Archive for September, 2007

Cialis.

Monday, September 10th, 2007

CIALIS is the only prescription erectile dysfunction (ED) tablet clinically proven to go to work fast, in as little as 30 minutes for some men, and work up to 36 hours. With CIALIS, you can be ready when the moment is right. 

 CIALIS is a prescription medicine taken by mouth for the treatment of erectile dysfunction (ED) in men. ED is a condition where the penis does not harden and expand when a man is sexually excited, or when he cannot keep an erection. A man who has trouble getting or keeping an erection should see his doctor for help if the condition bothers him. CIALIS may help a man with ED get and keep an erection when he is sexually excited. 

 Take one CIALIS tablet before sexual activity. In some patients, the ability to have sexual activity was improved at 30 minutes after taking CIALIS when compared to a sugar pill. The ability to have sexual activity was improved up to 36 hours after taking CIALIS when compared to a sugar pill. You and your doctor should consider this in deciding when you should take CIALIS prior to sexual activity. Some form of sexual stimulation is needed for an erection to happen with CIALIS. CIALIS may be taken with or without meals. Do not change your dose of CIALIS without talking to your doctor. Your doctor may lower your dose or raise your dose, depending on how your body reacts to CIALIS.  After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications. 

Do not take CIALIS if you:

take any medicines called nitrates. Nitrates are commonly used to treat angina. Angina is a symptom of heart disease and can cause pain in your chest, jaw, or down your arm. Medicines called nitrates include nitroglycerin that is found in tablets, sprays, ointments, pastes, or patches. Nitrates can also be found in other medicines such as isosorbidedinitrate or isosorbide mononitrate. Some recreational drugs called “poppers” also contain nitrates, such as amyl nitrite and butyl nitrite. Do not use CIALIS if you are using these drugs. Ask your doctor or pharmacist if you are not sure if any of your medicines are nitrates.

 you have been told by your healthcare provider to not have sexual activity because of health problems. Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease .

are allergic to CIALIS or any of its ingredients. The active ingredient in CIALIS is called tadalafil. See Patient Information for a complete list of ingredients.

Crestor

Friday, September 7th, 2007

Crestor is a member of a family of drugs known as “Statins”.  Other members of the statin family include: Lipitor, Zocor, Pravachol, Advicor. 

Crestor reduces your cholesterol by blocking the liver from manufacturing  cholesterol.  In humans, the liver creates cholesterol at night while you are sleeping.  For this reason, Crestor (as well as all of the other statins) should be taken at night.

Think of your liver as a cholesterol factory.  Even if your diet was 100% fat-free, your body would still manufacture cholesterol because cholesterol is needed by your body to create certain hormones and cell membranes.

There are two types of cholesterol - LDL and HDL.  HDL cholesterol is good for you.  Doctors call HDL the “Good Cholesterol”. 

Conversely, LDL is considered to be the “Bad Cholesterol”.  High levels of LDL cholesterol are associated with diseases such as heart attack and stroke. Crestor’s main job is to reduce LDL levels and increase HDL levels in your blood. 

As your LDL levels decrease and your HDL levels increase, your risk of  stroke and heart attack decrease.

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Crestor works directly in the liver.  Crestor inhibits an enzyme that is present in the liver which is necessary to manufacture the bad cholesterol (LDL). 
By inhibiting or blocking the action of this liver enzyme, your body’s ability to produce cholesterol is dramatically reduced.  As an added benefit, Crestor elevates HDL levels.

If you have liver problems such as cirrhosis of the liver, Crestor may not be a good drug for you.  For this reason, your doctor will test your liver’s function to evaluate if Crestor therapy is appropriate for you. 

It is recommended that liver function tests be performed before someone begins Crestor therapy and at 12 weeks following both the initiation of therapy and any elevation of dose, and periodically (e.g., semiannually) thereafter.

This is done with as simple blood test.  In most cases, people with vastly elevated liver enzymes should stop taking Crestor or other statin drugs.

The normal starting dose of Crestor is 10mg per day.  The maximum dose of Crestor is 40 mg per day.

Crestor therapy usually starts with a 10mg dose.  Sometimes the doctor willstart with a 20mg dose.  The 40mg dose is reserved for people who are on 20mg but still are not meeting their cholesterol goals.

Crestor’s labeling contains comparisons to Lipitor.  (Crestor label shows that it is slightly more effective than Lipitor in reducing LDL’s).  Crestor increases HDL’s very nicely.

Some cardiologists call Crestor “the Gorilla” statin.  They claim that Crestor is intrinsically much more effective than Lipitor, but this is a matter of controversy.Â