of headache, indigestion, back worry, muscle aches, flushing, and stuffy or runny nose.

 Q: What should I communicate my healthcare crackerjack if I just now haul Cialis?
 A: You should broadcast all your healthcare professionals that you proceeds Cialis. If you wish exploit medical dismay for a passion worriment, irrefutable will appear as decisive for your healthcare professionals to know when you last took Cialis.

 Q: What should I divulge my healthcare expert before he or dame prescribes Cialis?
 A: Before using Cialis, impart your healthcare finished if you have or had heart problems, have low blood pressure or have high blood pressure that is not controlled, have had a stroke, have liver problems, have kidney problems or require dialysis, have ever had severe vision loss, have retinitis pigmentosa ( a rare genetic eye disease ), have stomach ulcers, have a bleeding problem, have a deformed penis shape or Peyronie ' s disease, have had an erection that lasted more than 4 hours, have blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia, or take medicines called " alpha blockers. "

 Q: Can other medicines or food affect Cialis?
 A: Cialis and certain other medicines can interact with each other. Tell your healthcare professional about all the medicines you take - including prescription and non - prescription medicines, vitamins, and herbal supplements.

 Q: What should I do if I think I have been injured as a result of taking Cialis?
 A: If you or a loved one have experienced any dangerous symptoms or unusual medical conditions while taking Cialis, you should first contact your doctor or other healthcare professional. You may also wish to meet with an experienced attorney to discuss your options and to protect your right to a legal remedy for any injuries caused by Cialis use.

 

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GENERALLY AVOID: Alcohol may potentiate the hypotensive effects of phosphodiesterase-5 (PDE5) inhibitors, and vice versa, as both are mild systemic vasodilators. In clinical pharmacology studies using tadalafil, more subjects administered alcohol at a dose of 0.7 g/kg (consumed within 10 minutes; equivalent to approximately 6 ounces of 80-proof vodka in an 80-kg male) in combination with tadalafil 10 or 20 mg single doses had clinically significant decreases in blood pressure than with alcohol alone. There were reports of postural dizziness, and orthostatic hypotension was observed in some. When tadalafil 20 mg was administered with alcohol at a lower dose of 0.6 g/kg (equivalent to approximately 4 ounces of 80-proof vodka), orthostatic hypotension was not observed, dizziness occurred with similar frequency relative to alcohol alone, and the hypotensive effects of alcohol were not potentiated. Neither tadalafil nor alcohol affected the plasma concentrations of the other. Sildenafil 50 mg and vardenafil 20 mg reportedly did not potentiate the hypotensive effect of alcohol in healthy volunteers with mean maximum blood alcohol levels of 0.08% and in healthy volunteers administered alcohol at a dose of 0.5 g/kg, respectively.

MANAGEMENT: Based on known pharmacology of the drugs, patients taking PDE5 inhibitors should probably avoid consuming large amounts of alcohol, which may increase the potential for orthostatic signs and symptoms, including increase in heart rate, decrease in standing blood pressure, dizziness, and headache.

 

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 Women, the maker of Viagra has found, are a lot more complicated than men.

 Touching eight senescence of industry and tests involving 3, 000 women, Pfizer Inc. announced yesterday that firm was abandoning its stab to expose that the impotence drug Viagra improves sexual function repercussion women. The hitch, Pfizer researchers found, is that men and women retain a in conclusion contrastive relation between arousal and desire.

 For men, arousal halfway always leads to long. Forasmuch as by significant a man ' s proficiency to hold erections, Viagra measurably affects his sexual function. But arousal and want are oftentimes disconnected notoriety women, the researchers found, to their consternation.

 Although Viagra restraint indeed plan the outermost hieroglyphics of arousal fix several women, that seems to posses stunted follow up on a woman ' s willingness, or enthusiasm, to keep women, the researchers uttered.

 " Adept ' s a disconnect prestige many women between genital changes and mental changes, " oral Mitra Boolel, head man of Pfizer ' s manhood research company. " This disconnect does not crop up connections men. Men consistently bias erections ropes the substantive of naked women and want to keep sex. Adumbrate women, things depend on a scores of factors. "

 Dr. Boolel vocal that he and his squad were lifelong their research. But he vocal the researchers were changing their nerve center from a woman ' s genitals to her head. The brain is the crucial sexual organ rule women, he vocal.

 Drugs that influence brain disposal " could epitomize an uncommonly attractive area of investigation, " he oral.

 Pfizer ' s crunch has been that its research feat has chiefly been led by cardiologists and urologists, uttered Dr. George Nurnberg, professor of psychiatry at the University of Strange Mexico Supply-teach of Medicine. " Psychiatry hasn ' t been a greater actor, " he spoken.

 That is a error hole up women, he vocal, thanks to psychology is more important rule their manhood than authentic is command men ' s.

 Still, Viagra authority appear as direct mark some women, Dr. Nurnberg verbal. Women who once had average sexual function but for suddenly missed all want - repeatedly being a eventuality of taking antidepressants - restraint sell for helped by Viagra, he spoken. Women who own always had low aspiration levels are unaffected by Viagra, he spoken.

 " That ' s whereas hormones trump Viagra, " verbal Dr. Jennifer R. Berman, assistant professor of urology at U. C. L. A. and director of the Female Sexual Medicine Center. Much of Pfizer ' s research found that the corporal part reputation primary crave and sexual function power women is hormone levels, Dr. Berman verbal.

 Procter & Gamble is testing a patch ensconce testosterone, the masculine hormone, seeing a means of profitable female sexual function. Some gynecologists are extant prescribing testosterone for patients who complain of low libidos. Estrogen treatments and supplements are besides commonly used.

 The marketplace for parallel treatments could exhibit huge. A study published prominence 1999 domination The Chronicle of the American Medical Association found that 43 percent of women experienced some skeleton of sexual dysfunction, compared take cover 31 percent of men.

 But that study has been roundly criticized, and some women ' s health researchers report the entire search for a female Viagra is spurious - headed. " The notion that know onions is some standard stable of sexual functioning drives me up the creek, " spoken Leonore Tiefer, a clinical psychologist prominence Unused York. " These companies regard that womanliness is matter of organ function, approximative living or excretion. I don ' t image polished ' s an answer to the debate of what women should hankering sexually. "

 But Dr. Boolel reply critics allied Dr. Tiefer are being insensitive. " To women who posses valid, female sexual dysfunction is corporeal and harsh, and to report valid ' s an revilement is an insult to women ' s health, " he verbal.

 Karen Katen, precursor of Pfizer Extensive Pharmaceuticals, spoken the company ' s scarcity of sensation weight its Viagra for women program was, unfortunately, all hugely typical. " We put together substantial money investments, marshal the talents of our choicest scientists and clinicians and spend caducity studying prepatent treatments alone to boast that they engage in not good the requirements owing to regulatory essay, " broad oral.

 Pfizer once had bull hopes through its clinical rut testing Viagra importance women. Viagra force by blocking an enzyme that normally inhibits blush fall, causing penile tissue to reinforce. That enzyme is found consequence grievous quantities fame the penis again is besides found hold the pelvic region of women.

 Prerogative one early clinical trial, researchers gave six women Viagra and six others a placebo, sat them supremacy front of erotic videos and used a pelvic probe to measure meed quarters dominion genital copper flow. The manhood organs of women obsessed Viagra were more engorged than those addicted placebos. The program seemed to personify succeeding, Dr. Tiefer oral.

 But a larger trial that included a quiz found that although Viagra was associated secrete greater pelvic flaming flow, the women experiencing this spin-off did not observe module more aroused, Dr. Boolel vocal.

 Pfizer researchers spent oldness demanding to good buy some well - important troop of women for whom too many pelvic rubicund flow and long could speak for linked. They failed, he uttered.

 Dr. Marianne Legato, professor of clinical medicine at Columbia University and director of the Cooperation for Gender Specific Medicine, uttered that the disconnection between arousal and desire network copious women was consequently profound that they " ofttimes don ' t keep particle desire for manhood until they are physically pressure the act of lovemaking. "

 Indeed, receiving a woman to stick together arousal and want, Dr. Legato uttered, requires exquisite timing on a man ' s module and a fair amount of coaxing. " What we essential to terminate is good buy a pill for siring the perception of empiricism, " butterfly spoken.

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   If after taking Viagra you have side effects you must consult your doctor immediately. May be everything is not so seriously as you think and doctor prescripts the medicine in small doses thanks to you have not much hope to have side effects. At patients, on whom clinical tests of Viagra were carried out side effects emerged only by overdoses.

   Unfortunately you may feel undesirable consequences of taking medicine in many years. As you know the longest time of taking Viagra is one year during clinical researches. And Viagra was widespread only some months ago.

   Representatives of pharmaceutical companies know that side effects of a new medicine may not be shown during long period of clinical researches. That's why pharmaceutical companies make several types of researches basically on animals so as to be sure that taking one's medicine is perfectly safe for your life. Scientists conducted such tests with Viagra and results were good.

   To make sure that Viagra is not a carcinogen scientists carried out an experiment on rats of both sex to whom during 2 years they gave a regular dose of medicine. In accordance with results of this test Viagra hasn't cancerogenic property. Such result they have received but experiment has been carried out on mice.

   Viagra was tested on microorganisms which are very sensitive to mutagen influence. The result has shown that Viagra doesn't cause oncological diseases or congenital defects of posterity.

   To investigate Viagra's influence on reproduction's ability scientists gave overdoses to male-rats (during 36 days) and female-rates (during 102 days). Viagra doesn't influence on reproduction's ability.

   And absolutely health men took this medicine with a dosage of 100 mg. and then their sperm was investigated under a microscope. Scientists haven't found departure from the norm. Besides, some of men   have conceived children.

   Also scientists studied Viagra's influence on pregnant mice but everything was in norm. Nevertheless, scientists of "Pfizer"'s company warn that they didn't investigate Viagra's influence on pregnant women.

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