Common uses and directions for Xenical

Athletes have made a habit of cycling clenbuterol in an effort to minimize side effects as well as prevent receptor downgrade. Average cycle length on clenbuterol is 6-10 weeks with a 4-6 week off period. There are also those who suggest a two days on, two days off cyclus and there are strong evidence this method will minimize the side effects of taking clenbuterol. There are, though, no evidence the method is the most efficient in terms of fat loss.

Testosterone is, next to nandrolone, the most suppressive drug of natural testosterone. So its an absolute must, especially after long cycles, to include HCG and Nolvadex

or Clomid after a cycle. Running HCG for the last two weeks of a cycle and two weeks after in doses of 3000-5000 IU every 5-6 days, and then starting Nolvadex 4-5 days after last shot of testosterone, beginning at 40-50 mg per day for two weeks and then 20-25 mg/day for another two weeks seems to be the best course of action to follow in this instance.

Testosterone suspension:

Androlic / Anadrol is the most harmful oral steroid and its intake can cause many considerable side effects. Most users can expect certain pathological changes in their liver values after approximately one week. Those who discontinue

the use of oxymetholone will usually show normal values within two months. Oxymetholone is the only anabolic/androgenic steroid, which is linked with liver cancer.

Since oxandrolone is only slightly toxic and usually shows few side effects, several athletes use it over a prolonged period of time. However Anavar should not be taken for several consecutive months, since, as with almost all oral steroids it is 1 7-alpha alkylated and thus liver toxic.

Andriol Testocaps are capsules of Testosterone Undeconoate, an orally active testosterone preperation that helps users gain muscle mass.

Marketing

Other medical problems — the presence of other medical problems may affect the use of benzodiazepines. Make sure you tell your doctor if you have any other medical problems, especially:

Keep Xenical in a tightly closed container and out of reach of children. Store Xenical at room temperature and away from excess heat and moisture (not in the bathroom).

Please discuss the treatment with your doctor again if any of the conditions above apply to you.

Ingredient: Clonazepam

Although Bonavar is an oral steroid, and has been alpha-alkylated to survive oral ingestion

and the first pass through the liver, it´s still relatively mild in that respect too..., the unique chemical configuration of oxandrolone both confers a resistance to liver metabolism as well as noticable anabolic activity. It would also appear that Bonavar appears not to exhibit the serious hepatotoxic effects (jaundice, cholestatic hepatitis, peliosis hepatis, hyperplasias and neoplasms) typically attributed to the C17alpha-alkylated AASs. Bonavar has even been used successfully in some studies to heal cutaneous wounds, or to improve respiratory function. Both of these novel properties could make it a good choice
for in-season use for boxers, Mixed Martial Arts competitors, and other such athletes.

Due to its being a mild steroid in every sense of the word, high amounts of Bonavar dosage are needed. It binds reasonably well to the AR, but pretty high doses are still needed and I would never suggest doing less than 20mgs/day. In fact, 20-80mgs are needed to start halting AIDS related wasting and recovering weight for burn victims so that´s the range I´d recommend keeping your dosages in concerning this compound. Personally, I´d use 100mgs/day if I were ever going to try this stuff. Any less than this

amount (20-100mgs) would be a waste. For women, however, I think 2.5-10mgs/day would suffice. Virilation is not a concern with this compound, as it is only very mildly androgenic. Water retention is also virtually nil with it.

Androlic / Anadrol is the most harmful oral steroid and its intake can cause many considerable side effects. Most users can expect certain pathological changes in their liver values after approximately one week. Those who discontinue the use of oxymetholone will usually show normal values within two months. Oxymetholone is the only anabolic/androgenic steroid, which is linked with liver

cancer.

Mental illness

    Active Life: up to 24hours

Many athletes who use Clenbuterol claim that it promotes dramatic strength increases and a very noticeable reduction in body fat and weight loss.

Neo-Hombreol 50 mg/ml; Organon NL

Oxandrolone has often been used as a growth-promoting agent in the therapy of boys with growth delays in adolescence. Oxandrolone is also used in treating girls affected with Turner's syndrome, another growth-delay ailment. In obese individuals, oral oxandrolone has been shown to decrease subcutaneous abdominal fat more

than Testosterone enanthate or weight loss alone, and it also tended to produce favorable changes in visceral fat.

ACTIVE SUBSTANCE: Stanozolol.

Proviron information

How should I take this medicine?

Effective Dose: 3 tabs per day.

Keep anadrol in a tightly closed container and out of reach of children. Store anadrol at room temperature and away from excess heat and moisture (not in the bathroom).

They need to know if you have any of these conditions:

Stanozolol, precautions

Nolvadex / Tamoxifen

What Is VIAGRA?

Nandrolone is proven to be a

progestin. This fact is of clear importance in bodybuilding, because while moderate Deca-only use actually lowers estrogen levels as a consequence of reducing natural testosterone levels and thus allowing the aromatase enzyme less substrate to work with, Deca nonetheless can cause gyno in some individuals. Furthermore, just as progesterone will to a point increase sex drive in women, and then often decrease it as levels get too high, high levels of progestogenic steroids can kill sex drive in male bodybuilders, though there is a great deal of individual variability as to what is too much.

Do not take this medicine

if you have had an allergic reaction to it in the past or to any other ingredient that is found in it.

Bad:

SEROSTIM BASICS: (Somatotropin / HGH)

Clenbuterol is known as a sympathomimetic.

Testosterone cypionate is a long acting ester of testosterone which is increasingly difficult to find.Before the scheduling of anabolics in the U.S., this was the most common form of testosterone available to athletes. Cyp had gained a reputation as being slightly stronger than enanthate and became the testosterone of choice for many. Now that anabolics are controlled, this is an almost impossible

find. In general, the only versions you'll find on the black market are Sten from Mexico, which contains 75mg cyp with 25 mg propionate along with some DHEA, and Testex from Leo in Spain which contains 250mg cypionate is a light resistant ampule.

Tiratricol is available from Genesis Meds, 50tbs/bottle, 1mg/tb.

This medicine may cause dizziness or vision changes. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other

potentially dangerous tasks. To minimize dizziness or lightheadedness, sit up or stand slowly when rising from a seated or lying position.

The down side is that this drug is responsible for a number of side effects. It is an alpha alkylated 17 compound, which is quite toxic to the liver. Average dosages for Dianabol have been in the range of 15mg to 30mg a day oral or 50mg to 100mg a week by injection. Regarded by many athletes as being one of the most effective oral steroids ever produced. It was not known as the "Breakfast of Champions" for nothing. Dianabol is still one of the most effective strength

and size building oral steroids probably second only to Anadrol 50 but it is not as harsh on the system as Anadrol 50 is.

Sleep apnea (temporary stopping of breathing during sleep) — Benzodiazepines may make these conditions worse

There are several common signs which may be apparent in someone who has overdosed from one or a combination of drugs.

Since oxandrolone is only slightly toxic and usually shows few side effects, several athletes use it over a prolonged period of time. However Anavar should not be taken for several consecutive months, since, as with almost all oral steroids

it is 1 7-alpha alkylated and thus liver toxic.

Human Growth Hormone (HGH) is the most abundant hormone produced by the pituitary gland (pituitary is one of the endocrine glands). The pituitary gland is located in the center of the brain. HGH is also a very complex hormone. It is made up of 191 amino acids - making it fairly large for a hormone. In fact, it is the largest protein created by the Pituitary gland. HGH secretion reaches its peak in the body during adolescence. This makes sense because HGH helps stimulate our body to grow. But, HGH secretion does not stop after adolescence. Our body continues to

produce HGH usually in short bursts during deep sleep. Growth Hormone is known to be critical for tissue repair, muscle growth, healing, brain function, physical and mental health, bone strength, energy and metabolism. In short, it is very important to just about every aspect of our life!

Nandrolone also show an extremely lower tendency for estrogen conversion. For comparison, the rate has been estimated to be only about 20% of that seen with testosterones. This is because while the liver can convert nandrolone to estradiol, in other more active sites of steroid aromatization such as adipose tissue nandrolone

is far less open to this process'. Consequently estrogen related side effects are a much lower concern with this drug. An anti-estrogen is likewise rarely needed with Deca, gynecomastia only a worry among sensitive individuals. At the same time water retention is not a usual concern. This effect can occur however, but is most often related to higher dosages. The addition of Proviron and/or Nolvadex should prove sufficient enough to significantly reduce any occurrence. Clearly Deca is a very safe choice among steroids. Actually, many consider it to be the best overall steroid for a man to use when weighing the side effects
and results. It should also be noted that in HIV studies, Deca has been shown not only to be effective at safely bringing up the lean body weight of patient, but also to be beneficial to the immune system.

The clearance and/or elimination of many drugs are reduced in the elderly. Delayed elimination can either intensify or prolong the actions of adverse reactions of the drug. Benzodiazepines have been associated with falls in the elderly and the consumer advocate group, Public Citizen, has recommended these drugs not be used in the elderly.

Users will usually tailor their dosage individually, depending

on results and side effects, but somewhere in the range of 2-8 tablets per day is most common. Clenbuterol is often stacked with Cytomel.

Anabolic steroids promote the growth of skeletal muscle and the development of male sexual characteristics but do also have some other effects.

Most athletes will bring their insulin with them to the gym. Insulin should be refrigerated, but it is all right to keep it in a gym bag as long as it is kept away from excessive heat. Immediately after a workout, the athlete will inject his dosage of insulin. Within the next fifteen minutes, he should have a carbohydrate drink

such as Ultra Fuel by Twinlab. The athlete should consume at least 10 grams of carbohydrates for every 1 IU of insulin injected. Most athletes will also take creatine monohydrate with their carbohydrate drink since the insulin will help to force the creatine into the muscles. An hour or so after injecting insulin, most athletes will eat a meal or consume a protein shake. The carbohydrate drink and meal/protein shake are necessary. Without them, blood sugar levels will drop dangerously low and the athlete will most likely go into a state of hypoglycemia.

Because of the high peak doses and the extreme amounts used,

the characteristics tend to become more pronounced as well. The muscle gain is usually accompanied by severe bloat and water retention, some adipose storage and the risk of gyno is never too far off. Being a very androgenic component as well, suspension may aggravate male pattern hair loss, cause prostate hypertrophy, increase body and facial hair, deepen the voice and so forth, quite easily, in comparison to other steroids. These all need to be taken into account. Despite its controllable nature and short frame of action, suspension is mostly used for bulking purposes. Even with concomitant use of Proviron, some water retention
can still occur. Perhaps due to the extreme doses used.

testosterone propionate, 30 mg;

Oxanadrolone is an oral drug for promoting weight gain in humans experiencing atrophy of the muscles including HIV and other muscle wasting ailments.

Hearing all of these wonderful things probably has you wondering what the side effects and risks are. They are quite formidable and contribute to making DNP one of the most intolerable (though effective) drugs used in bodybuilding. Starting with the most significant, and descending in importance, are the following risks and side effects of DNP use.

Stanozolol also plays a role in strong adverse changes in HDL/LDL cholesterol levels, especially with the oral form because of the method of administration, which may cause concern for this side effect. Combination with Proviron to the test cycle should prove useful by enhancing the free state of this potent muscle building androgen.

5mg tablets are pink pentagon shaped tablets, with snake&arrow imprinted on one side.

What kind of HGH supplements are available?

You may know that ampoules are preferred by many because they are almost never counterfeit. You always get the real deal with us!

Ephedrine information and description

Apnea, hypotension, and cardiac arrest have been reported following parenteral administration of benzodiazepines to the elderly, severely ill patients, or patients with compromised respiratory function. Respiratory depression also has occurred in these patients during benzodiazepine therapy, occasionally resulting in death.

Androlan (o.c.) 50, 100 mg/ml; Lannett U.S.

Each 10 ml multidose vial contains 250 mg per ml and comes with a green coloured flip-off top. Some vials currently in circulation have a light blue coloured flip-off top.

INCLUDES:

10ml vial containing 500mg.

Anabolic steroids such as stanozolol are synthetic derivatives of the male hormone testosterone. Stanozolol has a pronounced anabolic effect with fewer masculinizing side effects than testosterone or some other synthetic anabolic steroids. Anabolic steroids are used in stimulating appetite and increasing weight gain, strength, and vigor. They should be used as a part of an overall program with other supportive and nutritional therapies.

Tamoxifen is antiestrogen, produced for the reason of breast cancer in women because of high estrogenic amounts in there adipose tissues. For

male athletes it was used for the primarily reason to stop the effect of conversion into estrogen causing gynecomastia. The structure of estrogen is very similar to testosterone, since it can aromatize many anabolic steroids is why the buildup of estrogens can be very serious concern. Estrogen can do two things negatively in males one is the extra build of fat, secondly being the extra water retention buildup in the body.Also it can increase production of FSH (follicle stimulating hormone) and LH (leutinizing hormone) in the male body. Activating the estrogen receptor can have a positive effect on HDL (good) cholesterol
values.

Cytomel is not an anabolic/androgenic steroid but a thyroid hor­mone. As a substance it contains synthetically manufactured liothyronine sodium which resembles the natural thyroid hormone tricodide-thyronine (L-T3). The thyroid of a healthy person usually produces two hormones, the better known L-thyroxine (L-T4) and the aforementioned L-trilodine~thyronine (L-T3). Since Cytomel is the synthetic equivalent of the latter hormone, it causes the same processes in the body as if the thyroid were to produce more of the hormone. It is interesting to note that L-T3 is clearly the stronger and more effective of

these two hormones. This makes Cytomel more effective than the commercially available L-T4 compounds such as L-thyroxine or Synthroid. The manufacturer of the German L-T3 compound, Hoechst AG, ascribes the following characteristics to its Thybon drug, making it clear that L-T3 is superior to L-T4: "The synthetically manufactured thyroid hormone, L-trilodine-thyronine (L-T3), included in Thybon, in experimental and clinical testing has proven to be 4-5 times more biologically active and to take effect more quickly than L-thyroxine (L-T4)". In school medicine Cytomel is used to treat thyroid insufficiency (hypothyroidism).

Among other secondary symptoms are obesity, metabolic disorders, and fatigue. Bodybuilders take advantage of these charcteristics and stimulate their metabolism by taking Cytomel, which causes a faster conver­sion of carbohydrates, proteins, and fats. Bodybuilders, of course, are especially interested in an increased lipolysis, which means in­creased fat burning. Competing bodybuilders, in particular, use Cytomel during the weeks before a championship since it helps to maintain an extremely low fat content, without necessitating a hunger diet. Athletes who use low dosages of Cytomel report that by the simultaneous intake

of steroids, the steroids become more effective, most likely as the result of the faster conversion of protein.

As Sustanon 250 is a strong androgen, we can expect the typical side effects. This includes oily skin, acne body/facial hair growth and premature balding. The addition of Proscar/Propecia should be able to minimize Sustanon side effects, as it will limit the Testosterone to DHT (dihydroTestosterone) conversion process. Sustanon will also suppress natural Testosterone production rather quickly. The use of HCG (Human Chorionic Gonadotropin) and/or Clomid (clomiphene citrate) /Nolvadex (tamoxifen citrate)

may be necessary at the conclusion of a cycle in order to avoid a hormonal crash. Remember though, Sustanon will remain active in the body for up to a month after your last injection was given. Beginning you ancillary drug therapy immediately after the steroid has been discontinued will not be very effective. Instead, HCG or Clomid (clomiphene citrate)/Nolvadex should be delayed two or three weeks, until you are near the point where blood androgen levels after Sustanon cycle are dropping significantly.

Many athletes like to use Nolvadex at the end of a steroid cycle since it increases the body's own testosterone

production and to prevent estrogenic side effects of taking anabolic steroids.

It regulates menstrual cycle- (38 %)

Each 10ml multidose vial contains 50mg per ml or 100mg per ml and comes with a white coloured top.

What does all this mean?

Breast-feeding is generally not recommended while you are taking tamoxifen.

Proviron is one of the very few steroid hormones which is still sufficiently available. The brand name Proviron costs about $35 in Germany and contains fifty 25 mg tablets. Vistimon by Jenapharm costs $ 14 per box and is packaged in two push-through strips of

10 tablets each. Proviron by Asche contains 30 dragees and costs $20.. As one can see all German manufacturers charge about $70 for one 25 mg Mesterolon tablet. This is similar to the generally observed price of $ 1 per tablet on the black market. Since the Spanish and Mexican Proviron are less expensive than the German Proviron (all compounds are by Schering) they are more readily available on the black market. The original price for 20 tablets in Spain, for example, is $ 3.60. Depending on the country of origin Proviron is packaged differently. The German Proviron is offered in small glass vials while the Spanish, Greek,
and Mexican versions are included in push-through strips. However, all Proviron tablets have one thing in common: they are all indented and on the back have the stamp AX,surrounded by a hexagon. So far there are no fakes available of either Proviron or its generic compounds.

by Bill Roberts - Unlike most oral steroids, which are Class II steroids giving most of their anabolic effect by means other than the androgen receptor (AR), it seems that oxandrolone probably does have good binding to the AR, and is therefore a Class I steroid, while having little other effect. By itself it is considered to be a weak anabolic.

What side effects may I notice from taking diazepam?

Getting Leaner Through Chemistry

TRI-TRENBOLA 150 is a combination of three esters of trenbolone (Trenabolone Acetate, Trenbolone Hexahydrobenzylcarbonate, Trenbolone Enanthate).

The properties of Parabolan are the same as trenbolone acetate (Finaject) except for longer half life. While Finaject itself is no longer available, in some cases injectable preparations from Finaplix have been made. The substance is the same: trenbolone acetate.

The most frequently observed side effects of Viagra includes headache, flushing, dyspepsia

and nasal congestion.

Anticoagulant, coumarin-type blood thinners should not be used with tamoxifen when used to reduce the risk of developing breast cancer in women who have a high risk of developing breast cancer. If you need to take blood thinners, your blood clotting times should be monitored by your doctor.

With a low body fat content Halotestin gives the bodybuilder a distinctive muscle hardness and sharpness. Although the muscle diameter does not increase, it appears more massive since the muscle density is improved. The fact that daily dose of up to 20 mg does not cause water and salt retention

makes it even more desirable. During a diet, it helps the athlete get through difficult, intense training while increasing the aggressiveness of many users. This is another reason why Halotestin (fluoxymesterone) is so popular among powerlifters, weightlifters, football players, and, in particular, boxers. The generally observed dose is normally 20-40 mg/day. Bodybuilders are usually satisfied with 20-30 mg/day while powerlifters often take 40 mg/day or more. The daily dosage of Halotestin (fluoxymesterone) is usually split into two equal amounts and taken mornings and evenings with plenty of fluids. Since the tablets are
l7-alpha alkylated, they can be taken during meals without any loss in effect. Those who are tired of taking Dianabol (methandrostenolone) tablets will find fluoxymesterone an interesting alternative. In the meantime we know several bodybuilders who have combined this steroid with injectable, mostly anabolic, steroid preparations such as Anadrol, Deca-Durabolin, Primobolan Depot, or Equipoise. The quick strength gain induced by Halotestin can usually be turned into solid, high-quality muscle tissue by taking the above steroids. This is an especially welcome change for athletes who easily retain water and have to fight
against swollen breast glands. Many will be surprised at what progress can be achieved by a simple combination of 30 mg/day and 700 mg Equipoise every two days over a four week period. Halotestin side effects Besides Anadrol (oxymetholone) and Methyltestostcrone it is the oral steroid with the most side effects. Those who would like to try Halotestin should limit the intake to 4- 6 weeks and take no more than 20-30 mg daily. Fluoxymesterone puts extremely high stress on the liver and is thus potentially liver damaging. Other frequently-observed side effects are increased production of the sebaceous gland (which goes hand

in hand with acne), nasal bleeding, headaches, gastrointestinal pain, and reduced production of the body's own hormones. Men who tries this steroid become easily irritable and aggressive. Gynecomastia and high blood pressure caused by edemas do not occur with Halotestin.

In females, dosages above 15 mg./day can cause facial hair, deepening of the voice, clitoral hypertrophy, and acne.

Day 3: 60 mcg

This particular item is an oil based injectable, containing 25mg boldenone undecylenate and 30mg methandric (methylandrostenediol dipropionate) per ml. Boldenone is familiar to us as the preparation

Equipoise®, bu methandriol is very rarely seen on the U.S. black market. It is a strong anabolic with a notable androgenk component. Methandriol can come in one of two forms actually, there is a 17-methylated compound designed fo oral administration, or the methylated & esterified (dipropionate) version commonly seen as an injectable Australian vet compounds. Methandriol produces notable muscle mass and strength gains, usually withou accompanying water retention. In this mix it works nicely when mixed with the anabolic boldenone. Together th( two compounds produce exceptional gains in strength and muscle mass.

Description: Equipoise

Diazepam is metabolized by oxidative metabolism and is susceptible to drugn interactions with drugs that inhibit this hepatic enzyme system. Cimetidine, disulfiram, erythromycin, or fluvoxamine can decrease the hepatic metabolism of diazepam if administered concomitantly. Patients should be monitored for signs of altered benzodiazepine response when cimetidine, disulfiram, erythromycin, or fluvoxamine are initiated or discontinued.

At 40 years old we produce an average 200 micrograms/day of HGH.

Side Effects: Nandrolone Decanoate can induce acne issues in higher dosages

in sensitive individuals. It will retent water but far less than testosterone, blood pressure is dosage dependant. Aromatization is low. It Decreases HTPA function. It doesn't convert DTH (converts to NOR-DHT with low activity).

Clomid is indicated for the treatment of ovulatory dysfunction in women desiring pregnancy.

Each 10 ml multidose vial contains 200 mg per ml and comes with a red coloured top.

Women will take somewhere in the range of 5-l0 mg daily. Although female athletes usually find stanozolol very tolerable, the injectable is usually off limits. They risk androgenic buildup, as a regular

50 mg injection will provide much too high a dosage. Here the tablets are the general preference. Although stanozolol is only moderately androgenic, the risk of virilization symptoms should remain a concern.

Trenbolone promotes red blood cell production and increases the rate of glycogen replenishment, significantly improving recovery (13). Like almost all steroids, trenbolones effects are dose dependant with higher dosages having the greatest effects on body composition and strength. Mental changes are a notorious side effect of trenbolone use (15), androgens increase chemicals in the brain that promote

aggressive behavior (16), which can be beneficial for some athletes wanting to improve speed and power.

Effective Dose: 1-2 tabs/day.

Cialis ® belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Following sexual stimulation Cialis ® works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function. Cialis ® will not help you if you do not have erectile dysfunction. It is important to note that Cialis ® does not work if there is no sexual stimulation. You and your partner will need

to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction.

Testex (o.c.) 50, 100 mg/ml; Pasadena U.S.

Bonavar (oxandrolone) is not very toxic, not very androgenic, mildly anabolic, and pretty mild on the body´s HPTA (Hypothalamic-Testicular-Pituitary-Axis). Those are its 4 major points, and I´d like to examine each one a bit further; as usual, gym-rumors and internet conjecture has made this steroid the subject of many misconceptions.

Testex (o.c.) 50, 100 mg/ml; Pasadena U.S.

HCG (Human Chorionic Gonadotropin):

If you have had

a recent stroke.

Please discuss the treatment with your doctor again if any of the conditions above apply to you.

HCG's form of administration is also unusual. The substance choriongonadotropin is a white powdery freeze dried substance which is usually used as a compress. For each HCG ampule, includes another ampule with an injection solution containing isotonic sodium chloride. This liquid, after both ampules have been opened in a sterile manner, is injected into the HCG ampule and mixed with the dried substance. The solution is then ready for use and should be injected intramuscularly. If only part

of the substance is injected the residual solution should be stored in the refrigerator. It is not necessary to store the unmixed HCG in the refrigerator; however, it should be kept out of light and below a temperature of 25C. HCG is an expensive compound, it costs approx. $30 - $40 for 1 ampule of 5000IU.

Female bodybuilders, by taking 50 mg Testosterone Heptylate Theramex/week, 50 mg Deca-Durabolin, and 15 mg Oxandrolone/day can obtain good strength and muscle gains without fear of virilization symptoms. The potential side effects of Testosterone heptylate are comparable to those of enantathe and cypionate.

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PRODUCT NAME: Kamagra GOLD
SUBSTANCE: Sildenafil Citrate
CONTENT: 4 Tabs/100mg
MANUFACTURER: Ajanta Pharmancy / India

Common uses

This medicine is a phosphodiesterase inhibitor used to treat sexual function problems such as impotence or erectile dysfunction. In combination with sexual stimulation, this medicine works by helping the blood flow into the penis to achieve and maintain an erection. This medicine is not intended for use in women or children. This medicine will not protect against sexually transmitted diseases including HIV infection. Use "safe sex" practices such as latex condoms.

Before using

Do not take his medicine if you are also taking or using nitroglycerin, (e.g., tablet, patch, or ointment dose forms) or other nitrates (e.g., isosorbide), nitroprusside (or any "nitric oxide donor" medicine), or recreational drugs called "poppers" containing amyl or butyl nitrate because very serious interactions may occur. If you are not sure whether a certain medicine is a nitrate, contact your doctor or pharmacist. If you are currently using any of these medicines, tell your doctor or pharmacist before using sildenafil.

Additional monitoring of your dose or condition may be needed if you are taking other medicines for impotence, azole antifungals (e.g., itraconazole, ketoconazole), cimetidine, erythromycin, mibefradil, rifamycins (e.g., rifampin), high blood pressure medicines, or delavirdine. If you are taking an HIV protease inhibitor (e.g., ritonavir, saquinavir), do not take more than a 25 mg dose of sildenafil in a 48-hour period. If you are taking more than a 25 mg dose of sildenafil and are also taking an alpha-blocker medicine (e.g., doxazosin, prazosin, terazosin) for various conditions (e.g., enlarged prostate), separate the time between taking these medicines by more than 4 hours. See How To Use section for drug-food interaction information.

Do not start or stop any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions including penis conditions (e.g., angulation, fibrosis/scarring, Peyronie's disease), history of painful/prolonged erection (priapism), sickle cell anemia, blood system cancers (e.g., leukemia or myeloma), eye problems (e.g., retina diseases like retinitis pigmentosa), kidney or liver disease, bleeding disorders, active stomach ulcers, heart problems (e.g., recent heart attack or serious arrhythmia within past 6 months, heart failure, coronary artery disease with unstable angina, aortic stenosis, idiopathic hypertrophic subaortic stenosis), recent stroke within past 6 months, very high or low blood pressure, or allergies.

Directions

Take this medicine by mouth as needed between four hours and one-half hour before sexual activity (about 1 hour before is most effective); or take as directed by your doctor. Do not take this medicine more often than once daily as needed. A high fat meal may delay the time of onset of this medicine.

Avoid eating grapefruit or drinking grapefruin juice while being treated with this medicine unless your doctor instructs you otherwise. Your dosage is based on your medical condition, your response to therapy, and other medicines you are taking (see also Before Using section).

Store this medicine at room temperature 77 degrees F (25 degrees C) in a tightly-closed container, away from heat, moisture, and light. Brief storage between 59 and 86 degrees F (15 and 30 degrees C) is permitted.

Cautions

Do not take this medicine if you have had an allergic reaction to it or are allergic to any ingredient in this product. This medicine may rarely cause dizziness or vision changes. Do not drive, operate machinery, or do anythind else that could be dangerous until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. To minimize dizziness or lightheadness, sit up or stand slowly when rising from a seated or lying position. Alcohol may increase your risk for side effects, including headache, dizziness, or lightheadedness. Avoid excessive amounts of alcohol when using this medicine.

Do not exceed the recommended doze without checking with your doctor. Rarely, this medicine may change heart rhythm, especially if taken with other medicines that can change the heart rhythm. This change in heart rhythm can result in serious, rarely fatal, irregular heartbeats. Ask your doctor for more information and if you should stop taking any of your other medicines to reduce the risk of this side effect.

Caution is advised when using this medicine in the eldery because they may be more sensitive to the side effects of this medicine. This medicine should not be used in women or children.

Do not take this medicine if you have had an allergic reaction to it in the past or to any other ingredient that is found in it.

This medicine may cause dizziness or vision changes. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. To minimize dizziness or lightheadedness, sit up or stand slowly when rising from a seated or lying position.

Your dose is based on your medical condition, response to therapy, and the other medicines you are taking. Do not exceed the recommended dose without checking with your doctor. Caution is advised when using this medicine in the elderly because they may be more sensitive to the side effects of this medicine. This medicine should not be used in women or children.

Possible side effects

Side effects that may occur while taking this medicine include headache, flushing, stomach upset, heartburn, nasal stuffiness, diarrhea, dizziness, or lightheadedness. Vision changes such as increased sensitivity to light, blurred vision, or impaired blue/green color discrimination may also occur. If these continue or are bothersome, check with your doctor or pharmacist.

Sexual activity may put extra strain on your heart, especially if you have heart problems, if you have heart problems and experience any serious side effects while having sex, stop having sex and tell your doctor immediately. These side effects include severe dizziness, fainting, chest pain, or nausea. In the unlikely event that you have a painful or prolonged erection (lasting more than 4 hours), stop using this medicine and seek immediate medical attention or permanent problems could occur.

An allergic reaction to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, unusual swelling, severe dizziness, or trouble breathing.

If you take too much

If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include severe dizziness, fainting, or prolonged erection.

Additional information

If your symptoms do not improve or if they become worse, check with your doctor. Do not share this medicine with others for whom it was not prescribed, since they may have a problem that is not effectively treated with this medicine, or they may have a condition that is complicated by this medicine.

Do not use this medicine for other health conditions. Keep this medicine out of the reach of children and pets. If using this medicine for an extended period of time, obtain refills before your supply runs out.

Drug interactions

Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Some medicines or medical conditions may interact with this medicine. Inform your doctor or pharmacist of all prescription and over-the-counter medicine that you are taking.