How and when should I take my
Viagra to get the best effects?
• How long do the effects last?
• How much should I take?
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| viagra - mesothelioma news |
What is Viagra?
Viagra, also available in the
generic form sildenafil, is an effective treatment for
erectile dysfunction. It works by temporarily
improving blood flow to the penis helping you
develop and maintain an erection.
2/3 of men, with erectile dysfunction, get a good
response with this medication.
The characteristic blue pill of Viagra is not
the only medicinal form. This medication is available
under its generic name sildenafil in tablet, liquid,
and injectable form. The most important
thing is to make sure you obtain this medication from
your doctor or a reputable pharmacist. Do
not buy this medication from unauthorised online pharmacies.
This is because counterfeits exist,
and you do not know what you are taking.
Who is Viagra or sildenafil suitable for?
These medications can be used in men over the age of
18 as a treatment for erectile dysfunction.
You should avoid taking this medication if:
• You have had a previous allergic reaction to
this type of medication.
• You have had a recent heart attack or
stroke.
• You suffer from low blood pressure or
serious heart condition.
• Have a history of liver problems
• Take any of the following medications:
o Nitrates for chest pain
o Medication for pulmonary hypertension
o Plan to take recreational drugs,
particularly poppers, alongside this medication Always
speak to your doctor or pharmacist before
taking this medication. It is important to clarify
if this is safe for you.
What is the correct dose of Viagra?
This is directed by your healthcare
professional, but as a rule, 50mg is the usual dose. Different
strengths are available, including a lower
25mg and higher 100mg, and can be chosen based on how effective
the treatment is for you.
How often can I
take Viagra?
Don't take Viagra or sildenafil more than
once per day. Taking your medication more often can
cause an overdose and unwanted side effects:
• Dizziness
• Headaches
• Visual disturbance
• Nasal congestion
• Indigestion
If you have accidentally taken an overdose of
Viagra, please consult your doctor as
soon as possible.
How to take Viagra?
Once you have obtained your medication from a
reputable source,
you'll want to know; how and when should I take my
Viagra to get the best effects?
Viagra, and its generic sildenafil counterparts, take
around 30-60 min to take effect.
The medication can be taken up to 4 hours before sex
and still be just as effective.
It is advisable to take it on an empty stomach with
a glass of water. Having a heavy meal
beforehand can result in Viagra or sildenafil taking
longer to work. It's ok to drink alcohol
alongside this medication but be aware alcohol can
make achieving an erection more difficult.
Importantly, taking Viagra won't just give you an
erection. You need to get into the
mood for an erection to develop.
How long do the effects last?
With this medication, you can achieve an erection between
1 and 4 hours after ingestion. Erections
should go away after sex naturally.
Are there any side effects?
Some rare but concerning side effects can occur. If
they do, please seek immediate
medical assessment.
• Priapism
o If your erection lasts more than 4 hours and won't
go away, you have priapism. Sometimes
priapism can be painful. Importantly, if left un-treated,
priapism, can cause long-lasting
damage to your penis.
• Chest Pain
o This may occur during sex or at rest.
• Sudden decrease or loss of vision in one or
both eyes
o This can indicate a serious eye problem
called non-arteritic
anterior ischemic optic neuropathy (NAION).
• Sudden hearing decrease or hearing loss.
o You may even experience ringing in the ears (tinnitus)
or dizziness.
• Seizures
• Allergic reaction
• Severe Skin reaction
o This may manifest as a rash or swelling within the
skin, blistering of mucous
membranes such as your mouth, eyes, and genitals.
Some may also experience a fever.
Now we have talked about the more worrying and rare
side effects, let's look at more common ones.
• Headaches
• Cough or nasal congestion
• Nausea, indigestion,
abdominal pain, and diarrhoea
• hot flushes, or night sweats
• Increased anxiety, or tremor
• Dizziness
If you develop these more
common side effects, consider discussing them with
your doctor or pharmacist.
Why has my medication not worked?
Sildenafil, or Viagra, may not work
for everybody, so please speak with your doctor.Sometimes
the medication doesn’t work because:
• The current dose you are taking isn't correct for
you
• You haven’t waited long enough, or you waited too
long for the medication to work
• You haven't become sexually aroused.
There are alternative medications available
for erectile dysfunction including:
• tadalafil (Cialis)
• avanafil (Spedra)
• vardenafil (Levitra)
If Viagra, or sildenafil, wasn't effective for you speak
to your doctor about these alternatives.
I’ve seen claims of natural or herbal Viagra, are
these safe?
Many medications claim to be herbal or natural alternatives
to Viagra. These medications are
not rigorously tested and are therefore not licenced
for use with erectile dysfunction.
Additionally, the contents of these may be unsafe for
consumption, you don’t know what you could be
taking. So please do not take anything that’s not approved
by a licenced doctor or pharmacist.
 |
| Levothyroxine |
What is Levothyroxine? Levothyroxine is a medication used
to treat
hypothyroidism. More commonly known as an underactive
thyroid. In this condition, individuals
produce adequate amounts of the hormone thyroxine.
Levothyroxine, therefore, acts to replace the missing
hormone, thyroxine. Levothyroxine is not available over the counter
and can only be obtained via a prescription from your
doctor.
A variety of medicinal preparations such as tablets and
liquids. This medication is safe
to use in pregnancy and in breastfeeding mothers. Amongst
hypothyroid children, smaller doses
guided by a paediatrician can be used.
Who should not take levothyroxine? You should avoid
taking this medication if:
• You have had a previous allergic reaction
to this type of medication.
• You have an overactive thyroid, where
your thyroid already produces too much thyroid
hormone
• Patients with conditions of the adrenal
glands.
Importantly, levothyroxine is not a suitable
weight-loss treatment. If abused this medication have
serious and even life-threatening consequences. If you are seeking support with
weight loss, please consult with your regular family doctor. Is it safe to take
omeprazole with my current
medications? Certain medications should not be taken at
the same time as your levothyroxine.
• You should take the following medications
at least 4 hours after taking your levothyroxine:
o calcium salts or iron supplements
o Cholesterol-lowering medications such as:
Cholestyramine
Colestipol
Colesevelam
• Sucralfate
• Antacids
• And … Orlistat
Additionally, some prescribed medications
may influence the effectiveness of your levothyroxine.
In some cases, increased doses of levothyroxine
are required. These medications include:
• Antiepileptic Medication
• Oestrogen supplements
• Rifampicin
• Amiodarone
Levothyroxine itself can influence how the
effectiveness of other drugs. Therefore, you may require
dose adjustments if you are taking:
• Medications to control your diabetes
• Blood-thinning medications including;
Warfarin This is not an exhaustive list. For further
info please see the drug information leaflet that comes
with your medication.
What is the correct dose of levothyroxine? Newly
diagnosed patients start with a small
dose of levothyroxine, which increased slowly, to achieve
the desired effect. This dose is determined by your doctor, most commonly
between 50-100 micrograms once daily.
Usually, 3 months after starting your medications, you
will require a repeat blood test to assess
your hormone levels. Based on this your doctor may make
dose adjustments. You may require
several blood tests and dose adjustments to get to the
correct dosage.
Once your thyroid hormone levels are stable, you will
only need monitoring on an annual
basis.
How long does Levothyroxine take to work? Your medication
will start working straight
away, however, it may take time for you to notice an
improvement in your symptoms.
How to take Levothyroxine Take your Levothyroxine once
daily, normally
in the morning, on an empty stomach. Aim to take your
medication on its own, with a full
glass of water, 1 hour before food or other morning
medications.
Capsules should be taken whole; it is not advisable to
crush them. If you have trouble
swallowing your tablets, consult your prescribing doctor
or pharmacist about liquid preparations.
Are there any foods I should avoid? Some foods and drinks
can influence how well
your levothyroxine works particularly:
• grapefruit juice
• calcium-rich foods, such as milk, cheese,yoghurt
• soy, walnuts, and cottonseed meal
Additionally, Kelp contains the chemical iodine,
which may worsen your symptoms of hypothyroidism.
Can I Drink Alcohol with this medication? It is safe to
take Alcohol with Levothyroxine.
I have missed my dose what should I do? If you forget to
take your medication, please
take it as soon as you remember.
However, if it is near the time of the next
dose, skip the missed dose. You should be ok to take your
next dose at the regular time.
Do not take a double dose to make up for a missed one.
I have accidentally taken too much medication.
If you have taken too much of this medication
you should speak with an emergency doctor. Overdose of
this Levothyroxine can cause symptoms
of:
• Chest pain, palpitations, or shortness
of breath
• Agitation, confusion, Shaking, and excessive
sweating
• loss of consciousness and even seizures.
How long will I need to take my medication?
Hypothyroidism is a lifelong condition. Therefore,
individuals with this condition will need to take
levothyroxine for life. Stopping your
medication will mean the return of your hypothyroid
symptoms.
Are there any side effects?
The vast majority of those taking Levothyroxine
will not experience any side effects. The more frequently
reported side effects
are:
• Nausea, vomiting, diarrhoea
• Headaches, flushing, agitation and insomnia
• Muscle cramps, tremors, and increased
sweating
Rare but concerning side effects can occur.
If they do, please seek immediate medical
assessment.
• Chest pains
• Palpitations
• Allergic reactions – particularly anaphylaxis
I hope this video has supplied the answers
you were looking for. Do not forget to subscribe and
interact by
giving us a thumbs up or leaving a comment below. This
supports the growth of our channel
and helps educate more people about their medical
conditions. Of course, this video does not provide individual
medical advice and is intended for informational purposes
only.
Do not consider this as a substitute for professional
medical advice, diagnosis, or treatment.
Please do not ignore professional medical advice in
seeking treatment because of something
you have heard here.
If you believe you may have a medical emergency,
immediately call your doctor or ambulance
service.
okay so what is pms premenstrual syndrome or pms is the name given to a group of symptoms some women experience in the weeks before their period commonly women experience cyclical distressing physical or behavioral
symptoms which resolve with the onset of the period most ladies will experience pms at some point in their lives and symptoms may cause detrimental effect on everyday's life . why pms occurs is not fully understood however a link exists with the natural hormonal changes that occur during your menstrual cycle how sensitive a woman's body is to the cyclical hormonal changes may also play a role with ovulation being the triggering event the degree to which ladies are affected
varies fastly many experience little to no symptoms with
no perceived impact on personal social or professional life however one in five
ladies experience clinically significant bms symptoms which would benefit from
intervention a much smaller number around one in 20 would suffer severe
symptoms which at its worst is considered as premenstrual dysphoric disorder or
bmdd
how can pms be diagnosed most ladies self-diagnose pms
before presenting to their medical professionals to assist with your diagnosis
we would recommend giving a symptom diary linked with the dates of your
menstrual cycle this record facilitates your regular doctor's assessment if
you're looking for a symptom diary to help you accurately record your symptoms plus
the link to your menstrual cycle I will include a link to the one we would recommend
in the description below the diagnosis of the more severe
premenstrual dysphoric disorder or pmdd is somewhat more
complex whilst the symptoms are like those discussed for pms they are typically
more intense to meet the criteria for pmdd patients must meet strict criterias
as per the dsm 5 criteria symptoms of pmdd must present in the final week
before your period starts and improve within a few days after the start of your
period one or more of the following symptoms must be present for at least two
menstrual cycles marked effective lability example mood swings so feeling
suddenly sad or tearful or increased sensitivity to rejection
marked irritability or anger or increased in
interpersonal conflicts marked depressed mood feelings of hopelessness or
self-deprecating thoughts marked anxiety tension and or feeling of being keyed
up or on edge plus any of the flowing to reach a total of five symptoms decreased interest in usual
activities example work school friends or hobbies subjective difficulty in
concentration lethargy easy fatigability or marked lack of energy marked change
in appetite overeating or specific food cravings
hypersomnia or insomnia a sense of being overwhelmed or
out of control physical symptoms such as breast tenderness or swelling joint or
muscle pain a sensation of bloating or weight gain in addition symptoms must be
associated with significant distress or interference with work school usual
social activities or relationships they should also be present for most of the
menstrual cycle in the previous year.
how can i manage my pms at home there are several
self-help techniques that may improve your symptoms of pms as with all
lifestyle changes they require dedication and are guided by you they may or may
not work for you but there's no harm in giving them a try first let's look at
dietary changes you may experience an improvement in your pms symptoms through
small dietary
changes. it's recommended to take regular frequent two to
three hourly small balanced meal
rich in complex carbohydrates you should aim to reduce
your sugar fat and salt intake and increase.the amount of healthy fruit and
vegetables you eat it is also advisable to limit your nicotine alcohol and
caffeine intake some dietary supplements can also be trialled however evidence
is limited many ladies have tried evening primrose oil for their pms
however research suggests that this supplement is only
beneficial for breast tenderness
calcium and magnesium supplements have also demonstrated improvement
in pms symptoms
magnesium supplements appear to have a positive effect in
improving pms anxiety vitamin b6 supplements may improve low
mood associated with your pms and vitamin e may also
provide some benefit so exercise and wellness taking regular exercise is known
to be beneficial in improving pms symptoms
having a good method of stress relief is also very
important such as regular
meditation or yoga having regular good quality sleep is
also very important you're struggling to get a grasp of
your pms symptoms seeking advice from your
doctor is very important where your main symptoms are
pain your
doctor will likely recommend a trial of non-steroidal
anti-inflammatories such as regular ibuprofen.
hormonal treatments are also useful these are usually
centered around new generation of the oral contraceptives these aim to suppress
ovulation therefore suppressing the hormonal cycle
there is good support for the use of the combined pill
called yasmin
ladies can also take this medication continuously without
a break if your symptoms are more severe or the combined contraceptives are not
appropriate for you
your doctor may consider an alternative
non-hormonal treatment in most cases you would be offered
an ssri which is a selective serotonin
reuptake inhibitor these medications are used also to effectively
manage depression so are
commonly known as antidepressants whilst you take this
medication continuously an alternative is also to take them during the neutral
phase of your cycle which is day 15 to day 28.
however it is important to stop taking this medication if
you're trying to get
pregnant as although unproven they may have an
association
with birth defects you may also gain benefit from
psychotherapy this usually takes the form of cognitive behavioral
therapy also known as cbt and
is routinely offered by your gp or the primary care
physician therapy is important to help address the
very important psychological element of your pms cbt
alone has shown to provide a
significant improvement in psychological mdistress and
social interference calls by pms.
here you will work closely with your therapist to help
regain control of your
psychological symptoms by changing the way you think and
feel about your pms
if despite the trial of ssri the combined oral
contraceptive pill and or psychotherapy your symptoms of pms remain troublesome
it's likely your doctor will organize a referral to a specialist.
your specialist can try other hormonal medications such
as dinosaur dinosaur is useful in improving pms symptoms and breast tenderness estrogen
therapy this can be trialled as a patched or the
implant gnrh analogues gnrh analytics blocks your
hormones centrally within your brain suppressing
the pms symptoms this treatment is usually limited to a six
month period as there is a risk of
weakening your bones this may be used as a trial for
ladies with severe symptoms who have completed their family and finally
surgical oophorectomy which is the removal of the ovaries and
therefore the ovarian trigger for your pms and should
only be used in ladies withsevere pms.
so let's talk about the prognosis the symptoms of your
pms are likely to fluctuate throughout your life for those who require medical
support for their symptoms of pms or pmdd the
vast majority experience a significant improvement in
their symptoms remember you're not alone all of us ladies with experienced pms
at some point in our lives some more than others
recognize and prevent liver cancer mesothelioma screening as early as possible
