Sildenafil relaxes muscles and increases blood flow to particular areas of the body. Sildenafil is used to treat erectile dysfunction (impotence) and for the treatment of pulmonary arterial hypertension. Sildenafil may also be used for purposes other than those listed in this medication guide.

Important Information

A small number of patients have lost eyesight in one eye after taking sildenafil. This type of vision loss is called non-arteritic anterior ischemic optic neuropathy (NAION). NAION causes a sudden loss of eyesight because blood flow is blocked to the optic nerve. It is not clear at this time if sildenafil causes NAION. NAION also happens in patients who do not take this medicine. People who have a higher chance for NAION include those who:
- have heart disease;
- are over 50 years old;
- have diabetes;
- have high blood pressure;
- have high cholesterol;
- smoke; or
- have certain eye problems.
Stop using sildenafil if you have any loss in your eyesight and seek medical help right away. Do not take sildenafil if you are using a nitrate drug for chest pain or heart problems. Nitrates include nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro, others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite (”poppers”). Contact your doctor or seek emergency medical attention for any erection that lasts longer than 4 hours. A sustained erection can damage the penis. Refrain from further sexual activity and notify your doctor it you develop dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw) during sexual activity. Do not take sildenafil more than once a day.

Contraindications

A small number of patients have lost eyesight in one eye after taking sildenafil. This type of vision loss is called non-arteritic anterior ischemic optic neuropathy (NAION). NAION causes a sudden loss of eyesight because blood flow is blocked to the optic nerve. It is not clear at this time if sildenafil causes NAION. NAION also happens in patients who do not take this medicine. People who have a higher chance for NAION include those who:
- have heart disease;
- are over 50 years old;
- have diabetes;
- have high blood pressure;
- have high cholesterol;
- smoke; or
- have certain eye problems.
Stop using sildenafil if you have any loss in your eyesight and seek medical help right away. Do not take sildenafil if you are using a nitrate drug for chest pain or heart problems. Nitrates include nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro, others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite (”poppers”). Before taking sildenafil, tell your doctor if you
- have had a heart attack, stroke, or life-threatening irregular heartbeats within the last six months;
- have a history of heart failure;
- have coronary artery disease;
- have angina;
- have high or low blood pressure;
- have liver problems;
- have kidney problems;
- have ever had blood problems, including sickle cell anemia or leukemia;
- have a bleeding disorder;
- have a stomach ulcer;
- have retinitis pigmentosa (an inherited condition of the eye);
- have a physical deformity of the penis such as Peyronie’s disease;
- have a condition that could lead to prolonged and painful erections, such as a tumor of the bone marrow, sickle cell anemia, or leukemia; or
- are taking another medicine to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others).
You may not be able to take sildenafil, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Although sildenafil is not indicated for use by women, it is in the FDA pregnancy category B. This means that sildenafil is not expected to be harmful to an unborn baby. Sildenafil should not be taken by women. It is not known whether sildenafil passes into breast milk. Sildenafil should not be taken by women. If you are over 65 years of age, you may be more likely to experience side effects from sildenafil. Your doctor may prescribe a lower dose of this medication.

Dosage and Administration

Take sildenafil exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you. Take each dose with a full glass of water. Sildenafil is usually taken when needed. It can be taken anywhere from 4 hours to one-half hour before sexual activity. Generally, it is taken 1 hour before sexual activity. The medication can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor’s instructions. Taking sildenafil after eating a high-fat meal (such as a cheeseburger and french fries) may cause the medication to take a little longer to start working. Do not take sildenafil more than once a day. If you develop dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw) during sexual activity, refrain from further sexual activity and notify your doctor. Contact your doctor or seek emergency medical attention for any erection that lasts longer than 4 hours. A sustained erection can damage the penis. Grapefruit and grapefruit juice may interact with sildenafil. The interaction could lead to potentially adverse effects. You should discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.

Possible Side Effects

If you experience any of the following serious side effects, stop taking sildenafil and seek emergency medical attention or notify your doctor immediately:
- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
- chest pain or an irregular heartbeat;
- swelling of the ankles or legs;
- shortness of breath;
- prolonged or severe dizziness;
- a prolonged (lasting longer than 4 hours) or painful erection; or
- dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw).
Other, less serious side effects may be more likely to occur. Continue to take sildenafil and talk to your doctor if you experience
- flushing;
- mild dizziness;
- headache;
- nasal congestion;
- diarrhea;
- temporary blue tint in vision or other vision abnormalities; or
- itching or a rash.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

Miss a Dose

Sildenafil is used as needed, so you are not likely to miss a dose.

Overdosage

Seek emergency medical attention. Symptoms of a sildenafil overdose are not known, but are likely to include chest pain, dizziness, an irregular heartbeat, and swelling of the ankles or legs.

Drug Interaction

Do not take sildenafil if you are using a nitrate drug for chest pain or heart problems. Nitrates include nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro, others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite (”poppers”). Before taking sildenafil, tell your doctor if you are taking any of the following medications:
- any other drug used to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others);
- the antibiotic drugs clarithromycin (Biaxin), erythromycin (E-Mycin, Eryc, Ery-Tab, others), or troleandomycin (TAO);
- an antifungal medication such as itraconazole (Sporanox) or ketoconazole (Nizoral);
- the HIV medications amprenavir (Agenerase), delavirdine (Rescriptor), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir), or saquinavir (Fortovase, Invirase);
- cimetidine (Tagamet, Tagamet HB);
- phenobarbital (Luminal);
- carbamazepine (Tegretol) or phenytoin (Dilantin); or
· rifampin (Rifadin, Rifamate) or rifabutin (Mycobutin).
You may not be able to take sildenafil, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above. Drugs other than those listed here may also interact with sildenafil or affect your condition. Talk to your doctor or pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Precautions

Do not take any other drug used to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), without first talking to your doctor. Grapefruit and grapefruit juice may interact with sildenafil. The interaction could lead to potentially adverse effects. You should discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.

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• Do not take Cialis Soft if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite (“poppers”). Taking Cialis Soft with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.
• If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of Cialis Soft.
• Do not take Cialis Soft more than once a day. Allow 24 hours to pass between doses.
• Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.
• A small number of patients have had a sudden loss of eyesight after taking Cialis Soft. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether Cialis Soft is the actual cause of such vision loss. Sudden vision loss with Cialis Soft use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.
• Stop using Cialis Soft and get emergency medical help if you have sudden vision loss.

What is Cialis Soft?

• Cialis Soft relaxes muscles and increases blood flow to particular areas of the body.
• Cialis Soft is used to treat erectile dysfunction (impotence).
• Cialis Soft may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking Cialis Soft?

• Do not take Cialis Soft if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite (“poppers”). Taking Cialis Soft with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.
• A small number of patients have had a sudden loss of eyesight after taking Cialis Soft. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether Cialis Soft is the actual cause of such vision loss. Sudden vision loss with Cialis Soft use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.
• Before taking Cialis Soft, tell your doctor if you have:
  • heart disease or heart rhythm problems;
  • a recent history a heart attack (within the past 90 days);
  • a recent history of stroke or congestive heart failure (within the past 6 months);
  • angina (chest pain);
  • high or low blood pressure;
  • liver disease;
  • kidney disease (or if you are on dialysis);
  • a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
  • a bleeding disorder such as hemophilia;
  • a stomach ulcer;
  • retinitis pigmentosa (an inherited condition of the eye);
  • a physical deformity of the penis (such as Peyronie’s disease); or
  • if you have been told you should not have sexual intercourse for health reasons.
• If you have any of these conditions, you may not be able to use Cialis Soft or you may need a dosage adjustment or special tests during treatment.
• FDA pregnancy category B: Although Cialis Soft is not for use in women, this medication is not expected to be harmful to an unborn baby. Do not use Cialis Soft without telling your doctor if you are pregnant or plan to become pregnant during treatment.
• Although Cialis Soft is not for use in women, it is not known if Cialis Soft passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
• You may need a lower dose of this medication if you are older than 65. Follow your doctor’s instructions.

How should I take Cialis Soft?

• Take Cialis Soft exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor.
• Take each dose with a full glass of water.
• Cialis Soft can be taken with or without food.
• Cialis Soft is usually taken only when needed, just before sexual activity. The medication can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor’s instructions.
• Do not take Cialis Soft more than once a day. Allow 24 hours to pass between doses.
• Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.
• Store this medication at room temperature away from moisture and heat.

What happens if I miss a dose?

• Since Cialis Soft is used as needed, you are not likely to be on a dosing schedule.

What happens if I overdose?

• Seek emergency medical attention if you think you have used too much of this medicine.
• Symptoms of a Cialis Soft overdose may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

What should I avoid while taking Cialis Soft?

• Avoid drinking alcohol, which can increase some of the side effects of Cialis Soft.
• Grapefruit and grapefruit juice may interact with Cialis Soft. Discuss the use of grapefruit products with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
• Do not use any other drug to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), unless your doctor tells you to.

What are the possible side effects of Cialis Soft?

• If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of Cialis Soft.
• Stop using Cialis Soft and get emergency medical help if you have sudden vision loss.
• Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
• Stop using Cialis Soft and call your doctor at once if you have any of these serious side effects:
  • chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
  • irregular heartbeat;
  • swelling in your hands, ankles, or feet;
  • shortness of breath;
  • vision changes;
  • feeling light-headed, fainting; or
  • penis erection that is painful or lasts 4 hours or longer.
• Continue taking Cialis Soft and talk with your doctor if you have any of these less serious side effects:
  • warmth or redness in your face, neck, or chest;
  • stuffy nose;
  • headache;
  • upset stomach; or
  • back pain.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Cialis Soft?

• Before taking Cialis Soft, tell your doctor if you are using any of the following medications:
  • cimetidine (Tagamet, Tagamet HB);
  • erythromycin (E-Mycin, Eryc, Ery-Tab) or clarithromycin (Biaxin);
  • doxazosin (Cardura), prazosin (Minipress), terazosin (Hytrin);
  • HIV medicines such as amprenavir (Agenerase), tipranavir (Aptivus), darunavir (Prezista), efavirenz (Sustiva), nevirapine (Viramune), indinavir (Crixivan), saquinavir (Invirase, Fortovase), lopinavir/ ritonavir (Kaletra), fosamprenavir (Lexiva), ritonavir (Norvir), atazanavir (Reyataz), or nelfinavir (Viracept);
  • itraconazole (Sporanox) or ketoconazole (Nizoral);
  • carbamazepine (Tegretol), phenobarbital (Luminal), or phenytoin (Dilantin); or
  • rifampin (Rifadin, Rimactane).
• If you are using any of these drugs, you may not be able to take Cialis Soft, or you may need dosage adjustments or special tests during treatment.
• There may be other drugs not listed that can affect Cialis Soft. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Cialis Soft Price

• Do not take Kamagra if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite (“poppers”). Taking Kamagra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.
• If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of Kamagra.
• Do not take Kamagra more than once a day. Allow 24 hours to pass between doses.
• Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.
• A small number of patients have had a sudden loss of eyesight after taking Kamagra. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether Kamagra is the actual cause of such vision loss. Sudden vision loss with Kamagra use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.
• Stop using Kamagra and get emergency medical help if you have sudden vision loss.

What is Kamagra?

• Kamagra relaxes muscles and increases blood flow to particular areas of the body.
• Kamagra is used to treat erectile dysfunction (impotence) in men. Another brand of Kamagra is Revatio, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women.
• Kamagra may also be used for purposes other than those listed here.

What should I discuss with my healthcare provider before taking Kamagra?

• Do not take Kamagra if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite (“poppers”). Taking Kamagra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.
• A small number of patients have had a sudden loss of eyesight after taking Kamagra. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether Kamagra is the actual cause of such vision loss. Sudden vision loss with Kamagra use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.
• Before taking Kamagra, tell your doctor if you have:
  • heart disease or heart rhythm problems;
  • a recent history (in the past 6 months) of a heart attack, stroke, or heart rhythm disorder;
  • congestive heart failure;
  • high or low blood pressure;
  • coronary artery disease;
  • liver disease;
  • kidney disease;
  • a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
  • a bleeding disorder such as hemophilia;
  • a stomach ulcer;
  • retinitis pigmentosa (an inherited condition of the eye);
  • a physical deformity of the penis (such as Peyronie’s disease); or
  • if you have been told you should not have sexual intercourse for health reasons.
• If you have any of these conditions, you may not be able to use Kamagra or you may need a dosage adjustment or special tests during treatment.
• FDA pregnancy category B: This medication is not expected to be harmful to an unborn baby. Do not use Kamagra without telling your doctor if you are pregnant or plan to become pregnant during treatment.
• It is not known if Kamagra passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Kamagra?

• Take Kamagra exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor.
• Revatio is usually taken three times each day, about 4 to 6 hours apart.
• Viagra is usually taken only when needed, 30 minutes to 1 hour before sexual activity. You may take it up to 4 hours before sexual activity. Do not take Viagra more than once per day.
• Viagra can help you have an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor’s instructions.
• If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of Kamagra.
• Store this medication at room temperature away from moisture and heat.

What happens if I miss a dose?

• Viagra is used as needed, so you are not likely to miss a dose.
• If you miss a dose of Revatio, take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

• Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a Kamagra overdose may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

What should I avoid while taking Kamagra?

• Avoid drinking alcohol, which can increase some of the side effects of Kamagra.
• Avoid using other medicines to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), without first talking to your doctor.

What are the possible side effects of Kamagra?

• If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of Kamagra.
• Stop using Kamagra and get emergency medical help if you have sudden vision loss.
• Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
• Stop using Kamagra and call your doctor at once if you have any of these serious side effects:
  • chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
  • irregular heartbeat;
  • swelling in your hands, ankles, or feet;
  • shortness of breath;
  • vision changes;
  • feeling light-headed, fainting; or
  • penis erection that is painful or lasts 4 hours or longer.
• Continue taking Kamagra and talk with your doctor if you have any of these less serious side effects:
  • warmth or redness in your face, neck, or chest;
  • stuffy nose;
  • headache;
  • upset stomach; or
  • back pain.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Kamagra?

• Do not take Kamagra if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket), or recreational drugs such as amyl nitrate or nitrite (“poppers”).
• Before taking Kamagra, tell your doctor if you are using any of the following medications:
  • bosentan (Tracleer);
  • cimetidine (Tagamet, Tagamet HB);
  • an antibiotic such as erythromycin (E-Mycin, Eryc, Ery-Tab) or clarithromycin (Biaxin);
  • doxazosin (Cardura), prazosin (Minipress), Terazosin (Hytrin);
  • HIV medicines such as amprenavir (Agenerase), tipranavir (Aptivus), darunavir (Prezista), efavirenz (Sustiva), nevirapine (Viramune), indinavir (Crixivan), saquinavir (Invirase, Fortovase), lopinavir/ ritonavir (Kaletra), fosamprenavir (Lexiva), ritonavir (Norvir), atazanavir (Reyataz), or nelfinavir (Viracept);
  • an antifungal medication such as itraconazole (Sporanox) or ketoconazole (Nizoral);
  • carbamazepine (Tegretol), phenobarbital (Luminal), or phenytoin (Dilantin); or
  • rifampin (Rifadin, Rimactane) or rifabutin (Mycobutin).
• If you are using any of these drugs, you may not be able to take Kamagra, or you may need dosage adjustments or special tests during treatment.
• There may be other drugs not listed that can affect Kamagra. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

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• Do not take Levitra if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite (“poppers”). Taking Levitra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.
• If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of Levitra.
• Do not take Levitra more than once a day. Allow 24 hours to pass between doses.
• Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.
• A small number of patients have had a sudden loss of eyesight after taking Levitra. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether Levitra is the actual cause of such vision loss. Sudden vision loss with Levitra use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.
• Stop using Levitra and get emergency medical help if you have sudden vision loss.

What is Levitra?

• Levitra relaxes muscles and increases blood flow to particular areas of the body.
• Levitra is used to treat erectile dysfunction (impotence).
• Levitra may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking Levitra?

• Do not take Levitra if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite (“poppers”). Taking Levitra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.
• A small number of patients have had a sudden loss of eyesight after taking Levitra. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether Levitra is the actual cause of such vision loss. Sudden vision loss with Levitra use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.
• Before taking Levitra, tell your doctor if you have:
  • heart disease or heart rhythm problems;
  • a recent history (in the past 6 months) of a heart attack, angina (chest pain), or congestive heart failure;
  • a history of stroke or blood clots;
  • a personal or family history of “Long QT syndrome”;
  • high or low blood pressure;
  • liver disease;
  • kidney disease (or if you are on dialysis);
  • a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
  • a bleeding disorder such as hemophilia;
  • a stomach ulcer;
  • retinitis pigmentosa (an inherited condition of the eye);
  • a physical deformity of the penis (such as Peyronie’s disease); or
  • if you have been told you should not have sexual intercourse for health reasons.
• If you have any of these conditions, you may not be able to use Levitra or you may need a dosage adjustment or special tests during treatment.
• FDA pregnancy category B: Although Levitra is not for use in women, this medication is not expected to be harmful to an unborn baby. Do not use Levitra without telling your doctor if you are pregnant or plan to become pregnant during treatment.
• Although Levitra is not for use in women, it is not known if Levitra passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
• You may need a lower dose of this medication if you are older than 65. Follow your doctor’s instructions.

How should I take Levitra?

• Take Levitra exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor.
• Take each dose with a full glass of water.
• Levitra can be taken with or without food.
• Levitra is usually taken only when needed, up to 60 minutes before sexual activity. The medication can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor’s instructions.
• Do not take Levitra more than once a day. Allow 24 hours to pass between doses.
• Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.
• Store this medication at room temperature away from moisture and heat.

What happens if I miss a dose?

• Since Levitra is used as needed, you are not likely to be on a dosing schedule.

What happens if I overdose?

• Seek emergency medical attention if you think you have used too much of this medicine.
• Symptoms of a Levitra overdose may include back pain, muscle pain, or vision problems.

What should I avoid while taking Levitra?

• Avoid drinking alcohol, which can increase some of the side effects of Levitra.
• Grapefruit and grapefruit juice may interact with Levitra. Discuss the use of grapefruit products with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
• Do not use any other drug to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), unless your doctor tells you to.

What are the possible side effects of Levitra?

• If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of Levitra.
• Stop using Levitra and get emergency medical help if you have sudden vision loss.
• Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
• Stop using Levitra and call your doctor at once if you have any of these serious side effects:
  • chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
  • irregular heartbeat;
  • swelling in your hands, ankles, or feet;
  • shortness of breath;
  • vision changes;
  • feeling light-headed, fainting; or
  • penis erection that is painful or lasts 4 hours or longer.
• Continue taking Levitra and talk with your doctor if you have any of these less serious side effects:
  • warmth or redness in your face, neck, or chest;
  • stuffy nose;
  • headache;
  • upset stomach; or
  • back pain.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Levitra?

• Before taking Levitra, tell your doctor if you are using any of the following medications:
  • cimetidine (Tagamet, Tagamet HB);
  • erythromycin (E-Mycin, Eryc, Ery-Tab) or clarithromycin (Biaxin);
  • doxazosin (Cardura), prazosin (Minipress), terazosin (Hytrin);
  • HIV medicines such as amprenavir (Agenerase), tipranavir (Aptivus), darunavir (Prezista), efavirenz (Sustiva), nevirapine (Viramune), indinavir (Crixivan), saquinavir (Invirase, Fortovase), lopinavir/ ritonavir (Kaletra), fosamprenavir (Lexiva), ritonavir (Norvir), atazanavir (Reyataz), or nelfinavir (Viracept);
  • itraconazole (Sporanox) or ketoconazole (Nizoral);
  • heart rhythm medicine such as amiodarone (Cordarone, Pacerone), quinidine(Quinidex, Quinaglute), procainamide (Procan, Pronestyl), or sotalol (Betapace);
  • carbamazepine (Tegretol), phenobarbital (Luminal), or phenytoin (Dilantin); or
  • rifampin (Rifadin, Rimactane).
• If you are using any of these drugs, you may not be able to take Levitra, or you may need dosage adjustments or special tests during treatment.
• There may be other drugs not listed that can affect Levitra. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Levitra Price

• Women who are or who may become pregnant must not handle crushed or broken Propecia tablets. The medication could be absorbed through the skin. Propecia is known to cause birth defects in a developing male baby. Exposure to whole tablets should be avoided whenever possible, however exposure to whole tablets is not expected to be harmful as long as the tablets are not swallowed.

What is Propecia?

• Propecia prevents the conversion of testosterone to dihydrotestosterone (DHT) in the body. DHT is involved in the development of benign prostatic hyperplasia (BPH) and hair loss.
• Propecia is used to treat benign prostatic hyperplasia (enlarged prostate). Propecia is also used to reduce hair loss due to male pattern baldness.
• Propecia may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking Propecia?

• Before taking this medication, tell your doctor if you have liver disease. You may not be able to take Propecia, or you may need a lower dose or special monitoring during treatment.
• Propecia is intended for use by men only.
• Propecia is not indicated for use by women. Do not take or handle this medication if you are pregnant or are could become pregnant during treatment. Propecia is in the FDA pregnancy category X. This means that it is known to cause birth defects in an unborn baby. Women who are or who may become pregnant must not handle crushed or broken Propecia tablets. The medication could be absorbed through the skin. Propecia is known to cause birth defects in a developing male baby. Exposure to whole tablets should be avoided whenever possible, however exposure to whole tablets is not expected to be harmful as long as the tablets are not swallowed.
• It is not known whether Propecia passes into breast milk. Propecia is not intended for use by women. Do not take this medication if you are breast-feeding a baby.

How should I take Propecia?

• Take Propecia exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass of water.
• Propecia can be taken with or without food.
• It is important to take Propecia regularly to get the most benefit.
• Your doctor may perform blood tests or other forms of monitoring during treatment with Propecia. One of the tests that may be performed is called PSA (prostate-specific antigen). This test is used to help detect prostate cancer. Propecia will reduce the amount of PSA measured in the blood. Your doctor is aware of this effect and can still use PSA to help detect prostate cancer.
• Store this medication at room temperature away from moisture and heat.

What happens if I miss a dose?

• Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the dose you missed and take only the next regularly scheduled dose. Do not take a double dose unless otherwise directed.

What happens if I overdose?

• Seek emergency medical attention if an overdose is suspected.
• Symptoms of a Propecia overdose are not known.

What should I avoid while taking Propecia?

• There are no restrictions on food, beverages, or activities during treatment with Propecia unless your doctor directs otherwise.

What are the possible side effects of Propecia?

• Stop taking Propecia and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives).
• Other, less serious side effects have been reported but usually resolve with continued treatment. Continue to take Propecia and notify your doctor if you experience
  • decreased libido (sex drive);
  • decreased volume of ejaculate;
  • impotence (trouble getting or keeping an erection); or
  • breast tenderness or enlargement.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Propecia?

• There are no known interactions between Propecia and other medications. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Propecia Price

The combination of ingredients in VAZOMYNE™is specifically designed to improve erection quality and increase sexual performance and eliminate symptoms associated with poor erection quality.

VAZOMYNE™ acts like “fuel injection” for your veins and capillaries, increasing the key element of erection quality… BLOOD FLOW! When you were younger, the channels that carried blood were more efficient. As you age, it’s natural that the channels don’t flow as well. Combined with other lifestyle choices such as poor diet, drinking alcohol and caffeine, and smoking to name a few, this makes for a poor environment to produce strong quality erections. Now, by taking VAZOMYNE™ you can widen those channels once again to achieve the erection quality and sexual performance you once had.

We have researched and chosen only the most effective of all known ingredients for improving erection quality and sexual performance. Never before could you buy the most potent forms of these ingredients combined together in one pill.

That’s why you’ll never find a solution like VAZOMYNE™ anywhere else in the world.

How Fast Will VAZOMYNE™ Work For You?

If you’re like most men, you want it to work fast, right? VAZOMYNE™ will begin to work within hours of your first dose. You should be able to start feeling a difference within 2 to 4 days of taking VAZOMYNE™.

Some patients have written to us regarding phenomenal results they’ve experienced within 48 hours after taking twice the recommended daily dosage and taking an additional dose 20 minutes prior to engaging in sexual intercourse.

Imagine… In just a couple of days, your inability to achieve an erection is gone, vanished, and your sexual performance begins to skyrocket. You really can’t ask for more than that, can you?

Here is What Will Happen When You Start Using VAZOMYNE™

You’ll once again begin getting hard, spontaneous erections in the middle of the day and while sleeping at night!
You’ll begin feeling more confident when performing sexually!
You’ll find the length of your sexual encounters getting longer and longer!
You’ll satisfy your partner more, leaving them desiring sex from you more often!
You’ll begin feeling younger sexually and physically!

VAZOMYNE

With the addition of three new ingredients to VigRX Plus™ we’ve done what was believed to be impossible - improve upon the results delivered by VigRX™.

To achieve this amazing result we added Tribulus and Damiana and an ingredient found in no other penis enhancement product on the market - Bioperine®. Damiana and Tribulus have successfully been used for thousands of years to increase libido. Their addition to the winning VigRX™ formula has seen users experience dramatically improved results. Bioperine® is likely to revolutionize the entire supplement industry.

Why does VigRX Plus™ work so much better than competing products?

Aside from having the correct formulation, the most important factor in producing results is the quality of the ingredients. The ingredients in VigRX Plus™ are the freshest and finest ingredients available. That’s why no other penis enhancement pill on the market can compare to VigRX Plus™.

What’s in VigRX Plus™, and how does it work?

The VigRX Plus™ formula has been scientifically engineered for maximum possible results. We did our homework to create this one of a kind formula. It includes scientifically tested, potent aphrodisiac herbal concentrates from China, Europe and South America.

This precise blending of herbs forms a powerfully effective combination guaranteed to stimulate sexual activity, maintain a firm erection and increase sexual pleasure. While the benefits of all of these ingredients have been known for centuries, it’s important to know that clinical studies have backed up these benefits. Plus with the addition of Bioperine® our ingredients are even more effective.

Ingredients

Bioperine® - clinically proven to increase herbal supplements absorption rates.

U.S. clinical studies have shown that Bioperine® safely increases the absorption rates of nutrients that it is combined with. Simply stated, Bioperine® makes supplements work better.

Studies with Bioperine® show that Bioperine® increases the absorption of coenzyme Q10 by approximately 30%, with some trials demonstrating a 20-fold increase in bioavailability. Bioperine® has demonstrated its effectiveness and been awarded serveral U.S. patents as a bioavailability enhancer (including # 5,536,506, # 5,744,161 and # 5,972,382).

Damiana has been used in Central and South America from the time of the Mayans as an aphrodisiac. It has developed a reputation over thousands of years as a proven way to increase sexual stamina, improve erectile function and enhance orgasms. While there have been no clinical studies on humans testing its effects on sexual performance, clinical studies on mice have shown an increase in sexual activity.

Tribulus Terrestris has been used in Europe for thousands of years as a method to treat sexual dysfunction and increase libido. No side effects have been noted in its long history of use. Clinical studies in Bulgaria in the early 80’s showed it’s effectiveness in improving erectile function. It was found to increase the level of luteinising hormone levels (LH) thus improving the level of testosterone in the body. Its use is now accepted by the mainstream European medical community. Recently it has surged in use in North America as athletes have discovered its ability to increase their strength and stamina.

EPIMEDIUM LEAF EXTRACT - Also known as “Horny Goat Weed”, Epimedium has been used for thousands of years as a libido enhancer.

Medical research has discovered that the active ingredient is icariin. Icariin is used to increase erectile function. Another effect of Epimedium is, it allows more blood to flow to the penis. It does this by allowing the nitric oxide levels to increase, relaxing smooth muscles. It also acts as a mild PDE-5 inhibitor. Like Viagra, Epimedium reduces PDE-5 levels, although at a level that doesn’t produce unwanted side effects.

After centuries of use in China, top medical doctors now report that Epimedium can be used to boost libido, improve erectile function, restore sexual power and increase sensation. Scientifically, Epimedium works by freeing up testosterone, which naturally increases sex drive and endurance.

CUSCUTA SEED EXTRACT - A recent medical trial studied the effect of Semen Cuscutae on men with dead sperm. The result showed a more than 70% increase in live sperm and sperm motility.

Other uses of Cuscuta are treatment of premature ejaculation, leukorrhea as well as aching lower back, symptoms that often accompany deficient kidney conditions which cause sexual weakness. It is used to increase fertility in both men and women, and is listed as an aphrodisiac in all traditional Chinese pharmacopoeias.

Ginkgo has been shown to be nutritional support for mental alertness, enhanced vitality level, circulatory health and blood vessel health.

Like Cuscuta, Gingko Biloba increases vascular blood flow- resulting in improved erections. Studies have suggested that Gingko biloba works by promoting smooth muscle relaxation in the corpus cavernosum. In the last 30 years, more than 300 studies have given clinical evidence that Ginkgo prevents and benefits many problems throughout the entire body.

Ginkgo improves peripheral circulation, oxygenation, and increases blood flow to the genitals to improve sexual function and the power of an erection. In a recent scientific study, 78% of men with non-medically caused impotence problems reported significant improvement - with no side effects.

ASIAN RED GINSENG - The traditional use of Ginseng is to overcome general weakness and deliver extra energy. It also has aphrodisiacal powers.

A double-blind study by the Department of Urology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea attempted to study the “efficacy of Korean red ginseng for erectile dysfunction.” Their conclusion was that Korean red ginseng can be an effective alternative for treating male erectile dysfunction.

A key ingredient of Ginseng is ginsenoside, which alters blood flow to the brain and penis and can build blood and sperm. Russian scientists have reported and recorded that Ginseng stimulates both physical and mental activity, enhances athletic performance and has a positive effect on the sex glands.

Used to combat non medically caused impotence, and premature ejaculation, Ginseng helps normalize blood pressure

Saw Palmetto berries have long held a reputation as sexual stimulants and aphrodisiacs.

The medical journal JAMA published research showing how Saw Palmetto is effective for the treatment of men with symptomatic benign prostatic hyperplasia. Saw Palmetto has shown significant action in treatment of conditions associated with benign prostatic hypertrophy (BPH). Saw Palmetto extract works to prevent testosterone from converting into dihydrotestosterone, the hormone thought to cause prostrate cells to multiply which leads to an enlarged prostate.

The effects of Saw Palmetto are a result of multiple mechanisms. One mechanism is that it relaxes smooth muscle tissue resulting in increased blood flow. Saw Palmetto also inhibits androgen and estrogen receptor activity and may be beneficial for both sexes in balancing the hormones. Because of its hormonal effects, Saw Palmetto can aid the thyroid in regulating sexual development and normalizing activity of those glands and organs. Currently, Saw Palmetto is widely used in Germany, Canada, the United Kingdom and the U.S. for nutritionally benefiting the prostate and urinary tract.

Their largest use today is as a supplement for reducing enlarged prostate glands, treating urinary tract problems and for improving body strength. Saw Palmetto is one of the few herbal remedies that are considered to be anabolic — strengthening and building body tissues.

Muira Pauma is used to restore sexual virility and to increase sexual desire and potency in men.

Dr. Jacques Waynberg, at the Institute of Sexology in Paris, France, did a study of 262 men complaining of lack of sexual desire, or the inability to maintain or attain an erection. The results showed that 62% of men with a lack of libido had benefited. 51% of men who had erection problems also benefited.

Recent clinical studies further validate the potency of Muira Pauma. Presently, the mechanism of action of Muira Pauma is unknown. From the preliminary information, it appears that it works on enhancing both psychological and physical aspects of sexual function. Future research will undoubtedly shed additional light on this extremely promising herb for erectile dysfunction.

CATUABA BARK EXTRACT - The historic traditional use of this herbal tonic is legendary. Many say it is the most famous of all the Brazilian aphrodisiac plants. It is said that regular consumption of Catuaba bark over a period of time leads first to erotic dreams, which are later followed by increased libido.

Medical studies have shown that in addition to it’s antiviral and antibacterial properties, it dilates blood vessels. According to Dr. Meira Penna, Catuaba functions as a stimulant of the nervous system, above all when one deals with functional impotence of the male genital organ.

It is a strong tonic and nervous system fortifier. Long known for its general capability of giving strength and relieving fatigue. The effect is pronounced in men, especially as a libido enlivener.

HAWTHORN BERRY - This phytochemical, with exceptional preventive capacities, comes from the hawthorn tree. Hawthorn is rich in bioflavonoids, which relax and dilate the arteries. These compounds are powerful antioxidants that help increase the flow of blood and oxygen to the heart. This reduces the work required by the heart to circulate blood, and in turn this reduces blood pressure and stress to the heart muscle. The bioflavonoid substances in Hawthorn give strength to the walls of blood vessels and improve blood flow to other areas of the body. Components in Hawthorn have also been shown to lower cholesterol, and the amount of plaque in arteries.

Officially approved for pharmaceutical use in Germany, government studies show the Hawthorn plant to be completely free of any side effects. European studies have shown that the Hawthorn botanical increases blood flow to the heart and brain, protects the heart from irregular beats, enhances the strength of the heart’s contractions, and mildly lowers blood pressure.

VigRX Plus

• You should not take Zyban if you have epilepsy or a seizure disorder, an eating disorder such as anorexia or bulimia, if you are using a second form of Zyban, or if you have suddenly stopped using alcohol or sedatives. Do not take Zyban if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl), or tranylcypromine (Parnate) in the last 14 days.
• You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are 18 years of age or younger. Talk with your doctor about this risk. While you are taking this medication you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
• Contact your doctor if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/ or physical hyperactivity), or thoughts of suicide or hurting yourself.
• Do not stop taking Zyban without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.
• Avoid using Zyban to treat more than one condition at a time. If you take Wellbutrin for depression, do not also take Zyban to quit smoking. Too much of this medicine can increase your risk of a seizure.
• Do not smoke at any time if you are using a nicotine product along with Zyban. Too much nicotine can cause serious side effects.
• Avoid drinking alcohol while taking Zyban. Alcohol may increase your risk of a seizure while you are taking Zyban. If you drink alcohol regularly, talk with your doctor before changing the amount you drink. Zyban can cause seizures in people who drink a lot of alcohol and then suddenly quit drinking when they start using the medication.
• There are many other drugs that can affect Zyban. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

What is Zyban?

• Zyban is an antidepressant medication.
• Zyban is used to treat major depressive disorder and seasonal affective disorder.
• At least one brand of Zyban (Zyban) is used to help people stop smoking by reducing cravings and other withdrawal effects.
• Zyban may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking Zyban?

• Do not take Zyban if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl), or tranylcypromine (Parnate) in the last 14 days.
• You should not take Zyban if you have:
  • epilepsy or a seizure disorder;
  • an eating disorder such as anorexia or bulimia;
  • if you are using a second form of Zyban; or
  • if you have suddenly stopped using alcohol or sedatives (such as Valium).
• Zyban may cause seizures, especially if you have any of the following conditions:
  • head injury, brain or spinal cord tumor;
  • bipolar disorder (manic depression);
  • diabetes for which you use insulin or take oral medication;
  • current use of steroids, theophylline (Theo-Dur, Slo-Bid, Bronkodyl Theolair, Respbid), or medicine to treat depression or mental illness; or
  • recent use of alcohol, sedatives (such as Valium), narcotic pain medicines, diet pills, or street drugs such as “speed” or cocaine.
• Before taking Zyban, tell your doctor if you have high blood pressure, heart disease, liver disease, kidney disease, or severe liver disease (especially cirrhosis).
• You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are under 18 years old. While you are taking Zyban, you will need to be monitored for worsening symptoms of depression and/ or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. In addition to you watching for changes in your own symptoms, your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
• Contact your doctor if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/ or physical hyperactivity), or thoughts of suicide or hurting yourself.
• FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
• Zyban passes into breast milk and could be harmful to a nursing baby. Do not take Zyban without telling your doctor if you are breast-feeding a baby.
• You should not smoke if you use inhaled insulin (Exubera) to treat diabetes. Smoking may cause you to have low blood sugar (hypoglycemia) while using Exubera. Do not use Exubera unless you have been smoke-free for at least 6 months. Do not start smoking again or you will have to stop using Exubera.

How should I take Zyban?

• Take Zyban exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from the medication.
• Zyban can be taken with or without food.
• Take each dose with a full glass of water.
• Do not crush, chew, or break the extended-release tablet (Wellbutrin SR, Wellbutrin XL, Zyban SR). Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.
• If you take Zyban to help you stop smoking, you may continue to smoke for about 1 week after you start the medicine. Set a date to quit smoking during the second week of Zyban treatment. By that time you will have enough of the medicine in your blood stream to help you quit smoking. Talk to your doctor if you are having trouble quitting after you have used Zyban for at least 7 weeks.
• Your doctor may prescribe nicotine patches or gum to help support your smoking cessation treatment. Be sure you read all directions and safety information for the nicotine product. Using nicotine with Zyban may raise your blood pressure and your doctor may want to check your blood pressure regularly. Do not smoke at any time if you are using a nicotine product along with Zyban. Too much nicotine can cause serious side effects.
• Do not stop taking Zyban without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.
• If you use the Zyban extended-release tablet, the tablet shell may pass into your stools (bowel movements). This is normal and does not mean that you are not receiving enough of the medicine.
• Store Zyban at room temperature away from moisture and heat.

What happens if I miss a dose?

• Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

• Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a Zyban overdose may include seizures, muscle stiffness, hallucinations, fainting, fast or uneven heartbeat, shallow breathing, heart failure, or coma.

What should I avoid while taking Zyban?

• Avoid drinking alcohol while taking Zyban. Alcohol may increase your risk of a seizure while you are taking Zyban. If you drink alcohol regularly, talk with your doctor before changing the amount you drink. Zyban can cause seizures in people who drink a lot of alcohol and then suddenly quit drinking when they start using the medication.
• Avoid using Zyban to treat more than one condition at a time. If you take Wellbutrin for depression, do not also take Zyban to quit smoking. Too much of this medicine can increase your risk of a seizure.
• Zyban can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
• You should not smoke if you use inhaled insulin (Exubera) to treat diabetes. Smoking may cause you to have low blood sugar (hypoglycemia) while using Exubera. Do not use Exubera unless you have been smoke-free for at least 6 months. Do not start smoking again or you will have to stop using Exubera.

What are the possible side effects of Zyban?

• Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
• Stop using Zyban and call your doctor at once if you have a seizure (convulsions) or fast, uneven heartbeats.
• Continue taking Zyban and talk to your doctor if you have any of these less serious side effects:
  • headache or migraine;
  • sleep problems (insomnia);
  • nausea, vomiting, constipation, dry mouth;
  • confusion, dizziness, agitation, tremors (shaking);
  • appetite changes, weight loss or gain;
  • mild itching or skin rash, increased sweating; or
  • loss of interest in sex.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Zyban?

• Do not take Zyban if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl), or tranylcypromine (Parnate) in the last 14 days.
• There are many other drugs that can affect Zyban. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Zyban Price

What is Hoodia Gordonii?

This cactus-like plant contains substances that may exert dramatic control over hunger, appetite, and thirst. Although the Hoodia gordonii plant looks like a cactus, it belongs to a category of plants called succulents. The use of Hoodia as an appetite suppressant is supported by both colorful folklore history and recent scientific studies. Hoodia is well known to the San bushmen of South Africa, who learned from the teachings of their ancestors to eat this plant to reduce hunger sensations. The San bushmen of South Africa believe that Hoodia is their food, water, and medicine.

Listening to the San Bushmen

Hoodia Gordonii has been used for centuries by the San bushmen of South Africa. These people may have, at times, consumed Hoodia on a regular basis. The “San” are known to have chewed on the plant during times of food scarcity, in order to alleviate hunger and thirst. Hoodia Gordonii was found by bushmen to be particularly valuable for use during arduous hunting expeditions in the Kalahari desert. The Kalahari desert is a principle home for the San bushmen and it is a prime location for the growth of the succulent plant, Hoodia Gordonii. The power of this succulent plant, known to the San as !khoba (Hoodia) is going to be a continuing focus of international attention in the fight against the global pandemic of obesity. The world has finally listened to the “San” people.

The Science of Hoodia

Government researchers in South Africa have focused on compounds called sterol glycosides, present in Hoodia gordonii. Hoodia Gordonii whole powder contains fiber, organic material, antioxidants, and biologically active substances. The pharmaceutical industry has been so impressed by research findings with Hoodia gordonii that there have been multi-million dollar deals to try to make drugs or food additives from constituents of Hoodia gordonii. Making a drug from Hoodia is not consistent with its traditional use as an appetite suppressant by native South Africans.

The consumption of Hoodia Gordonii over thousands of years by the San bushmen creates a great precedent for the safety of the Hoodia plant, but it does not create precedence for the safety or effectiveness of a “drug derivative”. Hoodia does not contain dangerous stimulant molecules, but it does contain substances that may mimic the effects of glucose on nerve cells in the brain. Controlled clinical and laboratory experiments show much promise of Hoodia for weight control. Some experiments have shown that obese people taking Hoodia have reduced their calorie intake by an amazing amount of one thousand calories per day.

Does Hoodia have Aphrodisiac Capabilities?

Some folklore observations on the effects of Hoodia gordonii have been somewhat ignored by scientists. The San Bushmen in South Africa reported that Hoodia gordonii might have aphrodisiac and even other pleasurable effects. In recent scientific studies, it has been demonstrated that the human brain produces and/or metabolizes plant compounds. This is fascinating work, which supports many beliefs in regards to natural medicine. It seems clear that the evolution of humankind in association with the plant kingdom must have influenced our complicated body chemistry, over a period of many thousands of years.

How is Hoodia To Be Used?

The traditional use of Hoodia Gordonii for its appetite suppressant effect involved the eating of whole, fresh plants or perhaps dried plants. Flowers, roots, and spiky skin on the plant were not eaten readily by anyone, including the hardy San bushmen. The natural use of Hoodia involved cutting open the skin, and eating or drinking the flesh and sap of the plant. In fact, several TV correspondents have taken the plant in this traditional form. These newscasters, along with others, comment upon its bitterness, and almost immediate effects on appetite suppression. It is clear that Hoodia gordonii cannot be taken in this fresh form by many consumers. Therefore, the Hoodia plant in South Africa has been processed by drying the plant and producing powder or concentrates that can be used in dietary supplements, or perhaps added to food.

The use of Hoodia in a dietary supplement is closer to the traditional use of Hoodia than the isolation of certain extracts of Hoodia (steroidal glycosides). Although recent scientific experiments seem to support that specific fractions or extracts of Hoodia gordonii are responsible for its major effects on appetite, it is not safe to assume that other ingredients within Hoodia do not contribute to its many effects in humans. The precedent for the safety of taking Hoodia rests with the use of the whole plant, not with the use of extracts such as steroidal glycosides.

Are there any side effects?

This product is for adults only. Do not use this product if you are pregnant, nursing, or have the following conditions: high blood pressure, heart disease, thyroid disease, glaucoma, diabetes, difficulty urinating due to prostate enlargement, or if you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric or emotional conditions, or Parkinson’s disease), or for two (2) weeks after stopping the MAOI drug. If you are uncertain whether your prescription drug contains an MAOI, consult your physician before taking this product. Do not exceed recommended dosage.

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