Pharmaceutical Tablets

Anavar is a dihydrotestosterone (DHT) derived steroid. The androgenic: anabolic ratio of Anavar is 45:320, giving it one of the lowest androgenic ratings out of all the commercially available steroids. Anavar is one of the few steroids that is safe to use by females. Anavar does not increase estrogen, prolactin or progestin levels so side effects like gynecomastia and water retention are impossible. Anavar is promoted as providing “clean and dry gains”.

Anavar can be used by itself or stacked with other steroids. The drug possesses a mild liver toxic nature so running a good quality liver aid supplement based on milk thistle, NAC and TUDCA during and after use is a smart idea. As with all steroids, Anavar will suppress natural testosterone production so a proper post cycle therapy (PCT) is needed after each cycle.

Who Uses Anavar (Oxandrolone)?
Anavar is a favorite amongst men and female fitness models, men’s physique competitors and women bikini competitors. Anavar provides really clean gains due to the fact that it causes no water retention or bloat. Have you ever noticed the incredibility round and full muscle bellies of a fitness model in a bodybuilding magazine and wondered how the heck their muscles are able to look like that? That’s the type of cosmetic effect Anavar gives the physique.

"Absolute change in total fat mass (A) and trunk fat (B) by dual-energy X-ray absorptiometry from baseline to study week 12 (solid bars) and from baseline to study week 24 (open bars) in the placebo (n = 12) and the oxandrolone (n = 20) study groups. Values are means ± SE. *Significant decrease from baseline, P < 0.001. † Significant difference between study groups for change in fat mass from 0 to 12 wk, P < 0.001."

Another reason why Anavar is so popular among fitness models is because it doesn’t require injections and it’s one of the safest steroids in terms of hair loss. Fitness models are constantly traveling for photo shoots and oral steroids are very easy to use when travelling. All steroids will cause hair loss to some extent but Anavar is extremely mild in that regard.

Anavar will help you develop the physique of male fitness models Lazar Angelov, Sergi Constance, Greg Plitt or female fitness models Paige Hathaway and Jamie Eason.

"Oral oxandrolone decreased SQ abdominal fat more than TE (testosterone enanthate) or weight loss alone and also tended to produce favorable changes in visceral fat. TE and ASND (nandrolone decaoate) injections given every 2 weeks had similar effects to weight loss alone on regional body fat…These results suggest that SQ and visceral abdominal fat can be independently modulated by androgens and that at least some anabolic steroids are capable of influencing abdominal fat."

Half-life, Detection Time, Dosages and Usage
Steroid- Anavar (Oxandrolone)         
Detection time -3 weeks    
Half life- 8 hours

The recommended dosage is 40-60 mg per day for males and 5-20 mg per day for females. Due to its short half-life, it is best to split up the daily dosage into an AM and PM dosage. Taking Anavar with a meal containing grapefruit will increase the drug’s bioavailability because a substrate in grapefruit decreases the protein expression of  the enzyme CYP3A4. This prevents the drug from being metabolized in the intestines and increases the bioavailability of the drug.

Side Effects
Anavar’s popularity comes from its mild nature. It is one of the safest steroids. However, as a modified 17 alpha alkylated steroid it does carry a liver toxic nature. That being said, it’s hepatoxic nature is significantly less than other oral steroids. Anavar does not aromatize into estrogen so an aromatase inhibitor (AI) is not needed. This also makes side effects like gynecomastia, water retention and increases in blood pressure impossible.

All steroids will negatively impact cholesterol levels. This isn’t a huge concern unless you have pre-existing cholesterol issues. The negative effects on cholesterol can be easily mitigated by following a cholesterol friendly diet (high in omega 3 fatty acids and vegetables and low in saturated fats, simple sugars and refined carbohydrates) and by regularly incorporating cardio into your training program.

What is Artvigil?
Artvigil 150 is a generic brand of Armodafinil (AKA r-modafinil). In many countries Armodafinil is sold under the brand name Nuvigil and marketed by Cephalon Inc. We sell the cheaper generic version of the same drug, however, ours is manufactured by HAB Pharmaceuticals Ltd.

Armodafinil is a newer (2007) enantiopure form of Modafinil, consisting only of the (R)-enantiomer of Modafinil.

Artvigil is sold in aluminium blister strips containing 10 tablets per strip. Each blister strip is manufactured to include perforated tear points, meaning each tablet can be separated from the strip individually, without exposing the tablet. This make Artvigil extremely easy to transport and store.
 
What does this mean?
Many drugs are sold as a racemic mixture containing two isomers of the compounds structure. These are often called the (R) and (S) Isomer. This means that once the drug is ingested, there are two “versions” of the chemical structure taking effect within your body.

This can be beneficial for many drugs, as the racemic version is more pharmacologically active that the non-racemic version. For instance, Ibuprofen is sold as a racemic mixture containing both (R)-ibuprofen and (S)-ibuprofen.

With Modafinil, both the (R) and (S) isomer is present within each pill. With Armodafinil however, only the R-Isomer is present, this is why it’s called Armodafinil or r-modafinil. The (R) isomer of Modafinil has a biological half-life of 15 hours, meaning it will keep you alert for longer than the (S) isomer which has a half-life of only 4 hours.

Furthermore, it was found that Armodafinil seems to maintain wakefulness later on in the day when compared to Modafinil. Armodafinil concentrations within the blood were 33% – 40% higher than Modafinil [30]. This means that it may be more suitable for those who require a longer period of stimulation.

Substitutes : List of substitutes for Cialis 20 mg Tablet

• Forzest 20 MG Tablet
• Ranbaxy Laboratories Ltd.
• Tadafil 20 MG Tablet
• Ajanta Pharma Ltd.
• Tadalis 20 MG Tablet
• Ajanta Pharma Ltd.
• Tadora 20 MG Tablet
• Zydus Cadila
• Upwardz 20 MG Tablet
• Ttk Healthcare Ltd.

Side effects : Major & minor side effects for Cialis 20 mg Tablet

•     Headache
•     Heartburn
•     Nausea
•     Diarrhea
•     Flushing
•     Persistent cough
•     Decrease/loss of vision
•     Change in color vision
•     Decrease/loss of hearing
•     Prolonged and painful erection
•     Dizziness
•     Allergic skin reaction
•     Difficulty in breathing
•     Difficulty in swallowing
•     Swelling of face, lips, eyelids, tongue, hands and feet
•     Peeling and blistering of skin
•     Upper respiratory tract infection
•     Pain in the arms, legs and the back
•     Uterine bleeding

Uses of Cialis 20 mg Tablet : What is it prescribed for?

•     Erectile Dysfuntion
•     Pulmonary arterial hypertension
•     Benign prostatic hyperplasia

Indications
Cialis is indicated for the treatment of erectile dysfunction. Cialis is a phosphodiesterase type 5 (PDE5) inhibitor. It works by helping to increase blood flow into the penis during sexual stimulation. This helps you to achieve and maintain an erection.

Instructions
Use Cialis as directed by your doctor.

•     Take Cialis by mouth with or without food.
•     For use as needed: Take Cialis at least 30 minutes before sexual activity, as directed by your doctor. Cialis may work for up to 36 hours after you take it.
•     For daily use: Take Cialis regularly at about the same time each day.
•     Check with your doctor before you eat grapefruit or drink grapefruit juice while you are taking Cialis.
•     For use as needed: If you miss a dose of Cialis and you still intend to engage in sexual activity, take it as soon as you remember. Continue to take it as directed by your doctor. For daily use: If you miss a dose of Cialis, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Dosage
For Use As Needed

•     The recommended starting dose of Cialis for use as needed in most patients is 10 mg, taken prior to anticipated sexual activity.
•     The dose may be increased to 20 mg or decreased to 5 mg, based on individual efficacy and tolerability. The maximum recommended dosing frequency is once per day in most patients.
•     Cialis for use as needed was shown to improve erectile function compared to placebo up to 36 hours following dosing. Therefore, when advising patients on optimal use of Cialis, this should be taken into consideration.

For Once Daily Use

•     The recommended starting dose of Cialis for once daily use is 2.5 mg, taken at approximately the same time every day, without regard to timing of sexual activity.
•     The Cialis dose for once daily use may be increased to 5 mg, based on individual efficacy and tolerability.

Ask your health care provider any questions you may have about how to use Cialis.

Storage
Store Cialis at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Cialis out of the reach of children and away from pets.

More Info:
Active Ingredient: Tadalafil.

Inactive Ingredients: Croscarmellose sodium, hydroxypropyl cellulose, hypromellose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin.

Indications
Cialis is indicated for the treatment of erectile dysfunction. Cialis is a phosphodiesterase type 5 (PDE5) inhibitor. It works by helping to increase blood flow into the penis during sexual stimulation. This helps you to achieve and maintain an erection.

Instructions
Use Cialis as directed by your doctor.

•     Take Cialis by mouth with or without food.
•     For use as needed: Take Cialis at least 30 minutes before sexual activity, as directed by your doctor. Cialis may work for up to 36 hours after you take it.
•     For daily use: Take Cialis regularly at about the same time each day.
•     Check with your doctor before you eat grapefruit or drink grapefruit juice while you are taking Cialis.
•     For use as needed: If you miss a dose of Cialis and you still intend to engage in sexual activity, take it as soon as you remember. Continue to take it as directed by your doctor. For daily use: If you miss a dose of Cialis, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Dosage
For Use As Needed

•     The recommended starting dose of Cialis for use as needed in most patients is 10 mg, taken prior to anticipated sexual activity.
•     The dose may be increased to 20 mg or decreased to 5 mg, based on individual efficacy and tolerability. The maximum recommended dosing frequency is once per day in most patients.
•     Cialis for use as needed was shown to improve erectile function compared to placebo up to 36 hours following dosing. Therefore, when advising patients on optimal use of Cialis, this should be taken into consideration.

For Once Daily Use

•     The recommended starting dose of Cialis for once daily use is 2.5 mg, taken at approximately the same time every day, without regard to timing of sexual activity.
•     The Cialis dose for once daily use may be increased to 5 mg, based on individual efficacy and tolerability.

Ask your health care provider any questions you may have about how to use Cialis.

Storage
Store Cialis at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Cialis out of the reach of children and away from pets.

More Info:
Active Ingredient: Tadalafil.

Inactive Ingredients: Croscarmellose sodium, hydroxypropyl cellulose, hypromellose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin.

What is Cialis (tadalafil)?

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

What should I discuss with my doctor before taking Cialis (tadalafil)?
Do not take Cialis (tadalafil) 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 tadalafil 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 tadalafil. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether tadalafil is the actual cause of such vision loss. Sudden vision loss with tadalafil 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 (tadalafil), tell your doctor if you have:
heart disease or heart rhythm problems; a recent history of 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 tadalafil or you may need a dosage adjustment or special tests during treatment.

FDA pregnancy category B: Although tadalafil is not for use in women, this medication is not expected to be harmful to an unborn baby. Do not use tadalafil without telling your doctor if you are pregnant or plan to become pregnant during treatment.
Although Cialis (tadalafil) is not for use in women, it is not known if tadalafil 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 (tadalafil)?   
Take each dose with a full glass of water.
Avoid taking High-fat food before taking Cialis as it may cause the medicine to take more time to start working.
Tadalafil is usually taken only when needed, 30 – 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.
Do not take tadalafil more than once a day. Allow 24 hours to pass between doses.
Store this medication at room temperature away from moisture and heat.

What happens if I miss a dose?
Since tadalafil 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 tadalafil overdose may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

What should I avoid while taking tadalafil?
Avoid drinking alcohol, which can increase some of the side effects of tadalafil.
Grapefruit and grapefruit juice may interact with tadalafil. 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 tadalafil?
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 tadalafil.Stop using tadalafil 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 tadalafil 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 tadalafil 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; orback 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 drug(s) may interact with Cialis (tadalafil)?
Do not take tadalafil if you are taking the following medications: nitroglycerin-type drugs for the heart or chest pain such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, even if these are only taken occasionally

Cialis (tadalafil) may also interact with the following medications: alpha blockers, such as alfuzosin (UroXatral), doxazosin (Cardura), prazosin (Minipress), or terazosin (Hytrin), used to treat high blood pressure or an enlarged prostate. bosentan certain antibiotics such as clarithromycin, erythromycin, troleandomycin
certain drugs used for seizures such as carbamazepine, phenytoin, and phenobarbital cimetidine cisapride diltiazem grapefruit juice medicines for fungal infections (fluconazole, itraconazole, ketoconazole, voriconazole) mibefradil nicardipine certain medicines for the treatment of HIV infection or AIDS quinidine
rifabutin, rifampin or rifapentine some drugs for treating depression, anxiety or other mood problems (examples: fluoxetine, fluvoxamine, nefazodone)
verapamil.

What is Cialis (tadalafil)?

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

What should I discuss with my doctor before taking Cialis (tadalafil)?
Do not take Cialis (tadalafil) 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 tadalafil 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 tadalafil. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether tadalafil is the actual cause of such vision loss. Sudden vision loss with tadalafil 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 (tadalafil), tell your doctor if you have:
heart disease or heart rhythm problems; a recent history of 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 tadalafil or you may need a dosage adjustment or special tests during treatment.

FDA pregnancy category B: Although tadalafil is not for use in women, this medication is not expected to be harmful to an unborn baby. Do not use tadalafil without telling your doctor if you are pregnant or plan to become pregnant during treatment.
Although Cialis (tadalafil) is not for use in women, it is not known if tadalafil 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 (tadalafil)?   
Take each dose with a full glass of water.
Avoid taking High-fat food before taking Cialis as it may cause the medicine to take more time to start working.
Tadalafil is usually taken only when needed, 30 – 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.
Do not take tadalafil more than once a day. Allow 24 hours to pass between doses.
Store this medication at room temperature away from moisture and heat.

What happens if I miss a dose?
Since tadalafil 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 tadalafil overdose may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting.

What should I avoid while taking tadalafil?
Avoid drinking alcohol, which can increase some of the side effects of tadalafil.
Grapefruit and grapefruit juice may interact with tadalafil. 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 tadalafil?
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 tadalafil.Stop using tadalafil 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 tadalafil 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 tadalafil 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; orback 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 drug(s) may interact with Cialis (tadalafil)?
Do not take tadalafil if you are taking the following medications: nitroglycerin-type drugs for the heart or chest pain such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, even if these are only taken occasionally

Cialis (tadalafil) may also interact with the following medications: alpha blockers, such as alfuzosin (UroXatral), doxazosin (Cardura), prazosin (Minipress), or terazosin (Hytrin), used to treat high blood pressure or an enlarged prostate. bosentan certain antibiotics such as clarithromycin, erythromycin, troleandomycin
certain drugs used for seizures such as carbamazepine, phenytoin, and phenobarbital cimetidine cisapride diltiazem grapefruit juice medicines for fungal infections (fluconazole, itraconazole, ketoconazole, voriconazole) mibefradil nicardipine certain medicines for the treatment of HIV infection or AIDS quinidine
rifabutin, rifampin or rifapentine some drugs for treating depression, anxiety or other mood problems (examples: fluoxetine, fluvoxamine, nefazodone)
verapamil.

Indications
Cialis is indicated for the treatment of erectile dysfunction. Cialis is a phosphodiesterase type 5 (PDE5) inhibitor. It works by helping to increase blood flow into the penis during sexual stimulation. This helps you to achieve and maintain an erection.

Dosage

• For Use As Needed
• For Once Daily Use
• Ask your health care provider any questions you may have about how to use Cialis.

Storage
Store Cialis at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Cialis out of the reach of children and away from pets.

More Info:
Active Ingredient: Tadalafil.
Inactive Ingredients: Croscarmellose sodium, hydroxypropyl cellulose, hypromellose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin.

Indications
Cialis Soft Tabs are indicated for the treatment of erectile dysfunction. Cialis Soft Tab is a phosphodiesterase type 5 (PDE5) inhibitor. It works by helping to increase blood flow into the penis during sexual stimulation. This helps you to achieve and maintain an erection.

Instructions
Use Cialis Soft Tabs as directed by your doctor.

•     Cialis Soft Tabs have a mint flavor. Cialis Soft Tab is an oro-dispersible tablet. Put it in the mouth and the pill will dissolve immediately.
•     Check with your doctor before you eat grapefruit or drink grapefruit juice while you are taking Cialis Soft Tabs.
•     For use as needed: If you miss a dose of Cialis Soft Tabs and you still intend to engage in sexual activity, take it as soon as you remember. Continue to take it as directed by your doctor.
•     For daily use: If you miss a dose of Cialis Soft Tabs, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Dosage
The recommended starting dose is half of a 20 mg troche (10 mg) before sexual activity. If the effect of this dose is too weak you may increase the dose to 20mg. We recommend you to take no more than one dose (10/20mg) per day.
Ask your health care provider any questions you may have about how to use Cialis Soft Tabs.

Storage
Store Cialis Soft Tabs at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Cialis Soft Tabs out of the reach of children and away from pets.

More Info:
Active Ingredient- Tadalafil.

The soft formulation allows for the medicine to enter your bloodstream much faster compared to regular Cialis pills that need to be digested. For some men the medicine may start acting as quickly as within 15-20 minutes of intake. Some men can get results from a usual Cialis pill (not Soft Tab) in about 40 minutes. For others, it can take as long as 60 to 90 minutes as results vary per individual.

When using a pill, reaction time can also vary depending on what type of meal you have recently eaten. A meal high in saturated fats will increase the period of time a tadalafil pill can be absorbed into the bloodstream. However, with Cialis Soft Tabs, it doesn’t matter what type of meal you have recently eaten because the medicine does not pass through your digestive system.

The medicine comes in blister packs, 10 white Tadalafil Soft Tablets 20 mg per one blister pack.

What is Dianabol dbol ?
Dianabol (17alpha-methyl-17beta-hydroxy-androsta-1 ,4-diene-3-one) is an orally applicable anabolic steroid that has strong effect on the protein metabolism. This effect bring a positive nitrogen balance and an improved state of expression.
The calcium balance is positive affected. Dianabol promotes the integration of calcium into bones.

Dianabol has a strong anabolic effect which brings enormous gain in strength and size. Dianabol is a “mass steroid” which works quick and reliably. An increase of 3 to 10 Kg per week in the first 6 weeks is normal with Dianabol. The additional body weight consists of a real tissue structure (hypertrophy of muscle fibers) and together, especially a marked fluid retention. Dianabol aromatizes very lightly, a part of the drug converts into estrogen. Excessive water retention and aromatizing can be avoided in most cases by simultaneously combined application of Nolvadex and Proviron.

Active substance
Methandienone / Methandrostenolone

Trade names
Anabol Tablets British Dispensary Thailand
Danabol DS Body Research Thailand
Methandienone Tablets Genesis Rejuvenation Products Singapore
Naposim Terapia Romania and many others.

Dosage – Methanabol Tablets
The dosage range is especially for bodybuilders, weightlifters and powerlifters very different.
It ranges from two tablets per day up to twenty or more tablets daily. An effective daily dose for bodybuilders is 15-40 mg per day. Steroid novices never need more than 15-20 mg per day and will achieve fantastic results over a period of 4 to 8 weeks. When the effect wears off in this group after about eight weeks and would like to continue the athlete his cure yet, he should not increase the dosage, but switch to a injectable anabolic steroid such Deca-Durabolin in dose of 200 mg per week or Primabolan 200 mg per week.

Side effects – Anabol Tablets
(Over dose) toxic to the live relevated blood pressure, increased heart rate, gyno, Acne) hair loss

Details :

• Kamagra 100mg Tablet is a phosphodiesterase type 5 inhibitor that helps to relax as well as dilate the blood vessels in the body. It helps to increase the flow of blood in certain parts of the body. This medication can be used for treating erectile dysfunction among men. It also treats pulmonary arterial hypertension (PAH), and eventually improves the exercising capacity in men as well as women. It can be taken orally or injected in the body by your doctor.
• Kamagra 100mg Tablet helps the muscles that are found around your blood vessel’s walls to relax, thus increasing the blood flow to specific areas of your body. It is also used for treating erectile dysfunctions in men. The reason could be impotence or the inability to keep or get an erection. Apart from that, it can be also used for improving the exercising ability in adultssuffering from pulmonary arterial hypertension (PAH). This phosphodiesterase type 5 inhibitor (PDE5) relaxes and dilates your blood vessels that are present in your lungs, thus improving your exercising ability.
• Before taking this medicine, it is mandatory to consult your doctor to confirm whether it is safe for you or not. It is advisable to take the medication as prescribed. It is usually injected in your body by the doctor in your clinic. You can also take it at home, provided you are trained or acquainted with the proper method of administration. Also, keep in mind to taking more than the required time frame. When taken for PAH, it is generally taken 3 times in a day, with a gap of 4-6 hours. For problems related to erectile dysfunction, you should take them only when you need it, probably half an hour to one hour before any sexual activity. You should not take this medication more than once in a day in this regard.
• It is advisable to continue using Kamagra 100mg Tablet till required without missing any doses. Also, you should not stop using it all of a sudden or change the doses without prior consultationwith your doctor.
• There are certain things that you must keep in mind when you are taking Kamagra 100mg Tablet. Firstly, avoid drinking alcohol as there can be possible side effects. Secondly, grapefruitproducts may have a reaction with Kamagra 100mg Tablet, resulting in side effects. Therefore, you must avoid consuming any grapefruit products. Also, ensure that you do not use any other medicines related to treating impotence, along with this drug. If you do so, consult with your doctor first.
• The common side effects of Kamagra 100mg Tablet are dizziness, headache, blurred vision, stuffy nose, pain in the back or in the muscles, stomach upset, trouble sleeping, etc. However, if you experience symptoms like pain in the bladder, bloody urine, indigestion, bone pain, migraine headache or increase in the frequency of urination; it is better to consult your doctor immediately.

Indications
Kamagra is indicated for the treatment of erectile dysfunction. Kamagra increases blood flow to the penis, allowing more blood flow into the penis, like happened naturally, when a man is sexually stimulated. With more blood flowing in and less flowing out, the arteries in the penis enlarge, resulting in an erection.

Instructions
Use Kamagra as directed by your doctor.
    Take Kamagra by mouth with or without food. Kamagra may not work as quickly if you take it with a high-fat meal.
    Kamagra is rapidly absorbed. Maximum effect occurs between 30 to 120 minutes of taking the tablet.
    Kamagra can help you have an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.
    Do not take more than the recommended dose or take it more often than once daily, or as directed by your doctor.
    If you miss a dose of Kamagra and you still intend to engage in sexual activity, take it as soon as you remember. Continue to take it as directed by your doctor.

Dosage
The recommended dose is 50 mg, taken as needed, approximately 1 hour before sexual activity. Based on effectiveness and tolerance, the dose may be increased to a maximum recommended dose of 100 mg, or decreased to 25 mg.
Ask your health care provider any questions you may have about how to use Kamagra.

Storage
Store Kamagra at room temperature between 59 and 86 degrees F (15-30 degrees C) away from moisture, heat and light. Store Kamagra out of the reach of children.

More Info: Active Ingredient: Sildenafil.

Details :
Kamagra Effervescent is a new product on the market of the stimulants of the erectile function. The drug is based on Sildenafil citrate. It is an exact replica of Viagra and has similar mechanism of the action.

The active ingredient Sildenafil citrate improves erection during sexual arousal. A

dilation of the blood vessels occurs in the tissues of the penis, so that the blood filling of the cavernous bodies is increased. It causes a strong erection and a man is able to have sex.

Kamagra Effervescent would be a standard copy of Viagra if not a unique medical form.
The drug is produced in the form of effervescent tablets. The tablets of Kamagra Effervescent are not swallowed.

They should be added to water until complete dissolution (like aspirin). The tablet is dissolved in water within several seconds, and then it may be used.

As Kamagra Effervescent goes to the stomach in liquid form, Sildenafil is absorbed into the blood at once, and the action begins in 20 minutes. Using common pills of Sildenafil, the action usually begins in an hour.

In what dose is Kamagra Effervescent used?
The tablets of Kamagra Effervescent contain 100 mg of the active ingredient Sildenafil citrate. This is an optimal daily dose which improves an erectile function for 4-5 hours.

To take Kamagra Effervescent, take a tablet and put it into a glass of water. Water should be clear, cool or room temperature. It should not be hot. When the tablet is completely dissolved in water, mix it and take it. Kamagra Effervescent has a pleasant orange juice and smell, does not have a bitter taste.

Kamagra Effervescent 100 mg should be used once per day. Do not break, chew, or swallow the tablet.

Recommendations for the use

•     Do not take Kamagra Effervescent with juice or milk. The tablet should be dissolved in clear water only
•     Kamagra Effervescent is incompatible with alcohol, and therefore do not take the drug if you consumed alcohol
•     If you are taking drugs with nitrates, the use of Kamagra Effervescent is contraindicated. An interaction of these medicines may cause serious side effect
•     Do not take Kamagra Effervescent during evident deformation of the penis. A strong erection may affect the tissues of the penis, so that the erectile dysfunction will be more intense
•     Do not take Kamagra Effervescent if you have recently had myocardial infarction, stroke, or have chronic diseases of the cardiovascular system or closed-angle glaucoma

Possible side effects
A man may experience rapid heartbeat, dizziness, nausea, or stuffiness in nose during the first use of Kamagra Effervescent. These symptoms happen in many men who just begin taking Sildenafil. The side effects completely pass after several uses of the medicine.

What Is This Medicine?
Vardenafil Is Used To Treat Erection Problems In Men. Vardenafil Works Faster Than Sildenafil (Viagra®) And It Is Less Likely To Have Visual Disturbance Side Effect.

What Should I Tell My Health Care Provider Before I Take This Medicine?
They Need To Know If You Have Any Of These Conditions:

• Anatomical Deformity Of The Penis, Peyronie’s Disease, Or Ever Had An Erection That Lasted More Than 4 Hours
• Bleeding Disorder
• Cancer
• Diabetes
• Frequent Heartburn Or Gastroesophageal Reflux Disease (GERD)
• Heart Disease, Angina, High Or Low Blood Pressure, A History Of Heart Attack, Or Other Heart Problems
• High Cholesterol
• Hiv Infection
• Kidney Disease
• Liver Disease
• Sickle Cell Disease
• Stroke
• Stomach Or Intestinal Ulcers
• Eye Or Vision Problems
• An Unusual Reaction To Vardenafil, Medicines, Foods, Dyes, Or Preservatives

How Should This Medicine Be Used?
Take Vardenafil Tablets By Mouth With Or Without Food. The Dose Is Usually Taken About 1 Hour Before Sexual Activity. Swallow The Tablets With A Drink Of Water. Do Not Take Double Or Extra Doses.

Overdosage: If You Think You Have Taken Too Much Of This Medicine Contact A Poison Control Center Or Emergency Room At Once.

Note: This Medicine Is Only For You. Do Not Share This Medicine With Others.

What If I Miss A Dose?
This Does Not Apply. However, Do Not Take Double Or Extra Doses.

What May Interact With This Medicine?
Do Not Take Vardenafil If You Are Taking The Following Medications:

• Nitroglycerin-Type Drugs For The Heart Or Chest Pain Such As Amyl Nitrite, Isosorbide Dinitrate, Isosorbide Mononitrate, Nitroglycerin, Even If These Are Only Taken Occasionally. This Includes Some Recreational Drugs Called ‘poppers’ Which Also Contain Amyl Nitrate And Butyl Nitrate.

Vardenafil May Also Interact With The Following Medications:

• Alpha Blockers Such As Alfuzosin (UroXatral®), Doxazosin (Cardura®), Prazosin (Minipress®), Tamsulosin (Flomax®), Or Terazosin (Hytrin®), Used To Treat High Blood Pressure Or An Enlarged Prostate.
• Arsenic Trioxide
• Bosentan
• Certain Antibiotics Such As Clarithromycin, Erythromycin, Sparfloxacin, Troleandomycin
• Certain Medicines Used For Seizures Such As Carbamazepine, Phenytoin, And Phenobarbital
• Certain Medicines For The Treatment Of Hiv Infection Or Aids
• Certain Medicines To Control The Heart Rhythm (e.g., Amiodarone, Disopyramide, Dofetilide, Flecainide, Ibutilide, Quinidine, Procainamide, Propafenone, Sotalol)
• Chloroquine
• Cisapride
• Diltiazem
• Grapefruit Juice
• Medicines For Fungal Infections (fluconazole, Itraconazole, Ketoconazole, Voriconazole)
• Methadone
• Nicardipine
• Pentamidine
• Pimozide
• Rifabutin, Rifampin, Or Rifapentine
• Some Medicines For Treating Depression Or Mood Problems (amoxapine, Maprotiline, Fluoxetine, Fluvoxamine, Nefazodone, Pimozide, Phenothiazines, Tricyclic Antidepressants)
• Verapamil

Tell Your Prescriber Or Health Care Professional About All Other Medicines You Are Taking, Including Non-Prescription Medicines, Nutritional Supplements, Or Herbal Products. Also Tell Your Prescriber Or Health Care Professional If You Are A Frequent User Of Drinks With Caffeine Or Alcohol, If You Smoke, Or If You Use Illegal Drugs. These May Affect The Way Your Medicine Works. Check With Your Health Care Professional Before Stopping Or Starting Any Of Your Medicines.

What Should I Watch For While Taking This Medicine?

• If You Notice Any Changes In Your Vision While Taking This Drug, Notify Your Prescriber Or Health Care Professional As Soon As Possible. Stop Using Vardenafil Right Away If You Have A Loss Of Sight In One Or Both Eyes. Contact Your Healthcare Provider Immediately.
• Contact Your Physician Immediately If The Erection Lasts Longer Than 4 Hours Or If It Becomes Painful. This May Be A Sign Of Priapism And Must Be Treated Immediately To Prevent Permanent Damage.
• If You Experience Symptoms Of Nausea, Dizziness, Chest Pain Or Arm Pain Upon Initiation Of Sexual Activity After Vardenafil Use, You Should Refrain From Further Activity And Should Discuss The Episode With Your Prescriber Or Health Care Professional As Soon As Possible.
• Do Not Change The Dose Of Your Medication. Please Call Your Prescriber Or Health Care Professional To Determine If Your Dose Needs To Be Reevaluated.
• Using Vardenafil Does Not Protect You Or Your Partner Against Hiv Infection (the Virus That Causes Aids) Or Other Sexually Transmitted Diseases.

What Side Effects May I Notice From This Medicine?
Side Effects That You Should Report To Your Prescriber Or Health Care Professional As Soon As Possible.

• Back Pain
• Changes In Hearing Such As Loss Of Hearing Or Ringing In Ears
• Changes In Vision Such As Loss Of Vision, Blurred Vision, Eyes Being More Sensitive To Light, Or Trouble Telling The Difference Between Blue And Green Objects Or Objects Having A Blue Color Tinge To Them
• Chest Pain Or Palpitations
• Difficulty Breathing, Shortness Of Breath
• Dizziness
• Eyelid Swelling
• Muscle Aches
• Prolonged Erection (lasting Longer Than 4 Hours)
• Skin Rash, Itching
• Seizures

Side Effects That Usually Do Not Require Medical Attention (report To Your Prescriber Or Health Care Professional If They Continue Or Are Bothersome):

• Flushing
• Headache
• Indigestion
• Nausea
• Stuffy Nose

This List May Not Describe All Possible Side Effects.

What Is This Medicine?
Vardenafil Is Used To Treat Erection Problems In Men. Vardenafil Works Faster Than Sildenafil (Viagra®) And It Is Less Likely To Have Visual Disturbance Side Effect.

What Should I Tell My Health Care Provider Before I Take This Medicine?
They Need To Know If You Have Any Of These Conditions:

• Anatomical Deformity Of The Penis, Peyronie’s Disease, Or Ever Had An Erection That Lasted More Than 4 Hours
• Bleeding Disorder
• Cancer
• Diabetes
• Frequent Heartburn Or Gastroesophageal Reflux Disease (GERD)
• Heart Disease, Angina, High Or Low Blood Pressure, A History Of Heart Attack, Or Other Heart Problems
• High Cholesterol
• Hiv Infection
• Kidney Disease
• Liver Disease
• Sickle Cell Disease
• Stroke
• Stomach Or Intestinal Ulcers
• Eye Or Vision Problems
• An Unusual Reaction To Vardenafil, Medicines, Foods, Dyes, Or Preservatives

How Should This Medicine Be Used?
Take Vardenafil Tablets By Mouth With Or Without Food. The Dose Is Usually Taken About 1 Hour Before Sexual Activity. Swallow The Tablets With A Drink Of Water. Do Not Take Double Or Extra Doses.

Overdosage: If You Think You Have Taken Too Much Of This Medicine Contact A Poison Control Center Or Emergency Room At Once.

Note: This Medicine Is Only For You. Do Not Share This Medicine With Others.

What If I Miss A Dose?
This Does Not Apply. However, Do Not Take Double Or Extra Doses.

What May Interact With This Medicine?
Do Not Take Vardenafil If You Are Taking The Following Medications:

• Nitroglycerin-Type Drugs For The Heart Or Chest Pain Such As Amyl Nitrite, Isosorbide Dinitrate, Isosorbide Mononitrate, Nitroglycerin, Even If These Are Only Taken Occasionally. This Includes Some Recreational Drugs Called ‘poppers’ Which Also Contain Amyl Nitrate And Butyl Nitrate.

Vardenafil May Also Interact With The Following Medications:

• Alpha Blockers Such As Alfuzosin (UroXatral®), Doxazosin (Cardura®), Prazosin (Minipress®), Tamsulosin (Flomax®), Or Terazosin (Hytrin®), Used To Treat High Blood Pressure Or An Enlarged Prostate.
• Arsenic Trioxide
• Bosentan
• Certain Antibiotics Such As Clarithromycin, Erythromycin, Sparfloxacin, Troleandomycin
• Certain Medicines Used For Seizures Such As Carbamazepine, Phenytoin, And Phenobarbital
• Certain Medicines For The Treatment Of Hiv Infection Or Aids
• Certain Medicines To Control The Heart Rhythm (e.g., Amiodarone, Disopyramide, Dofetilide, Flecainide, Ibutilide, Quinidine, Procainamide, Propafenone, Sotalol)
• Chloroquine
• Cisapride
• Diltiazem
• Grapefruit Juice
• Medicines For Fungal Infections (fluconazole, Itraconazole, Ketoconazole, Voriconazole)
• Methadone
• Nicardipine
• Pentamidine
• Pimozide
• Rifabutin, Rifampin, Or Rifapentine
• Some Medicines For Treating Depression Or Mood Problems (amoxapine, Maprotiline, Fluoxetine, Fluvoxamine, Nefazodone, Pimozide, Phenothiazines, Tricyclic Antidepressants)
• Verapamil

Tell Your Prescriber Or Health Care Professional About All Other Medicines You Are Taking, Including Non-Prescription Medicines, Nutritional Supplements, Or Herbal Products. Also Tell Your Prescriber Or Health Care Professional If You Are A Frequent User Of Drinks With Caffeine Or Alcohol, If You Smoke, Or If You Use Illegal Drugs. These May Affect The Way Your Medicine Works. Check With Your Health Care Professional Before Stopping Or Starting Any Of Your Medicines.

What Should I Watch For While Taking This Medicine?

• If You Notice Any Changes In Your Vision While Taking This Drug, Notify Your Prescriber Or Health Care Professional As Soon As Possible. Stop Using Vardenafil Right Away If You Have A Loss Of Sight In One Or Both Eyes. Contact Your Healthcare Provider Immediately.
• Contact Your Physician Immediately If The Erection Lasts Longer Than 4 Hours Or If It Becomes Painful. This May Be A Sign Of Priapism And Must Be Treated Immediately To Prevent Permanent Damage.
• If You Experience Symptoms Of Nausea, Dizziness, Chest Pain Or Arm Pain Upon Initiation Of Sexual Activity After Vardenafil Use, You Should Refrain From Further Activity And Should Discuss The Episode With Your Prescriber Or Health Care Professional As Soon As Possible.
• Do Not Change The Dose Of Your Medication. Please Call Your Prescriber Or Health Care Professional To Determine If Your Dose Needs To Be Reevaluated.
• Using Vardenafil Does Not Protect You Or Your Partner Against Hiv Infection (the Virus That Causes Aids) Or Other Sexually Transmitted Diseases.

What Side Effects May I Notice From This Medicine?
Side Effects That You Should Report To Your Prescriber Or Health Care Professional As Soon As Possible.

• Back Pain
• Changes In Hearing Such As Loss Of Hearing Or Ringing In Ears
• Changes In Vision Such As Loss Of Vision, Blurred Vision, Eyes Being More Sensitive To Light, Or Trouble Telling The Difference Between Blue And Green Objects Or Objects Having A Blue Color Tinge To Them
• Chest Pain Or Palpitations
• Difficulty Breathing, Shortness Of Breath
• Dizziness
• Eyelid Swelling
• Muscle Aches
• Prolonged Erection (lasting Longer Than 4 Hours)
• Skin Rash, Itching
• Seizures

Side Effects That Usually Do Not Require Medical Attention (report To Your Prescriber Or Health Care Professional If They Continue Or Are Bothersome):

• Flushing
• Headache
• Indigestion
• Nausea
• Stuffy Nose

This List May Not Describe All Possible Side Effects.

What Is This Medicine?
Vardenafil Is Used To Treat Erection Problems In Men. Vardenafil Works Faster Than Sildenafil (Viagra®) And It Is Less Likely To Have Visual Disturbance Side Effect.

What Should I Tell My Health Care Provider Before I Take This Medicine?
They Need To Know If You Have Any Of These Conditions:

• Anatomical Deformity Of The Penis, Peyronie’s Disease, Or Ever Had An Erection That Lasted More Than 4 Hours
• Bleeding Disorder
• Cancer
• Diabetes
• Frequent Heartburn Or Gastroesophageal Reflux Disease (GERD)
• Heart Disease, Angina, High Or Low Blood Pressure, A History Of Heart Attack, Or Other Heart Problems
• High Cholesterol
• Hiv Infection
• Kidney Disease
• Liver Disease
• Sickle Cell Disease
• Stroke
• Stomach Or Intestinal Ulcers
• Eye Or Vision Problems
• An Unusual Reaction To Vardenafil, Medicines, Foods, Dyes, Or Preservatives

How Should This Medicine Be Used?
Take Vardenafil Tablets By Mouth With Or Without Food. The Dose Is Usually Taken About 1 Hour Before Sexual Activity. Swallow The Tablets With A Drink Of Water. Do Not Take Double Or Extra Doses.

Overdosage: If You Think You Have Taken Too Much Of This Medicine Contact A Poison Control Center Or Emergency Room At Once.

Note: This Medicine Is Only For You. Do Not Share This Medicine With Others.

What If I Miss A Dose?
This Does Not Apply. However, Do Not Take Double Or Extra Doses.

What May Interact With This Medicine?
Do Not Take Vardenafil If You Are Taking The Following Medications:

• Nitroglycerin-Type Drugs For The Heart Or Chest Pain Such As Amyl Nitrite, Isosorbide Dinitrate, Isosorbide Mononitrate, Nitroglycerin, Even If These Are Only Taken Occasionally. This Includes Some Recreational Drugs Called ‘poppers’ Which Also Contain Amyl Nitrate And Butyl Nitrate.

Vardenafil May Also Interact With The Following Medications:

• Alpha Blockers Such As Alfuzosin (UroXatral®), Doxazosin (Cardura®), Prazosin (Minipress®), Tamsulosin (Flomax®), Or Terazosin (Hytrin®), Used To Treat High Blood Pressure Or An Enlarged Prostate.
• Arsenic Trioxide
• Bosentan
• Certain Antibiotics Such As Clarithromycin, Erythromycin, Sparfloxacin, Troleandomycin
• Certain Medicines Used For Seizures Such As Carbamazepine, Phenytoin, And Phenobarbital
• Certain Medicines For The Treatment Of Hiv Infection Or Aids
• Certain Medicines To Control The Heart Rhythm (e.g., Amiodarone, Disopyramide, Dofetilide, Flecainide, Ibutilide, Quinidine, Procainamide, Propafenone, Sotalol)
• Chloroquine
• Cisapride
• Diltiazem
• Grapefruit Juice
• Medicines For Fungal Infections (fluconazole, Itraconazole, Ketoconazole, Voriconazole)
• Methadone
• Nicardipine
• Pentamidine
• Pimozide
• Rifabutin, Rifampin, Or Rifapentine
• Some Medicines For Treating Depression Or Mood Problems (amoxapine, Maprotiline, Fluoxetine, Fluvoxamine, Nefazodone, Pimozide, Phenothiazines, Tricyclic Antidepressants)
• Verapamil

Tell Your Prescriber Or Health Care Professional About All Other Medicines You Are Taking, Including Non-Prescription Medicines, Nutritional Supplements, Or Herbal Products. Also Tell Your Prescriber Or Health Care Professional If You Are A Frequent User Of Drinks With Caffeine Or Alcohol, If You Smoke, Or If You Use Illegal Drugs. These May Affect The Way Your Medicine Works. Check With Your Health Care Professional Before Stopping Or Starting Any Of Your Medicines.

What Should I Watch For While Taking This Medicine?

• If You Notice Any Changes In Your Vision While Taking This Drug, Notify Your Prescriber Or Health Care Professional As Soon As Possible. Stop Using Vardenafil Right Away If You Have A Loss Of Sight In One Or Both Eyes. Contact Your Healthcare Provider Immediately.
• Contact Your Physician Immediately If The Erection Lasts Longer Than 4 Hours Or If It Becomes Painful. This May Be A Sign Of Priapism And Must Be Treated Immediately To Prevent Permanent Damage.
• If You Experience Symptoms Of Nausea, Dizziness, Chest Pain Or Arm Pain Upon Initiation Of Sexual Activity After Vardenafil Use, You Should Refrain From Further Activity And Should Discuss The Episode With Your Prescriber Or Health Care Professional As Soon As Possible.
• Do Not Change The Dose Of Your Medication. Please Call Your Prescriber Or Health Care Professional To Determine If Your Dose Needs To Be Reevaluated.
• Using Vardenafil Does Not Protect You Or Your Partner Against Hiv Infection (the Virus That Causes Aids) Or Other Sexually Transmitted Diseases.

What Side Effects May I Notice From This Medicine?
Side Effects That You Should Report To Your Prescriber Or Health Care Professional As Soon As Possible.

• Back Pain
• Changes In Hearing Such As Loss Of Hearing Or Ringing In Ears
• Changes In Vision Such As Loss Of Vision, Blurred Vision, Eyes Being More Sensitive To Light, Or Trouble Telling The Difference Between Blue And Green Objects Or Objects Having A Blue Color Tinge To Them
• Chest Pain Or Palpitations
• Difficulty Breathing, Shortness Of Breath
• Dizziness
• Eyelid Swelling
• Muscle Aches
• Prolonged Erection (lasting Longer Than 4 Hours)
• Skin Rash, Itching
• Seizures

Side Effects That Usually Do Not Require Medical Attention (report To Your Prescriber Or Health Care Professional If They Continue Or Are Bothersome):

• Flushing
• Headache
• Indigestion
• Nausea
• Stuffy Nose

This List May Not Describe All Possible Side Effects.

Instructions for Intake: Precautions, Contraindications and Related Recommendations for Safe Modafinil Therapy

•     Modafinil Interactions with Other Medications and Products
•     Modafinil Dosage
•     Side Effects and Possible Complications
•     Finding the Remedy Online

Due to the powerful impact Modafinil promotes on the organism, a patient should start the therapy getting professional consultation from a qualified medical specialist. Provigil should never be taken by patients, who are hypersensitive to Modafinil, Armodafinil or similar drugs. Certain health abnormalities can aggravate in case you start Modafinil intake. Make sure you get proper dosage suiting your condition and general health. Beware of the following health abnormalities primarily to the treatment course:

•     Cirrhosis or related liver disorders
•     Angina
•     History or current drug or alcohol addiction
•     Kidney impairments
•     Enhanced blood pressure
•     Heart attack
•     Heart disorders
•     History of psychosis or mental illnesses, and others.

Pregnant and breastfeeding women should avoid the use of the medicine, as it can harm the health of an unborn or nursing child. Replace your hormonal contraceptive with a non-hormonal equivalent if you want to treat abnormal sleepiness and prevent conceiving a child. Children under 17 years old are not approved for the drug intake. Administer the remedy in accordance with the dosing recommendations and safety instructions specified by the medical specialist. Never increase or decrease the duration of the therapy to avoid possible complications. Modafinil is the medication that can be habit-forming, so it should not be used by anyone with a history of drug or alcohol addiction. The remedy is administered in the morning in case a patient wants to prevent daytime sleepiness. For those who need to warn work-time sleep problems, Modafinil should be administered before the beginning of the work shift. The tablet can be used with or without food. The maximal duration of the therapy is 12 weeks.

Modafinil Interactions with Other Medications and Products
Provigil is a potent drug that can change the activity of liver enzymes that work eliminating other drugs. Thus, Modafinil effects may vary depending on the individual sensitivity to its ingredients and other drugs. Thus, combined with different remedies, Modafinil can either decrease the effectiveness of some treatments leading to overdose or decrease the concentration of other treatments altering positive effects. Provide your medical specialist with a list of other pharmaceuticals you are currently taking and pay exceptional attention to:

•     Cyclosporine
•     Hormonal contraceptives
•     Theophylline
•     Diazepam
•     Phenytoin
•     Warfarin and others.

Avoid alcohol consumption during the treatment course to prevent negative consequences.

Modafinil Dosage
This wakefulness-promoting agent can trigger different impacts on various patients, depending on individual health specifications, treated disorder, age and other factors. The dosage schedule and personally adjusted dose are important issues that contribute to the effectiveness of the medication:

•     Shift work disorder – 200 mg should be taken orally approximately an hour before the work shift;
•     Obstructive sleep apnea or narcolepsy – the average dose for such patients is 200 mg used once a day, preferably in the morning;
•     Severe hepatic impairment – one-half of the normal dose;
•     Geriatric patients – the lowest effective dose should be given to this group of patients.

Side Effects and Possible Complications
Following the safety instructions, you will prevent any abnormalities of overdose-related disorders. However, the most common reactions to Modafinil use include the following:

•     Allergic reactions
•     Back pain
•     Dizziness
•     Drowsiness
•     Nervousness
•     Runny or stuffy nose
•     Stomach problems and others.